Update on Prevalence of Periodontitis in Adults in the United States: NHANES 2009 to 2012.

Update on Prevalence of Periodontitis in Adults in the United States: NHANES 2009 to 2012.
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DOI:
10.1902/jop.2015.140520
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发表时间:
2015-05
影响因子:
4.3
通讯作者:
Genco RJ
Genco RJ
中科院分区:
医学2区
文献类型:
--
作者:
Eke PI;Dye BA;Wei L;Slade GD;Thornton-Evans GO;Borgnakke WS;Taylor GW;Page RC;Beck JD;Genco RJ

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本报告使用2009-2010年和2011-2012年国家健康和营养检查调查(NHANES)周期的综合数据描述了美国成年人群牙周炎的患病率,严重程度和程度。估计数来自30岁及以上的有牙齿的成年人,来自非机构化的平民人口。牙周炎的定义是结合临床附着丧失(CAL)和牙周探测深度(PPD)从6个网站上的所有牙齿,除第三磨牙,使用标准的监测情况下的定义。在NHANES历史上第一次,在2011-2012年对足够数量的非西班牙裔亚洲人进行了采样,以提供他们牙周炎患病率的可靠估计。2009-2012年,46%的美国成年人(6470万人)患有牙周炎,其中8.9%患有重度牙周炎。总体而言,3.8%的牙周部位(10.6%的牙齿)PPD≥4 mm,19.3%的部位(37.4%的牙齿)CAL≥3 mm。牙周炎患病率与年龄增长呈正相关,男性患病率较高。西班牙裔(63.5%)和非西班牙裔黑人(59.1%)的牙周炎患病率最高,其次是非西班牙裔亚裔美国人(50.0%),非西班牙裔白人(40.8%)最低。在社会经济地位最低和最高的人群中,无论是按贫困还是按教育程度来界定,患病率都有两倍的差异。这项研究证实了牙周炎在30岁及以上的美国成年人中的高患病率。非西班牙裔亚洲人的患病率高于非西班牙裔白人,但低于其他少数民族。分布提供了有价值的信息,以人口为基础的行动,以预防牙周炎在美国成年人。
This report describes prevalence, severity, and extent of periodontitis in the US adult population using combined data from the 2009–2010 and 2011–2012 cycles of the National Health and Nutrition Examination Survey (NHANES). Estimates were derived for dentate adults 30 years and older from the civilian non-institutionalized population. Periodontitis was defined by combinations of clinical attachment loss (CAL) and periodontal probing depth (PPD) from six sites per tooth on all teeth, except third molars, using standard surveillance case definitions. For the first time in NHANES history, sufficient numbers of Non-Hispanic Asians were sampled in 2011–2012 to provide reliable estimates of their periodontitis prevalence. In 2009–2012, 46% of US adults representing 64.7 million people had periodontitis, with 8.9% having severe periodontitis. Overall, 3.8% of all periodontal sites (10.6% of all teeth) had PPD≥4 mm and 19.3% of sites (37.4% teeth) had CAL≥3 mm. Periodontitis prevalence was positively associated with increasing age and was higher among males. Periodontitis prevalence was highest in Hispanics (63.5%) and Non-Hispanic blacks (59.1%), followed by Non-Hispanic Asian Americans (50.0%), and lowest in Non-Hispanic whites (40.8%). Prevalence varied two-fold between the lowest and highest levels of socioeconomic status, whether defined by poverty or education. This study confirms a high prevalence of periodontitis in US adults aged 30 years and older. Prevalence was greater in Non-Hispanic Asians than Non-Hispanic whites, although lower than other minorities. The distribution provides valuable information for population-based action to prevent periodontitis in US adults.
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