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

我们对牙周病对医疗和牙科费用和利用的影响进行了为期3.5年的前瞻性研究。所使用的数据来自4 285名年龄在40-59岁之间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积费用比无病理性袋的患者约高21%，且重度牙周炎患者的住院率最高[男性：优势比(OR) =1.34；女性：OR=1.29]。在男性中，患有严重牙周炎的患者每年的住院费用比没有病理性口袋的患者高75%。严重牙周炎患者的年度牙科就诊率和费用在两性中均最高。牙周病可能会增加糖尿病、消化系统疾病和肝脏疾病的医疗费用。牙周病不仅通过牙科保健费用，而且通过住院治疗费用，尤其是男性，影响医疗保健费用的增加。对1381名年龄在20-59岁之间的日本公务员进行了一项跨部门的全国性研究。心理健康的测量采用一般健康问卷（GHQ-12）的12项版本，而口腔状况的测量包括自评口腔健康、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没有显著关系。“嘴型意识”的GHQ得分调整后的均值在两性类别中存在显著差异。对于六种口腔症状中的五种，那些将自己的口腔症状评为“从未或几乎从未”的受访者的GHQ评分调整后的平均值最低。我们的研究结果没有显示心理健康与临床指标测量的口腔状况有关。然而，一些口腔症状与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