scholarly journals Risk Factors of Orofacial Pain Symptoms Among Older Adults at the End of Life

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 832-833
Author(s):  
Yaolin Pei ◽  
Bei Wu
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Oral Health ◽  
End Of Life ◽  
Orofacial Pain ◽  
Oldest Old ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
Prevalence Of Pain ◽  
Pain Symptoms

Abstract The aims of this study were to examine the prevalence of orofacial pain symptoms in Chinese older adults at the end of life, and to investigate risk factors related to orofacial pain. The sample derived from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), a national respresentative sample of the oldest-old. The results showed that the 6-month prevalence of pain when chewing or biting at the end of life was 11.1%, and the rate was 5% for jaw joint pain/facial pain. Lower SES, smokers, and having chronic diseases were associated with having orofacial symptoms. Unexpectedly, the results revealed that dentate older adults (retain at least one natural tooth) who brushed their teeth more often were more likely to have orofacial symptoms. Older adults have poor oral health, particularly at the end of their life. This study highlights the importance of improving oral health for vulnerable older adults.

scholarly journals Orofacial Pain Symptoms Among Chinese Older Adults in the Last Year of Life

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 32-32
Author(s):  
Yaolin Pei ◽  
Xiang Qi ◽  
Xi Chen ◽  
Bei Wu
Keyword(s):  
Older Adults ◽  
Joint Pain ◽  
Orofacial Pain ◽  
Lower Socioeconomic Status ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
Lower Socioeconomic ◽  
Natural Teeth ◽  
Jaw Joint ◽  
Pain Symptoms

Abstract The aims of this study were to examine the prevalence of orofacial pain symptoms and its associated factors in Chinese older adults in the last year of life. We retrospectively followed 1,646 participants (60 years or older) in the last year of life to death from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). The 6-month prevalence of toothache and jaw joint pain or facial pain for older adults in the last year of life to death were 14.1% and 4.5%, respectively. Older adults who had lower socioeconomic status, were smokers, and had any chronic disease tended to have orofacial pain symptoms. This study generated interesting but counterintutive findings that Chinese older adults who brusehed their teeth at least daily and those who had at least one natural teeth were more likely to have orofacial pain. It is important to include dental care as a part of end-of-life medical treatment.

scholarly journals Socioeconomic Status, Health Behaviors, and Oral Health of Older Adults In China

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 832-832
Author(s):  
Yaolin Pei ◽  
Xi Chen ◽  
Michele Saunders
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Oral Health ◽  
Health Behaviors ◽  
Dental Care ◽  
National Level ◽  
Current Status ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
Pain Symptoms

Abstract Many Chinese older adults suffer from oral health diseases and problems due to low oral health literacy, limited dental coverage and lack of dental care services for this segment of the population in China. However, so few studies have been conducted to examine social and behavior factors related to oral health among Chinese older adults. This symposium examines how socioeconomic status (SES) and health behaviors are associated with oral health among Chinese older adults. The first paper used the Nanjing Centenarians Study to examine the association between health behaviors and oral health among Chinese centenarians. The results showed that health behaviors were associated with self-rated oral health and edentulism. Using the Chinese Longitudinal Healthy Longevity Survey, the second one employed an ‘after death’ approach to examine risk factors for orofacial pain symptoms at the end of life among Chinese older adults. The third paper investigated the association between SES and tooth loss among middle-aged and older adults in ten cities of China. SES played a stronger role in tooth retention for non-migrants and migrants with high education vs those migrants with low education. The last paper examined the association between health behaviors and retention of teeth among Chinese older adults using data from the Chinese 4th National Oral health Survey. This symposium provides empirical evidence on the current status of oral health and health behaviors at the national level, and also suggests that is critical to improve oral health education and access to dental care.

scholarly journals Oral Health and Dental Care Among Older Adults in China: What Are the Risk and Protective Factors?

