Examining the associations between oral health and social isolation: A cross-national comparative study between Japan and England
Examining the associations between oral health and social isolation: A cross-national comparative study between Japan and England
复制标题
DOI：
10.1016/j.socscimed.2021.113895
复制
发表时间：
2021-04-18
影响因子：
5.4
通讯作者：
Aida, Jun
中科院分区：
文献类型：
--
作者：
Koyama, Shihoko;Saito, Masashige;Aida, Jun
在西方国家，面部在交流中最重要的部分是嘴，而在亚洲国家是眼睛;因此口腔健康在西方国家的社会交往中可能更重要。我们的目的是通过比较日本和英国，研究老年人口腔健康状况与社会孤立之间的关联差异。我们使用了两项正在进行的前瞻性队列研究中65岁以上成年人的横断面信息：日本老年学评估研究（JAGES，N = 120，195）和英国老龄化纵向研究（艾尔莎，N = 3，958）。因变量，社会孤立得分（SIS）计算从五个因素（婚姻状况，社会支持的孩子，社会支持的家庭，社会支持的朋友，社会参与）。自变量为自报的剩余牙数（0，1-9，10- 1 - 9，>= 20）和义齿使用（>= 20颗牙齿，10-19颗牙齿戴假牙，10-19颗牙齿不戴假牙，0-9颗牙齿戴假牙，0-9颗牙齿不戴假牙），而模型中的协变量为：性别、年龄、受教育程度、自测健康状况、合并症数量、家庭年等效收入、心理健康状况、日常生活活动和吸烟状况。我们研究了口腔健康状况和SIS之间的关联应用有序logit模型的国家。与英国相比，更多的日本参与者被社会孤立（1.4%对5.8%），但较少的无牙（13.1%对7.7%）。在这两个国家，口腔健康状况较差进一步增加了被社会孤立的可能性。有序logit模型与交互作用项的汇总分析显示，在无牙颌参与者和英国，剩余牙齿数量与SIS的关联更强（比值比= 1.50，95%置信区间：1.26-1.80）。在这两个国家，口腔健康与社会隔离有关;这种联系在英国可能比在日本更强。
In Western countries, the most important part of the face in communication is the mouth, whereas it is the eyes in Asian countries; thus oral health could be more important in social interactions in Western countries. Our aim was to examine differences in the association between oral health status and social isolation among older people by comparing Japan and England. We used cross-sectional information obtained from adults aged 65+ in two ongoing prospective cohort studies: The Japan Gerontological Evaluation Study (JAGES, N = 120,195) and the English Longitudinal Study of Ageing (ELSA, N = 3,958). The dependent variable, social isolation score (SIS) was calculated from five factors (marital status, social support from children, social support from family, social support from friends, and social participation). The independent variables were self-reported number of remaining teeth (0, 1-9, 10-19, >= 20) and denture use (>= 20 teeth, 10-19 teeth with denture, 10-19 teeth without denture, 0-9 teeth with denture, 0-9 teeth without denture), while the covariates in the model were: sex, age, educational attainment, self-rated health, number of comorbidities, household annual equivalized income, mental health status, daily living activities, and smoking status. We examined associations between oral health status and SIS by applying an ordered logit model by country. Compared to England, more Japanese participants were socially isolated (1.4% vs. 5.8%), but fewer were edentulous (13.1% vs. 7.7%). In both countries, poorer oral health further increased the odds of being socially isolated. Pooled analysis of the ordered logit model with an interaction term showed that the association of number of remaining teeth with SIS was stronger in edentulous participants and in England (odds ratio = 1.50, 95% Confidence interval:1.26-1.80). In both countries, oral health was associated with social isolation; this association could be stronger in England than in Japan.