牙周炎的严重程度及其社会和临床决定因素:基于ACES框架的NHANES分析
Meng Xuan Chen1, Yue Yu2, Chen Xuan Wei3
1Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.
Journal of periodontology
|January 19, 2026
概括
较低的收入,以较低的贫困收入比率 (PIR) 表示,与牙周炎的严重程度增加有关. 吸烟和高血糖 (HbA1c) 也会使牙疾病恶化,而体重指数 (BMI) 的影响很小.
科学领域:
- 牙周病学 牙周病学
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 牙周炎是一种普遍的口腔疾病,与全身健康有关.
- 社会经济地位是健康结果的已知决定因素,包括口腔健康.
- 了解贫困和牙周炎严重程度之间的关系对于公共卫生干预至关重要.
研究的目的:
- 调查贫困与收入比率 (PIR) 与牙周炎的严重程度之间的联系.
- 将2018年牙周状况分类应用于流行病学数据,以准确评估严重程度.
- 分析吸烟,HbA1c和BMI等共变量对这种关联的影响.
主要方法:
- 利用了美国国家健康和营养检查调查 (NHANES) (2009-2014) 三个周期的数据.
- 包括30岁以上的成年人,经过完整的牙周检查 (n=10,598).
- 使用多项和二元逻辑回归来分析牙周炎的阶段,分级和与PIR,吸烟,HbA1c和BMI相关的程度.
主要成果:
- 在所有结局 (阶段,等级,程度) 中,较高的PIR与较低的牙周炎严重程度显著相关.
- 目前的吸烟表明牙周炎的严重程度和普遍程度逐渐增加.
- 升高的HbA1c水平与牙周炎的增加阶段和等级有关,但不是程度;BMI显示的关联最小.
结论:
- 较高的社会经济地位,由更高的PIR表明,有助于预防严重牙周炎.
- 吸烟和HbA1c升高是牙周炎严重程度增加的重要危险因素.
- 公共卫生战略应考虑社会经济因素和代谢健康在解决牙周炎.
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