Determinants of tooth loss and chewing ability in mid- and late life in three Swedish birth cohorts

2014 ◽  
Vol 35 (6) ◽  
pp. 1304-1317 ◽  
Author(s):  
DUANGJAI LEXOMBOON ◽  
INGER WÅRDH ◽  
MATS THORSLUND ◽  
MARTI G. PARKER

ABSTRACTThe aim of the research presented is to determine the influence of socio-economic factors in childhood and mid-life on multiple tooth loss and chewing problems in mid- and late life in three Swedish birth cohorts (1903–1910, 1911–1920 and 1921–1925). Longitudinal national Swedish surveys were used for the analysis. Participants were interviewed in mid-life in 1968 and later in life (77–99 years of age) in 2002. Childhood socio-economic positions (SEP) did not result in different odds of multiple tooth loss and chewing problems in mid- and late life, but persons with higher mid-life SEP had lower odds. Persons born into the 1921–1925 birth cohort had significantly lower odds of multiple tooth loss in late life than the 1903–1910 birth cohort. Women had higher odds of losing multiple teeth than men in late life but not mid-life. Neither gender nor childhood and mid-life SEP predicted chewing problems late in life, but older people with multiple tooth loss had higher odds of chewing difficulty than those with mainly natural teeth. Childhood conditions may contribute to multiple tooth loss in mid-life, which subsequently contributes to multiple tooth loss in late life. Tooth loss in late life is strongly associated with difficulty chewing hard food. Prevalence of multiple tooth loss is higher in women than in men in late life but not in mid-life.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anina Mühlemann ◽  
Stefanie von Felten

Abstract Background With the goal of reducing the prevalence of early childhood caries, the city of Zurich, Switzerland, started a specific prevention programme in 2010. All 2-year-olds are invited to a free dental check-up at a local public dental health service before the first legally mandated yearly dental check-up for school children between 4 and 5 years of age (at kindergarten). However, for the success of this prevention programme, it is of particular importance that children at high risk of caries are reached. The objective of our study was to assess the effectiveness of the prevention programme in (1) reaching the children who needed it the most and (2) improving subsequent oral health. Methods This retrospective cohort study included all children born between July 1, 2013 and July 15, 2014 who had lived in Zurich between the ages of 23 and 36 months. Socio-economic data were extracted from official school records, and dental health data from public dental clinic records. Binomial and quasi-binomial generalised linear models were used to identify the socio-economic factors associated with toddler check-up attendance and to assess the associations between attendance and caries experience (dmft $$\ge$$ ≥  1) as well as degree of treatment (proportion m+f out of dmft) at the kindergarten check-up, adjusting for socio-economic factors. Results From a total of 4376 children, 2360 (54%) attended the toddler check-up (mean age 2.4 years) and 3452 (79%) had a dental examination at kindergarten (mean age 5.3 years). Non-Swiss origin of the primary caretaker, presence of older siblings, low amount of savings and allocation to certain public dental clinics were associated with a lower odds of attendance. Factors associated with a higher odds of caries experience were similar to those associated with a lower odds of attendance at the toddler check-up, but additionally included low income. Attendance at the toddler check-up was non-significantly associated with a lower odds of caries experience at kindergarten (adjusted OR 0.84, 95% CI from 0.70 to 1.01), but was significantly associated with a higher degree of treatment at this stage (adjusted OR 2.41, 95% CI from 1.79 to 3.24). Conclusions Our study suggests that children with a high caries risk are less likely to attend the toddler check-up. Greater effort should be put into reaching these children.


Author(s):  
Ania Zylbersztejn ◽  
Ruth Gilbert ◽  
Anders Hjern ◽  
Pia Hardelid

