Forty-Year Trends in Tooth Loss Among American Adults With and Without Diabetes Mellitus: An Age-Period-Cohort Analysis
ORIGINAL RESEARCH — Volume 12 — November 19, 2015
PEER REVIEWED
Figure 1. Estimated number of teeth lost by age groups. National Health and Nutrition Examination Survey (NHANES) 1971–2012.
| Age Group, y | Adults With Diabetes, by Race/Ethnicity | Adults Without Diabetes, by Race/Ethnicity | ||||
|---|---|---|---|---|---|---|
| White | Black | Mexican | White | Black | Mexican | |
| 25–29 | 1.46 | 2.44 | 1.75 | 1.38 | 2.06 | 1.13 |
| 30–34 | 2.08 | 2.82 | 1.79 | 1.70 | 2.56 | 1.44 |
| 35–39 | 2.74 | 3.96 | 2.49 | 2.09 | 3.22 | 1.83 |
| 40–44 | 3.04 | 4.98 | 2.91 | 2.48 | 3.90 | 2.29 |
| 45–49 | 3.98 | 6.36 | 3.58 | 3.14 | 4.97 | 2.95 |
| 50–54 | 4.66 | 7.14 | 4.29 | 3.85 | 6.16 | 3.65 |
| 55–59 | 6.16 | 8.62 | 5.80 | 4.69 | 7.65 | 4.66 |
| 60–65 | 7.56 | 11.99 | 7.84 | 5.86 | 9.87 | 5.78 |
| 65–69 | 9.46 | 14.88 | 9.62 | 7.31 | 12.48 | 7.66 |
| 70-–4 | 11.90 | 18.19 | 11.97 | 9.08 | 15.13 | 9.87 |
| 75–79 | 13.32 | 21.30 | 13.07 | 10.59 | 17.59 | 10.93 |
| 80–84 | 14.49 | 22.99 | 14.77 | 11.66 | 18.76 | 11.59 |
| ≥85 | 17.62 | 30.62 | 15.42 | 12.91 | 22.16 | 12.98 |
Figure 2. Estimated number of teeth lost by survey periods. National Health and Nutrition Examination (NHANES) 1971–2012.
| Survey Period | Adults With Diabetes, by Race | Adults Without Diabetes, by Race | ||||
|---|---|---|---|---|---|---|
| White | Black | Mexican | White | Black | Mexican | |
| 1971 | 14.70 | 23.07 | — | 8.98 | 15.09 | — |
| 1988 | 8.68 | 12.89 | — | 4.61 | 6.51 | — |
| 1999 | 8.18 | 11.75 | 6.53 | 3.84 | 4.92 | 2.99 |
| 2001 | 7.28 | 8.78 | 5.29 | 3.48 | 4.82 | 2.40 |
| 2003 | 8.28 | 10.07 | 6.60 | 4.14 | 5.39 | 2.91 |
| 2005 | 6.98 | 8.92 | 5.31 | 3.61 | 4.44 | 2.50 |
| 2007 | 6.97 | 8.68 | 6.19 | 3.51 | 4.33 | 2.42 |
| 2009 | 7.20 | 9.81 | 5.79 | 3.66 | 4.98 | 2.98 |
| 2011 | 7.37 | 9.67 | 6.24 | 3.69 | 4.64 | 2.39 |
Figure 3. Estimated number of teeth lost by birth cohort. National Health and Nutrition Examination Survey (NHANES) 1971–2012.
| Birth Cohort | Adults With Diabetes, by Race | Adults Without Diabetes, by Race | ||||
|---|---|---|---|---|---|---|
| White | Black | Mexican | White | Black | Mexican | |
| 1897–1904 | 17.54 | 31.11 | — | 14.84 | 25.30 | — |
| 1905–1909 | 15.80 | 27.02 | — | 12.86 | 22.65 | — |
| 1910–1914 | 15.41 | 23.71 | — | 11.45 | 20.43 | 12.24 |
| 1915–1919 | 14.73 | 23.23 | 15.03 | 10.73 | 17.62 | 12.37 |
| 1920–1924 | 12.74 | 20.62 | 14.55 | 10.34 | 16.85 | 11.43 |
| 1925–1929 | 13.03 | 18.49 | 12.20 | 9.50 | 14.45 | 10.73 |
| 1930–1934 | 12.18 | 19.09 | 12.50 | 8.91 | 14.56 | 9.74 |
| 1935–1939 | 10.22 | 16.37 | 11.01 | 7.50 | 12.04 | 8.54 |
| 1940–1944 | 7.85 | 11.79 | 8.12 | 5.38 | 8.81 | 6.36 |
| 1945–1949 | 6.02 | 8.58 | 6.17 | 4.04 | 6.72 | 4.67 |
| 1950–1954 | 4.63 | 7.76 | 4.76 | 3.41 | 5.50 | 3.88 |
| 1955–1959 | 3.50 | 5.96 | 3.78 | 2.65 | 4.37 | 3.00 |
| 1960–1964 | 3.25 | 5.02 | 3.41 | 2.26 | 3.55 | 2.50 |
| 1965–1969 | 2.65 | 3.87 | 3.25 | 1.86 | 2.93 | 1.99 |
| 1970–1974 | 2.10 | 2.98 | 1.95 | 1.38 | 2.23 | 1.52 |
| 1975–1979 | 1.43 | 2.12 | 1.85 | 1.15 | 1.88 | 1.28 |
| 1980–1986 | 0.95 | 1.56 | 1.35 | 0.87 | 1.46 | 0.92 |
The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors’ affiliated institutions.
Page last reviewed: November 19, 2015