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KMID : 1023420160160050339
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Journal of Dental Hygiene Science
2016 Volume.16 No. 5 p.339 ~ p.348
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Gender-Specific Association between Average Volume of Alcohol Consumption, Binge Drinking, and Periodontitis among Korean Adults: The Korea National Health and Nutrition Examination Survey, 2013∼2014
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Hyeong Ju-Hee
Lee Young-Hoon
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Abstract
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We investigated the gender-specific association between average volume of alcohol consumption, binge drinking, and periodontitis usingrepresentative nationwide data. In total, we included 3,549 men and 4,810 women, aged 19 years and older, who participated in the sixth KoreaNational Health and Nutrition Examination Survey performed in 2013∼2014. According to the average volume of alcohol consumption, studyparticipants were grouped as follows: mild drinkers (0.1∼2.0 drinks/day in men and 0.1∼1.0 drink/day in women), moderate drinkers (2.1∼4.0drinks/day in men and 1.1∼2.0 drinks/day in women), and heavy drinkers (＞4.0 drinks/day in men and ＞2.0 drinks/day in women). Additionally,binge drinking was categorized as never (no binge drinking), rarely (＜1 time/month), occasionally (1 time/month), frequently (1 time/week), andalways (almost every day/week). Periodontitis was defined as a community periodontal index equal to code 3 or greater. In men, after controllingfor covariates, the association between average volume of alcohol consumption and periodontitis showed a J-shaped curve; the risk of periodontitiswas significantly higher in moderate drinkers (odds ratio [OR], 1.25; 95% confidence interval [CI], 1.01∼1.56) and heavy drinkers (OR, 1.39; 95%CI, 1.04∼1.87) than in mild drinkers. In contrast, no significant association between average volume of alcohol consumption and periodontitis wasobserved in women. In a fully adjusted analysis, which used ‘never binge drinking’ as a reference, a significant dose-response relationship betweenbinge drinking and periodontitis was observed only in men: rarely (OR, 1.64; 95% CI, 1.16∼2.34), occasionally (OR, 1.51; 95% CI, 1.05∼2.16),frequently (OR, 1.58; 95% CI, 1.07∼2.33), and always (OR, 2.56; 95% CI, 1.56∼4.22) (p for trend=0.005). In conclusion, unhealthy drinkingpatterns such as moderate or heavy alcohol consumption and binge drinking were significantly associated with periodontitis in men but not inwomen.
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KEYWORD
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Alcohol drinking, Binge drinking, Health surveys, Periodontitis
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