Document Type
Article
Publication Date
5-1-2023
Abstract
Aims and Objectives: The aim of this study was to evaluate whether periodontal disease (PD) moderates the association between complex multimorbidity (MM) and fair/poor general health in a US representative sample of older individuals. Materials and Methods: This study identified 937 participants who were at least 60 years of age from the 2013-2014 National Health and Nutrition Examination Survey. A multivariable logistic regression model was used to estimate the association between complex MM (including chronic conditions, functional limitations, and geriatric syndromes) and self-reported fair/poor general health. Subsequently, we specified interactions between complex MM and PD to determine whether PD moderates the effect of complex MM on fair/poor general health. Results: Nineteen percent of participants reported fair/poor general health. Complex MM was associated with 2.2 times greater odds of self-reported fair/poor health. However, PD was neither independently associated with fair/poor health nor an effect modifier for the association between complex MM and fair/poor general health. Age, white race, those with at least a high-school education level, a family income-to-poverty ratio of at least 2, former smoking status, and being married were significantly associated with fair/poor general health. Conclusion: Complex MM, but not PD, was associated with greater odds to report fair/poor general health, and PD did not moderate the association between complex MM and fair/poor general health. People with complex MM are more likely to have worse general health; however, PD did not strengthen this association. Further studies are needed to evaluate whether treatment for PD for people vulnerable to the development of complex MM has a positive effect on their general health.
Keywords
activities of daily living, aged, health status, multimorbidity, NHANES, periodontal disease
Language
English
Publication Title
Journal of International Society of Preventive and Community Dentistry
Rights
© 2023 Journal of International Society of Preventive and Community Dentistry. This is an open access work distributed under the terms of the Creative Commons Attribution-Non-Commercial (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Recommended Citation
Alqahtani, Hussam M1,2,3; Koroukian, Siran M1; Stange, Kurt C1; Schiltz, Nicholas K1; Bissada, Nabil F4. Investigating the influence of periodontal disease on the association between complex multimorbidity and health: A cross-sectional study. Journal of International Society of Preventive and Community Dentistry 13(3):p 247-255, May-June 2023. | DOI: 10.4103/jispcd.JISPCD_11_23
Manuscript Version
Final Publisher Version