Table of Contents
Advances in Epidemiology
Volume 2016, Article ID 2083683, 7 pages
Research Article

Smoking and Heberden Nodes: Analysis of Data from the Osteoarthritis Initiative

1Department of Dental Practice and Rural Health, School of Dentistry, West Virginia University, Morgantown, WV 26506, USA
2Department of Epidemiology, School of Public Health, West Virginia University, Morgantown, WV 26506, USA
3Department of Periodontics, Division of Dental Hygiene, West Virginia University, Morgantown, WV 26506, USA

Received 19 November 2015; Accepted 10 April 2016

Academic Editor: Jeanine M. Buchanich

Copyright © 2016 R. Constance Wiener and Alcinda K. Trickett Shockey. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. Dental hygienists, dentists, and other workforce providers who depend upon their hands for employment are acutely aware of the need to protect their hands to ensure a successful career. Recent research has suggested that smoking may be protective of hand osteoarthritis. The purpose of this study is to determine the association between smoking and Heberden’s nodes. Methods. Data from the Osteoarthritis Initiative were used in a cross-sectional, secondary data analysis of self-reported current smoking/never smoking and the presence/absence of Heberden’s nodes, the hard enlargements of the joints nearest the fingertips (distal interphalangeal joints). Analyses included descriptive statistics, Chi-square associations with Heberden’s nodes, and logistic regressions. Results. In adjusted analysis, smoking had an adjusted odds ratio for Heberden’s nodes of 0.832 [95% confidence interval: 0.60, 1.14] which failed to reach significance (). In the selected model, females were more likely than males to have Heberden’s nodes; non-Hispanic Blacks were less likely than non-Hispanic Whites to have Heberden’s nodes; and older age groups were more likely than the youngest age group to have Heberden’s nodes. Conclusion. Smoking did not provide protection against Heberden’s nodes in this study of US participants in the Osteoarthritis Initiative.