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Behavioral Pathway between Social Support and Network, and Edentulism
F Alobaidi1, E Heidari1, W Sabbah1
1Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
Journal of Dental Research
|May 5, 2025
Summary
Behavioral clusters significantly influence tooth loss in older adults. Improving socioeconomic conditions can positively impact behaviors and oral health outcomes.
Area of Science:
- Gerontology
- Public Health
- Behavioral Science
Background:
- Edentulism (tooth loss) is a significant issue in older populations.
- Understanding the interplay of behaviors, social factors, and socioeconomic status is crucial for public health interventions.
Purpose of the Study:
- To examine behavioral clustering in older English adults.
- To investigate the relationships between behavioral clusters, social support/network, socioeconomic factors, and edentulism.
Main Methods:
- Utilized data from the English Longitudinal Study of Ageing (ELSA).
- Employed Latent Class Analysis (LCA) for behavioral clustering (smoking, alcohol, diet, physical activity).
- Used Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM) to assess variable relationships.
Main Results:
- Identified two distinct behavioral clusters: 'risky' and 'healthy'.
- Social support and network indirectly influenced edentulism via behavioral clusters.
- Higher socioeconomic position directly and indirectly predicted being dentate (having teeth).
Conclusions:
- Behavioral clusters mediate the relationship between social support, socioeconomic position, and edentulism.
- Interventions targeting socioeconomic conditions may improve health behaviors and oral health in older adults.
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