Vulnerable populations and the association between periodontal and XXXX .

@entity1 @entity286 @entity101 @entity2520 @entity6 @entity740 @entity1011
BACKGROUND AND OBJECTIVES: Recent studies suggest an overall association between @entity740 ( @entity740 ) and @entity2520 , but it is unknown whether this association is similar across various subpopulations. DESIGN, SETTING, @entity1 , _ MEASUREMENTS: This study was a cross-sectional analysis of 2001 to 2004 National Health and Nutrition Examination Survey data. @entity740 was defined as a urinary albumin-to- @entity1011 ratio >= 30 mg/g or estimated GFR of 15 to 59 ml/min per 1.73 m(2). Adjusted odds ratios were calculated using multivariable logistic regression with U.S. population-based weighting. RESULTS: These analyses included 6199 dentate adult @entity1 (aged 21 to 75 years) with periodontal exams. The estimated prevalences of moderate/severe @entity2520 and @entity740 were 5.3% and 10.6%, respectively. @entity2520 was associated with >2-fold higher risk of @entity740 that was moderately attenuated after adjustment for age, gender, race/ethnicity, @entity286 use, @entity101 , @entity6 , educational attainment, poverty index ratio, and dental care use. There were no statistically significant interactions between @entity2520 and race/ethnicity, educational attainment, or poverty status. Less-than-recommended dental care use was associated with @entity2520 and @entity740 and was increasingly prevalent among nonwhites, lower educational attainment, and lower poverty status. CONCLUSIONS: The association between @entity2520 and @entity740 is not significantly different among subgroups. However, because nonwhites, those with a lower educational level, and the poor less frequently report use of recommended dental care, the association between @entity2520 and kidney function over time may become stronger among these groups and warrants further investigation.
