社会逆境与多种疾病有因果关系,包括口腔疾病
A O Esemezie1,2, D J Lizotte2,3, G Tsakos4
1Dentistry, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Journal of dental research
|September 6, 2025
概括
包括低经济和社会资本在内的社会逆境导致老年人患口腔疾病 (OC) 和多病症 (包括口腔疾病 (MIOC)) 的风险增加. 这些影响在中年人群中最为明显.
科学领域:
- 健康的社会决定因素
- 口腔卫生流行病学
- 老年学与衰老研究
背景情况:
- 基本原因理论认为社会因素会影响疾病, 但口腔健康的直接因果关系尚不清楚.
- 社会逆境,包括低经济和社会资本,与各种疾病有关,包括口腔和全身疾病.
- 了解从社会逆境到口腔疾病和多病症的因果关系对于公共卫生干预至关重要.
研究的目的:
- 估计社会逆境对口腔疾病发展的因果关系.
- 评估社会逆境对多病症 (包括口腔疾病) 的因果关系.
- 检查这些因果影响是否因年龄或性别而异.
主要方法:
- 来自加拿大老龄化纵向研究 (CLSA) 队列的两次浪潮 (2011年和2018年) 的分析.
- 由低收入和社会资本 (社区参与,社会关系) 定义的社会逆境.
- 用于估计OC和MIOC发展的因果概率 (OR) 的物流边际结构模型.
主要成果:
- 在7年的时间里,社会逆境显著增加了OC (OR=1.9) 和MIOC (OR=1.7) 的几率.
- 社会逆境的因果影响在中年人群中最为明显.
- 在经历社会逆境的男性和女性中,同样增加了OC和MIOC的几率.
结论:
- 社会和经济资本与人口老龄化中的口腔疾病和多病症的发展有因果关系.
- 针对社会和生活条件的干预措施对于促进健康老龄化和减少健康差距至关重要.
- 这些发现强调了在口腔健康和整体系统健康战略中应对社会经济因素的重要性.
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