Dental Public Health, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
BMC Oral Health. 2020 Mar 7;20(1):66. doi: 10.1186/s12903-020-1054-4.
Oral health is associated with diabetes, but the chances of experiencing acute or chronic diabetes complications as per this association is unknown in Canada's most populous province, Ontario. This study assesses the impact of self-reported oral health on the likelihood of experiencing acute and chronic complications among a cohort of previously diagnosed diabetics.
A retrospective cohort study was conducted of diabetics (n = 5183) who participated in the Canadian Community Health Survey 2003 and 2007-08. Self-reported oral health status was linked to health encounters in electronic medical records until March 31, 2016. Multinomial regression models determined the odds of the first acute or chronic complication after self-report of oral health status.
Thirty-eight percent of diabetics reporting "poor to fair" oral health experienced a diabetes complication, in comparison to 34% of those reporting "good to excellent" oral health. The odds of an acute or chronic complication among participants reporting "poor to fair" oral health status was 10% (OR 1.10; 95% CI 0.81, 1.51) and 34% (OR 1.34; 95% CI 1.11, 1.61) greater respectively, than among participants experiencing no complications and reporting "good to excellent" oral health.
Self-reporting "poor to fair" oral health status is associated with a greater likelihood of chronic complications than acute complications. Further research regarding the underlying causal mechanisms linking oral health and diabetes complications is needed.
口腔健康与糖尿病有关，但在加拿大人口最多的安大略省，这种关联导致出现急性或慢性糖尿病并发症的几率尚不清楚。本研究评估了自我报告的口腔健康状况对先前确诊糖尿病患者队列中出现急性和慢性并发症的可能性的影响。
对参加了 2003 年和 2007-08 年加拿大社区健康调查的糖尿病患者（n=5183）进行了回顾性队列研究。将自我报告的口腔健康状况与电子病历中的健康就诊情况进行了关联，直至 2016 年 3 月 31 日。多项回归模型确定了自我报告口腔健康状况后首次出现急性或慢性并发症的几率。
38%报告“差到一般”口腔健康状况的糖尿病患者经历了糖尿病并发症，而报告“好到极好”口腔健康状况的患者中这一比例为 34%。报告“差到一般”口腔健康状况的参与者发生急性或慢性并发症的几率分别高出 10%（OR 1.10；95%CI 0.81，1.51）和 34%（OR 1.34；95%CI 1.11，1.61）。
自我报告的“差到一般”口腔健康状况与慢性并发症的发生几率更高相关，而非急性并发症。需要进一步研究口腔健康与糖尿病并发症之间的潜在因果机制。