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 31-31
Author(s):  
Weiyu Mao ◽  
Yaolin Pei ◽  
Huabin Luo
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Oral Health ◽  
Social Isolation ◽  
Dental Care ◽  
Tooth Loss ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
The Relationship ◽  
Over Time

Abstract Oral health is a global public health concern. The four papers in this symposium capture various understudied risk and protective factors in oral health and dental care among older adults in China. The first paper examined the relationship between social isolation, loneliness, and tooth loss among Chinese older adults, using the Chinese Longitudinal Healthy Longevity Survey. The findings suggest that higher levels of social isolation, rather than loneliness, were associated with fewer remaining teeth and accelerated tooth loss over time. The second paper investigated urban-rural disparities in dental care utilization among Chinese adults aged 18 to 65 years old, using the 2019 New Era and Living Conditions in Megacities Survey. The findings demonstrate urban residents were more likely to visit dentists than rural residents. Besides socioeconomic status, health attitudes/behaviors, and oral health needs, health insurance coverage was considered an important enabling factor to promote dental care use in this population. The third paper examined the relationship between denture use and cognitive decline among Chinese older adults, using data from the Chinese Longitudinal Healthy Longevity Survey. The findings indicate that denture use is protective against cognitive decline over time in later life. The fourth paper examined the prevalence of self-reported orofacial pain symptoms and their correlates at the last year of life among Chinese older adults. Low socioeconomic status, smoking, chronic conditions, oral hygiene practice, and natural teeth condition were associated with such symptoms. This symposium offers valuable insights to improve oral health and dental care in older adults in China.

Needs and views on healthy lifestyles for the prevention of dementia through mobile health (mHealth) interventions in China: a qualitative study. (Preprint)

2021 ◽  
Author(s):  
Jinxia Zhang ◽  
Esmé Eggink ◽  
Xiaoyu Zhang ◽  
Xingming Li ◽  
Bin Jiang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Qualitative Study ◽  
Mobile Health ◽  
Healthy Lifestyle ◽  
Healthy Lifestyles ◽  
Structured Interviews ◽  
Living Situation ◽  
Chinese Older Adults ◽  
People With Dementia

BACKGROUND China is expected to face among the largest increase of people with dementia worldwide in the coming decades, seriously challenging the Chinese healthcare system. Approximately 40% of all dementia cases might be attributable to potentially modifiable risk factors, suggesting the potential to delay or prevent dementia when targeting these risk factors. Mobile health (mHealth) may improve the accessibility of such dementia prevention strategies in China, given the wide and increasing use of smartphones by the entire Chinese population, including older adults. OBJECTIVE The aim of this qualitative study is to explore the needs and views of Chinese older adults regarding healthy lifestyles to prevent cardiovascular disease (CVD) and dementia through mHealth, facilitating development and cultural adaptation of a coach-supported mHealth platform for the Prevention of Dementia using Mobile Phone Applications (PRODEMOS) study. METHODS We performed semi-structured interviews with older adults, aged 55 and over, from Beijing and Tai’an, China, with an increased dementia risk without a diagnosis of dementia, who possess a smartphone. Participants were recruited through seven hospitals that participate in the PRODEMOS study, and were purposively sampled on age, sex, living situation, and history of CVD and diabetes. Data were analysed using thematic analysis. RESULTS Between February and December 2019 we performed 26 interviews with participants aged 55-86 years. Three main themes were identified: valuing a healthy lifestyle, sociocultural expectations, and need for guidance. First, following a healthy lifestyle was generally deemed important. In addition to generic healthy behaviours, participants regarded certain specific Chinese behaviours as important to prevent disease. Second, the sociocultural context played a crucial role, as an important motive to avoid disease was to limit the burden put on family members. However, time-consuming family and other social obligations could also impede healthy behaviours, such as regular physical activity and a healthy diet. Finally, there seemed to be a need for reliable and personalised lifestyle advice and for guidance from a health professional. CONCLUSIONS In spite of their clear appreciation of healthy lifestyles, Chinese older adults express a need for personalised lifestyle support in order to adopt healthy behaviours. Potentially, the PRODEMOS mHealth intervention can meet these needs through blended lifestyle support to improve risk factors for CVD and dementia.

