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邻居贫困和老年人口腔健康的变化:一项基于人口的纵向研究
S G Ganbavale1, E Papachristou2, J C Mathers1
1Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, North East England, UK.
Journal of dental research
|February 28, 2024
概括
邻里社会经济因素,客观和感知,显著影响老年人的口腔健康,导致牙脱落和口腔干燥随着时间的推移,独立于个人社会经济地位.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 牙科流行病学 牙科流行病学
背景情况:
- 社会经济因素显著影响健康结果,在老年人中越来越多地认识到社区层面的决定因素.
- 老年人口腔健康是整体健康的关键指标,容易受到各种环境和个人因素的影响.
研究的目的:
- 研究邻里社会经济因素 (客观和感知) 与老年人口腔健康不良之间的关联.
- 确定这些关联是否随着时间的推移而独立于个人的社会经济地位而持续存在.
主要方法:
- 2010-12年对1622名71-92岁的男性进行了长度观察研究,并于2018-19年进行了随访 (N=667).
- 评估牙科措施 (牙数量,口袋深度,自我评估的健康状况,口腔干燥) 和邻里剥夺 (多重剥夺指数 - IMD) 和感知质量.
- 采用多层次和多变量后勤回归,调整社会人口统计,行为和健康因素.
主要成果:
- 较高的邻居贫困 (IMD五分位数1-5) 与牙损失 (OR2.22) 牙周口袋 (OR2.82) 和口腔干燥 (OR1.51) 的风险增加有截面联系.
- 感知到邻里质量差也与口袋深度增加和口腔干燥相关.
- 从长度上看,最贫困的社区在8年内出现了明显更高的牙损失 (OR 2.32) 和口腔干燥.
结论:
- 邻里社会经济贫困和感知到邻里质量不佳是老年人口腔健康不佳的重要独立预测因素.
- 这些发现强调了基于地点的干预措施对于改善老龄化人口口腔健康结果的重要性.
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