Temporomandibular joint and muscle disorder-type pain in U.S. adults: the National Health Interview Survey.
OBJECTIVE
To compare prevalences of self-reported temporomandibular joint and muscle disorders (TMJMD)-type pain in the 2002 U.S. National Health Interview Survey (NHIS) by age and gender for non-Hispanic whites (Caucasians) and non-Hispanic blacks (African Americans).


METHODS
Data from the 2002 NHIS included information on gender, age, race, ethnicity, education, and TMJMD-type pain. Rao-Scott survey chi-square and survey logistic regression analyses using sampling weights and accounting for the complex design were used to analyze variables relating to prevalences.


RESULTS
A total of 30,978 people, 17,498 females and 13,480 males, 20,389 non-Hispanic whites and 4179 non-Hispanic blacks, were included. The overall prevalence of TMJMD-type pain was 4.6%, with 6.3% for women and 2.8% for men. However, based on age, a significant but modest racial/ethnic difference emerged after adjusting for socioeconomic status. For non-Hispanic white women up to age 50, the prevalence was approximately 7% to 8%, but it decreased after age 55. Non-Hispanic black women had much lower prevalence at younger ages (approximately 4% at 25 to 34 years), which increased thereafter up to 55 to 64 years of age. A similar racial pattern seemed to emerge for non-Hispanic black men, with the lowest prevalence at ages 25 to 34 years, while non-Hispanic white men had higher prevalences. Overall, however, age seemed to play more of a role in women than men.


CONCLUSIONS
This is the first report of findings from a nationally representative US sample for TMJMD-type pain by age and race/ethnicity. TMJMD-type pain differed significantly by race, age, and gender after adjusting for socioeconomic status.
Isong
Umo
U
Center to Address Disparities in Children's Oral Health, USA.
Gansky
Stuart A
SA
Plesh
Octavia
O
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D017677:Age Distribution; D000368:Aged; D016009:Chi-Square Distribution; D005157:Facial Pain / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012650:Self Disclosure; D017678:Sex Distribution; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000453:epidemiology*; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000150:complications / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult