Rural–urban disparities in the incidence and treatment intensity of periodontal disease among patients with diabetes
Diabetes threatens population health, especially in rural areas. Diabetes and periodontal diseases have a bidirectional relationship. A persistence of rural-urban disparities in diabetes may indicate a rural-urban difference in periodontal disease among patients with diabetes; however, the evidence...
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| Published in: | Frontiers in public health Vol. 11; p. 1241150 |
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| Language: | English |
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06.09.2023
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| Abstract | Diabetes threatens population health, especially in rural areas. Diabetes and periodontal diseases have a bidirectional relationship. A persistence of rural-urban disparities in diabetes may indicate a rural-urban difference in periodontal disease among patients with diabetes; however, the evidence is lacking. This retrospective study aimed to investigate rural-urban discrepancies in the incidence and treatment intensity of periodontal disease among patients who were newly diagnosed with type 2 diabetes in the year 2010.BackgroundDiabetes threatens population health, especially in rural areas. Diabetes and periodontal diseases have a bidirectional relationship. A persistence of rural-urban disparities in diabetes may indicate a rural-urban difference in periodontal disease among patients with diabetes; however, the evidence is lacking. This retrospective study aimed to investigate rural-urban discrepancies in the incidence and treatment intensity of periodontal disease among patients who were newly diagnosed with type 2 diabetes in the year 2010.The present study was a retrospective cohort design, with two study samples: patients with type 2 diabetes and those who were further diagnosed with periodontal disease. The data sources included the 2010 Diabetes Mellitus Health Database at the patient level, the National Geographic Information Standardization Platform and the Department of Statistics, Ministry of Health and Welfare in Taiwan at the township level. Two dependent variables were a time-to-event outcome for periodontal disease among patients with type 2 diabetes and the treatment intensity measured for patients who were further diagnosed with periodontal disease. The key independent variables are two dummy variables, representing rural and suburban areas, with urban areas as the reference group. The Cox and Poisson regression models were applied for analyses.MethodsThe present study was a retrospective cohort design, with two study samples: patients with type 2 diabetes and those who were further diagnosed with periodontal disease. The data sources included the 2010 Diabetes Mellitus Health Database at the patient level, the National Geographic Information Standardization Platform and the Department of Statistics, Ministry of Health and Welfare in Taiwan at the township level. Two dependent variables were a time-to-event outcome for periodontal disease among patients with type 2 diabetes and the treatment intensity measured for patients who were further diagnosed with periodontal disease. The key independent variables are two dummy variables, representing rural and suburban areas, with urban areas as the reference group. The Cox and Poisson regression models were applied for analyses.Of 68,365 qualified patients, 49% of them had periodontal disease within 10 years after patients were diagnosed with diabetes. Compared to urban patients with diabetes, rural (HR = 0.83, 95% CI: 0.75-0.91) and suburban patients (HR = 0.86, 95% CI: 0.83-0.89) had a lower incidence of periodontal disease. Among 33,612 patients with periodontal disease, rural patients received less treatment intensity of dental care (Rural: RR = 0.87, 95% CI: 0.83, 0.92; suburban: RR = 0.93, 95% CI: 0.92, 0.95) than urban patients.ResultsOf 68,365 qualified patients, 49% of them had periodontal disease within 10 years after patients were diagnosed with diabetes. Compared to urban patients with diabetes, rural (HR = 0.83, 95% CI: 0.75-0.91) and suburban patients (HR = 0.86, 95% CI: 0.83-0.89) had a lower incidence of periodontal disease. Among 33,612 patients with periodontal disease, rural patients received less treatment intensity of dental