Zhang Q, Li Z X, Yang Y, Wang C X, Wang L M, Wang L H
Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Mar 10;38(3):346-349. doi: 10.3760/cma.j.issn.0254-6450.2017.03.014.
To understand the correlation between self-reported gingival bleeding and type 2 diabetes mellitus (T2DM) in adults in China. The database of China' s 2010 Chronic Disease and Risk Factor Surveillance (CCDRFS) survey among people aged ≥18 years was used to analyze the demographic characteristics of subjects with self-reporting gingival bleeding and the prevalence of major chronic diseases among adults. Correlation and interaction analyses were conducted on the relationships between frequent gingival bleeding and T2DM, hypertension and dyslipidemia, and interaction of age and gingival bleeding, age and hypertension, age and dyslipidemia, age and gender on the prevalence of T2DM. Among 93 647 adults surveyed, 87.4% were in Han ethnic group. The incidence of frequent gingival bleeding was higher in females (63.6%) than in males (36.4%). The incidence of frequent gingival bleeding was highest (30.1%) in adults with middle school education level. Among the adults aged 45-60 years, 12.8%(2 839/22 179) had T2MD but no gingival bleeding, 15.6% (163/1 044) had both frequent gingival bleeding and T2DM, frequent gingival bleeding was correlated with T2DM (=1.29, 95: 1.08-1.54) and the interaction with age had influence on T2DM (<0.005). In males, frequent gingival bleeding was correlated with T2DM (=1.30, 95: 1.08-1.56, =0.005). In hypertension group, frequent gingival bleeding was correlated with T2DM (=1.25, 95: 1.07-1.46), and interaction of hypertension and gingival bleeding had influence on T2DM (<0.05). The positive correlation between frequent gingival bleeding and T2DM was observed in adults surveyed, and the interaction of age and hypertension had influence on prevalence of T2DM. Frequent gingival bleeding was correlated with T2DM in males either.
了解中国成年人自我报告的牙龈出血与2型糖尿病（T2DM）之间的相关性。利用中国2010年≥18岁人群慢性病与危险因素监测（CCDRFS）调查数据库，分析自我报告有牙龈出血的受试者的人口统计学特征以及成年人中主要慢性病的患病率。对频繁牙龈出血与T2DM、高血压和血脂异常之间的关系，以及年龄与牙龈出血、年龄与高血压、年龄与血脂异常、年龄与性别对T2DM患病率的交互作用进行相关性和交互分析。在93647名接受调查的成年人中，87.4%为汉族。女性频繁牙龈出血的发生率（63.6%）高于男性（36.4%）。初中文化程度的成年人中频繁牙龈出血的发生率最高（30.1%）。在45 - 60岁的成年人中，12.8%（2839/22179）患有T2DM但无牙龈出血，15.6%（163/1044）既有频繁牙龈出血又患有T2DM，频繁牙龈出血与T2DM相关（=1.29，95%可信区间：1.08 - 1.54），且与年龄的交互作用对T2DM有影响（<0.005）。在男性中，频繁牙龈出血与T2DM相关（=1.30，95%可信区间：1.08 - 1.56，=0.005）。在高血压组中，频繁牙龈出血与T2DM相关（=1.25，95%可信区间：1.07 - 1.46），且高血压与牙龈出血的交互作用对T2DM有影响（<0.05）。在接受调查的成年人中观察到频繁牙龈出血与T2DM之间存在正相关，且年龄与高血压的交互作用对T2DM患病率有影响。频繁牙龈出血在男性中也与T2DM相关。
