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Islas-Zarazúa R, Mora-Acosta M, Navarrete-Hernández JDJ, Reynoso-Vázquez J, Villalobos-Rodelo JJ, Rojas-Ortega L, Sosa-Velazco TA, Márquez-Corona MDL, Medina-Solís CE, Maupomé G. Comparative Analysis of Edentulism in a Sample of Mexican Adults with and without Type 2 Diabetes. Healthcare (Basel) 2022; 10:healthcare10122378. [PMID: 36553901 PMCID: PMC9777753 DOI: 10.3390/healthcare10122378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 11/22/2022] [Accepted: 11/23/2022] [Indexed: 11/29/2022] Open
Abstract
The objective of the present study was to compare the prevalence of edentulism in Mexican adults with and without a diagnosis of type 2 diabetes mellitus (T2DM) when they are seeking dental care. A cross-sectional study was conducted on 1921 medical records of Mexican adults 40 years of age and older who sought dental care at clinics of a public university in Mexico. The dependent variable was edentulism, clinically determined through an oral examination. The main independent variable was the self-report of previous T2DM diagnosis made by a physician. Sociodemographic, socioeconomic and behavioral covariates were included in a multivariate binary logistic regression model. Overall edentulism prevalence was 8.4% (95% CI = 7.1-9.6). The prevalence of T2DM was 14.3% (n = 274). The prevalence of edentulism among individuals with T2DM was 13.1%, but only 7.6% among individuals without T2DM. In the multivariate binary logistic regression model, a previous T2DM diagnosis increased the probability of being edentulous 1.61 times (95% CI = 1.03-2.50). For each year a person's age increased, the likelihood of being edentulous increased by 12% (95% CI = 10-14%). In summary, a higher prevalence of edentulism was present in Mexican adults with T2DM and in those of older age. This information may be used by dental care providers and health policymakers to improve approaches to preventive care, as well as to characterize and anticipate care needs more accurately for the adult and older adult populations.
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Affiliation(s)
- Rosalina Islas-Zarazúa
- Dentistry Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
| | - Mariana Mora-Acosta
- Dentistry Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
- Correspondence: (M.M.-A.); (C.E.M.-S.)
| | | | - Josefina Reynoso-Vázquez
- Pharmacy Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
| | - Juan José Villalobos-Rodelo
- School of Dentistry, Autonomous University of Sinaloa, Culiacan 80040, Mexico
- Department of Epidemiology, Institute of Social Security and Services for Government Workers, Culiacan 80000, Mexico
| | - Laura Rojas-Ortega
- Universidad Contemporánea de las Américas, Ciudad de Mexico 04890, Mexico
| | | | | | - Carlo Eduardo Medina-Solís
- Dentistry Academic Area, Health Sciences Institute, Autonomous University of the State of Hidalgo, Pachuca 42160, Mexico
- Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata”, School of Dentistry, Autonomous University of State of Mexico, Toluca 50000, Mexico
- Correspondence: (M.M.-A.); (C.E.M.-S.)
| | - Gerardo Maupomé
- Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN 46202, USA
- Indiana University Network Science Institute, Bloomington, IN 47408, USA
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