care (Rural: RR = 0.87, 95% CI: 0.83, 0.92; suburban: RR = 0.93, 95% CI: 0.92, 0.95) than urban patients.Given the underutilization of dental care among rural patients with diabetes, a low incidence of periodontal disease indicates potentially undiagnosed periodontal disease, and low treatment intensity signals potentially unmet dental needs. Our findings provide a potential explanation for the persistence of rural-urban disparities in poor diabetes outcomes. Policy interventions to enhance the likelihood of identifying periodontal disease at the early stage for proper treatment would ease the burden of diabetes care and narrow rural-urban discrepancies in diabetes outcomes.ConclusionGiven the underutilization of dental care among rural patients with diabetes, a low incidence of periodontal disease indicates potentially undiagnosed periodontal disease, and low treatment intensity signals potentially unmet dental needs. Our findings provide a potential explanation for the persistence of rural-urban disparities in poor diabetes outcomes. Policy interventions to enhance the likelihood of identifying periodontal disease at the early stage for proper treatment would ease the burden of diabetes care and narrow rural-urban discrepancies in diabetes outcomes. |
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| AbstractList | BackgroundDiabetes threatens population health, especially in rural areas. Diabetes and periodontal diseases have a bidirectional relationship. A persistence of rural–urban disparities in diabetes may indicate a rural–urban difference in periodontal disease among patients with diabetes; however, the evidence is lacking. This retrospective study aimed to investigate rural–urban discrepancies in the incidence and treatment intensity of periodontal disease among patients who were newly diagnosed with type 2 diabetes in the year 2010.MethodsThe present study was a retrospective cohort design, with two study samples: patients with type 2 diabetes and those who were further diagnosed with periodontal disease. The data sources included the 2010 Diabetes Mellitus Health Database at the patient level, the National Geographic Information Standardization Platform and the Department of Statistics, Ministry of Health and Welfare in Taiwan at the township level. Two dependent variables were a time-to-event outcome for periodontal disease among patients with type 2 diabetes and the treatment intensity measured for patients who were further diagnosed with periodontal disease. The key independent variables are two dummy variables, representing rural and suburban areas, with urban areas as the reference group. The Cox and Poisson regression models were applied for analyses.ResultsOf 68,365 qualified patients, 49% of them had periodontal disease within 10 years after patients were diagnosed with diabetes. Compared to urban patients with diabetes, rural (HR = 0.83, 95% CI: 0.75–0.91) and suburban patients (HR = 0.86, 95% CI: 0.83–0.89) had a lower incidence of periodontal disease. Among 33,612 patients with periodontal disease, rural patients received less treatment intensity of dental care (Rural: RR = 0.87, 95% CI: 0.83, 0.92; suburban: RR = 0.93, 95% CI: 0.92, 0.95) than urban patients.ConclusionGiven the underutilization of dental care among rural patients with diabetes, a low incidence of periodontal disease indicates potentially undiagnosed periodontal disease, and low treatment intensity signals potentially unmet dental needs. Our findings provide a potential explanation for the persistence of rural–urban disparities in poor diabetes outcomes. Policy interventions to enhance the likelihood of identifying periodontal disease at the early stage for proper treatment would ease the burden of diabetes care and narrow rural–urban discrepancies in diabetes outcomes. Diabetes threatens population health, especially in rural areas. Diabetes and periodontal diseases have a bidirectional relationship. A persistence of rural-urban disparities in diabetes may indicate a rural-urban difference in periodontal disease among patients with diabetes; however, the evidence is lacking. This retrospective study aimed to investigate rural-urban discrepancies in the incidence and treatment intensity of periodontal disease among patients who were newly diagnosed with type 2 diabetes in the year 2010.BackgroundDiabetes threatens population health, especially in