Access to Dental Services among Hypertensive Elderly in Peru: Exploring Patterns and Implications
DOI:
https://doi.org/10.6000/1929-6029.2023.12.19Keywords:
Oral health, hypertension, aged, oral hygiene, dental care, health services for the agedAbstract
Background: This study was conducted to determine access to dental services in the elderly with hypertension in Peru.
Methods: Observational, analytical, and cross-sectional design. Data used for analysis in this research was collected from the Demographic and Family Health Survey of Peru (ENDES) from 2019 to 2021.
Results: A Poisson regression analysis was performed a weighted sample for calculating prevalence ratio (PR) with their 95% confidence intervals (95%CI). The multiple regression analysis did not find among the factors associated with the probability of using the dental health service, since neither the time less than two years of hypertension (PR=0.74, 95%CI 0.53 – 1.02); nor from 2 to 4 years (PR = 0.97, CI 95% 0.86 – 1.09); neither a time of hypertension from 5 years or more (PR = 0.94, CI 95% 0.85 – 1.03) were associated.
Conclusion: The study concluded that hypertensive patient over 60 years of age, despite a previous diagnosis of hypertension or not, does not attend dental service, reflecting a lack of interest and a greater risk exposure to cardiovascular complications associated with oral health.
References
La OMS revela las principales causas de muerte y discapacidad en el mundo: 2000-2019 [Internet]. [citado el 21 de febrero de 2023]. Disponible en: https://www.who.int/es/news/item/09-12-2020-who-reveals-leading-causes-of-death-and-disability-worldwide-2000-2019
Estados Unidos Mexicanos. Modificación a la Norma Oficial Mexicana NOM-030-SSA2-1999, Para la prevención, tratamiento y control de la hipertensión arterial, para quedar como Norma Oficial Mexicana NOM-030-SSA2-2009, Para la prevención, detección, diagnóstico, tratamiento y control de la hipertensión arterial sistémica. [Internet]. Disponible en: https://dof.gob.mx/nota_detalle_popup.php?codigo=5144642
Medina Lezama J, Chirinos Medina J, Zea Díaz H, Morey Vargas O, Bolaños Salazar J, Cuba Bustinza C, Corrales Medina F, Valdivia Ascuña Z, Chirinos Pacheco J. Aspectos epidemiológicos y hemodinámicos de la hipertensión y de la prehipertensión arterial en Arequipa. Resultados del estudio prevención. Rev peru cardiol (Lima) 2009; 35(1): 30-43. Disponible en: https://pesquisa.bvsalud.org/portal/resource/ pt/lil-661380
Brodeur JM, Payette M, Beniger M, Charbonneau A, Olivier M, Chabot D. Periodontal diseases among Quebec adults aged 35 to 44 years. J Can Dent Assoc 2001; 67(1): 34. Disponible en: https://pubmed.ncbi.nlm.nih.gov/11177219/
Díaz NA, Rodríguez MÁV. Manifestaciones bucales en pacientes hipertensos bajo tratamiento antihipertensivo. Arch Inv Mat Inf 2009; 1(2): 90-4. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=22830
Instituo Nacional de Estadistica e Informatica. Microdatos base de datos [Internet]. [citado el 27 de febrero de 2023]. Disponible en: https://proyectos.inei.gob.pe/microdatos/
Zou G. A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol 2004; 159(7): 702-6. https://doi.org/10.1093/aje/kwh090 DOI: https://doi.org/10.1093/aje/kwh090
Barros AJ, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Medical Research Methodology 2003; 3(1): 21. https://doi.org/10.1186/1471-2288-3-21 DOI: https://doi.org/10.1186/1471-2288-3-21
Daza DEO, Sinisterra GAS. Hipertensión arterial en pacientes de un servicio de atención prioritaria de odontología y su relación con características sociodemográficas. Acta Odontológica Colombiana [Internet] 2020 [citado el 6 de abril de 2023]; 10(2): 39-51. https://doi.org/10.15446/aoc.v10n2.83721 DOI: https://doi.org/10.15446/aoc.v10n2.83721
Terrail JAV de PD, Secchi A, Moreno J, Amorin P, Astorga F. Epidemiología de las atenciones dentales de urgencia atendidas en el Hospital Barros Luco Trudeau. Rev Odont Mex [Internet]. 2022 [citado el 6 de abril de 2023]; 25(1): 45-53. https://doi.org/10.22201/fo.1870199xp.2021.25.1.82270 DOI: https://doi.org/10.22201/fo.1870199xp.2021.25.1.82270
Ordoñez D, Sinisterra G. Caracterización de los pacientes que asisten a consulta a la Clínica de Ingreso de pacientes, Diagnóstico y Urgencias (CIDU) en la escuela de odontología de la universidad del valle durante el año 2011. Rev Estomat Salud 2012; 20(2): 24-28. LILACS, COLNAL; ID: biblio-875644. CO624.9.
Kim J, Kim HJ, Jeon J, Song T-J. Association between oral health and cardiovascular outcomes in patients with hypertension: a nationwide cohort study. J Hypertens 2022; 40(2): 374-81. https://doi.org/10.1097/HJH.0000000000003022 DOI: https://doi.org/10.1097/HJH.0000000000003022
Iwashima Y, Kokubo Y, Ono T, Yoshimuta Y, Kida M, Kosaka T, et al. Additive interaction of oral health disorders on risk of hypertension in a Japanese urban population: the Suita Study. Am J Hypertens 2014; 27(5): 710-9. https://doi.org/10.1093/ajh/hpt227 DOI: https://doi.org/10.1093/ajh/hpt227
Park S-Y, Kim S-H, Kang S-H, Yoon C-H, Lee H-J, Yun P-Y, et al. Improved oral hygiene care attenuates the cardiovascular risk of oral health disease: a population-based study from Korea. Eur Heart J 2019; 40(14): 1138-45. https://doi.org/10.1093/eurheartj/ehy836 DOI: https://doi.org/10.1093/eurheartj/ehy836
Muñoz Aguilera E, Suvan J, Buti J, Czesnikiewicz-Guzik M, Barbosa Ribeiro A, Orlandi M, et al. Periodontitis is associated with hypertension: a systematic review and meta-analysis. Cardiovasc Res 2020; 116(1): 28-39. https://doi.org/10.1093/cvr/cvz201 DOI: https://doi.org/10.1093/cvr/cvz201
Czesnikiewicz-Guzik M, Osmenda G, Siedlinski M, Nosalski R, Pelka P, Nowakowski D, et al. Causal association between periodontitis and hypertension: evidence from Mendelian randomization and a randomized controlled trial of non-surgical periodontal therapy. European Heart Journal 2019; 40(42): 3459-70. https://doi.org/10.1093/eurheartj/ehz646 DOI: https://doi.org/10.1093/eurheartj/ehz646
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