Periodontal health, perceived oral health, and dental care utilization of breast cancer survivors.
Periodontal health, perceived oral health, and dental care utilization of breast cancer survivors.
复制标题
乳腺癌幸存者的牙周健康、口腔健康感知和牙科护理利用。
DOI：
10.1111/jphd.12084
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发表时间：
2015
影响因子：
2.3
通讯作者：
Inglehart,MaritaR
中科院分区：
文献类型：
--
作者：
Taichman,LSusan;Griggs,JenniferJ;Inglehart,MaritaR
ObjectivesThis population-based analysis examined the患病率的牙周疾病沿着自我感知的口腔健康和模式的牙科保健利用的乳腺癌survivor.MethodsData从1999 - 2004年全国健康和营养调查，检查信息从3,354名妇女之间的50和85岁。主要结果是牙龈炎和牙周炎，自我感知的口腔健康和牙科保健利用。Logistic回归分析被用来估计乳腺癌的诊断和主要结果的关系，同时控制混杂factors. Results乳腺癌的幸存者更有可能是年龄大于55岁，白色，不吸烟，有较高的教育水平和收入，骨质疏松症的患病率较高。乳腺癌幸存者明显不太可能有牙科保险（P= 0.04）。牙科服务的利用和最后一次牙科就诊的原因在两组之间没有显着差异。乳腺癌诊断史并没有增加牙龈炎的几率[比值比（OR）：1.32; 95%置信区间（CI）：0.53 - 3.63]，牙周炎（OR：1.82; 95% CI：0.89 - 4.01），或自我感觉口腔健康较差（OR：0.89; 95% CI：0.61 - 1.33）调整后的年龄，种族，教育，牙科保健利用，和吸烟状态。结论在这个样本中，乳腺癌的历史并没有显着影响牙周健康，自我感知的口腔健康和牙科护理利用。然而，应该努力确保乳腺癌幸存者有牙科保险。
ObjectivesThis population‐based analysis examined the prevalence of periodontal diseases along with the self‐perceived oral health and patterns of dental care utilization of breast cancer survivors in the United States.MethodsData from the 1999‐2004 National Health and Nutrition Surveys were utilized, examining information from 3,354 women between 50 and 85 years of age. Primary outcomes were gingivitis and periodontitis, self‐perceived oral health, and dental care utilization. Logistic regression analyses were used to estimate relationships of breast cancer diagnosis and primary outcomes while controlling for confounding factors.ResultsBreast cancer survivors were more likely to be older than 55 years, white, nonsmokers, have higher levels of education and income, and a higher prevalence of osteoporosis. Breast cancer survivors were significantly less likely to have dental insurance (P= 0.04). Utilization of dental services and reason for last dental visit did not significantly differ between groups. A history of a breast cancer diagnosis did not increase the odds of gingivitis [odds ratio (OR): 1.32; 95 percent confidence interval (CI): 0.53‐3.63], periodontitis (OR: 1.82; 95 percent CI: 0.89‐4.01), or poor self‐perceived oral health (OR: 0.89; 95 percent CI: 0.61‐1.33) after adjusting for age, race, education, dental care utilization, and smoking status.ConclusionsIn this sample, a history of breast cancer does not significantly impact periodontal health, self‐perceived oral health, and dental care utilization. However, efforts should be made to assure that breast cancer survivors have dental insurance.