title: Periodontal health, perceived oral health, and dental care utilization of breast cancer survivors.
abstract: OBJECTIVE
  This population-based analysis examined the prevalence of periodontal diseases along with the self-perceived oral health and patterns of dental care utilization of breast cancer survivors in the United States.
  
  
  METHODS
  Data from the 1999-2004 National Health and Nutrition Surveys were utilized, examining information from 3,354 women between 50 and 85 years of age. Primary outcomes were gingivitis and periodontitis, self-perceived oral health, and dental care utilization. Logistic regression analyses were used to estimate relationships of breast cancer diagnosis and primary outcomes while controlling for confounding factors.
  
  
  RESULTS
  Breast cancer survivors were more likely to be older than 55 years, white, nonsmokers, have higher levels of education and income, and a higher prevalence of osteoporosis. Breast cancer survivors were significantly less likely to have dental insurance (P = 0.04). Utilization of dental services and reason for last dental visit did not significantly differ between groups. A history of a breast cancer diagnosis did not increase the odds of gingivitis [odds ratio (OR):  1.32; 95 percent confidence interval (CI): 0.53-3.63], periodontitis (OR: 1.82; 95 percent CI:  0.89-4.01), or poor self-perceived oral health (OR: 0.89; 95 percent CI: 0.61-1.33) after adjusting for age, race, education, dental care utilization, and smoking status.
  
  
  CONCLUSIONS
  In this sample, a history of breast cancer does not significantly impact periodontal health, self-perceived oral health, and dental care utilization. However, efforts should be made to assure that breast cancer survivors have dental insurance.
authors: Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
authors: L Susan
authors: LS
authors: Taichman
authors: Department of Internal Medicine, Hematology and Oncology Division, University of Michigan, Ann Arbor, MI, USA.|Department of Health Management Policy, School of Public Health, Ann Arbor, MI, USA.
authors: Jennifer J
authors: JJ
authors: Griggs
authors: Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.|Department of Psychology, College of Literature, Science and Arts (LS&A), University of Michigan, Ann Arbor, MI, USA.
authors: Marita R
authors: MR
authors: Inglehart
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000150:complications / Q000503:physiopathology*; D003752:Dental Health Services / Q000706:statistics & numerical data*; D005260:Female; D005891:Gingivitis / Q000150:complications / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D009909:Oral Health; D010518:Periodontitis / Q000150:complications / Q000628:therapy*
keywords: NHANES; breast neoplasms; dental health services; oral health-related quality of life; postmenopause; quality of life; survivorship; women
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