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Heterogeneity in periodontitis prevalence in the Hispanic Community Health Study/Study of Latinos.

TitleHeterogeneity in periodontitis prevalence in the Hispanic Community Health Study/Study of Latinos.
Publication TypePublication
Year2014
AuthorsSanders AE, Campbell SM, Mauriello SM, Beck JD, Jimenez MC, Kaste LM, Singer RH, Beaver SM, Finlayson TL, Badner VM
JournalAnn Epidemiol
Volume24
Issue6
Pagination455-62
Date Published2014 Jun
ISSN1873-2585
KeywordsAdult, Aged, Attitude to Health, Dental Health Surveys, Female, Hispanic Americans, Humans, Male, Middle Aged, Oral Hygiene, Periodontitis, Population Surveillance, Prevalence, Risk Assessment, Risk Factors, United States, Young Adult
Abstract

PURPOSE: The aim of the study was to examine acculturation and established risk factors in explaining variation in periodontitis prevalence among Hispanic/Latino subgroups.METHODS: Participants were 12,730 dentate adults aged 18-74 years recruited into the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) from four U.S. field centers between 2008 and 2011. A standardized periodontal assessment measured probing pocket depth and gingival recession at six sites per tooth for up to 28 teeth. Periodontitis was defined according to the Centers for Disease Control and Prevention and American Academy of Periodontology case classifications developed for population surveillance. Covariates included acculturation indicators and established periodontitis risk factors. Survey estimation procedures took account of the complex sampling design. Adjusted multivariate binomial regression estimated prevalence ratios and 95% confidence limits (CLs).RESULTS: Unadjusted prevalence of moderate and severe periodontitis was 38.5% and ranged from 24.7% among Dominicans to 52.1% among Cubans. Adjusted prevalence ratios for subgroups relative to Dominicans were as follows: (1) 1.34 (95% CL, 1.13-1.58) among South Americans; (2) 1.37 (95% CL, 1.17-1.61) among Puerto Ricans; (3) 1.43 (95% CL, 1.25-1.64) among Mexicans; (4) 1.53 (95% CL, 1.32-1.76) among Cubans; and (5) 1.55 (95% CL, 1.35-1.78) among Central Americans.CONCLUSIONS: Heterogeneity in prevalence of moderate/severe periodontitis among Hispanic/Latino subpopulations was not explained by acculturation or periodontitis risk factors.

DOI10.1016/j.annepidem.2014.02.018
Alternate JournalAnn Epidemiol
PubMed ID24731697
PubMed Central IDPMC4050972
Grant ListN01-HC65237 / HC / NHLBI NIH HHS / United States
N01 HC065233 / HC / NHLBI NIH HHS / United States
N01HC65233 / HL / NHLBI NIH HHS / United States
N01-HC65233 / HC / NHLBI NIH HHS / United States
N01-HC65234 / HC / NHLBI NIH HHS / United States
N01-HC65236 / HC / NHLBI NIH HHS / United States
MS#: 
0086
Manuscript Lead/Corresponding Author Affiliation: 
Coordinating Center - Collaborative Studies Coordinating Center - UNC at Chapel Hill
ECI: 
Yes
Manuscript Status: 
Published