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Article

Periodontal Health and Use of Oral Health Services: A Comparison of Germans and Two Migrant Groups

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Section of Periodontology, Department of Conservative Dentistry, University of Heidelberg, 69120 Heidelberg, Germany
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Department of Periodontology and Restorative Dentistry, University-Hospital of Münster, 48149 Münster, Germany
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Institute of Global Health, University of Heidelberg, 69120 Heidelberg, Germany
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Department of Orthodontics, University of Heidelberg, 69120 Heidelberg, Germany
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Division of Cancer Epidemiology, German Cancer Research Center, 69120 Heidelberg, Germany
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Institute for Social Medicine, Epidemiology and Health Economics, Charité Universitätsmedizin Berlin, 10117 Berlin, Germany
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Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University of Munich, 80336 München, Germany
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German Research Center for Environmental Health, Institute of Epidemiology II, Helmholtz Zentrum München, D-85764 Neuherberg, Germany
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Department of Prosthodontics, University of Würzburg, 97070 Würzburg, Germany
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Institute for Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany
*
Author to whom correspondence should be addressed.
Joint first authors.
Int. J. Environ. Res. Public Health 2019, 16(16), 3000; https://doi.org/10.3390/ijerph16163000
Received: 5 June 2019 / Revised: 15 August 2019 / Accepted: 18 August 2019 / Published: 20 August 2019
A cross-sectional study was performed with 251 individuals, consisting of 127 Germans, 68 migrants from Turkey, and 56 resettlers (migrants from the former Soviet Union with German ancestors) to compare periodontal health status, with a special focus on associations with lifestyle and anthropometric factors, and use of dental health services. Maximal pocket depth was used as a clinical surrogate marker for periodontitis. Other variables were obtained by questionnaires administered by a Turkish or Russian interpreter. The age- and sex-adjusted prevalence of periodontitis was significantly higher in Turks (odds ratio (OR) 2.84, 95% CI = 1.53–5.26) and slightly higher in resettlers (OR = 1.33, 95% CI = 0.71–2.49). These differences are partly explained by a differential distribution of known risk factors for periodontitis. A full model showed a higher prevalence of maximal pocket depth above 5 mm in Turks (OR = 1.97, 95% CI = 0.99–3.92). Use of oral health services was significantly lower in the two migrant groups. Individuals who reported regular visits to a dentist had significantly less periodontitis, independent of migrant status. A reasonable conclusion is that, since oral health causes major chronic diseases and has a major effect on total health system expenditures, public health efforts both generally and specifically focused on migrant groups are warranted. View Full-Text
Keywords: periodontitis; migrants; oral health; dental health care periodontitis; migrants; oral health; dental health care
MDPI and ACS Style

Hagenfeld, D.; Zimmermann, H.; Korb, K.; El-Sayed, N.; Fricke, J.; Greiser, K.H.; Kühnisch, J.; Linseisen, J.; Meisinger, C.; Schmitter, M.; Kim, T.-S.; Becher, H. Periodontal Health and Use of Oral Health Services: A Comparison of Germans and Two Migrant Groups. Int. J. Environ. Res. Public Health 2019, 16, 3000. https://doi.org/10.3390/ijerph16163000

AMA Style

Hagenfeld D, Zimmermann H, Korb K, El-Sayed N, Fricke J, Greiser KH, Kühnisch J, Linseisen J, Meisinger C, Schmitter M, Kim T-S, Becher H. Periodontal Health and Use of Oral Health Services: A Comparison of Germans and Two Migrant Groups. International Journal of Environmental Research and Public Health. 2019; 16(16):3000. https://doi.org/10.3390/ijerph16163000

Chicago/Turabian Style

Hagenfeld, Daniel, Heiko Zimmermann, Katja Korb, Nihad El-Sayed, Julia Fricke, Karin H. Greiser, Jan Kühnisch, Jakob Linseisen, Christa Meisinger, Marc Schmitter, Ti-Sun Kim, and Heiko Becher. 2019. "Periodontal Health and Use of Oral Health Services: A Comparison of Germans and Two Migrant Groups" International Journal of Environmental Research and Public Health 16, no. 16: 3000. https://doi.org/10.3390/ijerph16163000

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