rural areas. Diabetes and periodontal diseases have a bidirectional relationship. A persistence of rural-urban disparities in diabetes may indicate a rural-urban difference in periodontal disease among patients with diabetes; however, the evidence is lacking. This retrospective study aimed to investigate rural-urban discrepancies in the incidence and treatment intensity of periodontal disease among patients who were newly diagnosed with type 2 diabetes in the year 2010.The present study was a retrospective cohort design, with two study samples: patients with type 2 diabetes and those who were further diagnosed with periodontal disease. The data sources included the 2010 Diabetes Mellitus Health Database at the patient level, the National Geographic Information Standardization Platform and the Department of Statistics, Ministry of Health and Welfare in Taiwan at the township level. Two dependent variables were a time-to-event outcome for periodontal disease among patients with type 2 diabetes and the treatment intensity measured for patients who were further diagnosed with periodontal disease. The key independent variables are two dummy variables, representing rural and suburban areas, with urban areas as the reference group. The Cox and Poisson regression models were applied for analyses.MethodsThe present study was a retrospective cohort design, with two study samples: patients with type 2 diabetes and those who were further diagnosed with periodontal disease. The data sources included the 2010 Diabetes Mellitus Health Database at the patient level, the National Geographic Information Standardization Platform and the Department of Statistics, Ministry of Health and Welfare in Taiwan at the township level. Two dependent variables were a time-to-event outcome for periodontal disease among patients with type 2 diabetes and the treatment intensity measured for patients who were further diagnosed with periodontal disease. The key independent variables are two dummy variables, representing rural and suburban areas, with urban areas as the reference group. The Cox and Poisson regression models were applied for analyses.Of 68,365 qualified patients, 49% of them had periodontal disease within 10 years after patients were diagnosed with diabetes. Compared to urban patients with diabetes, rural (HR = 0.83, 95% CI: 0.75-0.91) and suburban patients (HR = 0.86, 95% CI: 0.83-0.89) had a lower incidence of periodontal disease. Among 33,612 patients with periodontal disease, rural patients received less treatment intensity of dental care (Rural: RR = 0.87, 95% CI: 0.83, 0.92; suburban: RR = 0.93, 95% CI: 0.92, 0.95) than urban patients.ResultsOf 68,365 qualified patients, 49% of them had periodontal disease within 10 years after patients were diagnosed with diabetes. Compared to urban patients with diabetes, rural (HR = 0.83, 95% CI: 0.75-0.91) and suburban patients (HR = 0.86, 95% CI: 0.83-0.89) had a lower incidence of periodontal disease. Among 33,612 patients with periodontal disease, rural patients received less treatment intensity of dental care (Rural: RR = 0.87, 95% CI: 0.83, 0.92; suburban: RR = 0.93, 95% CI: 0.92, 0.95) than urban patients.Given the underutilization of dental care among rural patients with diabetes, a low incidence of periodontal disease indicates potentially undiagnosed periodontal disease, and low treatment intensity signals potentially unmet dental needs. Our findings provide a potential explanation for the persistence of rural-urban disparities in poor diabetes outcomes. Policy interventions to enhance the likelihood of identifying periodontal disease at the early stage for proper treatment would ease the burden of diabetes care and narrow rural-urban discrepancies in diabetes outcomes.ConclusionGiven the underutilization of dental care among rural patients with diabetes, a low incidence of periodontal disease indicates potentially undiagnosed periodontal disease, and low treatment intensity signals potentially unmet dental needs. Our findings provide a potential explanation for the persistence of rural-urban disparities in poor diabetes outcomes. Policy interventions to enhance the likelihood of identifying periodontal disease at the early stage for proper treatment would ease the burden of diabetes care and narrow rural-urban discrepancies in diabetes outcomes. |
| Author | Lee, Huey-Er Huang, Yu-Ting Ho, Pei-Shan Karim, Saleema A. Chen, I-Te Chen, Hsueh-Fen |
