Assessing the relationship between diabetes mellitus and dental caries among US adults: The National Health and Nutrition Examination Survey (NHANES) 2013–2020

IF 3.2 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health Pub Date : 2025-02-01 DOI:10.1016/j.puhe.2024.12.023

Vahan Boyajyan , Usama Bilal

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引用次数: 0

Abstract

Objectives

To assess the relationship between diabetes prevalence and dental caries experience among a representative sample of US adults.

Study design

Cross-sectional study.

Methods

We used data on participants 25 years and older with complete data from the continuous National Health and Nutrition Examination Survey (NHANES) cycles in 2013–2020. We defined diabetes prevalence using glycohemoglobin and self-reported diabetes. Dental caries was operationalized using the decayed, missing, filled teeth (DMFT) score from a standardized dental examination. We used Poisson models to examine adjusted associations with dental caries experience or the DMFT score.

Results

We found a dose-response association between diabetes prevalence and DMFT score (RR = 1.017, 95 % CI: 0.994–1.041 for prediabetes and RR = 1.045, 95 % CI: 1.017–1.074 for diabetes) after adjusting for age, sex, race, education, family income to poverty ratio, smoking status, body weight and last dental visit.

Conclusions

Diabetes prevalence was associated with higher dental caries experience. Future studies should examine the mechanism and interventions to ameliorate this association.

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评估美国成年人糖尿病和龋齿之间的关系：2013-2020年国家健康与营养检查调查（NHANES）

目的：评估美国成年人中糖尿病患病率与龋齿经历之间的关系。研究设计：横断面研究。方法：我们使用的数据来自2013-2020年连续国家健康与营养检查调查（NHANES）周期的25岁及以上参与者的完整数据。我们使用糖蛋白和自我报告的糖尿病来定义糖尿病患病率。使用标准化牙科检查的蛀牙、缺牙、补牙（DMFT）评分来诊断龋齿。我们使用泊松模型来检验与龋齿经历或DMFT评分的调整关联。结果：在调整了年龄、性别、种族、教育程度、家庭收入与贫困比、吸烟状况、体重和最后一次牙科就诊等因素后，我们发现糖尿病患病率与DMFT评分之间存在剂量-反应相关性（糖尿病前期RR = 1.017, 95% CI: 0.994-1.041，糖尿病前期RR = 1.045, 95% CI: 1.017-1.074）。结论：糖尿病患病率与高龋率相关。未来的研究应探讨改善这种关联的机制和干预措施。

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.