失去牙和残疾和死亡率的社会经济不平等:日本的一项大型前性队列研究
Yusuke Matsuyama1, Richard G Watt2, Jun Aida1
1Department of Dental Public Health, Institute of Science Tokyo.
Journal of epidemiology
|January 12, 2026
概括
解决失去牙的不平等问题可以减少老年人健康寿命的社会经济差异. 这对于促进健康平等和延长无残疾年龄至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 无残疾人寿命的社会经济不平等正在增加.
- 可修改的风险因素,包括牙损失,可能会调解这些差异.
研究的目的:
- 评估风险因素,特别是牙损失在与残疾发病和死亡率相关的社会经济不平等中的调解作用.
- 为了分析日本老年人的这些关联.
主要方法:
- 前性队列研究 (日本老年学评估研究) 参与了48,474名年龄≥65岁的参与者.
- 随访时间中位数为9.0年,评估时间变化的调解者.
- 离散时间生存分析和卡尔森-霍尔姆-布林方法通过11个调解器来分解社会经济地位 (SES) 的影响.
主要成果:
- 29.1%的参与者经历了残疾或死亡.
- 最低的SES四分位数与最高的SES组相比,残疾/死亡风险比率高1.26倍.
- 牙损失是第二大调解因素 (12.4%),仅次于中度抑郁 (16.0%),与SES的关联最强.
结论:
- 减少牙脱落方面的不平等是缓解无残疾寿命社会经济差异的潜在策略.
- 针对牙脱落的干预措施可以改善老年人群的健康平等.
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