The prevalence of oral mucosal lesions in US adults - Data from the Third National Health and Nutrition Examination Survey, 1988-1994
The prevalence of oral mucosal lesions in US adults - Data from the Third National Health and Nutrition Examination Survey, 1988-1994
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DOI：
10.14219/jada.archive.2004.0403
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发表时间：
2004-09-01
影响因子：
3.9
通讯作者：
Rivera-Hidalgo, F
中科院分区：
文献类型：
--
作者：
Shulman, JD;Beach, MM;Rivera-Hidalgo, F
背景大多数关于口腔病变患病率的报告是基于对非典型人群的研究。目前还没有基于全国概率样本的关于美国成年人口腔粘膜病变患病率的已发表研究。第三次全国健康和营养检查调查（NHANES III）采用了一个复杂的多阶段样本，来自19，528个家庭的33，994名平民，非机构化的人。牙医检查员接受培训，以标准化的方式识别，分类和记录48种感兴趣的疾病中每一种的临床特征，包括诊断，大小，位置，表面形态，颜色一致性，疼痛，持续时间和历史，使用基于世界卫生组织流行病学和口腔粘液疾病诊断指南的程序。对17，235名17岁及以上的人进行了检查，其中4，801人（27.9%）共有6，003处病变。与假牙有关的病变（口腔炎、增生、溃疡、炎症和口角炎）占8.4%，与烟草有关的病变（无烟烟草相关和尼古丁口腔炎）占所有病变的4.7%。扣除与假牙有关的病变，汞合金纹身是最常见的病变（3.30%），其次是脸颊/嘴唇（3.05%）。无烟烟草使用者（OR = 3.90）和活动义齿佩戴者（OR = 3.57）有最高的患病几率。病变的患病率显着不同的年龄，性别，种族/民族义齿佩戴和烟草使用。当文献中引用病变特异性患病率时，应根据已知与之相关的协变量进行分层。
Background. Most reports of oral lesions prevalance are based on studies of atypical populations. There are no published studies on oral mucosal lesion prevalence in U.S. adults that are based on a national probability sample.Methods. The Third National Health and Nutrition Examination Survey, or NHANES III employed a complex, multistage sample of 33,994 civilian, noninstitutionalized people from from 19,528 households. Dentist examiners were trained to recognize, classify and record in a standardized manner the clinical characteristics of each of the 48 conditions of interest to include diagnosis, size, location, surface morphology, color consistency, pain, duration and history using procedures based on the World Health Organization's Guide to Epidemiology and Diagnosis of Oral Mucosal Diseases.Results. Examinations were performed on 17,235 people aged 17 years and older, of whom 4,801 (27.9 percent) had total of 6,003 lesions. Denture-related lesions (stomatitis, hyperplasia, ulcers, inflammation and angular cheilitis) composed 8.4 percent and tobacco-related lesions (smoke less tobacco-related and nicotine stomatitis) composed 4.7 percent of all lesions. Discounting denture-related lesions, amalgam tattoos were the most prevalent lesions (3.30 percent), followed closely ny cheek/lip nited (3.05 percent). Smokeless-tobacco tobacco users (odds ratio, OR, = 3.90) and removable denture wearers (OR = 3.57) had the highest odds of having a lesion.Conclusion. Lesion prevalences differed significantly by age, sex, race/ethnicity denture wearing and tobacco use. When lesion-specific prevalences are cited in the literature , they should be stratified by covariates known to be associated with them.