title: Prevalence of periodontitis according to Hispanic or Latino background among study participants of the Hispanic Community Health Study/Study of Latinos.
abstract: BACKGROUND
  Hispanics and Latinos are an ethnically heterogeneous population with distinct oral health risk profiles. Few study investigators have examined potential variation in the burden of periodontitis according to Hispanic or Latino background.
  
  
  METHODS
  The authors used a multicenter longitudinal population-based cohort study to examine the periodontal health status at screening (2008-2011) of 14,006 Hispanic and Latino adults, aged 18 to 74 years, from four U.S. communities who self-identified as Cuban, Dominican, Mexican, Puerto Rican, Central American or South American. The authors present weighted, age-standardized prevalence estimates and corrected standard errors of probing depth (PD), attachment loss (AL) and periodontitis classified according to the case definition established by the Centers for Disease Control and Prevention and the American Academy of Periodontology (CDC-AAP). The authors used a Wald χ(2) test to compare prevalence estimates across Hispanic or Latino background, age and sex.
  
  
  RESULTS
  Fifty-one percent of all participants had exhibited total periodontitis (mild, moderate or severe) per the CDC-AAP classification. Cubans and Central Americans exhibited the highest prevalence of moderate periodontitis (39.9 percent and 37.2 percent, respectively). Across all ages, Mexicans had the highest prevalence of PD across severity thresholds. Among those aged 18 through 44 years, Dominicans consistently had the lowest prevalence of AL at all severity thresholds.
  
  
  CONCLUSIONS
  Measures of periodontitis varied significantly by age, sex and Hispanic or Latino background among the four sampled Hispanic Community Health Study/Study of Latinos communities. Further analyses are needed to account for lifestyle, behavioral, demographic and social factors, including those related to acculturation.
  
  
  CONCLUSIONS
  Aggregating Hispanics and Latinos or using estimates from Mexicans may lead to substantial underestimation or overestimation of the burden of disease, thus leading to errors in the estimation of needed clinical and public health resources. This information will be useful in informing decisions from public health planning to patient-centered risk assessment.
authors.affiliation: Dr. Jiménez is an associate epidemiologist, Division of Preventive Medicine, Brigham and Women's Hospital, 900 Commonwealth Ave., 3rd Floor, Boston, Mass. 02215, e-mail mjimenez11@partners.org. Address correspondence to Dr. Jiménez.
authors.forename: Monik C
authors.initials: MC
authors.lastname: Jiménez
authors.affiliation: Dr. Sanders is an assistant professor, Department of Dental Ecology, School of Dentistry, University of North Carolina Chapel Hill.
authors.forename: Anne E
authors.initials: AE
authors.lastname: Sanders
authors.affiliation: Dr. Mauriello is a professor, Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill.
authors.forename: Sally M
authors.initials: SM
authors.lastname: Mauriello
authors.affiliation: Dr. Kaste is an associate professor, Department of Pediatric Dentistry, College of Dentistry, University of Illinois at Chicago.
authors.forename: Linda M
authors.initials: LM
authors.lastname: Kaste
authors.affiliation: Dr. Beck is the executive associate dean and a distinguished professor, Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill.
authors.forename: James D
authors.initials: JD
authors.lastname: Beck
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010518:Periodontitis / Q000145:classification / Q000453:epidemiology* / Q000208:ethnology; D015995:Prevalence; D012307:Risk Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Hispanic; Latino; Periodontitis; attachment loss; prevalence; probing depth
references.citation: J Periodontol. 2007 Jul;78(7 Suppl):1387-99
references.pmid: 17608611
references.citation: Am J Public Health. 2000 Nov;90(11):1724-7
references.pmid: 11076239
references.citation: Ann Epidemiol. 2010 Aug;20(8):642-9
references.pmid: 20609344
references.citation: J Dent Res. 2012 Oct;91(10):914-20
references.pmid: 22935673
references.citation: J Periodontol. 2012 Dec;83(12):1449-54
references.pmid: 22420873
references.citation: J Dent Res. 2005 Oct;84(10):924-30
references.pmid: 16183792
references.citation: J Clin Periodontol. 2001 Jun;28(6):524-35
references.pmid: 11350519
references.citation: BMC Public Health. 2012 Sep 11;12:768
references.pmid: 22966844
references.citation: J Periodontol. 2006 Mar;77(3):444-53
references.pmid: 16512759
references.citation: Ann Epidemiol. 2010 Aug;20(8):629-41
references.pmid: 20609343
references.citation: Diabetes Care. 1991 Jul;14(7):628-38
references.pmid: 1914812
references.citation: JAMA. 2012 Nov 7;308(17):1775-84
references.pmid: 23117778
references.citation: Public Health Rep. 1996;111 Suppl 2:7-10
references.pmid: 8898761
references.citation: J Clin Periodontol. 2003 Dec;30(12):1075-83
references.pmid: 15002894
references.citation: J Health Care Poor Underserved. 2001 Feb;12(1):20-34
references.pmid: 11217225
references.citation: Periodontol 2000. 2012 Feb;58(1):69-83
references.pmid: 22133367
references.citation: J Periodontol. 1999 Jan;70(1):13-29
references.pmid: 10052767
references.citation: Diabetes Care. 2010 Jan;33 Suppl 1:S62-9
references.pmid: 20042775
references.citation: Am J Public Health. 1990 Dec;80 Suppl:66-70
references.pmid: 9187585
references.citation: Community Dent Oral Epidemiol. 2009 Jun;37(3):267-75
references.pmid: 19302573