牙周病与美国成年人口腔癌筛查的相关性：NHANES 2011-2014。
Association between periodontal disease and oral cancer screening among US adults: NHANES 2011-2014.
机构信息
Department of Dental Public Health and Policy, School of Dentistry, Virginia Commonwealth University, Richmond, VA, USA.
Oral Health Equity Core, Institute for Inclusion, Inquiry, and Innovation, Virginia Commonwealth University, Richmond, VA, USA.
出版信息
Community Dent Oral Epidemiol. 2022 Jun;50(3):216-224. doi: 10.1111/cdoe.12655. Epub 2021 May 25.
OBJECTIVES
To examine oral cancer screening rates and associated factors among adults with periodontal disease (PD). We hypothesized that adults with severe PD will be less likely to report receipt of any type of oral cancer screening than adults with no PD.
MATERIALS AND METHODS
We used 2011-2014 National Health and Nutrition Examination Survey (NHANES) data on adults ≥30 years. PD status was classified as no PD, mild/moderate PD and severe PD. Survey-adjusted logistic regression analysis was used to examine the model adjusted risk ratio (RR) and 95% confidence intervals (CI) for the outcome of not receiving intraoral, extraoral or both types of oral cancer screenings among adults with PD. Control variables included age, sex, race/ethnicity, health insurance, education, income level, smoking status, alcohol use and last dental visit.
RESULTS
The analytic sample included 6962 adults weighted to the national population of adults who had a periodontal examination during 2011-2014. Overall, 31.5%, 26.8% and 20.9% of adults reported receipt of intraoral, extraoral and both types of oral cancer screening, respectively. Almost 40% of adults had some form of PD (7.6% severe and 32.4% mild/moderate PD). A higher proportion of 45-64-year-olds, males, non-Hispanic Blacks, those with less than high school education, with income level less than 200% federal poverty level, or those with no insurance had severe PD than no PD. In adjusted analyses, adults with severe PD were significantly more likely to report no receipt of intraoral (RR = 1.25, 95% CI = 1.12-1.40), extraoral (RR = 1.17, 95% CI = 1.07-1.27) or both types of oral cancer screenings (RR = 1.18, 95% CI = 1.10-1.27) than those with no PD.
CONCLUSIONS
Significantly low proportion of adult's age ≥30 years with severe PD reported receiving any type of oral cancer screening. The association between PD and risk of oral cancers points to the need to improve oral cancer screening rates among adults with PD.
目的
研究牙周病（PD）成年人的口腔癌筛查率及其相关因素。我们假设，严重 PD 的成年人接受任何类型的口腔癌筛查的可能性低于没有 PD 的成年人。
材料与方法
我们使用了 2011-2014 年全国健康和营养调查（NHANES）中≥30 岁成年人的数据。PD 状况分为无 PD、轻度/中度 PD 和严重 PD。采用调查调整的逻辑回归分析，研究 PD 成年人中未接受口腔内、口腔外或两种类型的口腔癌筛查的模型调整风险比（RR）和 95%置信区间（CI）。控制变量包括年龄、性别、种族/族裔、医疗保险、教育程度、收入水平、吸烟状况、饮酒和最近的牙科就诊。
结果
分析样本包括 6962 名接受 2011-2014 年牙周检查的成年人，经过加权后可代表全国成年人的人口。总体而言，31.5%、26.8%和 20.9%的成年人分别报告接受了口腔内、口腔外和两种类型的口腔癌筛查。近 40%的成年人患有某种形式的 PD（7.6%为严重 PD，32.4%为轻度/中度 PD）。与无 PD 相比，45-64 岁、男性、非西班牙裔黑人、受教育程度低于高中、收入水平低于联邦贫困线 200%或没有保险的成年人中，严重 PD 的比例更高。在调整后的分析中，严重 PD 成年人更有可能报告未接受口腔内（RR=1.25，95%CI=1.12-1.40）、口腔外（RR=1.17，95%CI=1.07-1.27）或两种类型的口腔癌筛查（RR=1.18，95%CI=1.10-1.27）。
结论
患有严重 PD 的≥30 岁成年人接受任何类型的口腔癌筛查的比例明显较低。PD 与口腔癌风险之间的关联表明，需要提高 PD 成年人的口腔癌筛查率。
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