BACKGROUND Oral health is associated with diabetes, but the chances of experiencing acute or chronic diabetes complications as per this association is unknown in Canada's most populous province, Ontario. This study assesses the impact of self-reported oral health on the likelihood of experiencing acute and chronic complications among a cohort of previously diagnosed diabetics. METHODS A retrospective cohort study was conducted of diabetics (n = 5183) who participated in the Canadian Community Health Survey 2003 and 2007-08. Self-reported oral health status was linked to health encounters in electronic medical records until March 31, 2016. Multinomial regression models determined the odds of the first acute or chronic complication after self-report of oral health status. RESULTS Thirty-eight percent of diabetics reporting "poor to fair" oral health experienced a diabetes complication, in comparison to 34% of those reporting "good to excellent" oral health. The odds of an acute or chronic complication among participants reporting "poor to fair" oral health status was 10% (OR 1.10; 95% CI 0.81, 1.51) and 34% (OR 1.34; 95% CI 1.11, 1.61) greater respectively, than among participants experiencing no complications and reporting "good to excellent" oral health. CONCLUSION Self-reporting "poor to fair" oral health status is associated with a greater likelihood of chronic complications than acute complications. Further research regarding the underlying causal mechanisms linking oral health and diabetes complications is needed.

中文翻译：

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与自我报告的口腔健康相关的急性和慢性糖尿病并发症：一项回顾性队列研究。

背景技术口腔健康与糖尿病有关，但在加拿大人口最多的省份安大略省，根据这种关联经历急性或慢性糖尿病并发症的机会尚不清楚。这项研究评估了一组先前诊断的糖尿病患者自我报告的口腔健康状况对发生急性和慢性并发症的可能性的影响。方法 对参加 2003 年和 2007-08 年加拿大社区健康调查的糖尿病患者（n = 5183）进行了一项回顾性队列研究。截至 2016 年 3 月 31 日，自我报告的口腔健康状况与电子病历中的健康遭遇相关联。多项回归模型确定了自我报告口腔健康状况后首次出现急性或慢性并发症的几率。结果 口腔健康状况“从差到一般”的糖尿病患者中有 38% 经历过糖尿病并发症，而口腔健康状况“良好到优秀”的糖尿病患者中这一比例为 34%。报告口腔健康状况“差到一般”的参与者发生急性或慢性并发症的几率分别高出 10%（OR 1.10；95% CI 0.81, 1.51）和 34%（OR 1.34；95% CI 1.11, 1.61）。与没有出现并发症并报告口腔健康状况“良好至极好”的参与者相比。结论 与急性并发症相比，自我报告的“从差到一般”的口腔健康状况与慢性并发症的可能性更大。需要进一步研究口腔健康和糖尿病并发症之间的潜在因果机制。