Ethnic inequalities in periodontal disease among British adults

Delgado‐Angulo, Elsa K.; Bernabé, Eduardo; Marcenes, Wagner

doi:10.1111/jcpe.12605

Cited by 25 publications

(31 citation statements)

References 32 publications

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“…Ethnicity has previously been shown to have a significant impact on the development of both periodontal disease (Delgado‐Angulo et al. ), and diabetes (Harris et al. ).…”

Section: Discussionmentioning

confidence: 99%

“…The strengths of this study include the homogeneity of the sample: white West-European men, of similar age, who at original recruitment were representative of the general population of Northern Ireland at that time (Yarnell 1998). Ethnicity has previously been shown to have a significant impact on the development of both periodontal disease (Delgado-Angulo et al 2016), and diabetes (Harris et al 1998). It should be emphasized that this homogeneity within the sample reduces the possibility of confounding.…”

Section: Discussionmentioning

confidence: 99%

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Periodontitis and incident type 2 diabetes: a prospective cohort study

Winning

Patterson

Neville

et al. 2017

J Clinic Periodontology

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Objectives:To investigate periodontitis as a risk factor for incident type 2 diabetes mellitus (T2DM) in a group of men aged 58-72 years. Accepted ArticleThis article is protected by copyright. All rights reserved. Methods:1331 dentate, diabetes-free males in Northern Ireland underwent a detailed periodontal examination during [2001][2002][2003]. Follow-up was by bi-annual questionnaire and for those reporting diabetes their general medical practitioner was contacted to validate diabetes type, treatment and diagnosis date. Cox's proportional hazard models were used to estimate the effect of periodontitis on incident diabetes. Multivariable analysis included adjustment for various known confounders. Results:The mean age of the men was 63.7 (SD 3.0) years. There were 80 cases (6.0%) of incident T2DM. Follow-up was for a median period of 7.8 years ). After adjusting for confounding variables, the hazard ratio (HR) for incident T2DM in men with moderate / severe periodontitis versus those with no / mild periodontitis was 1.69 (95% CI 1.06-2.69), p=0.03. Conclusion:There was evidence in this homogenous group of dentate men, that those with moderate to severe periodontitis had a significantly increased risk of incident T2DM. Clinical Relevance Scientific rational for the study:Evidence supporting the role of chronic periodontitis as a putative risk factor for the development of type 2 diabetes mellitus (T2DM) is currently limited. Principal findings: Accepted ArticleThis article is protected by copyright. All rights reserved.This study showed that in a group of 58-72 year-old Caucasian dentate men in Northern Ireland, baseline moderate to severe periodontitis was an independent risk predictor for the development of T2DM. This relationship was independent of known confounders. Practical implications:Dentists should be aware of the potential systemic health implications of patients presenting with moderate to severe periodontitis. Patients who present with obvious risk factors for T2DM and signs of periodontitis should be informed about their risk for developing T2DM.

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“…Ethnicity has previously been shown to have a significant impact on the development of both periodontal disease (Delgado‐Angulo et al. ), and diabetes (Harris et al. ).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Periodontitis and incident type 2 diabetes: a prospective cohort study

Winning

Patterson

Neville

et al. 2017

J Clinic Periodontology

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“…Clinical oral health may confound the association between OHRQoL and dental services utilisation. We attempted to minimise this effect by controlling for more distal determinants of oral health, such as social grade and ethnicity, because poor oral health is overrepresented among ethnic minorities [28, 29] and lower socioeconomic groups [30]. …”

Section: Discussionmentioning

confidence: 99%

Oral impacts on quality of life and problem-oriented attendance among South East London adults

Gaewkhiew

Bernabé

Gallagher

et al. 2017

Health Qual Life Outcomes

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BackgroundDental care seeking behaviour is often driven by symptoms. The value of oral health related quality of life (OHRQoL) measures to predict utilisation of dental services is unknown. This study aims to explore the association between OHRQoL and problem-oriented dental attendance among adults.MethodsWe analysed cross-sectional data for 705 adults, aged 16 years and above, living in three boroughs of Inner South East London. Data were collected during structured interviews at home. The short form of the Oral Health Impact Profile (OHIP-14) was used to assess the frequency of oral impacts on daily life in the last year. Problem-oriented attendance was defined based on time elapsed since last visit (last 6 months) and reason for that visit (trouble with teeth). The association between OHIP-14 (total and domain) scores and problem-oriented attendance was tested in logistic regression models adjusting for participants’ sociodemographic characteristics.ResultsProblem-oriented attenders had a higher OHIP-14 total score than regular attenders (6.73 and 3.73, respectively). In regression models, there was a positive association between OHIP-14 total score and problem-oriented attendance. The odds of visiting the dentist for trouble with teeth were 1.07 greater (95% Confidence Interval: 1.04–1.10) per unit increase in the OHIP-14 total score, after adjustment for participants’ sociodemographic characteristics. In subsequent analysis by OHIP-14 domains, greater scores in all domains but handicap were significantly associated with problem-oriented attendance.ConclusionThis study shows that oral impacts on quality of life are associated with recent problem-oriented dental attendance among London adults. Six of the seven domains in the OHIP-14 questionnaire were also associated with dental visits for trouble with teeth.

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“…This mixed‐methods study has been carried out in an ethnically diverse and socially deprived area of London aiming to further understand oral health disparities; particularly, the barriers, facilitators and pathways between neighbourhood deprivation, dental behaviours and oral health status. The Outer North‐East London Research Ethics Committee approved the study protocol (08/H0701/93) …”

Section: Methodsmentioning

confidence: 99%

“…Scores for the 6 items were aggregated to produce a total score, which ranged from 0 to 12. Based on this total score, sugars intake frequency was classified as ≤2/day vs >2/day …”

Section: Methodsmentioning

confidence: 99%