老年人牙脱落和口功能:新加坡15年基于人口的时间趋势研究
John Rong Hao Tay1, Huihua Li2, Fábio Renato Manzolli Leite3
1Health Services Research and Population Health Programme, Duke-NUS Medical School, Singapore, 8 College Rd, Singapore 169857, Singapore; Department of Restorative Dentistry, National Dental Centre Singapore, 5 Second Hospital Ave, Singapore 168938, Singapore.
Journal of dentistry
|December 14, 2025
概括
新加坡的老年人显示,在15年内,牙保留能力有所改善,但这并没有持续提高能力. 公共卫生倡议需要持续,有针对性的战略,以改善功能性口腔健康.
科学领域:
- 老年学是一门学科.
- 牙科公共卫生 牙科公共卫生
- 流行病学 流行病学
背景情况:
- 新加坡实施了全系统层面的牙科改革,以改善口腔卫生的获取和公平.
- 评估牙脱落和功能的长期趋势对于评估这些改革对老年人的影响至关重要.
研究的目的:
- 评估新加坡老年人牙脱落和功能15年趋势.
- 分析公共口腔健康倡议对老龄化人口口腔健康结果的影响.
主要方法:
- 利用来自新加坡老年人健康和老龄化专家组 (2009-2015年) 和健康,就业,社会参与和代际转移研究 (2023-2024) 的全国代表性数据.
- 雇用年龄标准化患病率估计和逻辑线性回归模型来量化时间趋势 (平均年均百分比变化).
- 按年龄,性别,教育程度和收入进行了分层分析.
主要成果:
- 根据年龄标准化的牙症显著下降,从2009年的39.3%下降到2023-2024年的23.7% (AAPC:-1.32%).
- 牙保留改善,特别是在女性和年轻的老年人 (67-74岁) 中,但功能整体上没有改善,在67-74岁的年龄组中恶化.
- 根据收入和教育程度的口腔健康差异持续存在,但在研究期间没有扩大.
结论:
- 在老年新加坡人中,牙保留的适度改善并不总是导致更好的功能.
- 研究结果强调需要持续,有针对性的公共口腔健康战略,解决社会和系统性决定因素,以支持老龄化人口的功能性口腔健康.
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