Food insecurity and periodontitis in US adults

Giang T. Vu Christian King

Food insecurity and periodontitis in US adults

Authors: Giang T. Vu Christian King
doi: 10.1922/CDH_00048Vu05


Objectives: To determine the relationship between food insecurity and periodontitis among adults in the United States (US). Methods: Secondary analysis of the 2009-2014 National Health and Nutrition Examination Survey data. The sample included 6,108 US participants aged ? 30 years in a probability weighted sample. Periodontitis status was measured in full-month oral examinations at 6 sites per tooth for clinical attachment loss and periodontal probing depth. Food insecurity was assessed by the 18-item US Food Security Survey Module. Results: Controlling for covariates, multiple logistic regression showed that periodontitis was associated with low food security (adjusted odds ratio (aOR)=1.30, 95% CI: 1.08�1.57). Risk factors for periodontitis included HbA1c ? 7% (aOR=1.74, 95% CI: 1.26�2.40), seeking emergency dental care (aOR=1.36, 95% CI:1.19�1.55), smoking status, racial minorities, low income, and older age. Protective factors for periodontitis were annual dental visit (aOR=0.52, 95% CI: 0.43�0.64), health insurance (aOR=0.66, 95% CI: 0.54�0.80), female gender, and college education. Conclusions: Food insecurity was associated with a higher risk of periodontitis among US adults. Having enough food to eat is a basic human right and would improve well-being. Keywords: periodontal disease, United States, glycemic control, adult, food security, health surveys

£10 single article


Online (Single user only)
Institution Online (IP address validation)

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.