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rev port estomatol med dent cir maxilofac . 2018;59(4):181-190         187



            Table 4. Risk and protective factors (multivariable logistic regression) independently associated with “bad” or “very bad”
            self-rated perception impacts of GH or OH, for nDM2 and DM2 participants.
                                        Self-rated perceived general health     Self-rated perceived oral health
                   Variables             nDM2                DM2               nDM2                DM2
                                    p     OR (95%CL)   p      OR (95%CL)   p     OR (95%CL)   p     OR (95%CL)

            Smoker (yes)                                                                     0.065  4.63 (0.91-23.54)
            Controlled DM2 (yes)
            HTA (yes)                                 <0.001  16.62 (7.01-39.43)
            Dyslipidaemia (yes)                       <0.001  5.17 (2.07-12.90)
            Daily oral hygiene (yes)                                     0.056  0.38 (0.14-1.03)
            Total edentulism (yes)
            At least one missing tooth
            (yes)                                                        0.051  2.31 (0.99-5.38)  0.003  7.55 (2.03-28.07)
            Number of total teeth ≥20                                    0.001  0.22 (0.09-0.56)  <0.001  0.09 (0.04-0.18)
            CPI (normal)           0.099      1       0.015      1       0.050      1

            CPI (bleeding)         0.375  1.71 (0.52-5.56)  0.225  7.09 (0.30-168.54)  0.332  1.87 (0.53-6.59)
            CPI (calculus)         0.044  3.21 (1.03-9.99)  0.192  7.98 (0.35-180.63)  0.049  3.55 (1.01-12.47)
                                                             21.11 (0.913-
            CPI (pockets ≥4 mm)    0.123  2.43 (0.79-7.50)  0.057        0.025  4.32 (1.20-15.55)
                                                               488.37)
            Constant               0.594     0.75     0.026     0.026    0.133     4.20      0.336     2.04
            Variables entering the first   Daily oral hygiene (at   Controlled DM2  Daily oral hygiene (yes)  Duration of DM2
            step of the analyses:  night)             HTA                Daily oral hygiene (in   Smoker
                                  CPI (calculus)      Dyslipidaemia      the morning)       MT > 0
                                                      Daily oral hygiene (yes)  Daily oral hygiene (at   FT > 0
                                                      Total edentulism   night)             DMFT >0
                                                      Number of teeth ≥ 20  MT >0           Prosthesis rehabilitation
                                                      DMFT >0            CPI (calculus or pockets)  need
                                                      MT >0              Number of teeth ≥ 20  Removable prosthesis
                                                      Removable prosthesis  Total edentulism  Number of teeth ≥ 20
                                                                         Prosthesis rehabilitation   Total edentulism
                                                                         need
                                                                         Removable prosthesis
                                                      Quality of the model

            This model has a correct   64.8%          80.4%              81.0%              80.1%
            prediction of (%)
                                    p   AUC ROC (95%CL)  p  AUC ROC (95%CL)  p  AUC ROC (95%CL)  p  AUC ROC (95%CL)
            Area under the ROC curve
                                   0.027  0.58 (0.51-0.65)  <0.001  0.83 (0.77-0.88)  <0.001  0.77(0.71-0.84)  <0.011  0.81 (0.75-0.86)
           OR – odds ratio; HTA – arterial hypertension; DT- decayed teeth; MT – missing teeth; FT – filled teeth; DMFT – decayed, missing and filled teeth;
           CPI – Community Periodontal Index



           group, having at least one tooth missing was a risk factor for   Discussion
           “bad” or “very bad” SROH (OR=7.55, p=0.003) while having at
           least 20 teeth was a protective factor (OR=0.09, p<0.001), de-  The present study confirms the hypothesis that SRH and
           creasing the chance of that outcome in 91%.         SROH were perceived differently by DM2 and nDM2 partici-
              The AUC values obtained for some models (AUC higher   pants. The  DM2  group  had  worse  SRH  and  SROH than  the
           than 80%, p<0.010) showed a good adjustment to predict a “bad”   nDM2,  and  OH  was  generally  self-rated  worse  than  GH  re-
           or “very bad” SRH in the DM2 group and SROH in the nDM2 and   gardless of the presence of DM2.
           DM2 groups. Thus, a potential clinical application of these pre-  The sample showed a significantly higher frequency of
           dictive models can be considered. On the other hand, that can-  women in the nDM2 group and men in the DM2 group, which
           not be said for SRH in the nDM2 group, which showed a rea-  is similar to the study by Liu, and may be justified by women
                                                                                     38
                                ~
           sonable adjustment (AUC = 65%, p=0.027) (Table 4).  being more likely to go to health centres than men. Like in
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