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Periodontal Health and Use of Oral Health Services: A Comparison of Germans and Two Migrant Groups

Author

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  • Daniel Hagenfeld

    (Section of Periodontology, Department of Conservative Dentistry, University of Heidelberg, 69120 Heidelberg, Germany
    Department of Periodontology and Restorative Dentistry, University-Hospital of Münster, 48149 Münster, Germany
    Joint first authors.)

  • Heiko Zimmermann

    (Institute of Global Health, University of Heidelberg, 69120 Heidelberg, Germany
    Joint first authors.)

  • Katja Korb

    (Department of Orthodontics, University of Heidelberg, 69120 Heidelberg, Germany)

  • Nihad El-Sayed

    (Section of Periodontology, Department of Conservative Dentistry, University of Heidelberg, 69120 Heidelberg, Germany)

  • Julia Fricke

    (Division of Cancer Epidemiology, German Cancer Research Center, 69120 Heidelberg, Germany
    Institute for Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin Berlin, 10117 Berlin, Germany)

  • Karin Halina Greiser

    (Division of Cancer Epidemiology, German Cancer Research Center, 69120 Heidelberg, Germany)

  • Jan Kühnisch

    (Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University of Munich, 80336 München, Germany)

  • Jakob Linseisen

    (German Research Center for Environmental Health, Institute of Epidemiology II, Helmholtz Zentrum München, D-85764 Neuherberg, Germany)

  • Christa Meisinger

    (German Research Center for Environmental Health, Institute of Epidemiology II, Helmholtz Zentrum München, D-85764 Neuherberg, Germany)

  • Marc Schmitter

    (Department of Prosthodontics, University of Würzburg, 97070 Würzburg, Germany)

  • Ti-Sun Kim

    (Section of Periodontology, Department of Conservative Dentistry, University of Heidelberg, 69120 Heidelberg, Germany)

  • Heiko Becher

    (Institute of Global Health, University of Heidelberg, 69120 Heidelberg, Germany
    Institute for Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany)

Abstract

A cross-sectional study was performed with 251 individuals, consisting of 127 Germans, 68 migrants from Turkey, and 56 resettlers (migrants from the former Soviet Union with German ancestors) to compare periodontal health status, with a special focus on associations with lifestyle and anthropometric factors, and use of dental health services. Maximal pocket depth was used as a clinical surrogate marker for periodontitis. Other variables were obtained by questionnaires administered by a Turkish or Russian interpreter. The age- and sex-adjusted prevalence of periodontitis was significantly higher in Turks (odds ratio (OR) 2.84, 95% CI = 1.53–5.26) and slightly higher in resettlers (OR = 1.33, 95% CI = 0.71–2.49). These differences are partly explained by a differential distribution of known risk factors for periodontitis. A full model showed a higher prevalence of maximal pocket depth above 5 mm in Turks (OR = 1.97, 95% CI = 0.99–3.92). Use of oral health services was significantly lower in the two migrant groups. Individuals who reported regular visits to a dentist had significantly less periodontitis, independent of migrant status. A reasonable conclusion is that, since oral health causes major chronic diseases and has a major effect on total health system expenditures, public health efforts both generally and specifically focused on migrant groups are warranted.

Suggested Citation

  • Daniel Hagenfeld & Heiko Zimmermann & Katja Korb & Nihad El-Sayed & Julia Fricke & Karin Halina Greiser & Jan Kühnisch & Jakob Linseisen & Christa Meisinger & Marc Schmitter & Ti-Sun Kim & Heiko Beche, 2019. "Periodontal Health and Use of Oral Health Services: A Comparison of Germans and Two Migrant Groups," IJERPH, MDPI, vol. 16(16), pages 1-9, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:16:p:3000-:d:259322
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    References listed on IDEAS

    as
    1. Adrien Boillot & Bechara El Halabi & George David Batty & Hélène Rangé & Sébastien Czernichow & Philippe Bouchard, 2011. "Education as a Predictor of Chronic Periodontitis: A Systematic Review with Meta-Analysis Population-Based Studies," PLOS ONE, Public Library of Science, vol. 6(7), pages 1-9, July.
    2. Sabbah, Wael & Tsakos, Georgios & Sheiham, Aubrey & Watt, Richard G., 2009. "The role of health-related behaviors in the socioeconomic disparities in oral health," Social Science & Medicine, Elsevier, vol. 68(2), pages 298-303, January.
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    Cited by:

    1. Dorina Lauritano & Giulia Moreo & Francesco Carinci & Vincenzo Campanella & Fedora Della Vella & Massimo Petruzzi, 2021. "Oral Health Status among Migrants from Middle- and Low-Income Countries to Europe: A Systematic Review," IJERPH, MDPI, vol. 18(22), pages 1-37, November.

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