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感知口功能和死亡率:一个因果研究

J R H Tay1,2, U Cooray3, A Chan1,4

  • 1Health Services and Systems Research Programme, Duke-NUS Medical School, Singapore, Singapore.

Journal of dental research
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概括
此摘要是机器生成的。

保持良好的能力与老年人的寿命延长有关. 这项研究发现,更好地感知口功能显著降低了亚洲人群全因死亡的风险.

关键词:
衰老的衰老 衰老的衰老流行病学流行病学消化 消化 消化 消化非参数统计的非参数统计.口腔健康是指口腔的健康状况.公共卫生公共卫生.

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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:

  • 功能对整体健康至关重要,可能会影响寿命.
  • 能力下降是全球老龄化人口日益关注的问题.
  • 针对功能的公共卫生干预措施可能会改善健康结果.

研究的目的:

  • 确定感知口功能与老年人全因死亡率之间的关联.
  • 用先进的统计方法量化感知到的功能对全因死亡率的因果影响.
  • 探索保持功能延长寿命的潜在好处.

主要方法:

  • 利用来自新加坡老年人的全国代表性纵向研究的数据.
  • 感知到的功能被评估为六个难度级别的时间变化的暴露.
  • 采用多变量考克斯回归和双重可靠的因果推断方法 (纵向修改的治疗策略) 进行分析.

主要成果:

  • 感知到的功能的每一个水平下降都与所有原因死亡的危险比率上升9%相关 (HR=1.09).
  • 患有任何程度的困难 (与没有困难) 的人,所有原因死亡风险比率 (HR=1.25) 高出25%.
  • 一个假设的场景保留所有参与者的最大口功能显示,在6年内生存概率增加3%.

结论:

  • 感知上升的功能与亚洲老年人全因死亡率的降低有显著的关联和因果关系.
  • 旨在保护或改善能力的干预措施可能有助于延长寿命,改善老年人的健康预期寿命.
  • 功能是一个可修改的因素,对人口老龄化有潜在的公共卫生影响.