Longitudinal and cross-sectional study of factors related to dental care cost

我们前瞻性地研究了牙周病对医疗和牙科费用的影响以及3.5年的利用率。所用数据来自4285名40-59岁的日本公务员的健康和牙科检查以及健康保险索赔。重度牙周炎患者的累计费用比无病理性牙周袋患者高约21%，且重度牙周炎患者的住院率最高[男性：比值比（OR）=1.34 ;女性：OR=1.29]。在男性中，重度牙周炎患者的年住院费用比无牙周袋患者高75%。严重牙周炎患者的年牙科就诊率和费用在男性和女性中均最高。糖尿病、消化系统疾病、肝病的医疗费用可能会增加。牙周病不仅通过牙科保健费用，而且通过住院保健费用，特别是在男性中，影响卫生保健费用的增加。 ...更多信息 本研究以1381名20-59岁的日本公务员为研究对象，采用问卷调查的方法进行研究。心理健康是用12项版本的一般健康问卷（GHQ-12）测量的，而口腔状况的测量包括自我评价的口腔健康，口腔症状和临床指标：龋齿，牙周状况和缺牙数量。心理健康与龋齿、牙周状况或缺牙数量无显著相关性。调整后的平均值的GHQ分数的“意识的外观的嘴”的类别之间的性别有显着差异。对于六种口腔症状中的五种，GHQ评分的调整平均值最低的是那些将其口腔症状评为“从未或几乎从未”的受访者。“我们的研究结果并没有表明心理健康与临床指标测量的口腔状况有关。然而，一些口腔症状和心理健康之间存在关联。少

We examined the effect of periodontal disease on medical and dental costs and utilization for 3.5 years prospectively. The data used were derived from health and dental examinations and health insurance claims of 4 285 Japanese civil officers aged 40-59. The cumulative cost for those with severe periodontitis was approximately 21% higher than those with no pathological pocket, and the admission rates of those with severe periodontitis were highest [male: odds ratio (OR) =1.34 ; female : OR=1.29]. In males, the annual hospital costs of those with severe periodontitis were 75% higher than those with no pathological pocket. The annual dental visit rates and costs of those with severe periodontitis were highest in both sexes. Periodontal disease might raise the medical care costs for diabetes mellitus, digestive disease, and liver disease. Periodontal disease impacts health care cost increases through not only dental care costs but also inpatient care costs, especially in males.A cross-sec … More tional study was performed using data from 1381 Japanese civil service officers aged 20-59 years old. Psychological well-being was measured with the 12-item version of the General Health Questionnaire (GHQ-12), while measures for oral condition included self-rated oral health, oral symptoms and clinical indicators: dental caries, periodontal status and number of missing teeth. Psychological well-being was not associated significantly with dental caries, periodontal status or number of missing teeth. The adjusted means of the GHQ scores for 'conscious of appearance of mouth' were significantly different among the categories for both genders. For five of six oral symptoms, the adjusted means of GHQ scores were lowest for those respondents who rated their oral symptoms as 'never or hardly ever.' Our results did not show that psychological well-being was associated with oral conditions measured by clinical indicators. However, an association was found between some oral symptoms and psychological well-being. Less