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Oral Health Assessment by Lay Personnel for Older Adults
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智利80岁老人的功能性牙和健康状况
Gustavo Sáenz-Ravello1,2, Johanna Contreras2, Mauricio Baeza1,2
1Center for Epidemiology and Surveillance of Oral Diseases (CESOD), Faculty of Dentistry, University of Chile, Santiago, Chile.
Gerodontology
|June 22, 2023
概括
在老年人 (≥80岁) 中保持至少20颗牙与更好的认知健康,社会参与和生活质量有关. 这种功能性牙支持老年人的营养摄入量和整体幸福感.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 口腔健康 口腔健康
背景情况:
- 健康老龄化十年倡议强调改善拉丁美洲老年人政策.
- 日本的"8020"运动成功地促进了口腔健康,到2016年,50%的80岁老人有≥20颗牙.
研究的目的:
- 调查80岁及以上个体的功能性牙 (≥20颗牙) 和认知健康之间的关联.
- 评估功能牙与老年人社会参与之间的联系.
- 评估功能牙与老年人生活质量之间的关系.
主要方法:
- 利用了来自智利2016-2017年国家健康调查的横截面数据,包括299个完整观察 (加权N=436,981) 的80岁以上的个体.
- 使用通用结构方程模型 (GSEM) 来分析关联,控制性别,教育和位置.
- 这些模型中包括了诸如水果/蔬菜消费和与口腔健康相关的生活质量等调解因素.
主要成果:
- 在80岁以上的参与者中,功能性牙的患病率为9.2%.
- 功能性牙与认知健康有显著的关联,以水果和蔬菜消费为媒介 (β=0.12,P=0.015).
- 强有力的证据将功能性牙与增加的社会参与频率 (β=2.76,P=0.009) 和改善的生活质量联系在一起,由认知健康和口腔健康相关的生活质量介导.
结论:
- 功能性牙对80岁及以上的个体的社会参与,营养状况和整体生活质量产生积极影响.
- 保持功能性牙对于促进老年人健康衰老和福祉至关重要.
- 这些发现支持旨在保护老年人口腔健康的公共卫生倡议.
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