Oral Health Disparities Among Elders With and Without Cognitive Impairment

有认知障碍和无认知障碍的老年人之间的口腔健康差异

• 批准号: 7932527
• 负责人: Bei Wu
• 金额: $ 5.93万
• 依托单位: UNIVERSITY OF NORTH CAROLINA GREENSBORO
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-01 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7932527
• 关键词: Address; Affect; Affective; Age; Alcohol consumption; Area; Behavioral; Caregivers; Caring; Characteristics; Clinic; Clinical; Clinical Psychology; Cognitive; Cohort Studies; Collaborations; Communities; Complex; Data; Data Collection; Dementia; Dental; Dental Care; Dental Hygiene; Dental caries; Dentistry; Dentures; Deterioration; Development; Disease; Early Diagnosis; Early treatment; Elderly; Environment; Epidemiology; Evaluation; Foundations; Frequencies; Gerontology; Goals; Health; Health Status; Health behavior; Impaired cognition; Incidence; Individual; Interdisciplinary Study; Investigation; Knowledge; Lesion; Measures; Medical; Medical Records; Memory; Methods; Mouth Diseases; Oral health; Oral mucous membrane structure; Outcome; Participant; Periodontal Diseases; Pharmaceutical Preparations; Population; Prevention strategy; Primary Health Care; Recording of previous events; Recruitment Activity; Relative (related person); Reporting; Research; Risk Factors; Root Caries; Screening procedure; Severities; Staging; Telephone Interviews; Testing; Tobacco use; Tooth Attrition; Tooth Diseases; West Virginia; aged; base; cognitive function; cognitive neuroscience; demographics; disorder prevention; effective intervention; experience; functional status; health disparity; informant; innovation; instrument; mental state; neuropsychological; statistics; success

DESCRIPTION (provided by applicant): This project aims to assess the relationship of cognitive impairment with declining oral health among older adults. There is strong clinical evidence to suggest an increased incidence of oral diseases and conditions in the elderly population overall and a significantly greater frequency of oral health problems in cognitively impaired older adults, primarily those with dementia. This evidence suggests that there exist clear differences in the extent of oral health problems in cognitively impaired elders with dementia relative to unimpaired elders. However, the extent to which these conclusions would extend to those elderly individuals who are cognitively impaired but not demented (CIND) has not been determined. This area of research is further limited in that it has relied upon gross screening measures of cognitive function, has not utilized the broad range of available neuropsychological instruments that would allow more specific determination of cognitive impairment, and has not included input from caregivers/informants. This R21 application proposes to examine the relationship between cognitive function and oral health by recruiting 250 dentate community dwelling older adults, aged 70+, from local memory and health clinics in West Virginia. Data collection will include four components: (a) oral health examination; (b) cognitive function evaluation using a comprehensive approach; (c) face-to-face/telephone interviews, including both study participants and their caregiver/informant, to obtain information about oral health and oral hygiene, and sociodemographic, behavioral, functional, general health status, and affective factors that could potentially affect oral health and cognitive status; and (d) data extraction from medical records. This project will set the stage for a later longitudinal cohort study using a cross-sectional investigation into mechanisms of oral health deterioration as related to cognitive impairment. Based on our preliminary studies, we hypothesize that oral health status among older adults with dementia is significantly worse than in those with CIND or without cognitive impairment; and further, individuals with CIND will have poorer oral health status than those without cognitive impairment. Since both oral health problems and cognitive impairment are common among older adults aged 70 and above, successful completion of this study will provide a strong scientific foundation for the development of prevention strategies for early intervention to address oral health problems among older adults.

描述（由申请人提供）：该项目旨在评估老年人认知障碍与口腔健康下降的关系。有强有力的临床证据表明，总体上老年人群口腔疾病和状况的发生率增加，并且在认知受损的老年人（主要是患有痴呆症患者）中，口腔健康问题的频率明显更高。该证据表明，在认知受损的长者相对于未损坏的长者中，口腔健康问题的程度明显差异。但是，这些结论将在多大程度上扩展到认知受损但未痴呆的老年人（CIND）。该领域的进一步限制是因为它依赖于认知功能的总体筛查措施，但并未利用广泛的可用神经心理学工具，可以更具体地确定认知障碍，并且没有包括护理人员/线人的投入。该R21申请建议通过招募来自西弗吉尼亚州当地记忆和健康诊所的250个牙科养生老年人，以检查认知功能与口腔健康之间的关系。数据收集将包括四个组成部分：（a）口腔健康检查； （b）使用综合方法评估认知功能； （c）面对面/电话访谈，包括研究参与者及其护理人员/线人，以获取有关口腔健康和口腔卫生的信息，以及社会人口统计学，行为，功能，一般健康状况以及可能影响口腔健康和认知状况的情感因素； （d）从病历中提取数据。该项目将使用与认知障碍有关的口腔健康恶化机制进行横断面研究，为后来的纵向队列研究奠定了基础。根据我们的初步研究，我们假设痴呆症老年人的口腔健康状况明显比患有CIND或没有认知障碍的老年人差。此外，与没有认知障碍的人相比，患有CIND的人的口腔健康状况较差。由于口腔健康问题和认知障碍在70岁及以上的老年人中都很常见，因此成功完成这项研究将为开发预防策略的强大科学基础，以解决早期干预以解决老年人口腔健康问题。

项目成果

Recruitment of rural and cognitively impaired older adults for dental research.

招募农村和认知障碍老年人进行牙科研究。

• DOI: 10.1111/j.1754-4505.2010.00150.x
• 发表时间: 2010
• 期刊: Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
• 作者: Wu,Bei;Goedereis,EricA;Crout,RichardJ;Plassman,BrendaL;DiNapoli,ElizabethA;McNeil,DanielW;Wiener,Michael;Boone,MartinL;Wiener,RConstance;Kao,Elizabeth;Bai,Lina
• 通讯作者: Bai,Lina

Hygiene self-care of older adults in West Virginia: effects of gender.

西弗吉尼亚州老年人的卫生自我保健：性别的影响。

• 发表时间: 2012
• 期刊: Journal of dental hygiene : JDH
• 作者: Wiener,RConstance;Wu,Bei;Crout,RichardJ;Plassman,BrendaL;McNeil,DanielW;Wiener,MichaelA;Kao,Elizabeth;Caplan,DanielJ
• 通讯作者: Caplan,DanielJ