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Factors affecting tooth loss among the elderly population in China |
LI Xingyun, CHEN Jianzhi
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School of Stomatology, Zhejiang Chinese Medical University, Hangzhou, Zhejiang 310000, China |
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Abstract Objective To investigate the status and influencing factors of tooth loss among the elderly population in China, so as to provide insights into early prevention of tooth loss. Methods Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS), data of the elderly people aged 65 years and older who participated in the survey in 2018 were collected, including demographic information, lifestyle, dietary habits, medical history, number of teeth remaining and self-assessment indicators. The status of tooth loss among the elderly were described based on the standard of 28 teeth, and factors affecting tooth loss were analyzed using a multivariable ordinal logistic regression model. Results A total of 5 260 people was recruited, including 3 346 males (63.61%) and 1 914 females (36.39%). The median age was 78.00 (interquartile range, 18.00) years. The median number of teeth remaining was 12.00 (interquartile range, 23.00), and the median number of missing teeth was 16.00 (interquartile range, 23.00). Multivariable ordinal logistic regression analysis showed that the elderly who were female (OR=1.270, 95%CI: 1.098-1.470), had advanced age (OR=1.090, 95%CI: 1.083-1.098), lived in rural areas (OR=1.369, 95%CI: 1.165-1.610) and urban areas (OR=1.208, 95%CI: 1.027-1.422), smoked (past, OR=1.471, 95%CI: 1.240-1.746; always, OR=1.545, 95%CI: 1.300-1.838) and brushed teeth less than once a day (OR=1.791, 95%CI: 1.488-2.160) had more missing teeth; while the elderly who had high levels of education (junior high school, OR=0.819, 95%CI: 0.681-0.972; high school, OR=0.626, 95%CI: 0.507-0.771; college and above, OR=0.468, 95%CI: 0.334-0.657), kept physical exercise (OR=0.840, 95%CI: 0.736-0.958) and were overweight/obese (OR=0.868, 95%CI: 0.769-0.980) had less missing teeth. Conclusion Gender, age, residence, educational level, smoking, physical exercise, teeth brushing frequency and overweight/obese are the influencing factors for tooth loss among the elderly in China.
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Received: 19 December 2023
Revised: 11 March 2024
Published: 15 April 2024
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[1] 胡秀静,徐越,姚丁铭,等.老年人健康素养与促进策略研究[J].预防医学,2022,34(4):361-365,370. [2] 吕晓强,丁福.老年人口腔健康研究进展[J].中国老年保健医学,2020,18(5):98-101. [3] 李佳,金丽欧,陈实,等.口腔健康对老年人营养状况的影响[J].中国老年学杂志,2020,40(17):3790-3792. [4] MONTERO J,LEIVA L A,MARTIN-QUINTERO I,et al.Determinants of masticatory performance assessed by mixing ability tests[J]. J Prosthet Dent,2022,128(3):382-389. [5] 王兴. 第四次全国口腔健康流行病学调查报告[M].北京:人民卫生出版社,2018. [6] 笪东欣,王飞,张皓,等.中老年人缺牙数目与高血压的相关性研究[J].中国实用口腔科杂志,2018,11(12):750-753. [7] 高巍,刘力生,王兴宇,等.北京社区老年人群缺牙数与认知障碍的关系[J].中华老年口腔医学杂志,2015,13(3):164-167. [8] 卞添颖,张皓,毛艳敏,等.上海市65~74岁老年人失牙状况流行病学调查和危险因素分析[J].上海口腔医学,2019,28(6):622-626. [9] 柳键,荣文笙.口腔健康调查基本方法(第五版)[M].北京:人民卫生出版社,2017. [10] DA D X,WANG F,ZHANG H,et al. Association between tooth loss and hypertension among older Chinese adults:a community-based study[J/OL]. BMC Oral Health,2019,19(1)[2024-03-11]. https://doi.org/10.1186/s12903-019-0966-3. [11] 黄丽,韩志霞,笪东欣,等.上海市松江区敬老院老年人失牙状况分析[J].上海预防医学,2020,32(10):805-809,815. [12] 李静,曹书艳,楼燕凤,等.南京市老年人缺失牙状况及其生活方式影响因素[J].中华老年口腔医学杂志,2022,20(2):89-94. [13] 黄娟,龚放华.老年人口腔健康调查及其影响因素分析[J].中西医结合护理,2020,6(1):102-108. [14] TALAKEY A A, BERNABÉ E.Long-term regular dental attendance and tooth retention among British adults:a cross-sectional analysis of national survey data[J]. Int J Dent Hyg,2019,17(1):64-70. [15] 谢黎阳. 昆明市老年人牙缺损失与修复状况及相关影响因素研究[D].昆明:昆明医科大学,2019. [16] TOMAR D,MENON I,SINGH A,et al.Comparative study of risk indicators associated with tooth loss among adult population in urban and rural areas of Muradnagar,Ghaziabad,Uttar Pradesh,India[J]. J Family Med Prim Care,2019,8(2):528-534. [17] PANASIUK L,KOSINIAK-KAMYSZ W,HOROCH A,et al.Tooth loss among adult rural and urban inhabitants of the Lublin Region[J]. Ann Agric Environ Med,2013,20(3):637-641. [18] YANG H M,HAN R L,WANG Z J. Socioeconomics,health-related factors,and tooth loss among the population aged over 80 years in China[J/OL]. BMC Public Health,2022,22(1)[2024-03-11]. https://doi.org/10.1186/s12889-022-12861-2. [19] 林慧平,苏云福,丁奕健,等.牙病就诊患者口腔保健知识及行为状况调查[J].预防医学,2016,28(7):744-747. [20] 杜嘉琪,王翔宇,李俊明,等.山西省居民含氟牙膏防龋功效认知和使用情况调查[J].预防医学,2020,32(7):733-735,739. [21] HANIOKA T,OJIMA M,TANAKA K,et al.Association of total tooth loss with smoking,drinking alcohol and nutrition in elderly Japanese:analysis of national database[J]. Gerodontology,2007,24(2):87-92. [22] 吴侃,李巍铭,钟亦思,等.成都市社区中老年人口腔健康相关生活质量评价及其影响因素分析[J].华西口腔医学杂志,2022,40(4):440-445. [23] 王乐康,谢俊龙.吸烟习惯对牙周炎患者牙龈液hBD-2,hBD-3及炎症因子水平表达的影响[J].重庆医学,2020,49(24):4168-4171,4175. [24] SAMNIENG P,UENO M,ZAITSU T,et al.The relationship between seven health practices and oral health status in community-dwelling elderly Thai[J]. Gerodontology,2013,30(4):254-261. [25] BRUSIUS C D,ALVES L S,MALTZ M. Association between toothbrushing frequency and dental caries and tooth loss in adolescents:a cohort study[J/OL]. Braz Oral Res,2023,37[2024-03-11]. https://doi.org/10.1590/1807-3107bor-2023.vol37.0127. |
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