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Oral Health Assessment by Lay Personnel for Older Adults
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与健康相关的行为集群和老年人的功能性牙
Fatimah Alobaidi1, Ellie Heidari1, Wael Sabbah1
1Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
Gerodontology
|January 8, 2025
概括
具有多种危险健康行为的老年人更有可能经历牙损失. 采取适度或健康的行为显著增加了保持20个或更多牙的机会.
科学领域:
- 口腔卫生流行病学 口腔卫生流行病学
- 行为科学是一种行为科学.
- 老年学是指老年学的学科.
背景情况:
- 参与危险行为,如吸烟和饮食不良,会对牙保留产生负面影响,特别是在老年人中.
- 多种健康风险行为的同时发生很普遍,与慢性疾病和牙脱落有关.
- 保持功能性牙 (20多颗牙) 是老年人口面临的重大口腔健康挑战.
研究的目的:
- 在老年人中识别不同的健康相关行为集群.
- 调查这些已识别的行为集群与维持功能牙之间的关联.
主要方法:
- 英国长度老化研究 (ELSA) 第七波的横截面分析,涉及7783名参与者.
- 隐性类分析 (LCA) 用于根据吸烟,酒精摄入,水果/蔬菜消费和身体活动来识别集群.
- 根据人口和社会经济因素调整后的物流回归模型检查了行为集群和拥有20多颗牙之间的联系.
主要成果:
- 隐性类分析确定了三个不同的健康行为集群:风险,中度和健康.
- 与风险集群相比,中度行为集群的参与者保持功能牙的几率高出1.42倍.
- 健康行为群中的个体比风险群中的个体有20多颗牙的概率高1.70倍.
结论:
- 与健康相关的行为往往在老年人中聚集在一起,有风险的行为往往同时发生.
- 参与多种风险行为显著与拥有少于20颗牙的可能性更高有关.
- 针对这些行为集群及其驱动因素的公共卫生干预措施可以改善老年人群的口腔和整体健康.
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