Ethnicity, Social, and Clinical Risk Factors to Tooth Loss among Older Adults in the U.S., NHANES 2011-2018.
Ethnicity, Social, and Clinical Risk Factors to Tooth Loss among Older Adults in the U.S., NHANES 2011-2018.
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DOI：
10.3390/ijerph19042382
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发表时间：
2022-02-18
影响因子：
--
通讯作者：
Chae W
中科院分区：
文献类型：
--
作者：
Lee H;Kim D;Jung A;Chae W
背景许多老年人口腔健康状况不佳，包括牙齿脱落，种族/族裔和社会弱势群体之间的差距继续存在。方法.数据来自美国成年人群的国家健康和营养检查调查，对15，821名成年人（包括亚洲人，黑人，西班牙裔，白人和其他人）进行了无牙症的患病率和多元回归模型，以评估牙齿脱落与其预测因素之间的关系。结果牙齿完全脱落的患病率随着年龄的增长而增加，从20-44岁的0.7%增加到65岁及以上的20.2%。牙齿完全脱落在种族/民族方面存在差异，白人和黑人的百分比最高（9%），亚洲人（3%）和西班牙裔（4%）的百分比最低。在调整预测因素后，它们对牙齿脱落的影响在种族/民族群体中并不一致，因为从模型1（β =-1.974，p < 0.0001）到模型5（β =-1.1705，p < 0.0001），亚洲人的牙齿脱落更多。结论即使在控制了全国代表性样本中的其他预测因素后，老年人和种族/民族群体的牙齿脱落率也显着较高。研究结果指出，小组量身定制的预防是必要的。
Background. Many older adults suffer from poor oral health, including tooth loss, and disparities among racial/ethnic and socially disadvantaged populations continue to exist. Methods. Data were obtained from the National Health and Nutrition Examination Survey among the adult population in the U.S. The prevalence of edentulism and multiple regression models were conducted on 15,821 adults, including Asians, Blacks, Hispanics, Whites, and others to assess the relationships between tooth loss and their predictors. Results. The prevalence of complete tooth loss increased with age from 0.7% for ages 20–44 to 20.2% for ages 65 and over. There are disparities in complete tooth loss regarding race/ethnicity, with the highest percentages (9%) among Whites and Blacks and the lowest percentages among Asians (3%) and Hispanics (4%). After adjusting for predictors, their impact on tooth loss was not consistent within racial/ethnic groups, as Asians had more tooth loss from Model 1 (β = −1.974, p < 0.0001) to Model 5 (β = −1.1705, p < 0.0001). Conclusion. Tooth loss was significantly higher among older adults and racial/ethnic groups even after controlling for other predictors among a nationally representative sample. The findings point to the fact that subgroup-tailored preventions are necessary.
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作者：
Beydoun, May A.;Beydoun, Hind A.;Zonderman, Alan B.
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Zonderman, Alan B.
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