Social inequality in oral health-related quality-of-life, OHRQoL, at early older age: Evidence from a prospective cohort study
Social inequality in oral health-related quality-of-life, OHRQoL, at early older age: Evidence from a prospective cohort study
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DOI：
10.3109/00016357.2011.568965
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发表时间：
2011-11-01
影响因子：
2
通讯作者：
Unell, Lennart
中科院分区：
文献类型：
--
作者：
Astrom, Anne Nordrehaug;Ekback, Gunnar;Unell, Lennart
目标。本研究旨在评估社会行为特征对65岁口腔日常表现影响（OIDP）的长期影响，以及50 - 65岁社会行为特征变化对65岁口腔日常表现影响的影响。方法。1992年，瑞典两个县所有50岁的人被邀请参加一项纵向调查。共有6346人回应，其中4143人在55岁、60岁和65岁时完成了随访。结果。在65岁时，26.9%的人有口腔影响。移民、未婚、经济障碍、总体健康状况不佳、牙科保健质量差、每年看牙医次数少、社交网络有限、50岁吸烟的受试者在65岁时口腔受到的影响比相反年龄组的受试者更频繁。与稳定的优势群体相比，稳定的弱势群体在婚姻状况、健康状况、吸烟和报告的护理质量方面的口腔影响的ORs增加。与稳定的优势组相比，那些健康状况、牙科护理和口腔保健质量恶化的人以及戒烟的人口腔影响的ORs增加。结论。50岁时的不利社会行为条件对65岁时的OHRQoL有长期的不利影响。社会行为环境的恶化与口腔影响的增加有关。通过设置经济障碍、确保提供高质量护理和提倡健康的生活方式，及早预防社会行为逆境的影响，似乎有可能减少老年人的口腔影响。
Objectives. This study aimed to assess the long-term effect of socio-behavioral characteristics on oral impacts on daily performances (OIDP) at age 65 and the influence on OIDP at age 65 of changes in socio-behavioral characteristics between age 50 and 65. Methods. In 1992, all 50-year-olds in two counties of Sweden were invited to participate in a longitudinal survey. A total of 6346 responded and, of those, 4143 completed follow-ups at ages 55, 60 and 65 years. Results. At age 65, 26.9% had oral impacts. Subjects being immigrants, being unmarried, reporting economic barriers, bad general health, bad quality dental care, less than annual dental attendance, limited social network and smoking at age 50 experienced oral impacts at age 65 more frequently than their counterparts in the opposite groups. Compared to the stable advantaged groups, stable disadvantaged groups regarding marital status, health status, smoking and reported quality of care had increased ORs for oral impacts. Compared to the stable advantaged groups, those who experienced deterioration with respect to health status, dental attendance and quality of oral health care and those who quitted smoking had increased ORs for oral impacts. Conclusions. Disadvantaged socio-behavioral condition at age 50 had a long lasting detrimental effect on OHRQoL at age 65. Deterioration in socio-behavioral circumstances was associated with increased oral impacts. Early protection against the effect of socio-behavioral adversity by imposing economic barriers, ensure provision of high quality care and by promotion of healthy lifestyles seems to have the potential to reduce oral impacts at older ages.