Exposure to domestic abuse and the subsequent risk of developing periodontal disease
Aims: Periodontal disease and domestic abuse (DA) are significant public health problems. Previous cross-sectional evidence indicates an association between DA exposure and development of periodontal disease. There have been no large-scale cohort studies exploring this relationship in a UK-setting....
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844022039196 |
| _version_ | 1828071217540628480 |
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| author | Sonica Minhas Rachel Qian Hui Lim Devan Raindi Krishna M. Gokhale Julie Taylor Caroline Bradbury-Jones Siddhartha Bandyopadhyay Krishnarajah Nirantharakumar Nicola J. Adderley Joht Singh Chandan |
| author_facet | Sonica Minhas Rachel Qian Hui Lim Devan Raindi Krishna M. Gokhale Julie Taylor Caroline Bradbury-Jones Siddhartha Bandyopadhyay Krishnarajah Nirantharakumar Nicola J. Adderley Joht Singh Chandan |
| author_sort | Sonica Minhas |
| collection | DOAJ |
| description | Aims: Periodontal disease and domestic abuse (DA) are significant public health problems. Previous cross-sectional evidence indicates an association between DA exposure and development of periodontal disease. There have been no large-scale cohort studies exploring this relationship in a UK-setting. Our aim was to conduct a population-based retrospective open cohort study to explore the association between DA exposure and the subsequent development of general practitioner (GP)-coded periodontal disease. Materials and methods: We undertook a retrospective open-cohort study using the IQVIA Medical Research Database (IMRD) UK database between the 1st January 1995 to 31st January 2021. Women (aged 18 years and over) exposed to DA were matched by age, deprivation, and smoking status to up to 4 unexposed women, all of whom had no pre-existing record of periodontal disease. Cox regression analysis was used to calculate crude and adjusted hazard ratios (HRs) to describe the risk of developing periodontal disease in the exposed group. Results: 23429 exposed patients were matched to 69815 unexposed patients. During the study period, 78 exposed patients had developed GP-recorded periodontal disease compared to 154 in the unexposed group, translating to an IR of 94.18 per 100,000 person years (py) and 54.67 per 100,000 py respectively. Following adjustment for key covariates, this translated to an aHR of 1.74 (95% CI 1.31–2.32), which was robust during our sensitivity analysis. Conclusions: Our results provide further evidence that DA exposure is associated with increased risk of developing periodontal disease. There is a need for swift implementation of public health policies to improve surveillance, reporting, and prevention of DA. |
| first_indexed | 2024-04-11T00:49:58Z |
| format | Article |
| id | doaj.art-51e6f8032ccf4508b842241591d3b3ed |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-11T00:49:58Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-51e6f8032ccf4508b842241591d3b3ed2023-01-05T08:41:16ZengElsevierHeliyon2405-84402022-12-01812e12631Exposure to domestic abuse and the subsequent risk of developing periodontal diseaseSonica Minhas0Rachel Qian Hui Lim1Devan Raindi2Krishna M. Gokhale3Julie Taylor4Caroline Bradbury-Jones5Siddhartha Bandyopadhyay6Krishnarajah Nirantharakumar7Nicola J. Adderley8Joht Singh Chandan9Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, B152TT, United KingdomBarts and the London School of Medicine and Dentistry, Queen Mary University of London, E1 2AD, United KingdomPeriodontal Research Group, School of Dentistry, Institute of Clinical Sciences, University of Birmingham, B152TT, United KingdomInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, B152TT, United KingdomSchool of Nursing, College of Medical and Dental Sciences, University of Birmingham, Birmingham Women's and Children's Hospitals NHS Foundation Trust, Birmingham, B152TT, United KingdomSchool of Nursing, College of Medical and Dental Sciences, University of Birmingham, Birmingham Women's and Children's Hospitals NHS Foundation Trust, Birmingham, B152TT, United KingdomThe Department of Economics, University of Birmingham, B152TT, United KingdomInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, B152TT, United KingdomInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, B152TT, United KingdomInstitute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, B152TT, United Kingdom; Corresponding author.Aims: Periodontal disease and domestic abuse (DA) are significant public health problems. Previous cross-sectional evidence indicates an association between DA exposure and development of periodontal disease. There have been no large-scale cohort studies exploring this relationship in a UK-setting. Our aim was to conduct a population-based retrospective open cohort study to explore the association between DA exposure and the subsequent development of general practitioner (GP)-coded periodontal disease. Materials and methods: We undertook a retrospective open-cohort study using the IQVIA Medical Research Database (IMRD) UK database between the 1st January 1995 to 31st January 2021. Women (aged 18 years and over) exposed to DA were matched by age, deprivation, and smoking status to up to 4 unexposed women, all of whom had no pre-existing record of periodontal disease. Cox regression analysis was used to calculate crude and adjusted hazard ratios (HRs) to describe the risk of developing periodontal disease in the exposed group. Results: 23429 exposed patients were matched to 69815 unexposed patients. During the study period, 78 exposed patients had developed GP-recorded periodontal disease compared to 154 in the unexposed group, translating to an IR of 94.18 per 100,000 person years (py) and 54.67 per 100,000 py respectively. Following adjustment for key covariates, this translated to an aHR of 1.74 (95% CI 1.31–2.32), which was robust during our sensitivity analysis. Conclusions: Our results provide further evidence that DA exposure is associated with increased risk of developing periodontal disease. There is a need for swift implementation of public health policies to improve surveillance, reporting, and prevention of DA.http://www.sciencedirect.com/science/article/pii/S2405844022039196Domestic abusePeriodontal diseasePeriodontitisGingivitis |
| spellingShingle | Sonica Minhas Rachel Qian Hui Lim Devan Raindi Krishna M. Gokhale Julie Taylor Caroline Bradbury-Jones Siddhartha Bandyopadhyay Krishnarajah Nirantharakumar Nicola J. Adderley Joht Singh Chandan Exposure to domestic abuse and the subsequent risk of developing periodontal disease Heliyon Domestic abuse Periodontal disease Periodontitis Gingivitis |
| title | Exposure to domestic abuse and the subsequent risk of developing periodontal disease |
| title_full | Exposure to domestic abuse and the subsequent risk of developing periodontal disease |
| title_fullStr | Exposure to domestic abuse and the subsequent risk of developing periodontal disease |
| title_full_unstemmed | Exposure to domestic abuse and the subsequent risk of developing periodontal disease |
| title_short | Exposure to domestic abuse and the subsequent risk of developing periodontal disease |
| title_sort | exposure to domestic abuse and the subsequent risk of developing periodontal disease |
| topic | Domestic abuse Periodontal disease Periodontitis Gingivitis |
| url | http://www.sciencedirect.com/science/article/pii/S2405844022039196 |
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