童年社会经济地位影响晚年生活中的牙痛
T Yamamoto1,2, U Cooray3,4, T Kusama3,5
1Department of Health Promotion, National Institute of Public Health, Saitama, Japan.
JDR clinical and translational research
|September 26, 2024
概括
儿童社会经济地位 (SES) 显著影响成人牙痛. 支持低SES儿童可以改善长期的口腔健康结果,并减少晚年牙疼痛.
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:
- 儿童社会经济地位较低 (SES) 与儿童牙痛增加有关.
- 童年SES可能会影响成人牙痛,独立于晚年SES,但这种联系需要进一步调查.
研究的目的:
- 调查儿童SES和老年人牙痛之间的因果调解途径.
- 为了确定童年SES是否预测了晚年生活中的牙痛,考虑了教育,收入,财产所有权和剩余的牙等调解因素.
主要方法:
- 从2019年日本老年学评估研究中对21,212名65岁以上的日本成年人进行横截面分析.
- 研究了儿童SES (低/中/高) 与过去6个月内自我报告的牙痛之间的关联.
- 使用修改后的Poisson回归来计算调整为共变量和潜在介质的流行率 (PRs).
主要成果:
- 近30%的参与者经历了牙疼痛,超过40%的人报告了儿童低SES.
- 较高的儿童SES与较高年龄的牙痛患病率显著降低相关 (中等年龄的PR=0.93,高年龄的PR=0.79).
- 大约40%的儿童SES和成人牙痛之间的关联是以后的生活SES和剩余牙数量为媒介.
结论:
- 早期社会经济支持对于在老年时保持良好的口腔健康至关重要.
- 促进终身方法的政策,以支持来自低SES背景的儿童,可以改善长期的口腔健康结果.
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