| AuthorAffiliation | 1 Department of Healthcare Administration and Medical Informatics, College of Health Sciences, Kaohsiung Medical University , Kaohsiung , Taiwan 6 School of Dentistry, College of Dental Medicine, Kaohsiung Medical University , Kaohsiung , Taiwan 3 Center for Big Data Research, Kaohsiung Medical University , Kaohsiung , Taiwan 4 Department of Dentistry, Yuan's General Hospital , Kaohsiung , Taiwan 2 Division of Medical Statistics and Bioinformatics, Department of Medical Research, Kaohsiung Medical University , Kaohsiung , Taiwan 5 Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University , Kaohsiung , Taiwan 7 Department of Health Administration, College of Health Professions, Virginia Commonwealth University , Richmomd, VA , United States |
| AuthorAffiliation_xml | – name: 1 Department of Healthcare Administration and Medical Informatics, College of Health Sciences, Kaohsiung Medical University , Kaohsiung , Taiwan – name: 5 Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University , Kaohsiung , Taiwan – name: 6 School of Dentistry, College of Dental Medicine, Kaohsiung Medical University , Kaohsiung , Taiwan – name: 7 Department of Health Administration, College of Health Professions, Virginia Commonwealth University , Richmomd, VA , United States – name: 3 Center for Big Data Research, Kaohsiung Medical University , Kaohsiung , Taiwan – name: 2 Division of Medical Statistics and Bioinformatics, Department of Medical Research, Kaohsiung Medical University , Kaohsiung , Taiwan – name: 4 Department of Dentistry, Yuan's General Hospital , Kaohsiung , Taiwan |
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| Cites_doi | 10.1111/cdoe.12344 10.22605/RRH4161 10.1136/bmjdrc-2020-001666 10.2307/2137284 10.1111/j.1752-7325.2007.00057.x 10.5888/pcd18.200594 10.3390/jcm9093012 10.1016/j.jclinepi.2004.03.012 10.3390/ijerph15102187 10.1902/annals.1998.3.1.51 10.2337/dc19-1614 10.1016/j.diabres.2011.12.001 10.2174/1874210601711010557 10.1016/j.adaj.2022.12.011 10.29805/JHM.200606.0001 10.1111/jrh.12710 10.1186/s12903-015-0147-y 10.1007/s00784-020-03635-4 10.1186/s12939-015-0160-4 10.1111/jrh.12500 10.1097/01.mlr.0000182534.19832.83 10.2105/AJPH.2017.304180 10.3399/bjgp14X677301 10.1111/j.1600-051x.1996.tb00606.x 10.1002/j.1875-595x.1999.tb00904.x 10.1007/s00125-022-05785-4 10.1111/jrh.12337 10.1111/jcpe.12077 10.1186/s12889-020-8335-3 10.2337/dc12-0072 10.2337/dc21-2342 10.1038/srep45000 10.1111/odi.12168 10.1186/s12889-018-5485-7 10.1111/jcpe.12808 10.1016/j.puhe.2017.06.009 10.1007/s10995-010-0725-1 |
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| References | (ref23) 2021 Kim (ref14) 2014; 20 Tai (ref25) 2020; 9 (ref4) 2022 (ref38) 2022 (ref28) 2022 Krois (ref44) 2021; 25 Sundararajan (ref33) 2004; 57 Luo (ref21) 2021; 37 Bascones-Martinez (ref8) 2014; 27 (ref2) 2022 Poudel (ref47) 2018; 18 Wen (ref20) 2017; 17 Chen (ref34) 2015; 14 Grossi (ref5) 1998; 3 Bourgeois (ref17) 1999; 49 Kobo (ref18) 2022; 65 Yang (ref15) 2017; 7 Maserejian (ref43) 2008; 68 Sanz (ref7) 2018; 45 Chen (ref39) 2018; 15 Zhang (ref3) 2020; 43 (ref27) 2021 Hwang (ref19) 2012; 96 Demmer (ref6) 2012; 35 Thakkar-Samtani (ref10) 2023; 154 Chapple (ref9) 2013; 40 MacCarthy (ref12) 2022; 39 Andersen (ref31) 1995; 36 VanWormer (ref40) 2019; 35 (ref35) 2014 Flood (ref13) 2022; 45 Li (ref24) 2020; 20 (ref1) 2021 Anagnou-Vareltzides (ref16) 1996; 23 Chen (ref30) 2017; 151 Husain (ref37) 2017; 11 Smits (ref11) 2020; 8 Tsai (ref22) 2015; 15 (ref26) 2022 Liu (ref29) 2006; 4 Quan (ref32) 2005; 43 Gaber (ref36) 2018; 46 Martin (ref41) 2012; 16 Reda (ref42) 2018; 108 Zhang (ref46) 2021; 18 Dale (ref45) 2014; 64 |
| References_xml | – volume: 46 start-page: 132 year: 2018 ident: ref36 article-title: Rural-urban disparity in oral health-related quality of life publication-title: Community Dent Oral Epidemiol doi: 10.1111/cdoe.12344 – volume: 17 start-page: 4161 year: 2017 ident: ref20 article-title: Demographic and rural-urban variations in dental service utilization in Taiwan publication-title: Rural Remote Health doi: 10.22605/RRH4161 – volume: 8 start-page: e001666 year: 2020 ident: ref11 article-title: Effect of periodontal treatment on diabetes-related healthcare costs: a retrospective study publication-title: BMJ Open Diabetes Res Care doi: 10.1136/bmjdrc-2020-001666 – year: 2022 ident: ref26 – volume: 36 