Dental care visits among dentate adults with diabetes, United States, 2003
Dental care visits among dentate adults with diabetes, United States, 2003
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DOI：
10.1111/j.1752-7325.2007.00064.x
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发表时间：
2008-03-01
影响因子：
2.3
通讯作者：
Tomar, Scott L.
中科院分区：
文献类型：
--
作者：
Macek, Mark D.;Taylor, George W.;Tomar, Scott L.
目标：定期进行牙科评估对成年糖尿病患者有益。该分析评估了全国代表性数据，以测试糖尿病状况与牙科护理就诊之间的关系，并比较有齿状成人糖尿病患者的糖尿病护理、足部护理、眼部护理和牙科护理就诊情况。方法：使用 2003 年全国健康访谈调查的数据来测试年龄 >= 25 岁有齿成年人的糖尿病状况是否与牙科护理就诊相关，并控制可用的协变量。结果：糖尿病状况和性别对于看牙医的几率存在显着的交互作用。在有齿状的男性中，糖尿病状况和牙科护理就诊之间没有显着关联。与没有糖尿病的有齿状女性相比，患有糖尿病的有齿状女性接受牙科护理的可能性明显较低。在比较的四种类型的医疗保健就诊中，患有糖尿病的有齿成年人在前一年进行牙科保健就诊的可能性最小。不同种族/族裔、贫困状况和教育类别之间的医疗就诊率差异在牙科护理方面最为明显。结论：患有糖尿病与多种不良健康结果相关，包括牙周炎。成年糖尿病患者可以从定期的医疗保健就诊中受益，以解决这些问题，但该报告显示，患有糖尿病的女性并未充分利用牙科护理服务。利用率不足可能是由于牙科护理障碍对女性的影响尤为严重。还应该进行更多的研究来检验这些解释的合理性以及性别的影响。
Objectives: Regular dental assessments are beneficial to adults with diabetes. This analysis evaluates nationally representative data to test the relation between diabetes status and dental care visits, and to compare diabetes care, foot care, eye care, and dental care visits among dentate adults with diabetes. Methods: Data from the 2003 National Health Interview Survey were used to test whether diabetes status was associated with dental care visits among dentate adults aged >= 25 years, controlling for available covariates. Results: There was a significant interaction between diabetes status and sex for the odds of having a dental care visit. Among dentate men, there was no significant association between diabetes status and dental care visits. Dentate women with diabetes were significantly less likely to have had a dental care visit than were dentate women without diabetes. Of the four types of health care visits compared, dentate adults with diabetes were least likely to have had a dental care visit in the preceding year. Disparities in health care visit rates across race/ethnicity, poverty status, and education categories were most pronounced for dental care. Conclusions: Having diabetes is associated with a variety of adverse health outcomes, including periodontitis. Adults with diabetes would benefit from regular health care visits to address these concerns, but this report shows that women with diabetes are underutilizing dental care services. The underutilization may be a result of the barriers to dental care that disproportionately affect women. Additional research should test the plausibility of these explanations and the influence of sex.