Effects of Periodontal Disease on Cardio-Cerebrovascular Disease: A Focus on Personal Income and Social Deprivation.
10.17135/jdhs.2017.17.4.375
- Author:
Min Young KIM
1
;
Hosung SHIN
Author Information
1. Department of Social and Humanity in Dentistry, Dental College, Wonkwang University School of Dentistry, Iksan 54538, Korea. shinhosung@gmail.com
- Publication Type:Original Article
- Keywords:
Cardiocerebrovascular disease;
Composite deprivation index;
Income;
Periodontal diseases
- MeSH:
Cerebrovascular Disorders;
Cohort Studies;
Humans;
Hypertension;
Kaplan-Meier Estimate;
Korea;
National Health Programs;
Periodontal Diseases*;
Stroke
- From:
Journal of Dental Hygiene Science
2017;17(4):375-381
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The study aimed to investigate the effects of differences between personal income and social deprivation on the association between cardio-cerebrovascular disease (hypertension, stroke) and periodontal disease. This study used 12 years of cohort data from the Korea National Health Insurance Service covering the years 2002 to 2013. Among the patients aged more than 40 years who had received treatment for periodontal disease 224,067 and 284,730 who had not received treatment for hypertension and stroke, respectively, were included in the analysis. The Kaplan-Meier analysis revealed differences in the rate of treatment for cardio-cerebrovascular disease (hypertension, stroke) according to regional differences, the rate of treatment increased as the composite deprivation index value increased. The difference in treatment rates for cardio- cerebrovascular disease (hypertension, stroke) according to income was found to be higher in the treatment group with low income. This study empirically proved that the association between systemic disease and periodontal disease varies depending on personal income and the regional socioeconomic deprivation level. This shows that the clinical influence of periodontal illness on systemic disease differs according to the personal socio-demographic characteristic and residential area and that an individual's characteristic (income and the regional) needs to be considered along with the patient's clinical intervention in the disease treatment process.
