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Methamphetamine use and periodontal disease in the United States: findings from NHANES 2009-2014

OBJECTIVE: This study investigated the relationship between methamphetamine use and periodontitis among US adults using data from the National Health and Nutritional Examination Survey (NHANES) 2009-2014.
METHODS: Data from 7,830 participants age 30 and above who participated in the 2009-2014 National Health and Nutritional Examination Survey (NHANES) were analyzed. Inclusion criteria were undergoing a periodontal examination, and providing answers about drug use (methamphetamine, other drugs (cocaine, heroin), or non-user) and other demographic and risk factor covariates. The outcome was moderate/severe periodontitis vs. none/mild periodontitis based on the CDC/AAP periodontal disease case definition. Chi-square statistics were used to assess bivariate associations of all variables of interest with the exposure (drug use) and with the outcome (periodontitis). Odds ratios (OR) of moderate or severe periodontitis and 95% confidence intervals (CI) were estimated with multivariable logistic regression. Survey procedures and weights were applied.
RESULTS: There were higher odds (1.54 ,95%CI=1.05-2.24) of moderate or severe periodontitis among methamphetamine users compared to non-users, whereas other drug users had odds ratio (OR=0.8, 95% CI=0.66-1.16) as compared to non-users. Also, older age, being male, belonging to an ethnic group other than non-Hispanic whites, current and former smoking, having less than a college education, being a nondrinker (relative to moderate drinking), and having fewer than 20 teeth were associated with increased odds of periodontal disease.
CONCLUSION: This study suggested a statistically significant positive relationship between periodontal disease and methamphetamine use among US adults. Further studies are needed to investigate the effects of duration and frequency of methamphetamine use on periodontal disease in adults.

Identiferoai:union.ndltd.org:bu.edu/oai:open.bu.edu:2144/41794
Date09 December 2020
CreatorsSandhu, Kirandeep Kaur
ContributorsKaye, Dr. Elizabeth
Source SetsBoston University
Languageen_US
Detected LanguageEnglish
TypeThesis/Dissertation

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