Prevalence and social determinants of periodontal disease in Colombian pregnant women

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2023-10-31 DOI:10.1111/cdoe.12916

Juliana Velosa-Porras, Nelcy Rodríguez Malagón

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Abstract

Objective

The objective of the study was to identify the prevalence of periodontal disease in pregnant women in the Colombian population and its association with social determinants and medical history based on data from the Fourth National Oral Health Survey (ENSAB IV).

Methods

A total of 1012 pregnant women from different areas of Colombia were evaluated. A periodontal evaluation was performed using a North Carolina periodontal probe. The following data were recorded: number of teeth, probing depth (PD), the position of the gingival margin (GM) and clinical attachment level (CAL). An ordinal logistic regression analysis was performed for the association between social determinants and the Centers for Disease Control and Prevention and the American Academy of Periodontology (CDC/AAP) classification and logistic regression between social determinants and the European Federation of Periodontology (EFP) classification.

Results

The prevalence of periodontitis was 37.1% using the CDC/AAP criteria and 41.2% according to the criteria of EFP distributed in sensitive (40.2%) and specific cases (0.9%). Age, belonging to a subsidized regime, living in a rural area, having an intermittent water supply and bleeding in medical records were found to be positively associated with periodontitis (mild, moderate, severe).

Conclusions

The findings of this national study of pregnant women show a high prevalence of periodontitis—using the CDC/AAP and EFP criteria—associated with age, living in rural areas, subsidized regime, intermittent water supply and bleeding in medical records.

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哥伦比亚孕妇牙周病的患病率和社会决定因素。

目的：本研究的目的是根据第四次全国口腔健康调查（ENSAB IV）的数据，确定哥伦比亚人口中孕妇牙周病的患病率及其与社会决定因素和病史的关系。方法：对来自哥伦比亚不同地区的1012名孕妇进行评估。使用北卡罗来纳州牙周探针进行牙周评估。记录以下数据：牙齿数量、探测深度（PD）、牙龈边缘位置（GM）和临床附着水平（CAL）。对社会决定因素与疾病控制与预防中心和美国牙周病学会（CDC/AAP）分类之间的关系进行了有序逻辑回归分析，并对社会决定因子与欧洲牙周病联合会（EFP）分类的关系进行逻辑回归分析。结果：根据CDC/AAP标准，牙周炎的患病率为37.1%，根据EFP标准，其患病率为41.2%，分布在敏感病例（40.2%）和特殊病例（0.9%）中，在医疗记录中发现间歇性供水和出血与牙周炎（轻度、中度、重度）呈正相关。结论：这项针对孕妇的全国性研究结果显示，使用CDC/AAP和EFP标准，牙周炎的患病率很高，与年龄、生活在农村地区、补贴制度、，医疗记录中的间歇性供水和出血。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.