Association between health status and tooth loss in Korean adults: longitudinal results from the National Health Insurance Service-Health Examinee Cohort, 2002-2015
Association between health status and tooth loss in Korean adults: longitudinal results from the National Health Insurance Service-Health Examinee Cohort, 2002-2015
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DOI：
10.5051/jpis.2019.49.3.158
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发表时间：
2019-06-01
影响因子：
1.9
通讯作者：
Lee, Jae-Hong
中科院分区：
文献类型：
--
作者：
Kim, Yeon-Tae;Choi, Jung-Kyu;Lee, Jae-Hong
目的：本研究基于2002- 2015年国民健康保险服务-健康考试人群的数据，调查了健康状况与牙齿脱落之间的关系。方法：将多变量考克斯比例风险回归分析应用于2018年更新和新发布的纵向回顾性数据库，评估健康状况与牙齿脱落之间的关系，同时调整社会人口统计学和经济因素之间的潜在混杂因素（性别、年龄、家庭收入、保险和残疾）、一般和口腔健康状况（体重指数[BMI]、吸烟和饮酒状况、定期牙科就诊和洁治以及睡前刷牙）和共病结果：在来自韩国的514，866名参与者中，有234，247名（45.5%）参与者符合纳入标准。在调整后的多变量分析中，性别、年龄、家庭收入、保险、残疾、BMI、吸烟和饮酒状况、定期洁治、睡前刷牙、DM和CCI与至少1颗牙齿脱落有统计学显著相关。失去>= 4颗牙齿的风险与年龄的增加有关（50-59岁：风险比[HR]，1.98; 95%置信区间[CI]，1.93-2.03; 60-69岁：HR，2.93; 95% CI，2.85-3.02; 70-79岁：结论：本研究结果显示牙齿脱落的风险与多种因素有关，其中吸烟（HR，1.69; 95%CI，1.65-1.73）和糖尿病（HR，1.43; 95%CI，1.38-1.48）是影响牙齿脱落的主要因素。糖尿病和吸烟与牙齿脱落尤其显著相关。
Purpose: This study investigated the association between health status and tooth loss based on data from the National Health Insurance Service-Health Examinee Cohort in 2002-2015.Methods: Multivariate Cox proportional hazards regression analyses were applied to a longitudinal retrospective database, which was updated and newly released in 2018, to assess the association between health status and tooth loss while adjusting for potential confounders among sociodemographic and economic factors (sex, age, household income, insurance, and presence of disability), general and oral health status (body mass index [BMI], smoking and drinking status, periodic dental visits and scaling, and brushing before sleep), and comorbid disease (hypertension, diabetes mellitus (DM], and Charlson comorbidity index [CCI]).Results: Among 514,866 participants from a South Korean population, 234,247 (45.5%) participants satisfying the inclusion criteria were analyzed. In the adjusted multivariate analysis, sex, age, household income, insurance, presence of disability, BMI, smoking and drinking status, periodic scaling, tooth brushing before sleep, DM, and CCI showed statistically significant associations with the loss of at least 1 tooth. The risk of experiencing a loss of >= 4 teeth was associated with an increase in age (in those 50-59 years of age: hazard ratio [HR], 1.98; 95% confidence interval [CI], 1.93-2.03; in those 60-69 years of age: HR, 2.93; 95% CI, 2.85-3.02; and in those 70-79 years of age: HR, 2.93; 95%, CI 2.81-3.05), smoking (HR, 1.69; 95% CI, 1.65-1.73), and DM (HR, 1.43; 95% CI, 1.38-1.48).Conclusion: The results of this study showed that the risk of experiencing tooth loss was related to multiple determinants. DM and smoking were especially significantly associated with tooth loss.