Factors Associated with Self-Report of Type 2 Diabetes Mellitus in Adults Seeking Dental Care in a Developing Country

Sandra Aremy López-Gómez, Blanca Silvia González-López, Rogelio José Scougall-Vilchis, María de Lourdes Márquez-Corona (), Mirna Minaya-Sánchez, José de Jesús Navarrete-Hernández, Rubén de la Rosa-Santillana, Gladys Remigia Acuña-González, América Patricia Pontigo-Loyola, Juan José Villalobos-Rodelo, Carlo Eduardo Medina-Solís and Gerardo Maupomé ()
Additional contact information
Sandra Aremy López-Gómez: School of Behavioral Sciences, Autonomous University of the State of Mexico, Toluca 50130, Mexico
Blanca Silvia González-López: Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
Rogelio José Scougall-Vilchis: Advanced Studies and Research Center in Dentistry “Dr. Keisaburo Miyata”, Faculty of Dentistry, Autonomous University of the State of Mexico, Toluca 50130, Mexico
María de Lourdes Márquez-Corona: Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico
Mirna Minaya-Sánchez: School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico
José de Jesús Navarrete-Hernández: Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico
Rubén de la Rosa-Santillana: Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico
Gladys Remigia Acuña-González: School of Dentistry, Autonomous University of Campeche, Campeche 24039, Mexico
América Patricia Pontigo-Loyola: Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico
Juan José Villalobos-Rodelo: School of Dentistry, Autonomous University of Sinaloa, Culiacan 80040, Mexico
Carlo Eduardo Medina-Solís: Academic Area of Dentistry of Health Sciences Institute, Autonomous University of Hidalgo State, Pachuca 42160, Mexico
Gerardo Maupomé: Richard M. Fairbanks School of Public Health, Indiana University/Purdue University, Indianapolis, IN 46202, USA

IJERPH, 2022, vol. 20, issue 1, 1-13

Abstract: The aims of the present study were to identify the prevalence and risk indicators of type 2 diabetes mellitus (T2DM) in urban-based Mexican adults seeking care in a university-based triage/intake dental clinic, and to develop a predictive model. A cross-sectional study was conducted on 3354 medical/dental records of adults who sought care at the triage/intake dental clinics of a public university. The dependent variable was self-report of a previous diagnosis of T2DM made by a physician. Several socio-demographic and socioeconomic covariates were included, as well as others related to oral and general health. A multivariate binary logistic regression model was generated. We subsequently calculated well-known statistical measures employed to evaluate discrimination (classification) using an (adjusted) multivariate logistic regression model (goodness-of-fit test). The average age of patients was 42.5 ± 16.1 years old and the majority were female (64.1%). The prevalence of T2DM was 10.7% (95%CI = 9.7–11.8). In the final multivariate model, the variables associated ( p < 0.05) with the presence of T2DM were older age (40 to 59 years old, OR = 2.00; 60 to 95 years old, OR = 2.78), having any type of health insurance (OR = 2.33), having high blood pressure (OR = 1.70), being obese (OR = 1.41), and having a functional dentition (OR = 0.68). Although the global fit of the model and the calibration tests were adequate, the sensitivity (0.0%) and positive predictive (0.0%) values were not. The specificity (100%) and negative predictive (89.3%) values, as well as the correctly classified (89.3%) value, were adequate. The area under the ROC curve, close to 0.70, was modest. In conclusion, a prevalence of T2DM of 10.7% in this sample of Mexican adults seeking dental care was similar to national figures. Clinical (blood pressure, BMI and functional dentition), demographic (age), and socioeconomic (health insurance) variables were found to be associated with T2DM. The dental setting could be appropriate for implementing preventive actions focused on identifying and helping to reduce the burden of T2DM in the population.

Keywords: oral medicine; diabetes; prevalence; epidemiology; adults; dental setting (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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