Prevalence and risk factors of delirium and subsyndromal delirium in Chinese older adults

2018 ◽  
Vol 18 (12) ◽  
pp. 1625-1628 ◽  
Author(s):  
Ka‐Keung Yam ◽  
Yat‐Fung Shea ◽  
Tuen‐Ching Chan ◽  
Ka‐Chun Chiu ◽  
James Ka‐Hei Luk ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Chinese Older Adults ◽  
Subsyndromal Delirium

scholarly journals Incidence of and Risk factors for Mild Cognitive Impairment in Chinese Older Adults with Multimorbidity in Hong Kong

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Zijun Xu ◽  
Dexing Zhang ◽  
Regina W. S. Sit ◽  
Carmen Wong ◽  
Jennifer Y. S. Tiu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Hong Kong ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Chinese Older Adults

scholarly journals THE MODERATING ROLE OF BIRTHPLACE ON DENTAL CLEANING SERVICE AMONG CHINESE OLDER ADULTS IN HAWAII

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S607-S607
Author(s):  
Sizhe Liu ◽  
Wei Zhang ◽  
Keqing Zhang ◽  
Bei Wu
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Foreign Born ◽  
Dental Services ◽  
Chinese Older Adults ◽  
Birth Place ◽  
Logistic Regressions ◽  
The Impact ◽  
Moderating Role

Abstract Regular dental cleaning is vital to maintaining good oral health. This study aims to identify socio-demographic characteristics that are associated with the use of dental cleaning services among Chinese older adults in Honolulu, Hawai’i. In addition, we examine if birth-place moderates these associations. The data for this study were collected from 398 Chinese older adults living in Honolulu. Results from multivariate logistic regressions showed that those who were married and with higher levels of education were more likely to have their teeth cleaned within the past year compared to those who were not married or with lower levels of education. These significant associations were only found salient for the foreign-born when the moderating role of birth place was accounted for in the model. These differences may be partially due to the impact of acculturation and the knowledge of oral health and dental services.

scholarly journals Apolipoprotein E Genotype, Meat, Fish, and Egg Intake in Relation to Mortality Among Older Adults: A Longitudinal Analysis in China

2021 ◽  
Vol 8 ◽  
Author(s):  
Xurui Jin ◽  
Shangzhi Xiong ◽  
Changzheng Yuan ◽  
Enying Gong ◽  
Xian Zhang ◽  
...  
Keyword(s):  
Older Adults ◽  
Apolipoprotein E ◽  
Cox Regression ◽  
Population Based ◽  
Fish Intake ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
All Cause Mortality ◽  
Diet Pattern ◽  
Interactive Relationship

Introduction: The interactions between apolipoprotein E (APOE) genotype and diet pattern changes were found significant in several trials, implying that APOE gene may modify the effect of animal protein-rich food on health outcomes. We aim to study the interaction of APOE genotype with the effect of meat, fish and egg intake on mortality.Methods: This population-based study enrolled 8,506 older adults (mean age: 81.7 years, 52.3% female) from the Chinese Longitudinal Healthy Longevity Study. The intake frequency of meat, fish and egg was assessed by 3-point questions at baseline. Cox regression was conducted to calculate the hazard ratios for all-cause mortality of intake levels of meat, fish and egg. The analyses were stratified by APOE genotype and sex. The analyses were performed in 2020.Results: In the multivariable-adjusted models, meat and fish intake was associated with all-cause mortality (high vs. low intake: meat: HR: 1.14, 95% CI: 1.01, 1.28; fish: HR: 0.83, 95% CI: 0.73, 0.95). APOE genotype have significant interactions with meat and fish intake (Ps < 0.05). Compared with low fish intake, high fish intake was associated with lower risk of mortality (HR: 0.74, 95% CI: 0.56–0.98) only among the APOE ε4 carriers. High meat intake was significantly associated with higher risks of mortality (HR: 1.13, 95% CI: 1.04–1.25) only among the APOE ε4 non-carriers. The interactive relationship was restricted among the male. No significant findings were observed between egg and mortality among carriers or non-carriers.Conclusions: Among Chinese older adults, the significance of associations of mortality with reported meat or fish intake depended on APOE-E4 carriage status. If validated by other studies, our findings provide evidence for gene-based “precision” lifestyle recommendations.

Sign in / Sign up

Export Citation Format

Share Document