Dental and other health care visits among US adults with diabetes
Dental and other health care visits among US adults with diabetes
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DOI：
10.2337/diacare.23.10.1505
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发表时间：
2000-10-01
期刊：
影响因子：
16.2
通讯作者：
Lester, A
中科院分区：
文献类型：
--
作者：
Tomar, SL;Lester, A
目的：本研究比较了成年糖尿病患者和非糖尿病患者的年度牙科就诊情况。对于成年糖尿病患者，我们比较了过去一年的牙科访问与过去一年的糖尿病护理，散瞳检查和足部检查的频率。研究设计和方法-我们进行了一项横断面研究，使用105，718名年龄大于或等于25岁的齿状个体的样本，包括4，605名糖尿病患者参加了1995-1998年行为危险因素监测系统的38个凝视。那些至少有一些天然牙齿的糖尿病患者比那些没有糖尿病的人在过去12个月内看过牙医的可能性更小（65.8%对73.1%，P = 0.0000）。成年糖尿病患者看牙医的可能性小于看糖尿病护理的医疗保健提供者（86.3%）;看牙医的百分比与检查足部（67.7%）或进行散瞳检查（62.3%）的百分比相当。牙科访问种族或民族群体之间的差异，社会经济群体之间的差异大于任何其他类型的医疗保健访问的主题与diabetes.CONCLUSIONS -促进口腔健康糖尿病患者之间可能是必要的，特别是在西班牙裔和非洲裔美国人社区。口腔健康并发症的信息应包括在临床培训计划。州卫生部门的口腔和糖尿病控制计划应合作促进预防性牙科服务，口腔检查应列为美国糖尿病协会糖尿病患者医疗护理标准中持续护理的一部分。
OBJECTIVE - This study compared yearly dental visits of diabetic adults with those of non-diabetic adults. For adults with diabetes, we compared the frequency of past-year dental visits with past-year visits for diabetes care, dilated eye examinations, and foot examinations.RESEARCH DESIGN AND METHODS - We conducted a cross-sectional study using a sample of 105,718 dentate individuals aged greater than or equal to 25 years, including 4,605 individuals with diabetes who participated in the 1995-1998 Behavioral Risk Factor Surveillance System in 38 stares.RESULTS - Dentate adults (i.e., those with at least some natural teeth) with diabetes were less likely than those without diabetes to have seen a dentist within the preceding 12 months (65.8 vs. 73.1%, P = 0.0000). Adults with diabetes were less likely to have seen a dentist than to have seen a health care provider for diabetes care (86.3%); the percentage who saw a dentist was comparable with the percentage who had their feet examined (67.7%) or had a dilated eye examination (62.3%). The disparity in dental visits among racial or ethnic groups and among socioeconomic groups was greater than that for any other type of health care visit for subjects with diabetes.CONCLUSIONS - Promotion of oral health among diabetic patients may be necessary, particularly in Hispanic and African-American communities. Information on oral health complications should be included in clinical training programs. Oral and diabetes control programs in state health departments should collaborate to promote preventive dental services, and the oral examination should be listed as a component of continuous care in the American Diabetes Association's standards of medical care for diabetic patients.