Socio-economic and behavioural risk factors for tooth loss from age 18 to 26 among participants in the dunedin multidisciplinary health and development study
Socio-economic and behavioural risk factors for tooth loss from age 18 to 26 among participants in the dunedin multidisciplinary health and development study
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DOI：
10.1159/000016610
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发表时间：
2000-09-01
期刊：
影响因子：
4.2
通讯作者：
Boyd, D
中科院分区：
文献类型：
--
作者：
Thomson, WM;Poulton, R;Boyd, D
确定与18至26岁之间牙齿脱落相关的危险因素。方法：在达尼丁多学科健康与发展研究中，对18岁和26岁的研究成员进行牙科检查，并使用自我报告问卷收集社会人口统计学和牙科服务使用数据。在15岁时，通过对男性父母的职业进行分类，获得了每个研究成员的社会经济地位（SES）的估计。牙齿脱落的定义是指在18岁至26岁之间因龋齿而失去一颗或多颗牙齿（第三磨牙除外）的人。使用Logistic回归和泊松分析对牙齿脱落的发生进行建模。结果：在821名在两个年龄段接受检查的研究成员中，有85人（10.3%）因龋齿而脱落一颗或多颗牙齿。在控制了性别、社会经济地位和访问模式后，基线蛀牙经历预测了随后的牙齿脱落，在18岁时，蛀牙面数量每增加1，几率就增加2.8。在观察期间，不定期去看牙医的人掉牙的几率是定期去看牙医的人的3.1倍。在不定期看牙医的人群中，牙齿脱落的数量平均高出2.3倍。结论：牙齿脱落的社会经济不平等似乎在生命早期就开始了，并受到个体的社会经济地位和牙科就诊模式的影响。版权所有(C) 2000 S. Karger AG，巴塞尔。
To determine the risk factors associated with tooth loss between the ages of 18 and 26. Methods, Dental examinations at ages 18 and 26 were conducted on Study members in the Dunedin Multidisciplinary Health and Development Study, and sociodemographic and dental service use data were collected using a self-report questionnaire. At age 15, an estimate of socioeconomic status (SES) for each Study member had been obtained by classifying the occupation of the male parent. A case of tooth loss was defined as an individual who had lost one or more teeth (excluding third molars) due to caries between ages 18 and 26. Logistic regression and Poisson analysis were used to model the occurrence of tooth loss. Results: Among the 821 study members who were examined at both ages, one or more teeth were lost because of caries by 85 (10.3%). After controlling for sex, SES and visiting pattern, baseline caries experience predicted subsequent tooth loss, with the odds increasing by 2.8 for every increase by 1 in the number of decayed surfaces present at age 18. Episodic dental visitors had 3.1 times the odds of their routine visiting counterparts of losing a tooth over the observation period. The number of teeth lost was, on average, 2.3 times higher among episodic dental visitors. Conclusions: Socio-economic inequalities in tooth loss appear to begin early in the life course, and are modified by individuals' SES and dental visiting patterns. Copyright (C) 2000 S. Karger AG, Basel.