Forty-Year Trends in Tooth Loss Among American Adults With and Without Diabetes Mellitus: An Age-Period-Cohort Analysis.
Forty-Year Trends in Tooth Loss Among American Adults With and Without Diabetes Mellitus: An Age-Period-Cohort Analysis.
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DOI：
10.5888/pcd12.150309
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发表时间：
2015-12-03
影响因子：
5.5
通讯作者：
Wu B
中科院分区：
文献类型：
--
作者：
Luo H;Pan W;Sloan F;Feinglos M;Wu B
本研究旨在评估美国成年糖尿病患者和非糖尿病患者的牙齿脱落趋势以及牙齿脱落模式的种族/民族差异，并按年龄、出生队列和调查期评估牙齿脱落趋势。数据来自1971年至2012年的9次全国健康和营养检查调查（NHANES）。糖尿病患者和非糖尿病患者的估计牙齿脱落趋势通过年龄组、调查期和出生队列进行评估。分析样本为37，609名年龄在25岁或以上的有齿（即至少有一颗恒牙）成年人。我们采用分层年龄-时期-队列交叉分类随机效应模型进行趋势分析。非西班牙裔黑人糖尿病患者的估计牙齿脱落数量随着年龄的增长而增加，高于非西班牙裔白人糖尿病患者（z = 4.05，P <0.001）或墨西哥裔美国人糖尿病患者（z = 4.38，P <0.001）。在1971-2012年期间，非西班牙裔白人糖尿病患者（斜率=-0.20，P < .001）和非西班牙裔黑人糖尿病患者（斜率=-0.37，P < .001）的牙齿脱落数量呈显著下降趋势。然而，患有糖尿病的成年人的牙齿脱落率是没有糖尿病的人的两倍。随着时间的推移，患有糖尿病和没有糖尿病的成年人之间以及不同种族/民族之间的牙齿脱落存在实质性差异。适当的牙齿护理和牙齿保留需要进一步促进成人糖尿病患者。
This study aimed to assess the trends in tooth loss among adults with and without diabetes mellitus in the United States and racial/ethnic disparities in tooth loss patterns, and to evaluate trends in tooth loss by age, birth cohorts, and survey periods. Data came from 9 waves of the National Health and Nutrition Examination Survey (NHANES) from 1971 through 2012. The trends in the estimated tooth loss in people with and without diabetes were assessed by age groups, survey periods, and birth cohorts. The analytical sample was 37,609 dentate (ie, with at least 1 permanent tooth) adults aged 25 years or older. We applied hierarchical age-period-cohort cross-classified random-effects models for the trend analysis. The estimated number of teeth lost among non-Hispanic blacks with diabetes increased more with age than that among non-Hispanic whites with diabetes (z = 4.05, P < .001) or Mexican Americans with diabetes (z = 4.38, P < .001). During 1971–2012, there was a significant decreasing trend in the number of teeth lost among non-Hispanic whites with diabetes (slope = −0.20, P < .001) and non-Hispanic blacks with diabetes (slope = −0.37, P < .001). However, adults with diabetes had about twice the tooth loss as did those without diabetes. Substantial differences in tooth loss between adults with and without diabetes and across racial/ethnic groups persisted over time. Appropriate dental care and tooth retention need to be further promoted among adults with diabetes.