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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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失去牙解释了痴呆症中的收入不平等
Satomi Shimada1, Yusuke Matsuyama1, Jun Aida1
1Department of Dental Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.
Journal of dentistry
|December 9, 2024
概括
低收入与更高的痴呆风险有关,牙损失部分解释了这一关联. 保持自然牙可能有助于减少老年人痴呆症的不平等.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 社会经济地位显著影响健康结果,包括口腔健康和认知功能.
- 在全球范围内观察到痴呆症患病率的差异,通常与收入水平相关.
研究的目的:
- 调查牙脱落在收入和痴呆发病率之间的关系中的调解作用.
- 量化牙损失在多大程度上解释了痴呆症中与收入相关的不平等.
主要方法:
- 利用了来自日本老年学评估研究 (N=21,306,年龄≥65) 的数据.
- 采用Cox的比例危险回归来分析收入和痴呆症发病率.
- 进行因果调解分析,以评估自然牙数量的影响.
主要成果:
- 较低的收入与痴呆症风险增加有关 (HR 1.18 [1.10; 1.26]).
- 收入较低的参与者自然牙较少.
- 控制牙数量部分减弱了收入与痴呆症的关联,牙损失占6.6%.
结论:
- 失去牙部分调解了收入较低和痴呆症发病率较高之间的关联.
- 预防牙脱落是缓解老年人痴呆症社会经济不平等的一个潜在策略.
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