Volume 48, Issue 5 pp. 627-637
ORIGINAL ARTICLE CLINICAL PERIODONTOLOGY

Secular trends in severe periodontitis incidence, prevalence and disability-adjusted life years in five Asian countries: A comparative study from 1990 to 2017

Li-Sha Luo

Li-Sha Luo

Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China

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Hang-Hang Luan

Hang-Hang Luan

Department of Forensic Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China

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Lan Wu

Lan Wu

Department of Stomatology, Zhongnan Hospital of Wuhan University, Wuhan, China

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Yu-Jie Shi

Yu-Jie Shi

Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China

Department of Stomatology, Zhongnan Hospital of Wuhan University, Wuhan, China

School of Stomatology, Jinan University, Guangzhou, China

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Yong-Bo Wang

Yong-Bo Wang

Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China

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Qiao Huang

Qiao Huang

Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China

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Wen-Zhong Xie

Corresponding Author

Wen-Zhong Xie

Department of Stomatology, Kaifeng University Health Science Center, Kaifeng, Henan, China

Correspondence

Xian-Tao Zeng, Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.

Email: [email protected]; [email protected]

Wen-Zhong Xie, Department of Stomatology, Kaifeng University Health Science Center, Kaifeng, 475004, Henan, China.

Email: [email protected]

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Xian-Tao Zeng

Corresponding Author

Xian-Tao Zeng

Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China

Correspondence

Xian-Tao Zeng, Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.

Email: [email protected]; [email protected]

Wen-Zhong Xie, Department of Stomatology, Kaifeng University Health Science Center, Kaifeng, 475004, Henan, China.

Email: [email protected]

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First published: 12 March 2021
Citations: 16

Li-Sha Luo, Hang-Hang Luan and Lan Wu contributed equally to this manuscript.

Funding information

This work was supported by the Fundamental Research Funds for the Central Universities (2042020kf1081), the Nature Science Foundation of Hubei Province (2019FFB03902) and the Health Commission of Hubei Province Scientific Research Project (WJ2019H035).

Abstract

Aims

To investigate secular trends in severe periodontitis incidence, prevalence and disability-adjusted life year (DALY) rates in China, India, Japan, South Korea and Thailand from 1990 to 2017.

Materials and Methods

Data were obtained from the “Global Burden of Disease Study” 2017. The annual percentage change and average annual percentage change were calculated using Joinpoint regression analysis. The independent age, period and cohort effects were estimated by age–period–cohort analysis.

Results

From 1990 to 2017, the overall age-standardized incidence, prevalence and DALY rates increased in China, Japan and India, while decreasing in South Korea and Thailand. The highest incidence, prevalence and DALY rates were in India. By APC analysis, the age effect presented increase in 20–59 years in China, Japan and South Korea, 20–54 years in India and 20–64 years in Thailand; the period effect showed progressive increases in five countries, with the most significant increase shown in China; the cohort effect showed monotonic decreases with birth cohort in five countries.

Conclusions

Severe periodontitis poses a serious burden in Asian countries, especially China and India. We suggest raising people's awareness of periodontal health and providing professional interventions in these countries, especially for high-risk groups, such as younger people aged ≤65 years.

CONFLICT OF INTEREST

The authors declare that there are no conflicts of interest.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from http://ghdx.healthdata.org/gbd-results-tool.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.