美国成年人缺少牙和全因死亡率
Paul I Eke1, Liang Wei2, Gina Thornton-Evans1
1Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Atlanta, Georgia, USA.
Periodontology 2000
|October 23, 2025
概括
完全失去牙 (牙) 显著增加了美国30岁以上成年人的死亡风险. 失去一些牙,但不是所有的牙,与死亡风险没有显著的关联.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是指老年学的学科.
背景情况:
- 牙脱落是美国成年人中普遍存在的问题.
- 口腔健康和整体死亡率之间的关联需要进一步研究.
研究的目的:
- 检查不同程度的牙脱落与全因死亡率之间的关系.
- 为了确定完全失去牙 (牙磨损) 是否是美国成年人死亡率的重要预测因素.
主要方法:
- 来自国家健康和营养检查调查 (NHANES) III (1988-1994) 的8710名美国成年人的分析.
- 将基线数据与2006年国家卫生统计中心 (NCHS) 的死亡记录联系起来.
- 基于基线牙状况的死亡率的统计分析 (完全牙,部分牙,牙).
主要成果:
- 埃登图主义与所有原因死亡率的增加显著相关 (HR=2.58,95% CI:1.81-3.69),即使经过调整 (HR=1.45,95% CI:1.02-2.05).
- 与所有牙 (9.9/1000人年) 相比,完全没有牙的个体的死亡率更高 (29.3/1000人年).
- 在同变量调整后,没有发现死亡率和失去一些 (但不是全部) 牙之间的显著关联.
结论:
- 完全失去牙 (牙) 是美国30岁以上成年人全因死亡率的统计学显著预测因素.
- 即使考虑到各种混因素,与牙症相关的死亡风险仍然存在.
- 失去不到28颗牙似乎与这一群体的死亡风险增加没有显著联系.
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