Islas-Zarazúa Rosalina, Mora-Acosta Mariana, Navarrete-Hernández José de Jesús, Reynoso-Vázquez Josefina, Villalobos-Rodelo Juan José, Rojas-Ortega Laura, Sosa-Velazco Taurino Amilcar, Márquez-Corona María de Lourdes, Medina-Solís Carlo Eduardo, Maupomé Gerardo
Dentistry Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico.
Pharmacy Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico.
Healthcare (Basel). 2022 Nov 26;10(12):2378. doi: 10.3390/healthcare10122378.
The objective of the present study was to compare the prevalence of edentulism in Mexican adults with and without a diagnosis of type 2 diabetes mellitus (T2DM) when they are seeking dental care. A cross-sectional study was conducted on 1921 medical records of Mexican adults 40 years of age and older who sought dental care at clinics of a public university in Mexico. The dependent variable was edentulism, clinically determined through an oral examination. The main independent variable was the self-report of previous T2DM diagnosis made by a physician. Sociodemographic, socioeconomic and behavioral covariates were included in a multivariate binary logistic regression model. Overall edentulism prevalence was 8.4% (95% CI = 7.1-9.6). The prevalence of T2DM was 14.3% (n = 274). The prevalence of edentulism among individuals with T2DM was 13.1%, but only 7.6% among individuals without T2DM. In the multivariate binary logistic regression model, a previous T2DM diagnosis increased the probability of being edentulous 1.61 times (95% CI = 1.03-2.50). For each year a person's age increased, the likelihood of being edentulous increased by 12% (95% CI = 10-14%). In summary, a higher prevalence of edentulism was present in Mexican adults with T2DM and in those of older age. This information may be used by dental care providers and health policymakers to improve approaches to preventive care, as well as to characterize and anticipate care needs more accurately for the adult and older adult populations.
本研究的目的是比较在寻求牙科护理时，患与未患2型糖尿病（T2DM）的墨西哥成年人的无牙患病率。对1921名40岁及以上在墨西哥一所公立大学诊所寻求牙科护理的墨西哥成年人的病历进行了横断面研究。因变量是通过口腔检查临床确定的无牙情况。主要自变量是医生之前对T2DM诊断的自我报告。社会人口统计学、社会经济和行为协变量被纳入多变量二元逻辑回归模型。总体无牙患病率为8.4%（95%置信区间=7.1-9.6）。T2DM患病率为14.3%（n = 274）。T2DM患者中的无牙患病率为13.1%，但未患T2DM的个体中仅为7.6%。在多变量二元逻辑回归模型中，之前的T2DM诊断使无牙的概率增加了1.61倍（95%置信区间=1.03-2.50）。一个人的年龄每增加一岁，无牙的可能性增加12%（95%置信区间=10-14%）。总之，患T2DM的墨西哥成年人和老年人中的无牙患病率更高。牙科护理提供者和卫生政策制定者可利用这些信息改进预防护理方法，以及更准确地描述和预测成年人及老年人群的护理需求。
