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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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Marginalization and tooth loss in older Mexican adults.
A Garcia Perez1, K G Rodríguez González2, J A Rodríguez Chávez3
1Faculty of Higher Studies Iztacala, National Autonomous University of Mexico (UNAM), State of Mexico, Mexico.
Community Dental Health
|August 29, 2023
Summary
Higher levels of marginalization are linked to increased tooth loss in older Mexican adults. This highlights the need for targeted oral health interventions in underserved communities.
Area of Science:
- Public Health
- Epidemiology
- Dental Public Health
Background:
- Tooth loss is a significant oral health issue affecting adults, particularly older populations.
- Socioeconomic factors, such as marginalization, can disproportionately impact oral health outcomes.
- Understanding the relationship between marginalization and tooth loss is crucial for developing equitable health strategies.
Purpose of the Study:
- To investigate the association between the degree of community marginalization and tooth loss among adults aged 50 years and older in Mexico.
- To identify specific demographic and health-related factors associated with tooth loss in this population.
Main Methods:
- A retrospective cross-sectional study utilized data from 2098 adults in communities with varying levels of marginalization in Mexico.
- Tooth loss prevalence was assessed using the Decayed, Missing and Filled teeth (DMFT) index.
- Negative binomial regression analysis was performed to determine the rate ratio (RR) of tooth loss associated with marginalization and other factors.
Main Results:
- Over 62% of participants experienced tooth loss, with higher prevalence in communities of high and very high marginalization (RR=1.19).
- Tooth loss was also significantly associated with being male (RR=1.19), older age (≥70 years, RR=1.77), illiteracy (RR=1.60), and poor oral hygiene (RR=1.26).
- Individuals in communities with medium marginalization had a lower risk of tooth loss compared to those in highly marginalized areas.
Conclusions:
- High and very high levels of marginalization are significantly associated with tooth loss in older Mexican adults.
- There is a clear need for effective oral health strategies and improved access to quality dental services for marginalized populations.
- Addressing marginalization is key to preventing tooth loss and reducing oral health disparities.
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