Li Yiyi, Zhang Xinyu, Wu Yadong, Song Jukun
Department of Oral and Maxillofacial Surgery, The Affiliated Stomatological Hospital of Guizhou Medical University, Guiyang, China.
BMC Public Health. 2025 Apr 14;25(1):1398. doi: 10.1186/s12889-025-22416-w.
The association between socioeconomic status and periodontitis is intricate. This research examines how social determinants of health relate to periodontitis in U.S. adults, an area that has not been thoroughly studied.
This study utilized data from the 2009-2014 National Health and Nutrition Examination Survey (NHANES). During each survey cycle, data on self-reported Social Determinants of Health (SDoH) were collected, encompassing employment, family income, food security, education, healthcare access, health insurance, housing instability, and marital status (married or cohabiting). Periodontitis was classified based on Eke's 2012 criteria. The relationship between SDoH and periodontitis was examined using multivariable logistic regression models.
This study involved 10,714 participants (mean age 52.01 ± 14.30 years), with 49.37% male and 50.63% female. The average SDoH score was 2.64 ± 2.00, and the prevalence of periodontitis was 46.60%. The fully adjusted logistic regression model revealed a positive association between SDoH and periodontitis (OR = 1.28; 95% CI, 1.24-1.32, P < 0.001).
Adverse social determinants of health are associated with an increased risk of periodontitis among US adults.
社会经济地位与牙周炎之间的关联错综复杂。本研究探讨健康的社会决定因素与美国成年人牙周炎之间的关系，这一领域尚未得到充分研究。
本研究使用了2009 - 2014年国家健康和营养检查调查（NHANES）的数据。在每个调查周期中，收集了关于自我报告的健康社会决定因素（SDoH）的数据，包括就业、家庭收入、食品安全、教育、医疗保健可及性、健康保险、住房不稳定和婚姻状况（已婚或同居）。牙周炎根据埃克2012年的标准进行分类。使用多变量逻辑回归模型检验SDoH与牙周炎之间的关系。
本研究涉及10714名参与者（平均年龄52.01±14.30岁），男性占49.37%，女性占50.63%。SDoH的平均得分为2.64±2.00，牙周炎的患病率为46.60%。完全调整后的逻辑回归模型显示SDoH与牙周炎之间存在正相关（OR = 1.28；95% CI，1.24 - 1.32，P < 0.001）。
不良的健康社会决定因素与美国成年人牙周炎风险增加有关。
