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Associations between Oral Health and Cancer in a National Representative Sample of Spanish Adults

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posted on 2023-08-30, 18:30 authored by Louis Jacob, Guillermo F. López-Sánchez, Lee Smith, Igor Grabovac
Background- The goal of this study was to investigate the association between several oral health outcomes and cancer in adults living in Spain. Methods- Data from the Spanish National Health Survey 2017 were analysed. Seven oral health outcomes (dental caries, dental extraction, dental filling, gingival bleeding, tooth movement, dental material and missing tooth) were assessed with questions with ‘yes’ and ‘no’ options. Cancer was assessed and defined with the following yes–no question: ‘Have you ever been diagnosed with malignant tumours?’. The relationship of each oral health outcome and the number of poor oral health outcomes with cancer was studied in regression models adjusted for sex, age, marital status, education, smoking and alcohol consumption. Results- This study included 23 089 participants aged 15–103 years [45.9% of males; mean (standard deviation) age 53.4 (18.9) years]. The prevalence of cancer was 5.0% in the overall population. After adjusting for several potential confounding factors, all oral health outcomes except missing tooth were significantly and positively associated with cancer [odds ratios (ORs) ranging from 1.15 for dental filling to 1.48 for dental extraction]. In addition, there was a positive and significant association between the number of poor oral health outcomes and cancer (OR = 1.16, 95% confidence interval = 1.11–1.22). Conclusions- On a nationally representative sample of 23 089 participants in Spain, poorer oral health outcomes were found in participants with history of cancer, with positive associations between several oral health outcomes as well as the number of poor oral health outcomes and cancer.

History

Refereed

  • Yes

Volume

31

Issue number

5

Page range

1026-1030

Publication title

European Journal of Public Health

ISSN

1464-360X

Publisher

Oxford University Press

File version

  • Accepted version

Language

  • eng

Legacy posted date

2021-05-25

Legacy creation date

2021-05-25

Legacy Faculty/School/Department

Faculty of Health, Education, Medicine & Social Care

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