start-page: 1 year: 1995 ident: ref31 article-title: Revisiting the behavioral model and access to medical care: does it matter? publication-title: J Health Soc Behav doi: 10.2307/2137284 – year: 2014 ident: ref35 – volume: 68 start-page: 7 year: 2008 ident: ref43 article-title: Rural and urban disparities in caries prevalence in children with unmet dental needs: the New England Children's amalgam trial publication-title: J Public Health Dent doi: 10.1111/j.1752-7325.2007.00057.x – volume: 18 start-page: E47 year: 2021 ident: ref46 article-title: Disparities in preventive oral health care and periodontal health among adults with diabetes publication-title: Prev Chronic Dis doi: 10.5888/pcd18.200594 – year: 2021 ident: ref23 – volume: 9 year: 2020 ident: ref25 article-title: Urban-rural disparities in the incidence of diabetes-related complications in Taiwan: a propensity score matching analysis publication-title: J Clin Med doi: 10.3390/jcm9093012 – year: 2022 ident: ref28 – volume: 27 start-page: 63 year: 2014 ident: ref8 article-title: Diabetes and periodontal disease. Review of the literature publication-title: Am J Dent – volume: 57 start-page: 1288 year: 2004 ident: ref33 article-title: New ICD-10 version of the Charlson comorbidity index predicted in-hospital mortality publication-title: J Clin Epidemiol doi: 10.1016/j.jclinepi.2004.03.012 – volume: 15 start-page: 2187 year: 2018 ident: ref39 article-title: Misperception of Oral health among adults in rural areas: a fundamental but neglected issue in primary healthcare publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph15102187 – year: 2022 ident: ref2 – volume: 3 start-page: 51 year: 1998 ident: ref5 article-title: Periodontal disease and diabetes mellitus: a two-way relationship publication-title: Ann Periodontol doi: 10.1902/annals.1998.3.1.51 – volume: 43 start-page: 964 year: 2020 ident: ref3 article-title: Global disability burdens of diabetes-related lower-extremity complications in 1990 and 2016 publication-title: Diabetes Care doi: 10.2337/dc19-1614 – volume: 96 start-page: 271 year: 2012 ident: ref19 article-title: Rural diabetes prevalence quintuples over twenty-five years in low- and middle-income countries: a systematic review and meta-analysis publication-title: Diabetes Res Clin Pract doi: 10.1016/j.diabres.2011.12.001 – volume: 11 start-page: 557 year: 2017 ident: ref37 article-title: Oral health-related quality of life appraised by OHIP-14 between urban and rural areas in Kutai Kartanegara regency, Indonesia: pilot pathfinder survey publication-title: Open Dent J doi: 10.2174/1874210601711010557 – year: 2021 ident: ref27 – volume: 154 start-page: 283 year: 2023 ident: ref10 article-title: Periodontal treatment associated with decreased diabetes mellitus-related treatment costs: an analysis of dental and medical claims data publication-title: J Am Dent Assoc doi: 10.1016/j.adaj.2022.12.011 – volume: 4 start-page: 1 year: 2006 ident: ref29 article-title: Incorporating development stratification of Taiwan townships into sampling design of large scale health interview survey publication-title: J Health Manag doi: 10.29805/JHM.200606.0001 – volume: 39 start-page: 636 year: 2022 ident: ref12 article-title: Rural disparities in the quality of clinical care are notable and larger for males publication-title: J Rural Health doi: 10.1111/jrh.12710 – volume: 15 start-page: 158 year: 2015 ident: ref22 article-title: Factors associated with having less than 20 natural teeth in rural adults: a cross-sectional study publication-title: BMC Oral Health doi: 10.1186/s12903-015-0147-y – volume: 25 start-page: 3117 year: 2021 ident: ref44 article-title: Underscreening and undertreatment? Periodontal service provision in very old Germans publication-title: Clin Oral Investig doi: 10.1007/s00784-020-03635-4 – volume: 14 start-page: 31 year: 2015 ident: ref34 article-title: Socioeconomic disparities in preventable hospitalization among adults with diabetes in Taiwan: a multilevel modelling approach publication-title: Int J Equity Health doi: 10.1186/s12939-015-0160-4 – year: 2022 ident: ref4 – volume: 37 start-page: 655 year: 2021 ident: ref21 article-title: Rural-urban differences in dental service utilization and dental service procedures received among US adults: results from the 2016 medical expenditure panel survey publication-title: J Rural Health doi: 10.1111/jrh.12500 – volume: 