Association of sense of coherence and periodontal disease severity, in two cross‐sectional studies

Objectives To investigate the association between the individuals' level of sense of coherence (SOC) and periodontal disease severity. Methods The study populations originated from two stratified cross‐sectional random samples of residents in a medium‐sized Swedish city in 2003 and 2013, respec...

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Published in:International journal of dental hygiene Vol. 22; no. 4; pp. 897 - 904
Main Authors: Wahlin, Åsa, Lindmark, Ulrika, Norderyd, Ola
Format: Journal Article
Language:English
Published: England Blackwell Publishing Ltd 01.11.2024
Subjects:
Adult
Age Factors
Aged
cross-sectional
Cross-Sectional Studies
Dental Hygiene
Educational Status
epidemiology
Female
Gum disease
Humans
Male
Middle Aged
Oral hälsa
Periodontal diseases
Periodontal Diseases - classification
Periodontal Diseases - psychology
Periodontitis
Periodontitis - psychology
Population studies
Regression analysis
Sense of Coherence
Severity of Illness Index
Smoking
Statistical analysis
Surveys and Questionnaires
Sweden
Sweden
epidemiology
periodontal diseases
sense of coherence
cross‐sectional
periodontitis
smoking
ISSN:1601-5029, 1601-5037, 1601-5037
Online Access:Get full text
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Summary:Objectives To investigate the association between the individuals' level of sense of coherence (SOC) and periodontal disease severity. Methods The study populations originated from two stratified cross‐sectional random samples of residents in a medium‐sized Swedish city in 2003 and 2013, respectively. The final samples constituted 491 individuals in 2003 and 538 individuals in 2013. The samples were classified into three groups according to the severity of periodontitis (no/minor, moderate and severe). The 13‐item Swedish version of Antonovsky's “Orientation to life” questionnaire, measuring the individual's SOC, was filled out. Descriptive statistics were performed as well as multinomial logistic regression analysis. Dependent variable was the severity of periodontal disease and independent variables, age in years, presently smoking and education at university level. Results In the multinomial regression analysis, smoking, age, and total SOC score were significantly associated with severe periodontitis at both examinations. The strongest predictor of severe periodontal disease was smoking. The total SOC score did not differ between the examinations, but there was a statistically significant difference in two of the SOC dimensions, manageability (lower), and comprehensibility (higher), over time. Conclusions Individuals with severe periodontitis had significantly lower SOC compared to subjects periodontally having no/minor periodontal disease. Smoking was the strongest overall predictor of having severe periodontitis.
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ISSN:1601-5029
1601-5037
1601-5037
DOI:10.1111/idh.12806