Association between Rheumatoid Arthritis and Poor Self-Perceived Oral Health in Korean Adults.

Hana Shim,Jungwan Koo,Joonho Ahn

doi:10.3390/healthcare10030427

Hana Shim, Jungwan Koo + Show 1 more

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https://doi.org/10.3390/healthcare10030427

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Abstract

Background and objective: Rheumatoid arthritis (RA) and oral health problems have been reported as specific disease units; however, this study was conducted to evaluate the association between RA and comprehensive oral health status. Therefore, this study aimed to assess the association between RA and oral health using self-perceived oral health (SPOH) variables that can determine the oral health status in Korean adults using representative national data. Methods: Data from 40,186 selected participants were collected from the Korea National Health and Nutrition Examination Survey (KNHANES) between 2007 and 2018. The prevalence relative risk (PRR) was estimated using Poisson regression analysis to obtain the risk ratio of the SPOH according to RA. Results: The risk of SPOH depending on the RA status was statistically significant (odds ratio [OR] = 1.108, 95% confidence interval [CI] 1.005–1.222). In addition, the risk of SPOH depending on the RA status was higher in the group with diabetes mellitus (DM) (OR = 1.205, 95% CI 0.966–1.503) than in the group without DM (OR = 1.088, 95% CI 0.976–1.214). Conclusions: In this study, a significant association was identified between RA and SPOH. Oral health experts should identify the factors affecting the oral health of patients with RA and provide correct oral health care; however, additional research is needed.

Highlights

Health refers to a state of complete physical, mental, and social well-being
Rheumatoid arthritis (RA) was significantly higher in the group with poor oral health (52.6%, p < 0.0001)
(47.6%, p < 0.0001), smokers (53.4%, p < 0.0001), individuals with diabetes mellitus (DM) (54.2%, p < 0.0001), and those who did not brush their teeth regularly (47.5%, p < 0.0001) and who did not have an oral examination within the last year (45.3%, p < 0.0001)

Summary

Introduction

Health refers to a state of complete physical, mental, and social well-being. Health level is affected by both objective and subjective health status [1]. Subjective health of an individual can predict more accurate levels of quality of life [2] and well-being and is considered an indicator of good health that reflects personal views on health that cannot be measured by medical methods [3]. When individuals rate their overall oral condition, it is referred to as self-perceived oral health (SPOH) and it can indicate one’s current oral health status. This study aimed to assess the association between RA and oral health using self-perceived oral health (SPOH) variables that can determine the oral health status in Korean adults using representative national data. Oral health experts should identify the factors affecting the oral health of patients with RA and provide correct oral health care; additional research is needed

Objectives

Results

Conclusion