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

我们前瞻性研究了3.5年牙周病对医疗和牙科费用和利用的影响。使用的数据来自4285名年龄在40-59岁的日本公务员的健康和牙科检查以及医疗保险索赔。重度牙周炎患者的累积费用比无病变牙周炎患者高出约21%，且重度牙周炎患者的入院率最高[男性：优势比(OR)=1.34；女性：OR=1.29]。在男性中，患有严重牙周炎的人每年的住院费用比没有病理性牙周炎的人高75%。严重牙周炎患者的年就诊率和费用在两性中都是最高的。牙周病可能会增加糖尿病、消化系统疾病和肝病的医疗费用。牙周病影响医疗成本不仅通过牙科医疗成本增加，还通过住院医疗成本增加，尤其是在男性。跨秒…对1381名年龄在20-59岁的日本公务员进行了更深入的研究。心理幸福感采用一般健康问卷(GHQ-12)的12个条目进行测量，而口腔状况的测量包括自我评估的口腔健康、口腔症状和临床指标：龋齿、牙周状况和缺牙数量。心理健康状况与龋齿、牙周状况或缺牙数量没有明显关系。调整后的GHQ得分的平均值“口腔外观的意识”在不同类别的性别之间存在显著差异。对于六种口腔症状中的五种，调整后的GHQ得分平均值最低的是那些将自己的口腔症状评为从来没有或几乎从来没有的受访者。我们的结果没有表明心理健康与临床指标衡量的口腔状况有关。然而，一些口腔症状与心理健康之间存在关联。较少

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