Objectives

To examine the association of diabetes with tooth loss and oral manifestations among adult health center patients (HCPs).

Methods

This cross-sectional study utilized the nationally representative 2014 HCPs-Survey. Descriptive and logistic regression analyses limited to adults (n = 5524) were used to compare self-reported responses of tooth loss and oral manifestations (i.e., loose teeth, bleeding gums, mouth sores, and dry mouth) among HCPs with and without diabetes.

Results

Almost a quarter of the HCPs reported having diabetes. Among patients with diabetes, more than half were 45–64 years old, had low-income status, and attended rural health centers. Analyses revealed that diabetes was significantly associated with permanent tooth loss and presence of at least one oral manifestation after controlling for confounders. Among adults with diabetes, probability of “missing at least one tooth.” were two times higher compared to not missing any teeth [AOR = 2.10, (95%CI 1.40–3.16); P ≤0.001]. Adults with diabetes had higher odds of having one or more “oral manifestations” compared to adults without diabetes [AOR = 1.60, (95%CI 1.22–2.11); P = 0.001].

Conclusion

Diabetes disproportionately affects HCP adults (23%) compared to the general U.S. adult population (10%). In HCPs having diabetes was associated with a higher prevalence of oral manifestations (i.e., loose teeth, bleeding gums) and losing “At least one” of their permanent teeth. These findings suggest that adults with diabetes had higher prevalence of oral manifestations and tooth loss, highlighting the need for innovative interprofessional models for early screening and identification.

中文翻译：

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在 HRSA 资助的健康中心服务的成年糖尿病患者的口腔健康结果

目标

研究成人健康中心患者 (HCP) 中糖尿病与牙齿脱落和口腔表现的关系。

方法

这项横断面研究利用了具有全国代表性的 2014 年 HCP 调查。描述性和逻辑回归分析仅限于成人 ( n  = 5524)，用于比较患有和未患有糖尿病的 HCP 对牙齿脱落和口腔表现（即牙齿松动、牙龈出血、口腔溃疡和口干）的自我报告反应。

结果

几乎四分之一的 HCP 报告患有糖尿病。在糖尿病患者中，超过一半的年龄在 45-64 岁之间，处于低收入状态，并在农村卫生中心就诊。分析显示，在控制混杂因素后，糖尿病与永久性牙齿脱落和至少一种口腔表现显着相关。在患有糖尿病的成年人中，“至少缺失一颗牙齿”的概率。与未缺失任何牙齿相比高出两倍 [AOR = 2.10, (95%CI 1.40–3.16); P  ]≤0.001。与没有糖尿病的成年人相比，患有糖尿病的成年人出现一种或多种“口腔表现”的几率更高 [AOR = 1.60，(95%CI 1.22–2.11)；P  = 0.001]。

结论

与美国普通成年人口 (10%) 相比，糖尿病对 HCP 成年人 (23%) 的影响更大。在患有糖尿病的 HCP 中，口腔表现（即牙齿松动、牙龈出血）和“至少一颗”恒牙脱落的患病率较高。这些研究结果表明，患有糖尿病的成年人口腔表现和牙齿脱落的患病率更高，突出了对早期筛查和识别的创新跨专业模型的需求。