Heterogeneity in periodontitis prevalence in the Hispanic Community Health Study/Study of Latinos

Ann Epidemiol. 2014 Jun;24(6):455-62. doi: 10.1016/j.annepidem.2014.02.018. Epub 2014 Mar 21.


Purpose: The aim of the study was to examine acculturation and established risk factors in explaining variation in periodontitis prevalence among Hispanic/Latino subgroups.

Methods: Participants were 12,730 dentate adults aged 18-74 years recruited into the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) from four U.S. field centers between 2008 and 2011. A standardized periodontal assessment measured probing pocket depth and gingival recession at six sites per tooth for up to 28 teeth. Periodontitis was defined according to the Centers for Disease Control and Prevention and American Academy of Periodontology case classifications developed for population surveillance. Covariates included acculturation indicators and established periodontitis risk factors. Survey estimation procedures took account of the complex sampling design. Adjusted multivariate binomial regression estimated prevalence ratios and 95% confidence limits (CLs).

Results: Unadjusted prevalence of moderate and severe periodontitis was 38.5% and ranged from 24.7% among Dominicans to 52.1% among Cubans. Adjusted prevalence ratios for subgroups relative to Dominicans were as follows: (1) 1.34 (95% CL, 1.13-1.58) among South Americans; (2) 1.37 (95% CL, 1.17-1.61) among Puerto Ricans; (3) 1.43 (95% CL, 1.25-1.64) among Mexicans; (4) 1.53 (95% CL, 1.32-1.76) among Cubans; and (5) 1.55 (95% CL, 1.35-1.78) among Central Americans.

Conclusions: Heterogeneity in prevalence of moderate/severe periodontitis among Hispanic/Latino subpopulations was not explained by acculturation or periodontitis risk factors.

Keywords: Acculturation; American; Chronic periodontitis; Effect modifier; Epidemiologic; Epidemiology; Hispanic; Population groups; Risk factors.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Attitude to Health / ethnology*
  • Dental Health Surveys / statistics & numerical data*
  • Female
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Male
  • Middle Aged
  • Oral Hygiene / statistics & numerical data
  • Periodontitis / diagnosis
  • Periodontitis / ethnology*
  • Population Surveillance
  • Prevalence
  • Risk Assessment
  • Risk Factors
  • United States / epidemiology
  • Young Adult