Group Health Research Institute, Seattle, WA, USA.
J Periodontol. 2011 Dec;82(12):1650-6. doi: 10.1902/jop.2011.100609. Epub 2011 May 24.
Our objectives were to describe the prevalence of periodontal care (a marker of periodontitis) among persons with and without diabetes and to examine the association between periodontal care and diabetes.
We conducted a cross-sectional analysis, using 5 years of electronic data from a population-based cohort (N = 46,132), aged 40 to 70 years, with dental and medical insurance, and ≥ 1 dental and ≥ 1 medical visit. Periodontal care (yes/no) was defined by dental claims codes for procedures used to manage periodontitis. The association between periodontal care and diabetes was determined using logistic regression adjusted for and stratified by age, sex, insurance type, smoking status, body mass index (BMI) (in kilograms per square meter), and resource utilization band (RUB) (a measure of expected health care utilization attributable to comorbidity).
Overall, 11.2% (5,153 of 46,132) met diabetes criteria. The age-adjusted prevalence of periodontal care among those with and without diabetes was 39.1% and 32.5%, respectively (P <0.0001). The association between diabetes and periodontal care decreased with increasing age (interaction, P <0.0001), adjusting for BMI and RUB. The aged-stratified, adjusted odds ratio (OR) for periodontal care associated with diabetes was highest among those aged 40 to 44 years [OR, 1.6; confidence interval (CI), 1.30 to 1.97] and lowest among those aged 60 to 64 years (OR, 0.97; CI, 0.81 to 1.15) and was significant only among those aged 40 to 54 years.
We found that the prevalence of periodontal care was significantly higher among those with diabetes compared to those without diabetes and that the magnitude of this association decreased with increasing age.
我们的目的是描述患有和不患有糖尿病的人群中牙周护理（牙周炎的一个标志物）的流行情况，并研究牙周护理与糖尿病之间的关系。
我们进行了一项横断面分析，使用了一个基于人群的队列（N=46132）的 5 年电子数据，该队列年龄在 40 至 70 岁之间，有牙科和医疗保险，且至少有 1 次牙科就诊和至少 1 次医疗就诊。牙周护理（是/否）是根据用于治疗牙周炎的程序的牙科索赔代码来定义的。使用调整后的逻辑回归，按年龄、性别、保险类型、吸烟状况、体重指数（BMI，以千克/平方米为单位）和资源利用带（RUB）（一种归因于合并症的预期医疗保健利用的衡量标准）进行分层，确定牙周护理与糖尿病之间的关系。
总体而言，有 11.2%（46132 人中的 5153 人）符合糖尿病标准。患有和不患有糖尿病的人群中牙周护理的年龄调整患病率分别为 39.1%和 32.5%（P<0.0001）。调整 BMI 和 RUB 后，糖尿病与牙周护理之间的关系随着年龄的增长而降低（交互作用，P<0.0001）。按年龄分层，调整后与糖尿病相关的牙周护理的优势比（OR）在 40 至 44 岁年龄组中最高[OR，1.6；置信区间（CI），1.30 至 1.97]，在 60 至 64 岁年龄组中最低[OR，0.97；CI，0.81 至 1.15]，仅在 40 至 54 岁年龄组中具有统计学意义。
我们发现，与不患有糖尿病的人群相比，患有糖尿病的人群中牙周护理的患病率明显更高，并且这种关联的程度随着年龄的增长而降低。
