Orofacial pain among Chinese older adults in the last year of life.
Orofacial pain among Chinese older adults in the last year of life.
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作者：
探讨中国老年人临终时口面部疼痛的患病率及其相关因素。这项横断面研究包括1646名参与者（65岁或以上）在他们生命的最后一年，从中国纵向健康长寿调查（CLHLS）。我们用6个月的患病率问题来衡量两个特定的口面疼痛症状：牙痛，下颌或面部疼痛。Logistic回归分析被用来检查因素，如社会经济地位，健康行为和慢性疾病，与这两个口面疼痛症状在生命的最后一年。在生命的最后一年，老年人牙痛和下颌疼痛或面部疼痛的6个月患病率估计分别为14.1%和4.5%。较高的社会经济地位与较低的几率牙痛和下巴疼痛或面部疼痛。吸烟与牙痛的几率高有关。每天至少刷一次牙的参与者比那些不刷牙的人更容易牙痛和下巴或面部疼痛。患有任何慢性疾病都与牙痛、下巴或面部疼痛的几率较高有关。至少有一颗牙齿的老年人比没有牙齿的人更容易有下巴或面部疼痛。相当比例的中国老年人在生命的最后一年报告牙痛和/或下颌疼痛或面部疼痛。这些研究结果表明，需要采取适当的措施来解决这些弱势群体的口腔健康需求，特别是那些社会经济地位低和慢性病患者。
To examine the prevalence of orofacial pain and associated factors in Chinese older adults at the end of life. This cross-sectional study included 1646 participants (65 years or older) in their last year of life from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). We used the 6-month prevalence questions to measure two specific orofacial pain symptoms: toothache, and jaw or facial pain. Logistic regression analyses were used to examine factors, such as socioeconomic status, health behaviours and chronic diseases, that were associated with these two orofacial pain symptoms in the last year of life. The 6-month prevalence estimates for toothache and jaw pain or facial pain for older adults in the last year of life were 14.1% and 4.5% respectively. Higher socioeconomic status was associated with lower odds of toothache and jaw pain or facial pain. Smoking was associated with high odds of toothache. Participants who brushed their teeth at least once a day were more likely to have toothache and jaw or facial pain than those who did not. Having any chronic conditions was associated with higher odds of toothache and jaw or facial pain. Older adults who had at least one tooth were more likely to have jaw or facial pain than those without any teeth. A considerable proportion of Chinese older adults in their last year of life reported toothache and/or jaw pain or facial pain. These findings suggest that appropriate measures need to be taken to address the oral health needs in these vulnerable individuals, especially those of low socioeconomic status and chronic conditions.
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