Diabetes and dental caries in US adults: an analysis of data from the National Health and Nutrition Examination Survey, 2011-2018.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Community dental health Pub Date : 2023-05-30 DOI:10.1922/CDH_00253Vu06

G T Vu, B Little, G-L Cheng, P C Lai

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Abstract

Objectives: To determine the relationship between diabetes and dental caries among US adults participating in the 2011-2018 National Health and Nutrition Examination Survey (NHANES).

Basic research design: The NHANES was a cross-sectional study including clinical assessments, laboratory analysis, and interviews. The sample included 16,635 participants aged 20 years and older that represent 187,596,215 individuals in the US in a probability weighted sample. Outcome variables included overall total caries score (or number of decayed, missing, filled permanent teeth - DMFT index) and the presence of caries. Bivariate analysis, Poisson regression for total caries score, logistic regression for the presence of caries were used for analysis.

Results: Controlling for covariates, multiple Poisson regression revealed that total DMFT scores were associated with diabetes status (adjusted relative risk ratio (RR)controlled diabetes = 1.13, RRuncontrolled diabetes = 1.18; p⟨0.001), no college education, female sex, white race, elderly (≥ 65 years), cigarette smoking, obesity, yearly dental visits, seeing a dentist only for treatment. Similarly, multiple logistic regression shows that the odds of adults with diabetes having dental caries were higher than among those without diabetes (adjusted risk ratio (OR)controlled diabetes = 1.84, ORuncontrolled diabetes = 1.87; p⟨0.05).

Conclusions: Diabetes was associated with a higher caries score and a greater risk for dental caries among US adults.

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美国成年人的糖尿病和龋齿:2011-2018年国家健康与营养检查调查数据分析

目的:在参加2011-2018年国家健康与营养调查(NHANES)的美国成年人中确定糖尿病与龋齿之间的关系。基础研究设计:NHANES是一项横断面研究，包括临床评估、实验室分析和访谈。样本包括16,635名年龄在20岁及以上的参与者，在概率加权样本中代表了美国187,596,215人。结果变量包括龋病总评分(或蛀牙、缺牙、补牙的恒齿数- DMFT指数)和龋病的存在。采用双变量分析、总体龋病评分的泊松回归和有无龋病的逻辑回归进行分析。结果:在控制协变量的情况下，多元泊松回归显示DMFT总分与糖尿病状态相关(校正相对风险比(RR)控制的糖尿病= 1.13,rrun控制的糖尿病= 1.18;P⟨0.001)，未受过大学教育，女性，白人，老年人(≥65岁)，吸烟，肥胖，每年看牙医，仅为治疗而看牙医。同样，多元logistic回归显示，糖尿病成人患龋齿的几率高于非糖尿病成人(调整风险比:控制糖尿病= 1.84，控制糖尿病= 1.87;p⟨0.05)。结论:在美国成年人中，糖尿病与更高的龋齿评分和更大的龋齿风险相关。

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.