Evidence map›Paper›PMID 35642032›Full record

ArticleBMC oral health2022

Prevalence and correlates of periodontitis among Kenyan women planning to conceive.

Brenda Oyaro, Erica Lokken, Hudson Alumera, Shahid Hussein, Barbra Richardson, Kishorchandra Mandaliya, Walter Jaoko, John Kinuthia, Elizabeth Dimba, Arthur Kemoli and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC oral health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Brenda OyaroDepartment of Medicine, University of Washington, 325 9th Avenue, Box 359909, Seattle, WA, 98104, USA.
Erica LokkenDepartment of Global Health, University of Washington, Seattle, WA, USA.
Hudson AlumeraDepartment of Periodontology, Community and Preventive Dentistry, School of Dental Sciences, University of Nairobi, Nairobi, Kenya.
Shahid HusseinCoast General Teaching and Referral Hospital, Mombasa, Kenya.
Barbra RichardsonDepartment of Global Health, University of Washington, Seattle, WA, USA.
Kishorchandra MandaliyaPathCare Laboratories, Mombasa, Kenya.
Walter JaokoDepartment of Medical Microbiology, University of Nairobi, Nairobi, Kenya.
John KinuthiaKenyatta National Hospital, Nairobi, Kenya.
Elizabeth DimbaDepartment of Oral Pathology, School of Dental Sciences, University of Nairobi, Nairobi, Kenya.
Arthur KemoliDepartment of Paediatric Dentistry and Orthodontics, School of Dental Sciences, University of Nairobi, Nairobi, Kenya.
R Scott McClellandDepartment of Medicine, University of Washington, 325 9th Avenue, Box 359909, Seattle, WA, 98104, USA. mcclell@uw.edu.
University of Nairobi · KESeattle University · USUniversity of Washington · USGoCare Health Solutions Limited · KEKenyatta National Hospital · KE

Funding

Impact of periconceptual vaginal microbiota on women's risk of preterm birthR01HD087346 · NICHD · UNIVERSITY OF WASHINGTON · PI MCCLELLAND, RAYMOND SCOTT · 2016 to 2020
$3.3M
RCT of an Implementation Science Tool to Integrate HIV testing into Family Planning Services K24HD088229 · NICHD · UNIVERSITY OF WASHINGTON · PI MCCLELLAND, RAYMOND SCOTT · 2016 to 2020
$863k
Assessing vaginal microbial communities as a risk factor for HIV acquisition in pregnant and postpartum Kenyan womenF32HD100202 · NICHD · UNIVERSITY OF WASHINGTON · PI LOKKEN, ERICA M · 2019 to 2022
$159k
NICHD NIH HHS F32 HD100202NICHD NIH HHS K24 HD088229NICHD NIH HHS R01 HD087346
6 · The paper itself

Abstract

backgroundPeriodontitis has been associated with adverse pregnancy outcomes. Little is known about the burden and risk factors for periodontitis among reproductive age women in sub-Saharan Africa. This analysis aimed to determine the prevalence and correlates of periodontitis among Kenyan women planning to conceive.

methodsHIV-seronegative, reproductive-age women who were planning to conceive were enrolled and underwent a periodontal examination. Following the US Centers for Disease Control and Prevention clinical case definitions, the presence and severity of periodontitis was determined by establishing the level of clinical periodontal attachment loss and graded in three categories: no/mild, moderate, and severe. Secondary outcomes included the scores on the Gingival Index and Decayed, Missing, and Filled Teeth (DMFT) Index. Correlates of periodontitis were examined using univariable and multivariable logistic regression.

resultsOf the 647 women in the study, 84% (n = 541) had no/mild periodontitis, 15% (n = 97) had moderate periodontitis, and 1% (n = 9) had severe periodontitis. Mild gingivitis was present in 61% (n = 396) of women, while 27% (n = 176) had moderate gingivitis, and 1% (n = 9) had severe gingivitis. The majority (75%, n = 487) of women had a DMFT index in the very low range (score < 5). Periodontitis was observed in 12% (12/101) of nulliparous women compared to 13% (36/286) of women with one prior delivery (prevalence ratio [PR] 1.03, 95% confidence interval [95% CI] 0.57-1.96), 21% (36/170) of women with two prior deliveries (PR 1.78, 95% CI 0.97-3.26), and 24% (22/90) of women with 3 or more prior deliveries (PR 2.06, 95% CI 1.08-3.92).

conclusionThis study demonstrated a substantial prevalence of moderate-severe periodontitis among women planning to conceive in Kenya. These results highlight the need to address the oral care needs of reproductive age women, particularly those with multiple prior pregnancies.

Indexed as

GingivitisPeriodontitisFemaleHumansKenyaPeriodontal IndexPregnancyPrevalenceDMFTGingivitisKenyaPeriodontitisWomen

Identifiers

PMID35642032
PMCPMC9152835
OpenAlexW4282010148

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.