Sociodemographic and health-related risk factors associated with tooth loss among adults in Rhode Island.

Sociodemographic and health-related risk factors associated with tooth loss among adults in Rhode Island.
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DOI:
10.5888/pcd10.110285
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发表时间:
2013
影响因子:
5.5
通讯作者:
Fuller DL
Fuller DL
中科院分区:
医学3区
文献类型:
--
作者:
Jiang Y;Okoro CA;Oh J;Fuller DL

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口腔健康是整体健康和福祉的组成部分。罗得岛州一级关于牙齿脱落决定因素的信息很少。本研究的目的是系统地确定社会人口学特征,健康行为,健康状况和残疾,以及牙科保险覆盖率与牙齿脱落之间的非制度化的成年人在罗得岛。我们在2011年分析了罗得岛2008年和2010年行为风险因素监测系统的调查数据。该调查有4个牙齿脱落的回答类别:无,1至5,6或更多,但不是全部,以及全部。我们使用多项逻辑回归模型来评估4个危险因素领域与牙齿脱落之间的关系。估计57.6%的罗得岛成年人牙齿完整,28.9%的人有1至5颗牙齿缺失,8.9%的人有6至31颗牙齿缺失,4.6%的人缺牙。低收入,低教育,不健康的行为(即以前或现在吸烟,不从事体力活动),慢性病(即糖尿病和肥胖)或残疾,以及没有牙科保险的受访者与他们的参考组相比更有可能牙齿较少。然而,这些变量与牙齿脱落的相关性在不同年龄组之间并不一致。报告危险健康行为或健康受损的成年人可能被视为预防牙齿脱落和促进良好口腔健康的目标亚群。
Oral health is an integral component of overall health and well-being. Very little Rhode Island state-level information exists on the determinants of tooth loss. The objective of this study was to systematically identify sociodemographic characteristics, health behaviors, health conditions and disabilities, and dental insurance coverage associated with tooth loss among noninstitutionalized adults in Rhode Island. We analyzed Rhode Island’s 2008 and 2010 Behavioral Risk Factor Surveillance System survey data in 2011. The survey had 4 response categories for tooth loss: none, 1 to 5, 6 or more but not all, and all. We used multinomial logistic regression models to assess the relationship between 4 risk factor domains and tooth loss. An estimated 57.6% of Rhode Island adults had all their teeth, 28.9% had 1 to 5 missing teeth, 8.9% had 6 to 31 missing teeth, and 4.6% were edentulous. Respondents who had low income, low education, unhealthy behaviors (ie, were former or current smokers and did not engage in physical activity), chronic conditions (ie, diabetes and obesity) or disabilities, and no dental insurance coverage were more likely to have fewer teeth compared with their referent groups. However, the association of these variables with tooth loss was not uniform by age group. Adults who report risky health behaviors or impaired health may be considered target subpopulations for prevention of tooth loss and promotion of good oral health.
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