Is Social Network Diversity Associated with Tooth Loss among Older Japanese Adults?
Is Social Network Diversity Associated with Tooth Loss among Older Japanese Adults?
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DOI：
10.1371/journal.pone.0159970
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Kawachi I
中科院分区：
文献类型：
--
作者：
Aida J;Kondo K;Yamamoto T;Saito M;Ito K;Suzuki K;Osaka K;Kawachi I
我们试图考察社会网络多样性作为口腔健康的潜在决定因素，考虑到社会网络的大小和联系频率以及口腔健康行为。我们的横断面研究基于2010年日本老年学评估研究的数据。分析了19756名年龄在65岁或以上的社区居民的数据。我们根据七种类型的朋友询问了友谊的多样性。建立有序Logistic回归模型，以确定社会网络的多样性与牙齿数量之间的关联(分类为≥20、10-19、1-9和0)。在参与者中，54.1%是女性(平均年龄73.9岁；标准差6.2岁)。有≥20牙齿的受访者比例为34.1%。在调整了年龄、性别、社会经济状况(收入、教育和职业)、婚姻状况、健康状况(糖尿病和精神健康)以及社会网络的规模和联系频率后，社会网络的多样性的增加与拥有更多的牙齿显著相关(优势比=1.08；95%可信区间1.04-1.11)。即使调整了口腔健康行为(吸烟、治疗性/预防性牙科护理、使用牙线/含氟牙膏)，仍观察到显著的相关性(优势比=1.05(95%可信区间，1.02-1.08))。不同背景的人之间的社会联系可以增加信息渠道，促进口腔健康行为的传播，防止牙齿脱落。
We sought to examine social network diversity as a potential determinant of oral health, considering size and contact frequency of the social network and oral health behaviors. Our cross-sectional study was based on data from the 2010 Japan Gerontological Evaluation Study. Data from 19,756 community-dwelling individuals aged 65 years or older were analyzed. We inquired about diversity of friendships based on seven types of friends. Ordered logistic regression models were developed to determine the association between the diversity of social networks and number of teeth (categorized as ≥20, 10–19, 1–9, and 0). Of the participants, 54.1% were women (mean age, 73.9 years; standard deviation, 6.2). The proportion of respondents with ≥20 teeth was 34.1%. After adjusting for age, sex, socioeconomic status (income, education, and occupation), marital status, health status (diabetes and mental health), and size and contact frequency of the social network, an increase in the diversity of social networks was significantly associated with having more teeth (odds ratio = 1.08; 95% confidence interval, 1.04–1.11). Even adjusted for oral health behaviors (smoking, curative/preventive dental care access, use of dental floss/fluoride toothpaste), significant association was still observed (odds ratio = 1.05 (95% confidence interval, 1.02–1.08)). Social connectedness among people from diverse backgrounds may increase information channels and promote the diffusion of oral health behaviors and prevent tooth loss.