Associations between self-assessed masticatory disability and health of community-residing elderly people
Associations between self-assessed masticatory disability and health of community-residing elderly people
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DOI：
10.1111/j.1600-0528.1999.tb02033.x
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发表时间：
1999-10-01
影响因子：
2.3
通讯作者：
Tatara, K
中科院分区：
文献类型：
--
作者：
Nakanishi, N;Hino, Y;Tatara, K
目的：探讨社区老年人自评咀嚼功能障碍与健康的关系。方法：于1992-10随机抽取大阪府泽津65岁及以上老年人1473人，通过入户访谈获得一般健康状况、健康管理史、心理社会状况、牙科状况等资料。1306例患者完成54个月随访(93.0%；存活1072例，死亡234例)。结果：75岁以上、一般健康状况差、牙齿状况差、未进行牙科健康检查、未参加一般健康检查、不参加社会活动、不觉得生活有价值(无“ikigai”)、对未来感到焦虑等因素与自评咀嚼功能障碍显著相关。Logistic回归分析显示，年龄大于75岁、一般健康状况差、牙齿状况差、不做牙科健康检查、不参加社会活动是影响咀嚼功能障碍的独立危险因素。Cox比例风险模型显示，男性、75岁以上、一般健康状况不佳、不进行一般健康检查、不参加社会活动与死亡率独立相关。自我评估咀嚼功能障碍与死亡率是单变量且显著相关的，但由于其他变量的潜在影响，自身并不是死亡率的显著危险因素。结论：某些健康和心理社会因素与老年人的自我评估咀嚼功能障碍密切相关。需要进一步的研究来确定咀嚼功能障碍是否是死亡率的重要危险因素。
Objective: To examine the relationship between the self-assessed masticatory disability and the health of community-residing older people. Methods: Of 1473 randomly selected people aged 65 years and older Living in Settsu, Osaka Prefecture, in October 1992, data on general health status, history of health management, psychosocial conditions, and dental conditions were obtained from 1405 people by interviews made during home visits. Follow-up for 54 months was completed for 1306 subjects (93.0%; 1072 living, 234 deceased). Results: Being over 75 years of age, having poor general health and poor dental status, not using dental health checks, not using general health checks, not participating in social activities, not feeling that life is worth living (no "ikigai"), and feeling anxious about the future were univariately and significantly associated with self-assessed masticatory disability. Logistic regression analyses indicated that being older than 75 years, having poor general health and poor dental status, not using dental health checks, and not participating in social activities were independently associated with self-assessed masticatory disability. The Cox proportional hazards model showed that being male, over 75 years of age, and in poor general health, as well as not using general health checks, and not participating in social activities were independently associated with mortality. Self-assessed masticatory disability was univariately and significantly related to mortality, but by itself was not a significant risk factor for mortality, because of the potential influence of other variables. Conclusions: Certain health and psychosocial factors are closely associated with self-assessed masticatory disability among older people. Further investigations are needed to determine whether masticatory disability is a significant risk factor for mortality.