Premium
Periodontal health, perceived oral health, and dental care utilization of breast cancer survivors
Author(s) -
Taichman L. Susan,
Griggs Jennifer J.,
Inglehart Marita R.
Publication year - 2015
Publication title -
journal of public health dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 63
eISSN - 1752-7325
pISSN - 0022-4006
DOI - 10.1111/jphd.12084
Subject(s) - medicine , breast cancer , gingivitis , dental insurance , odds ratio , periodontitis , population , confidence interval , cancer , logistic regression , family medicine , dentistry , dental care , environmental health
Abstract Objectives This population‐based analysis examined the prevalence of periodontal diseases along with the self‐perceived oral health and patterns of dental care utilization of breast cancer survivors in the U nited S tates. Methods Data from the 1999‐2004 National Health and Nutrition Surveys were utilized, examining information from 3,354 women between 50 and 85 years of age. Primary outcomes were gingivitis and periodontitis, self‐perceived oral health, and dental care utilization. Logistic regression analyses were used to estimate relationships of breast cancer diagnosis and primary outcomes while controlling for confounding factors. Results Breast cancer survivors were more likely to be older than 55 years, white, nonsmokers, have higher levels of education and income, and a higher prevalence of osteoporosis. Breast cancer survivors were significantly less likely to have dental insurance ( P = 0.04). Utilization of dental services and reason for last dental visit did not significantly differ between groups. A history of a breast cancer diagnosis did not increase the odds of gingivitis [odds ratio ( OR ): 1.32; 95 percent confidence interval ( CI ): 0.53‐3.63], periodontitis ( OR : 1.82; 95 percent CI : 0.89‐4.01), or poor self‐perceived oral health ( OR : 0.89; 95 percent CI : 0.61‐1.33) after adjusting for age, race, education, dental care utilization, and smoking status. Conclusions In this sample, a history of breast cancer does not significantly impact periodontal health, self‐perceived oral health, and dental care utilization. However, efforts should be made to assure that breast cancer survivors have dental insurance.