IntroductionChild mortality is nearly twice as high in England as in Sweden. A comparison of mortality from potentially preventable causes could inform health system responses. This study focused on respiratory tract infection (RTI)-related deaths, amenable to healthcare interventions, and sudden unexpected deaths in infancy (SUDI), amenable to public health interventions. Objectives and ApproachWe developed nationally-representative birth cohorts of singleton live births in 2003-2012 using a hospital admissions database in England and the Medical Birth Register in Sweden. Children were followed-up from 31st day of life until their fifth birthday via linkage to hospital admission and mortality records. We compared child mortality using Cox proportional hazards models to estimate hazard ratios (HR) for England versus Sweden for RTI-related mortality at 31-364 days and 1-4 years, and for SUDI mortality at 31-364 days. Models were adjusted for birth characteristics (gestational age, birthweight, sex, congenital anomalies), and socio-economic factors (maternal age and socio-economic status). ResultsOf 3,928,483 children in England, there were 807 RTI-related deaths at 31-364 days (17% of all deaths in the age range), 691 deaths at 1-4 years (31%), and 1,166 SUDIs (24%) in England. Corresponding figures for 1,012,682 children in Sweden were 136 (18%), 118 (25%) and 189 (24%). Unadjusted HRs for RTI-related deaths in England versus Sweden were 1.50 (95% confidence interval: 1.25-1.80) at 31-364 days. Adjustment for birth characteristics reduced the HR to 1.16 (0.97-1.39), and for socio-economic factors to 1.11 (0.92-1.33). Corresponding figures for RTI-related mortality at 1-4 years were 1.58 (1.30-1.92), 1.32 (1.09-1.61) and 1.30 (1.07-1.59), respectively. Unadjusted HRs for SUDIs reduced from 1.59 (1.36-1.85) to 1.40 (1.20-1.63) after adjusting for birth characteristics, and to 1.19 (1.02-1.39) after adjusting for socio-economic factors. Conclusion/ImplicationsHigher prevalence of adverse birth characteristics (such as prematurity, low birthweight, congenital anomalies) contributed to increased risks of RTI-related and SUDI mortality in England relative to Sweden. Therefore, preventive strategies should focus on maternal health and socio-economic circumstances before and during pregnancy to reduce RTI-related and SUDI mortality in England.


2020 ◽  
Vol 21 (1) ◽  
pp. 71-80
Author(s):  
Tanggu Dedo Yeremias ◽  
Ernantje Hendrik ◽  
Ignatius Sinu

ABSTRACT This research has been carried out in the Anugerah Mollo Farmer Group, in Netpala Village, North Mollo District, South Central Timor Regency, starting in March - April 2019. This study aims to determine: (1) The dynamic level of the Anugerah Mollo Farmer Group in Netpala Village, North Mollo District, South Central Timor Regency, (2) Relationship between Socio-economic factors of farmer group members and the level of dynamics of the Anugerah Mollo Farmer Group in Netpala Village, North Mollo District, South Central Timor Regency. Determination of the location of the study carried out intentionally (purposive sampling) The type of data collected is primary data obtained from direct interviews with respondents guided by the questionnaire, while secondary data is obtained from the relevant agencies. To find out the first purpose of the data analyzed using a Likert scale, to find out the second purpose of the data analyzed using the Sperman Rank statistical Nonparametric test. The results of this study indicate that: (1) The level of dynamism of the Anugerah Mollo Farmer Group in Netpala Village, North Mollo District, South Central Timor Regency, is in the very dynamic category of 84%, (2) The relationship of socio-economic factors is only one of the five variables that are significantly related namely land area with a coefficient of rs 0.278 and t = 1.782 count greater than t table 1.699 (p> 0.05), while other social factors such as age, formal education, number of family dependents, and experience of farming show no significant relationship with the level of dynamism of Anugerah Mollo Farmers Group in Netpala Village.


2019 ◽  
Vol 5 (1) ◽  
pp. 108-117
Author(s):  
Solomon Jeremiah Sembosi

Rural settlements in mountainous regions are a typical process that occurs in many places around the world and have a number of implications on the landscape. Among them is a threat it possesses to the conservation and management of Afromontane ecosystems. This study assessed the socio-economic factors that drive the changes in land use and forest cover and the extent of land use and vegetation cover in and around Magamba Nature Reserve. Focus group discussion, direct field observation and household survey were used to acquire socio-economic information that impacts land use and forest cover. Through the use of Remote Sensing and GIS methods Landsat satellite images of 1995, 2008 and 2015 were employed to identify the extent of the changes in land use and forest cover. The perceived factors for the changes include education level, unemployment, landless/limited, landholding, population pressure, expansion of built-up areas and agricultural land at the expense of other land covers. This study revealed the transformation of natural forest and associated vegetation from one form to another. There was a decrease in natural vegetation from 61.06% in 1995 to 26.02% in 2015 and increase in built-up areas by 6.69% and agricultural areas by 4.70%. This study recommends conservation monitoring and strong law enforcement relating to natural resources so as to promote sustainable use of resources to rescue the diminishing ecosystem services.


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