Food insecurity and periodontitis in US adults.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Community dental health Pub Date : 2024-05-01 DOI:10.1922/CDH_00048Vu05

G T Vu, C King

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Abstract

Objectives: To determine the relationship between food insecurity and periodontitis among adults in the United States (US).

Methods: Secondary analysis of the 2009-2014 National Health and Nutrition Examination Survey data. The sample included 6,108 US participants aged ≥ 30 years in a probability weighted sample. Periodontitis status was measured in full-month oral examinations at 6 sites per tooth for clinical attachment loss and periodontal probing depth. Food insecurity was assessed by the 18-item US Food Security Survey Module.

Results: Controlling for covariates, multiple logistic regression showed that periodontitis was associated with low food security (adjusted odds ratio (aOR)=1.30, 95% CI: 1.08-1.57). Risk factors for periodontitis included HbA1c ≥ 7% (aOR=1.74, 95% CI: 1.26-2.40), seeking emergency dental care (aOR=1.36, 95% CI:1.19-1.55), smoking status, racial minorities, low income, and older age. Protective factors for periodontitis were annual dental visit (aOR=0.52, 95% CI: 0.43-0.64), health insurance (aOR=0.66, 95% CI: 0.54-0.80), female gender, and college education.

Conclusions: Food insecurity was associated with a higher risk of periodontitis among US adults. Having enough food to eat is a basic human right and would improve well-being.

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美国成年人的粮食不安全和牙周炎。

目的：确定美国成年人的食物不安全与牙周炎之间的关系：确定美国成年人食物不安全与牙周炎之间的关系：方法：对 2009-2014 年全国健康与营养调查数据进行二次分析。样本包括 6108 名年龄≥ 30 岁的美国参与者，为概率加权样本。牙周炎状况是在全月口腔检查中对每颗牙齿的 6 个部位的临床附着丧失和牙周探诊深度进行测量的。食物不安全状况由 18 个项目的美国食物安全调查模块进行评估：多重逻辑回归显示，牙周炎与低食品安全相关（调整后的几率比（aOR）=1.30，95% CI：1.08-1.57）。牙周炎的风险因素包括 HbA1c ≥ 7%（aOR=1.74，95% CI：1.26-2.40）、寻求牙科急诊（aOR=1.36，95% CI：1.19-1.55）、吸烟状况、少数种族、低收入和年龄较大。牙周炎的保护因素包括每年看牙（aOR=0.52，95% CI：0.43-0.64）、医疗保险（aOR=0.66，95% CI：0.54-0.80）、女性性别和大学教育程度：结论：在美国成年人中，食物不安全与牙周炎的高风险相关。有足够的食物可吃是一项基本人权，并能提高幸福感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.