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Atik Setiawan Wahyuningsih
Universitas STRADA Indonesia
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Journal : Health and Technology Journal (HTECHJ)

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Determinants of Oral Complications Among Diabetes Mellitus Patients at Industri Health Center Puspani, Desak Ketut Mahayati Tri; Wahyuningsih, Atik Setiawan; Astutik, Reni Yuli
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.635

Abstract

Diabetes mellitus (DM) increases patients’ susceptibility to various oral complications, including dental caries, periodontal disease, xerostomia, and oral candidiasis. This study aimed to examine the influence of demographic, clinical, behavioral, and oral health knowledge factors on the occurrence of oral complications among patients with DM, and to assess the potential mediating role of the Oral Hygiene Index-Simplified (OHI-S). An analytical observational study with a cross-sectional design was conducted involving 90 patients with DM selected through purposive sampling. Data analysis included Chi-square tests to assess bivariate associations (X→Y), Ordinary Least Squares (OLS) regression to evaluate the effects of independent variables on OHI-S scores (X→M), multivariate logistic regression to examine the association between OHI-S and oral complications (M→Y), and mediation analysis using OLS regression pathways. Most participants presented with moderate oral complications (54.44%), followed by mild (26.67%) and severe (18.89%) categories. Bivariate analysis revealed significant associations between oral health knowledge (χ² = 43.445; p < 0.001) and type of DM (χ² = 7.282; p = 0.026) with oral complications. OLS regression demonstrated that only oral health knowledge significantly influenced OHI-S scores (β = −0.392; p < 0.001). However, multivariate logistic regression indicated that OHI-S was not a significant predictor of oral complications (β = 0.0139; p = 0.957; OR = 1.014; 95% CI: 0.61–1.68). Furthermore, mediation analysis showed no significant indirect effects (all p > 0.95), indicating that OHI-S did not mediate the relationship between the studied determinants and oral complications. Oral complications among patients with DM in primary healthcare settings are multifactorial. While oral health knowledge and DM type were significant determinants at the bivariate level, OHI-S did not function as a significant predictor or mediator in the multivariate model.
Co-Authors Agusta Dian Elina Agusta Dian Ellina Agustin Widyowati Agustinus Bali Matkusa Alfian Fawzi Alfian Fawzi Amin Zakaria Anik Nuridayanti Astri Yunita Astutik, Ina Byba Melda Suhita Candra Wahyuni Cindy Linggar Fitrianingrum Dedi Saifulah Detri Yulianty Tobe Dudut Eko Juliawan Dwi Rahayu Elya Endriani Erni Rahmawati Erva Elli Kristanti Esmenia Maria Rodrigues Soares Eva Agustina Fajar Rinawati Fita Fitarusdian Fitra Okta Damayanti Fitria Nusantara, Ana Heri Saputro Ina Astutik Indasah Indasah Joel Rey Ugsang ACOB Joko Prasetyo Joko Sutrisno Kase, Siti Meltiana Kristoforus Tnomel Kurniawan Edi Priyanto Lalu Simbawara Lastareta, Rinay Linda Sukoco Mafalda Guterres De Carvalho Mafalda Guterres De Carvalho Mardova, Adelia Maria Putri Sari Utami Matkusa, Agustinus Bali Muhamad As’ad Efendi Muhammad Fanani NENY TRIANA Novita Kurnia Sari Nurdina Nurdina Nuridayanti, Anik Nurmayunita, Heny Nuryeny H Oktaviana, Santi Prayoga Kurniawan Prima Dewi Kusumawati Puspani, Desak Ketut Mahayati Tri Rahmawati, Septi Dwi Rahmawati, Septi Dwi Renaldy Anggi Agastya Reni Nurhidayah Reni Yuli Astutik Reni Yuli Astutik Restiya Agustin, Erda Rinay Lastareta Sadikin Apriadi Salmia Sandu Siyoto Sandu Siyoto, Sandu Santi Oktaviana Santi Oktaviana Santika, I Made Sari, Novita Kurnia Siswahyudianto Siti Meltiana Kase Siti Rofiatun Sugiharto, Mochamad Toto Sukoco, Linda Sumarmiati, Sumarmiati Sumiati Sumiati Sutik Sutrisno Sutrisno, Sutrisno Suwarto Suwarto Tamimi, Toriq Titih Huriah Titih Huriah Tobe, Detri Yulianty Utami, Maria Putri Sari Vitaria Wahyu Astuti Yalestyarini, Eva Agustina Yuan Mandira Wicaksana Yuli Peristiowati, Yuli Yulianti, Desak Made Yuly Peristiowati Yuni Asri Yuwono, Trisno