Faculty of Public Health, Kasetsart University Chalermphrakiat Sakon Nakhon Province Campus, Sakon Nakhon Province, Thailand.
Sub-District Health Promotion Hospitals in Bueng Khong Long, Buengkan Province, Thailand.
PLoS One. 2024 May 20;19(5):e0303530. doi: 10.1371/journal.pone.0303530. eCollection 2024.
Oral healthcare behavior determines oral health status and the incidence of oral diseases. People with type 2 diabetes mellitus (T2DM) are at-risk of having low oral healthcare behavior and disease-related oral health.
To investigate the oral health status and factors associated with oral healthcare behavior among people with T2DM in Thailand.
In total, 401 people with T2DM participated in the study based on their attendance at a non-communicable disease clinic at sub-district health promotion hospitals in Bueng Kan, a north-eastern province in Thailand. A structured questionnaire was used to obtain variables of interest. Linear regression analysis at the 95% confidence interval (CI) was applied.
The majority of participants were female (73.8%). More than three-quarters had more than 20 permanent teeth (77.6%), a decay missing filling tooth index was 10.6 teeth/person. Many participants had four permanent occlusal pairs (69.6%), had tooth decay (74.6%), and some participants had tooth filling (32.2%). Statistically significant factors associated with oral healthcare behavior were: having complications associated with diabetes mellitus (Beta = -0.097, 95%CI = -1.653, -0.046), oral health literacy (Beta = 0.119, 95%CI = 0.009, 0.150), educational level (Beta = 0.123, 95%CI = 0.103, 0.949), oral healthcare attitude (Beta = 0.258, 95%CI = 0.143, 0.333), and oral health services (Beta = 0.430, 95%CI = 0.298, 1.408).
People with T2DM had good oral health status. People with T2DM with low oral health literacy, low attitude, and low level of oral health services were at a higher risk of poor oral healthcare behavior.
口腔保健行为决定口腔健康状况和口腔疾病的发生率。2 型糖尿病（T2DM）患者存在口腔保健行为低下和与疾病相关的口腔健康问题的风险。
调查泰国 T2DM 患者的口腔健康状况和与口腔保健行为相关的因素。
本研究共纳入 401 名在泰国东北部布恩坎府区卫生促进医院非传染性疾病诊所就诊的 T2DM 患者。使用结构化问卷获取感兴趣的变量。采用 95%置信区间（CI）的线性回归分析。
大多数参与者为女性（73.8%）。超过四分之三的参与者有 20 颗以上的恒牙（77.6%），龋齿缺失补牙指数为 10.6 颗/人。许多参与者有四颗恒牙咬合对（69.6%），有龋齿（74.6%），一些参与者有补牙（32.2%）。与口腔保健行为显著相关的因素包括：糖尿病相关并发症（Beta = -0.097，95%CI = -1.653，-0.046）、口腔健康素养（Beta = 0.119，95%CI = 0.009，0.150）、教育程度（Beta = 0.123，95%CI = 0.103，0.949）、口腔保健态度（Beta = 0.258，95%CI = 0.143，0.333）和口腔卫生服务（Beta = 0.430，95%CI = 0.298，1.408）。
T2DM 患者的口腔健康状况良好。口腔健康素养低、态度低、口腔卫生服务水平低的 T2DM 患者口腔保健行为不良的风险较高。
