J Dent Hyg Sci.  2017 Aug;17(4):375-381. 10.17135/jdhs.2017.17.4.375.

Effects of Periodontal Disease on Cardio-Cerebrovascular Disease: A Focus on Personal Income and Social Deprivation

• Kim MY
• Shin H

• KMID: 2391022
• DOI: http://doi.org/10.17135/jdhs.2017.17.4.375

Abstract

The study aimed to investigate the effects of differences between personal income and social deprivation on the association between cardio-cerebrovascular disease (hypertension, stroke) and periodontal disease. This study used 12 years of cohort data from the Korea National Health Insurance Service covering the years 2002 to 2013. Among the patients aged more than 40 years who had received treatment for periodontal disease 224,067 and 284,730 who had not received treatment for hypertension and stroke, respectively, were included in the analysis. The Kaplan-Meier analysis revealed differences in the rate of treatment for cardio-cerebrovascular disease (hypertension, stroke) according to regional differences, the rate of treatment increased as the composite deprivation index value increased. The difference in treatment rates for cardio- cerebrovascular disease (hypertension, stroke) according to income was found to be higher in the treatment group with low income. This study empirically proved that the association between systemic disease and periodontal disease varies depending on personal income and the regional socioeconomic deprivation level. This shows that the clinical influence of periodontal illness on systemic disease differs according to the personal socio-demographic characteristic and residential area and that an individual's characteristic (income and the regional) needs to be considered along with the patient's clinical intervention in the disease treatment process.

Keyword

Cardiocerebrovascular disease; Composite deprivation index; Income; Periodontal diseases

MeSH Terms

Cerebrovascular Disorders
Cohort Studies
Humans
Hypertension
Kaplan-Meier Estimate
Korea
National Health Programs
Periodontal Diseases*
Stroke