Document Type
Article
Original Publication Date
2022
Journal/Book/Conference Title
Community Dentistry And Oral Epidemiology
Volume
50
Issue
3
First Page
216
Last Page
224
DOI of Original Publication
https://doi.org/10.1111/cdoe.12655
Date of Submission
March 2024
Abstract
Objectives:
To examine oral cancer screening rates and associated factors among adults with periodontal disease (PD). We hypothesized that adults with severe PD will be less likely to report receipt of any type of oral cancer screening than adults with no PD.
Materials and Methods:
We used 2011-2014 National Health and Nutrition Examination Survey (NHANES) data on adults ≥ 30 years. PD status was classified as no PD, mild/moderate PD, and severe PD. Survey-adjusted logistic regression analysis was used to examine the model adjusted risk ratio (RR) and 95% confidence intervals (CI) for the outcome of not receiving intraoral, extraoral or both types of oral cancer screenings among adults with PD. Control variables included age, sex, race/ethnicity, health insurance, education, income level, smoking status, alcohol use and last dental visit.
Results:
The analytic sample included 6962 adults weighted to the national population of adults who had a periodontal examination during 2011-2014. Overall 31.5%, 26.8% and 20.9% of adults reported receipt of intraoral, extraoral, and both types of oral cancer screening, respectively. Almost 40% of adults had some form of PD (7.6% severe, and 32.4% mild/moderate PD). A higher proportion of 45-64-year-olds, males, non-Hispanic Blacks, those with less than high school education, with income level less than 200% federal poverty level, or those with no insurance had severe PD than no PD. In adjusted analyses, adults with severe PD were significantly more likely to report no receipt of intraoral (RR= 1.25, 95% CI = 1.12-1.40), extraoral (RR = 1.17, 95% CI = 1.07-1.27) or both types of oral cancer screenings (RR= 1.18, 95% CI = 1.10-1.27) than those with no PD.
Conclusions:
Significantly low proportion of adults age ≥ 30 years with severe PD reported receiving any type of oral cancer screening. The association between PD and risk of oral cancers points to the need to improve oral cancer screening rates among adults with PD.
Is Part Of
VCU Oral Health Promotion and Community Outreach Publication
Comments
This is the peer reviewed version of the following article: "Association Between Periodontal Disease and Oral Cancer Screening among US Adults: NHANES 2011-2014," Community Dent Oral Epidemiol. 2022 June ; 50(3): 216–224, which has been published in final form at https://doi.org/10.1111/cdoe.12655. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.