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Brief ReportBrief Report

Patients’ Understanding of the Relationship Between Their Diabetes and Periodontal Disease

Oluwamurewa Oguntimein, James Butler, Sharon Desmond, Kerry M. Green, Xin He and Alice M. Horowitz
The Journal of the American Board of Family Medicine November 2020, 33 (6) 1004-1010; DOI: https://doi.org/10.3122/jabfm.2020.06.190454
Oluwamurewa Oguntimein
From the Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park (OO, JB, KMG, AMH); Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park (XH).
PhD, MHS, CPH, CHES
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James Butler III
From the Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park (OO, JB, KMG, AMH); Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park (XH).
DrPH, Med
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Sharon Desmond
From the Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park (OO, JB, KMG, AMH); Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park (XH).
PhD
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Kerry M. Green
From the Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park (OO, JB, KMG, AMH); Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park (XH).
PhD
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Xin He
From the Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park (OO, JB, KMG, AMH); Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park (XH).
PhD
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Alice M. Horowitz
From the Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park (OO, JB, KMG, AMH); Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park (XH).
PhD
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  • Article
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Article Figures & Data

Tables

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    Table 1.

    Characteristics of Patients with Diabetes (n = 927)

    CharacteristicsTotal Response, N (%)
    Gender
     Female527 (56.9)
     Male400 (43.1)
    Age, years, mean (SD)54.63(14.6)
    Ethnicity and race
     Non-Hispanic White581 (62.7)
     Black/African American147(15.9)
     Hispanic, Latino, Spanish origin142(15.3)
     Pacific Islander25 (2.7)
     Asian17(1.8)
     Other11 (1.2)
    Education
     Never attended school or only attended kindergarten2(0.2)
     Grades 1 to 827(2.9)
     Grades 9 to 11146(15.7)
     Grade 12 or GED341 (36.8)
     College years 1 to 3207 (22.3)
     College 4 years or more130 (14.0)
     Masters53 (5.7)
     Doctoral/professional degree21(2.3)
    Employment
     Employed266 (28.7)
     Self employed46 (5.0)
     Out of work for 1 year or more25(2.7)
     Out of work for less than 1 year7 (0.8)
     Homemaker73 (7.9)
     Student15 (1.6)
     Retired297(32.0)
     Unable to work195(21.0)
     Prefer not to answer3 (0.3)
    Income
     $25000 or less312(33.7)
     $26000 to $35,000105 (11.3)
     $36000 to $50,000147 (15.9)
     $51000 to $75,00039 (15.0)
     $76000 to $100,00076 (8.2)
     $101000 to $150,00081 (8.7)
     $151000 to $200,00021 (2.3)
     $201000 or more15 (1.6)
     Don’t know/not sure7(0.8)
     Prefer not to answer24(2.6)
    Marital status
     Married441 (47.6)
     Never married192 (20.7)
     Divorced129 (13.9)
     Widowed73 (7.9)
     A member of an unmarried couple56 (6.0)
     Separated31(3.3)
     Prefer not to answer5 (0.5)
    Self efficacy
     Mean ± SD (range)23.04 ± 4.48 (4 to 29)
    Diabetes type
     Type 195 (10.2)
     Type 2832 (89.8)
    Diabetes treatment
     Yes917 (98.9)
     No10 (1.1)
    Family history of diabetes
     Yes712 (76.8)
     No207 (22.3)
     Don’t know/not sure8 (0.9)
    Diabetes education session in the past
     Yes468 (50.5)
     No455 (49.1)
     Prefer not to answer4 (0.4)
    Healthcare provider recommended regulardentist visit
     Yes380 (41.0)
     No532 (57.4)
     Don’t know/not sure8 (0.9)
     Prefer not to answer7 (0.8)
    Dental insurance
     Yes577 (62.2)
     No347 (37.4)
     Prefer not to answer3 (0.3)
    Diabetes and periodontal disease knowledge and understanding scale
     Mean ± SD (range)5.79 ± 2.366 (0 to 10)
    Dentist visit frequency
     Once a year200 (21.6)
     Twice a year393 (42.4)
     Once every 2 years52 (5.6)
     Only for emergency treatment69 (7.4)
     Years ago53 (5.7)
     More than 5 years ago114 (12.3)
     Never been18 (1.9)
     Prefer not to answer28 (3.0)
    Brushing frequency
     Once a day331 (35.7)
     More than once a day487 (52.5)
     Once/twice a week59 (6.4)
    Flossing frequency
     Never161 (17.4)
     Hardly ever204 (22.0)
     Once/twice a week176 (19.0)
     Once a day221 (23.8)
     More than once a day137 (14.8)
     Prefer not to answer28 (3.0)
    • SD, standard deviation; GED, General Equivalency Diploma.

    • View popup
    Table 2.

    Adjusted Linear Regression Analysis Predicting Knowledge and Understanding of the Bidirectional Relationship between Diabetes and Periodontal Disease (n = 867)

    VariablesBSEBP-Value95% CI
    Gender (reference, Female)
     Males−0.0380.009.0001‡−0.054, −0.019
    Education (reference, 12th grade or less)
     Above 12th grade0.0300.010.002†0.011, 0.049
    Income (reference, low)
     Middle−0.0100.011.38−0.031, 0.012
     High0.0260.014.07−0.002, 0.055
    Diabetes treatment (reference, No)
     Yes0.1090.040.006*0.031, 0.186
    HCP recommend dentist visit (reference, No)
     Yes0.0360.009.0001‡0.018, 0.054
     Employment (reference, Employed)
     Other−0.0020.010.82−0.022, 0.017
    Health literacy (reference, Adequate)
     Marginal/inadequate−0.0560.011.0001‡−0.077, −0.034
    Diabetes type (reference, type 2 diabetes)
     Type 1 diabetes0.0280.015.06−0.001, 0.057
    Marital status (reference, Married)
     Not married−0.0020.011.83−0.024, 0.019
     Previously married−0.0020.011.84−0.024, 0.019
    Race/ethnicity (reference, non-Hispanic White)
     Black or African American0.0460.073.53−0.097, 0.188
     Hispanic/Latino/Spanish origin0.0710.073.33−0.071, 0.214
     Asian0.0810.078.30−0.072, 0.234
     Pacific Islander0.0810.077.29−0.070, 0.231
     Other0.0530.082.52−0.108, 0.214
    Diabetes education session (reference, Yes)
     No0.0570.089.32−0.118, 0.233
    Diabetes duration0.0040.003.16−0.002, 0.010
    Dental insurance (reference, Yes)
     No−0.0130.009.16−0.031, 0.005
    Smoking status (reference, Yes)
     No−0.0150.010.16−0.035, 0.006
    Family history of diabetes (reference, Yes)
     No−0.0090.010.39−0.029, 0.011
    • B, unstandardized regression coefficient; HCP, health care provider; SEB, Standard error of the coefficient.

    • ↵*P < .05; †P < .005; ‡P < .0001.

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The Journal of the American Board of Family     Medicine: 33 (6)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 6
November-December 2020
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Patients’ Understanding of the Relationship Between Their Diabetes and Periodontal Disease
Oluwamurewa Oguntimein, James Butler, Sharon Desmond, Kerry M. Green, Xin He, Alice M. Horowitz
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 1004-1010; DOI: 10.3122/jabfm.2020.06.190454

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Patients’ Understanding of the Relationship Between Their Diabetes and Periodontal Disease
Oluwamurewa Oguntimein, James Butler, Sharon Desmond, Kerry M. Green, Xin He, Alice M. Horowitz
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 1004-1010; DOI: 10.3122/jabfm.2020.06.190454
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