Periodontitis in the United States: Beyond black and white
Periodontitis in the United States: Beyond black and white
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DOI：
10.1111/j.1752-7325.2002.tb03428.x
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发表时间：
2002-03-01
影响因子：
2.3
通讯作者：
Neighbors, H
中科院分区：
文献类型：
--
作者：
Borrell, LN;Burt, BA;Neighbors, H
目的：本文探讨了在牙周状况之间的历史差异，非洲裔美国人和白人在美国增加，减少，或保持不变，在15年期间之间的第一次全国健康和营养检查调查（NHANESI，1971-74）和第三次全国健康和营养检查调查（NHANES III，1988-94）。研究方法：本研究比较了NHANES I和NHANES III中非洲裔美国人和白色成年人牙周状况的相对和绝对差异的大小。结果如下：在NHANES I中，美国成年人群的牙周炎患病率为31.6%，非裔美国人的患病率高于白人。在NHANES III中，使用不同的牙周炎病例定义，总患病率为11.9%，非洲裔美国人再次表现出高于白人的患病率。非裔美国人和白人之间的调查内相对和绝对差异的幅度增加NHANES I和NHANES III之间。在logistic回归分析中调整后，这一发现仍然存在。调整模型中的所有协变量后，在NHANES I（比值比[OR]=1.31; 95%置信区间[CI]= 0.78，2.19）和NHANES III（OR=2.09，95% CI=1.68，2.60）中，非裔美国人比白人更容易患牙周炎。然而，CI包括NHANES I中的1.00。结论：非裔美国人和白人之间牙周炎的差异是普遍的，并随着时间的推移而增加。这种增长似乎是由社会，文化和行为因素驱动的。
Objectives: This paper examines whether historical disparities in periodontal status between African Americans and whites in the United States have increased, decreased, or remained the same over the 15-year period between the First National Health and Nutrition Examination Survey (NHANESI, 1971-74)and the Third National Health and Nutrition Examination Survey (NHANES III, 1988-94). Methods: This study compared the magnitude of the relative and absolute differences in the periodontal status of African-American and white adults in NHANES I and again in NHANES III. Results: The prevalence of periodontitis in the US adult population in NHANES I was 31.6 percent, with African Americans exhibiting higher prevalence than whites. In NHANES III, using a different case-definition for periodontitis, the overall prevalence was 11.9 percent, with African Americans again exhibiting higher prevalence than whites. The magnitude of the intrasurvey relative and absolute differences between African Americans and whites increased between NHANES I and NHANES III. This finding remained after adjustment in the logistic regression analyses. After adjustment for all covariates in the model, African Americans were more likely to exhibit periodontitis than whites in both NHANES I (odds ratio [OR]=1.31; 95% confidence intervals [CI]=.78, 2.19) and NHANES III (OR=2.09, 95% CI=1.68, 2.60). However, the Cl included 1.00 in NHANES I. Conclusions: Disparities in periodontitis between African Americans and whites are pervasive and have increased over time. This increase appears to be driven by social, cultural, and behavioral factors.