We evaluated the association of stress,distress, and @entity146 with @entity2520 in 1,426 subjects, aged 25 to 74, in Erie County, NY, Demographic characteristics, medical and dental history, and @entity286 and @entity167 consumption, as well as clinical assessments of @entity527 , subgingival flora, @entity548 , calculus, probing depth, clinical attachment level (CAL), and @entity604 ( @entity604 ) were obtained for each subject. Subjects also completed a set of 5 psychosocial instruments that measured life events, daily strains, hassles and uplifts, distress, and @entity146 . Internal consistencies of all subscales on the instruments were high, with Cronbach's alpha ranging from 0.88 to 0.99. Logistic regression indicated that financial @entity6475 was significantly associated with greater attachment and @entity604 (OR 1.70; 95% CI, 1.09-2.65; and 1.68; 95% CI, 1.20-2.37, respectively) after adjusting for age, gender, and smoking. When those with financial @entity6475 were stratified with respect to @entity146 , it was found that those who exhibited high emotion-focused coping (inadequate coping) had and even higher risk of having more severe @entity6730 (OR 2.24; 95% CI, 1.15-4.38) and @entity604 (OR 1.91; 95% CI, 1.15-3.17) than those with low levels of financial @entity6475 within the same coping group, after adjustment for age, gender, and cigarette smoking. After further adjusting for number of visits to the dentist, those with financial @entity6475 who were high emotion-focused copers still had higher levels of @entity2520 based on CAL (OR 2.12; 95% CI, 1.07-4.18). In contrast, subjects with high levels of financial @entity6475 who reported high levels of problem-based coping (good coping) had no more @entity2520 than those with low levels of financial @entity6475 . Salivary @entity701 levels were higher in a test group exhibiting severe @entity2521 , a high level of financial @entity6475 , and high emotion-focused coping, as compared to a control group consisting of those with little or no @entity2520 , @entity258 , and low levels of emotion-focused coping (11.04 +/-4.4 vs/ 8.6 +/- 4.1 nmol/L salivary @entity701 , respectively). These findings suggest that psychosocial measures of stress associated with financial @entity6475 are significant risk indicators for @entity2520 in adults. Further prospective studies are needed to help establish the time course of stress, distress, and inadequate coping on the onset and progression of @entity2520 , as well as to evaluate the mechanisms by which stress exerts its effects on periodontal @entity281 .

Models to evaluate the role of stress in XXXX .

@entity286 :: ('4097', 'Species') :: ['tobacco'] @entity6730 :: ('MESH:D017622', 'Disease') :: ['attachment loss'] @entity527 :: ('MESH:D058225', 'Disease') :: ['supragingival plaque'] @entity2520 :: ('MESH:D010510', 'Disease') :: ['periodontal disease'] @entity146 :: ('MESH:D001523', 'Disease') :: ['coping behaviors'] @entity167 :: ('CHEBI:16236', 'Chemical') :: ['alcohol'] @entity548 :: ('MESH:D006470', 'Disease') :: ['gingival bleeding'] @entity604 :: ('MESH:D016301', 'Disease') :: ['ABL', 'alveolar bone loss', 'radiographic alveolar bone loss'] @entity6475 :: ('MESH:D013180', 'Disease') :: ['strain'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infections'] @entity701 :: ('MESH:D006854', 'Chemical') :: ['cortisol'] @entity2521 :: ('MESH:D010518', 'Disease') :: ['periodontitis'] @entity258 :: ('MESH:D009800', 'Disease') :: ['low financial strain']
@entity2520 :: (MESH:D010510,Disease) :: ['periodontal disease']
