Accuracy of Self-Reported Periodontal Disease in the Women’s Health Initiative Observational Study

Details

• Alternative Title:
  J Periodontol
• Personal Author:
  LaMonte, Michael J. ; Hovey, Kathleen M. ; Millen, Amy E. ; Genco, Robert J. ; Wactawski-Wende, Jean
• Description:
  Background ; This study examines the accuracy of self-reported periodontal disease in a cohort of older females. ; Methods ; The study comprised 972 postmenopausal females aged 53 to 83 years who completed baseline (1997 to 2001) and follow-up (2002 to 2006) whole-mouth oral examinations. Examinations included: 1) probing depth, 2) clinical attachment level, and 3) oral radiographs for alveolar crestal height in a study ancillary to the Women’s Health Initiative Observational Study (WHI-OS) conducted in Buffalo, New York, called the OsteoPerio study. Participants also self-reported any history of diagnosis of periodontal/gum disease on a WHI-OS study-wide questionnaire administered during the time interval between the two OsteoPerio examinations. ; Results ; Participants reporting diagnosis of periodontal/gum disease on the WHI-OS questionnaire (n = 259; 26.6%) had worse oral hygiene habits, periodontal disease risk factors, and clinical periodontal measures compared with those not reporting periodontal/gum disease. Frequency of reported periodontal/gum disease was 13.5%, 24.7%, and 56.2% across OsteoPerio baseline examination categories of none/mild, moderate, and severe periodontal disease, respectively (trend: P <0.001), defined by criteria of the Centers for Disease Control and Prevention/American Academy of Periodontology (CDC/AAP). Sensitivity, specificity, and positive and negative predictive values for reported periodontal disease status were 56.2%, 78.8%, 32.8%, and 90.7%, respectively, when CDC/AAP-defined severe periodontal disease at baseline was the criterion measure (prevalence of 15%) and were 76.0%, 77.4%, 22.0%, and 97.4%, respectively, when tooth loss to periodontitis (prevalence of 7%) was the criterion. ; Conclusion ; A simple question for self-reported periodontal disease characterizes periodontal disease prevalence with moderate accuracy in postmenopausal females who regularly visit their dentist, particularly in those with more severe disease.
• Subjects:
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Alveolar Bone Loss
  • Cohort Studies
  • Dental Plaque
  • Educational Status
  • Female
  • Follow-Up Studies
  • Humans
  More +
• Keywords:
  • Epidemiologic measurements
  • periodontal diseases
  • prevalence
  • self report
  • reproducibility of results
  • women
• Source:
  J Periodontol. 85(8):1006-1018
• Pubmed ID:
  24354649
• Pubmed Central ID:
  PMC6004791
• Document Type:
  Journal Article
• Funding:
  R01 DE013505/DE/NIDCR NIH HHSUnited States/ ; CC999999/Intramural CDC HHSUnited States/ ; DE13505/DE/NIDCR NIH HHSUnited States/ ; DE04898/DE/NIDCR NIH HHSUnited States/ ; N01WH32122/WH/WHI NIH HHSUnited States/
• Volume:
  85
• Issue:
  8
• Download URL:
  https://stacks.cdc.gov/view/cdc/56158/cdc_56158_DS1.pdf
• File Type:
  [PDF - 480.73 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:17346b26794068cbe4d25dcdd0a98125be4ff9f12a542ac665153698758a69f5