Lifetime prevalence of recurrent aphthous stomatitis and its related factors in Northern Iranian population: The PERSIAN
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ORIGINAL ARTICLE
Lifetime prevalence of recurrent aphthous stomatitis and its related factors in Northern Iranian population: The PERSIAN Guilan Cohort Study Abbas Darjani 1 & Farahnaz Joukar 2 Fariborz Mansour-Ghanaei 2,3
&
Mohammareza Naghipour 3
&
Mehrnaz Asgharnezhad 3
&
Received: 5 August 2020 / Accepted: 28 September 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Objectives Recurrent aphthous stomatitis (RAS) is one of the most prevalent oral inflammatory ulcerative lesions. The aim of this large population base study was estimated lifetime prevalence of RAS and its related factors among the Northern Iranian population. Materials and methods This study was conducted on 10,520 participants aged 35–70 years based on the PERSIAN Guilan Cohort Study (PGCS). Prevalence proportions and multivariate logistic regression models were constructed for lifetime RAS prevalence using the SPSS software. Data on potential correlates of RAS including demographic profiles, lifestyle habits, and self-reported past medical histories were obtained. Results The lifetime prevalence of RAS was 8.3%. Multivariate logistic models showed that urbanization (adjusted odds ratio (AOR) = 1.2) and having a history of systemic disease, including rheumatic disease (AOR = 2.1), genital aphthous disease (AOR = 11.7), depression (AOR = 1.3), chronic headaches (AOR = 1.8), diabetes mellitus (AOR = 1.6), and epilepsy (AOR = 2), were independent predictors of RAS. In addition, smokers (AOR = 0.5) and individuals older than 50 years of age (AOR = 0.8) were less likely to have a history of RAS. The lifetime prevalence of RAS among the Northern Iranian population was relatively low. Conclusions It seems that predisposing factors, such as younger age, urbanization, and systemic disease, including rheumatic disease, genital aphthous disease, depression, chronic headaches, diabetes mellitus, epilepsy, and not smoking, could contribute to RAS prevalence. Keywords Prevalence . Stomatitis . Aphthous . Related factor Clinical relevance Patients with underlying diseases, including rheumatic disease, depression, chronic headaches, diabetes mellitus, and epilepsy should pay special attention to oral health to prevent RAS. The practitioner should pay attention to the management of the underlying disease of RAS patients. This manuscript has not been published in whole or in part and is not under consideration elsewhere. * Fariborz Mansour-Ghanaei [email protected]; [email protected] Abbas Darjani [email protected]
1
Department of Dermatology, School of Medicine Guilan University of Medical Sciences, Rasht, Iran
2
GI Cancer Screening and Prevention Research center and Caspian Digestive Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
3
Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences , Razi Hospital, Sardar-Jangle Ave., Rasht 41448-95655, Iran
Farahnaz Joukar [email protected] Mohammareza Naghipour [email protected] Mehrnaz Asgharnezhad asgharnez
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