Trends in prevalence of complete tooth loss among Australians, 1979-2002
Trends in prevalence of complete tooth loss among Australians, 1979-2002
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DOI：
10.1111/j.1467-842x.2004.tb00045.x
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发表时间：
2004-12-01
影响因子：
3.5
通讯作者：
Stewart, JF
中科院分区：
文献类型：
--
作者：
Sanders, AE;Slade, GD;Stewart, JF
Eclentulism是一个关键指标的口腔健康状况的人群，并与降低quality of life.Objective：To描述的时间趋势在澳大利亚成年population.Methods：数据的患病率在15岁及以上的人在1979年，1987/88年，1994年和2002年进行的四项全国性调查。针对男性和女性以及每个州/地区的每次调查计算了患病率估计值和标准误差。进行出生队列分析，以跟踪连续调查中患病率的变化。从1987/88年，1994年和2002年调查的数据进行年龄标准化，以1979年居民人口估计为每个州和地区和粗和调整后的患病率估计进行了比较。缺牙症的粗患病率从1979年的20.5%（95% CI 20.1-20.7）降至2002年的8.0%（95% CI 7.2-8.8）。2002年的年龄标准化估计值为7.1%（95%CI 6.5-7.7），仅略低。在23年期间，澳大利亚所有年龄、性别和州/地区的无牙症患病率大幅下降。1915年以后出生的3个出生队列的无牙颌患病率没有显著变化。结论：1979年至2002年，澳大利亚所有年龄、性别和州/地区的无牙颌患病率至少减少了一半。自1915年以来出生的队列中无牙症的患病率没有显着变化，驳斥了无牙症风险因年龄增长而增加的观点，这表明今天的老年人在20世纪50年代之前具有历史上较高的拔牙率，而随后的队列没有经历过。
Eclentulism is a key indicator of the oral health status of populations and is associated with reduced quality of life.Objective: To describe temporal trends in the prevalence of edentulism in the Australian adult population.Methods: Data were obtained from four national surveys of persons aged 15 years and over conducted in 1979, 1987/88, 1994 and 2002. Prevalence estimates and standard errors were calculated for each survey for males and females and each State/Territory. Birth cohort analysis was undertaken to track changes in prevalence across successive surveys. Data from the 1987/88, 1994 and 2002 surveys were age-standardised to the 1979 resident population estimates for each State and Territory and crude and adjusted prevalence estimates were compared.Results: The crude prevalence of edentulism declined from 20.5% (95% Cl 20.1-20.7) in 1979 to 8.0% (95% Cl 7.2-8.8) in 2002. The 2002 age-standardised estimate of 7.1% (95% Cl 6.5-7.7) was only marginally lower. There were substantial reductions in prevalence of edentulism in all ages, sexes and State/Territories of Australia during the 23-year period. There were no significant changes in edentulism prevalence in three birth cohorts born since 1915.Conclusion: Eclentulism prevalence at least halved between 1979 and 2002 among all ages, sexes and States/ Territories of Australia. There was no significant change in prevalence of edentulism in cohorts born since 1915, refuting the notion that the risk of edentulism increases due to ageing, suggesting instead today's elderly had historically high rates of extraction prior to the 1950s that have not been experienced by subsequent cohorts.