43 start-page: 1130 year: 2005 ident: ref32 article-title: Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data publication-title: Med Care doi: 10.1097/01.mlr.0000182534.19832.83 – volume: 108 start-page: e1 year: 2018 ident: ref42 article-title: Inequality in utilization of dental services: a systematic review and Meta-analysis publication-title: Am J Public Health doi: 10.2105/AJPH.2017.304180 – volume: 64 start-page: 103 year: 2014 ident: ref45 article-title: Oral health: a neglected area of routine diabetes care? publication-title: Br J Gen Pract doi: 10.3399/bjgp14X677301 – year: 2021 ident: ref1 – year: 2022 ident: ref38 – volume: 23 start-page: 758 year: 1996 ident: ref16 article-title: A clinical survey of periodontal conditions in Greece publication-title: J Clin Periodontol doi: 10.1111/j.1600-051x.1996.tb00606.x – volume: 49 start-page: 182 year: 1999 ident: ref17 article-title: Periodontal conditions in 65-74 year old adults in France, 1995 publication-title: Int Dent J doi: 10.1002/j.1875-595x.1999.tb00904.x – volume: 65 start-page: 2078 year: 2022 ident: ref18 article-title: Urban-rural disparities in diabetes-related mortality in the USA 1999-2019 publication-title: Diabetologia doi: 10.1007/s00125-022-05785-4 – volume: 35 start-page: 12 year: 2019 ident: ref40 article-title: Oral health literacy and outcomes in rural Wisconsin adults publication-title: J Rural Health doi: 10.1111/jrh.12337 – volume: 40 start-page: S106 year: 2013 ident: ref9 article-title: Working group 2 of joint EFPAAPw. Diabetes and periodontal diseases: consensus report of the joint EFP/AAP workshop on periodontitis and systemic diseases publication-title: J Clin Periodontol doi: 10.1111/jcpe.12077 – volume: 20 start-page: 1 year: 2020 ident: ref24 article-title: Urban-rural disparity in lower extremities amputation in patients with diabetes after nearly two decades of universal health Insurance in Taiwan publication-title: BMC Public Health doi: 10.1186/s12889-020-8335-3 – volume: 35 start-page: 2235 year: 2012 ident: ref6 article-title: Periodontal infection, systemic inflammation, and insulin resistance: results from the continuous national health and nutrition examination survey (NHANES) 1999-2004 publication-title: Diabetes Care doi: 10.2337/dc12-0072 – volume: 45 start-page: 1961 year: 2022 ident: ref13 article-title: Rural-urban differences in diabetes care and control in 42 low- and middle-income countries: a cross-sectional study of nationally representative individual-level data publication-title: Diabetes Care doi: 10.2337/dc21-2342 – volume: 7 start-page: 45000 year: 2017 ident: ref15 article-title: Epidemic trend of periodontal disease in elderly Chinese population, 1987-2015: a systematic review and meta-analysis publication-title: Sci Rep doi: 10.1038/srep45000 – volume: 20 start-page: 551 year: 2014 ident: ref14 article-title: Socioeconomic disparities of periodontitis in Koreans based on the KNHANES IV publication-title: Oral Dis doi: 10.1111/odi.12168 – volume: 18 start-page: 577 year: 2018 ident: ref47 article-title: Oral health knowledge, attitudes and care practices of people with diabetes: a systematic review publication-title: BMC Public Health doi: 10.1186/s12889-018-5485-7 – volume: 45 start-page: 138 year: 2018 ident: ref7 article-title: Scientific evidence on the links between periodontal diseases and diabetes: consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the international diabetes federation and the European Federation of Periodontology publication-title: J Clin Periodontol doi: 10.1111/jcpe.12808 – volume: 151 start-page: 13 year: 2017 ident: ref30 article-title: Rural-urban differences in receiving guideline-recommended diabetes care and experiencing avoidable hospitalizations under a universal coverage health system: evidence from the past decade publication-title: Public Health doi: 10.1016/j.puhe.2017.06.009 – volume: 16 start-page: 203 year: 2012 ident: ref41 article-title: Rural-urban differences in dental service utilization among an early childhood population enrolled in South Carolina Medicaid publication-title: Matern Child Health J doi: 10.1007/s10995-010-0725-1 |
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| Title | Rural–urban disparities in the incidence and treatment intensity of periodontal disease among patients with diabetes |
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