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老年人牙脱落,假牙使用,全因和因特定死亡率:一个社区队列研究
Miao Dai1, Quhong Song2, Taiping Lin2
1Department of Geriatrics, Jiujiang First People's Hospital, Jiujiang, Jiangxi, China.
Frontiers in public health
|June 21, 2023
概括
老年人失去牙增加了所有原因,心血管疾病和癌症的死亡风险. 假牙使用可以显著降低这种风险,减轻较少天然牙的影响.
科学领域:
- 老年学是指老年学的学科.
- 牙科公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 关于牙脱落,假牙使用和老年人死亡率之间的联系的现有证据是不确定的.
- 了解这些关联对于针对健康衰老的公共卫生倡议至关重要.
研究的目的:
- 调查65岁及以上成年人天然牙数量,假牙使用和全因和因特定死亡率之间的关联.
- 为了确定假牙使用是否减轻与牙损失相关的死亡风险.
主要方法:
- 来自2014年中国纵向健康长寿调查的5403名65岁以上的中国成年人.
- 来自2018年波的后续数据.
- 考克斯比例危险模型用于分析天然牙数,假牙使用和死亡结果之间的关系.
主要成果:
- 与那些有20个以上的牙相比,少于20颗天然牙 (0-9颗牙) 的个人表现出明显更高的全因死亡率,心血管疾病 (CVD) 死亡率,癌症死亡率和其他原因死亡率.
- 在牙脱落和呼吸道疾病死亡率之间没有发现显著的关联.
- 与非使用者相比,牙膏使用者对所有原因,心血管疾病,呼吸道疾病和其他原因的死亡率较低. 自然牙对全因死亡率的保护作用在80岁以下的个体中更为明显.
结论:
- 失去天然牙,尤其是少于10颗的牙,与因各种原因死亡的风险增加有关,除了呼吸道疾病.
- 假牙的使用有效地减轻了与牙损失相关的死亡风险增加,改善了全因和特定死因的生存率.
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