Signs and Symptoms of First-Onset TMD and Sociodemographic Predictors of Its Development: The OPPERA Prospective Cohort Study

JOURNAL OF PAIN

卷:14

Article

Slade, Gary D.^1,2,3  Bair, Eric^1,4,5  Greenspan, Joel D.^7,8,9  Dubner, Ronald^7,8,9  Fillingim, Roger B.^10,11  Diatchenko, Luda^1,4,12,13,14  Maixner, William^1,4,6  Knott, Charles¹⁵  Ohrbach, Richard¹⁶ 

[1] Univ N Carolina, Reg Ctr Neurosensory Disorders, Chapel Hill, NC USA

[2] Univ N Carolina, Dept Dent Ecol, Chapel Hill, NC USA

[3] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC USA

[4] Univ N Carolina, Dept Endodont, Chapel Hill, NC USA

[5] Univ N Carolina, Dept Biostat, Chapel Hill, NC USA

[6] Univ N Carolina, Dept Pharmacol, Chapel Hill, NC USA

[7] Univ Maryland, Sch Dent, Dept Oral & Maxillofacial Surg, Baltimore, MD 21201 USA

[8] Univ Maryland, Sch Dent, Dept Neural & Pain Sci, Baltimore, MD 21201 USA

[9] Univ Maryland, Sch Dent, Brotman Facial Pain Ctr, Baltimore, MD 21201 USA

[10] Univ Florida, Coll Dent, Dept Community Dent & Behav Sci, Gainesville, FL USA

[11] Pain Res & Intervent Ctr Excellence, Gainesville, FL USA

[12] Univ N Carolina, Carolina Ctr Genome Sci, Chapel Hill, NC USA

[13] McGill Univ, Dept Anesthesia, Montreal, PQ, Canada

[14] McGill Univ, Alan Edwards Ctr Res Pain, Montreal, PQ, Canada

[15] Battelle Mem Inst, Durham, NC USA

[16] SUNY Buffalo, Dept Oral Diagnost Sci, Buffalo, NY 14260 USA

关键词: Temporomandibular disorder;    prospective cohort studies;    demography;    socioeconomic factors;    population characteristics;   

DOI  :  10.1016/j.jpain.2013.07.014

来源: Elsevier

【 摘 要 】

Although cross-sectional studies of temporomandibular disorder (TMD) often report elevated prevalence in young women, they do not address the risk of its development. Here we evaluate sociodemographic predictors of TMD incidence in a community-based prospective cohort study of U.S. adults. Symptoms and pain-related disability in TMD cases are also described. People aged 18 to 44 years with no history of TMD were enrolled at 4 study sites when they completed questionnaires about sociodemographic characteristics. During the median 2.8-year follow-up period, 2,737 participants completed quarterly screening questionnaires. Those reporting symptoms were examined clinically and 260 had first-onset TMD. Additional questionnaires asked about severity and impact of their symptoms. Univariate and multivariable Cox regression models quantified associations between sociodemographic characteristics and TMD incidence. First-onset TMD developed in 3.9% of participants per annum, typically producing mild to moderate levels of pain and disability in cases. TMD incidence was positively associated with age, whereas females had only slightly greater incidence than males. Compared to whites, Asians had lower TMD incidence whereas African Americans had greater incidence, although the latter was attenuated somewhat after adjusting for satisfaction with socioeconomic circumstances. (C) 2013 by the American Pain Society

【 授权许可】

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