Association between self-reported gingival bleeding and prevalent hypertension among adults in a cross-sectional study in Zhejiang province.
10.3760/cma.j.cn112338-20210922-00744
- Author:
Hao WANG
1
;
Ling Li CHEN
2
;
Yun Qi GUAN
1
;
Yuan CAO
2
;
Dun SHEN
2
;
Kai Xu XIE
2
;
Xiao Yi ZHANG
2
;
Chun Mei WANG
2
;
Pei PEI
3
;
Yu GUO
4
;
Min YU
1
;
Zheng Ming CHEN
5
;
Liming LI
6
Author Information
1. Department of Non-communicable Disease Control and Prevention, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China.
2. Department of Non-communicable Disease Control and Prevention, Tongxiang City Center for Disease Control and Prevention, Tongxiang 314500, China.
3. China Kadoorie Biobank, Chinese Academy of Medical Sciences, Beijing 102308, China.
4. National Clinical Center of Cardiovascular Disease, Fuwai Hospital Chinese Academy of Medical Sciences, Beijing 100037, China.
5. Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford OX3 7LF, UK.
6. School of Public Health, Peking University Health Science Center, Beijing 100191,China Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191,China.
- Publication Type:Journal Article
- MeSH:
Adult;
China/epidemiology*;
Cross-Sectional Studies;
Female;
Gingival Hemorrhage;
Humans;
Hypertension/epidemiology*;
Male;
Middle Aged;
Risk Factors;
Self Report
- From:
Chinese Journal of Epidemiology
2022;43(8):1249-1253
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the association between self-reported gingival bleeding and prevalent hypertension among adults in Zhejiang with a cross-sectional study. Methods: After excluding participants with self-reported, physician-diagnosed heart diseases, stroke, diabetes, cancer, and those who never or rarely brush their teeth at baseline study, 48 625 participants aged 30-79 in the China Kadoorie Biobank (CKB) study from Tongxiang, Zhejiang were included for the final analysis. Three multivariable logistic regression models were used to estimate the odds ratios (ORs) for the associations of self-reported gingival bleeding with prevalent hypertension. Results: The mean age of women was (51.2±9.2) years, and 42.9% of participants had prevalent hypertension. The percentage of self-reported frequent gingival bleeding was 6.56% (95%CI: 6.38%-6.75%), significantly higher among women (8.08%, 95%CI: 7.82%-8.35%) than among men (4.36%, 95%CI: 4.12%-4.60%) (P<0.001). After adjusting for socio-demographic factors, behavioral lifestyle, sleep duration, BMI, waist circumference, snoring, in comparison with men whose gingivae never or rarely bleed while brushing teeth, the odds ratio (95%CI) of hypertension for those with occasional, and frequent gingival bleeding were 1.04 (0.96-1.12) and 1.18 (1.02-1.37), respectively (trend P =0.038). The corresponding figures for women were 0.96 (0.91-1.02) and 0.95 (0.86-1.05), respectively (trend P=0.344). Conclusion: Frequent gingival bleeding was positively associated with prevalent hypertension among men.
