scholarly journals Tooth Retention and Health Behaviors: Findings From the 4th Chinese National Oral Health Survey

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 833-833
Author(s):  
Xiaoyan Ou ◽  
Liwei Zeng ◽  
Yixuan Zeng ◽  
Yaolin Pei ◽  
Bei Wu
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Health Behaviors ◽  
Health Survey ◽  
Preventive Dental Care ◽  
Dental Floss ◽  
Chinese Older Adults ◽  
Logistic Regression Models ◽  
Natural Teeth ◽  
Tooth Retention

Abstract This study aimed to investigate the association between tooth retention and health behaviors among Chinese older adults. Data was used from the Chinese 4th National Oral Health Survey, a national representative sample. The sample included 9054 older adults age 55-74. The control variables included age, gender, residence, region, education level, occupation, periodontal health, self-reported oral health, and self-reported general health. Logistic regression models shows that older adults who used tooth picks (OR=3.37, 95% CI: 2.94-3.85), dental floss (OR=1.93, 95%CI: 1.05-3.53), and toothpaste (OR=3.89, 95%CI: 3.14-4.83), and never smoked (OR=1.43 95%CI: 1.20-1.70) were more likely to retain more than 20 natural teeth; while having dental visit had the opposite association (OR = 0.45, 95% CI: 0.39-052). Unexpectedly, this study did not find frequency of toothbrushing was associated with tooth retention. This study suggest that improving oral hygiene and preventive dental care are key for good oral health. .

scholarly journals Health Behaviors and Tooth Retention among Older Adults in China: Findings from the 4th Chinese National Oral Health Survey

2021 ◽  
Author(s):  
Xiaoyan Ou ◽  
Liwei Zeng ◽  
Yixuan Zeng ◽  
Yaolin Pei ◽  
Xiujuan Zhang ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Oral Health ◽  
Health Behaviors ◽  
Health Survey ◽  
Urban Areas ◽  
Univariate Analysis ◽  
Education Levels ◽  
Natural Teeth ◽  
Tooth Retention

Abstract Background This study aimed to examine the association between oral health behaviors and tooth retention among Chinese older adults. Methods Data were used from the 4th Chinese National Oral Health Survey, a nationally representative sample. The sample included 9054 older adults aged 55 to 74. A chi-square test was used for univariate analysis. Multivariate Logistic regression was used to explore the association between health behaviors and the number of remaining teeth. Results The average number of remaining teeth in the sample was 24.4 ± 7.8. There was a higher proportion of residents living in urban areas with ≥ 20 teeth than rural residents (83.2% vs 79.4%, χ2 = 20.862, p = 0.000); and a higher proportion of individuals with high education levels with ≥ 20 teeth compared to those with low education levels (χ2 = 148.168, P = 0.000). Logistic regression models showed that older adults who used toothpicks (OR = 3.37, 95% CI: 2.94–3.85), dental floss (OR = 1.93, 95%CI: 1.05–3.53), toothpaste (OR = 3.89, 95%CI: 3.14–4.83); and never smoked (OR = 1.43 95%CI: 1.20–1.70) were more likely to retain 20 or more natural teeth; whereas older adults who had a dental visit were less likely to retain 20 or more natural teeth (OR = 0.45, 95% CI: 0.39-052). Conclusion This study did not find the association between frequency of tooth brushing and tooth retention. This study demonstrates that improvement of oral hygiene and preventive dental care are key for good oral health.

scholarly journals Dental Health Behaviors, Dentition, and Mortality in the Elderly: The Leisure World Cohort Study

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
Annlia Paganini-Hill ◽  
Stuart C. White ◽  
Kathryn A. Atchison
Keyword(s):  
Older Adults ◽  
Oral Health ◽  
Health Behaviors ◽  
Cox Regression ◽  
Dental Health ◽  
Significant Risk ◽  
Dental Floss ◽  
Cox Regression Analysis ◽  
Risk Of Death ◽  
Increased Risk

In the last decade the effect of oral health on the general health and mortality of elderly people has attracted attention. We explored the association of dental health behaviors and dentition on all-cause mortality in 5611 older adults followed from 1992 to 2009 (median=9years) and calculated risk estimates using Cox regression analysis in men and women separately. Toothbrushing at night before bed, using dental floss everyday, and visiting the dentist were significant risk factors for longevity. Never brushing at night increased risk 20–35% compared with brushing everyday. Never flossing increased risk 30% compared with flossing everyday. Not seeing a dentist within the last 12 months increased risk 30–50% compared with seeing a dentist two or more times. Mortality also increased with increasing number of missing teeth. Edentulous individuals (even with dentures) had a 30% higher risk of death compared with those with 20+ teeth. Oral health behaviors help maintain natural, healthy and functional teeth but also appear to promote survival in older adults.

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 Factors predicting the oral health behaviors of the Iranian students in the District 1 Tehran, Iran

2020 ◽  
Vol 19 ◽  
pp. e206579
Author(s):  
Fatemeh Pourhaji ◽  
Mohammad Hossein Delshad ◽  
Sedigheh Sadat Tavafian ◽  
Alireza Hidarnia ◽  
Shamsodin Niknami
Keyword(s):  
Oral Health ◽  
Health Behaviors ◽  
Health Belief ◽  
Female Students ◽  
Oral Health Behavior ◽  
Dental Floss ◽  
Oral Health Behaviors ◽  
Iranian Students ◽  
Belief Model ◽  
The Health Belief Model

Aim: The purpose of this examination is determining the predictors of oral health behaviors among Iranian students in district 1 Tehran based on the health belief model with added commitment to plan construct. Methods: This cross-sectional study was conducted on 351 four grade female students in the first district of Tehran, Iran in 2017. The multi‑stage random cluster sampling method was used to recruit students. The inclusion criteria were being in four – graded level of elementary schools of the 1st district in Tehran, being female students aged between 9-11 years and being physically and psychologically healthy student. Logistic regression analysis was used to identify the variables that predict oral health behaviors. Results: Totally, (N= 31.8%) students  reported that they were brushing less than twice a day and (N=   55.2% ) students claimed  using of dental floss once a week or less than once a day. The results indicated that perceived self-efficacy (OR=1.46, 95% CI=0.57-3.78, P<0.001), commitment to plan (OR=1.13, 95% CI=1.04-1.23, P<0.001) and cues to action (OR=1.42, 95% CI=1.14–1.76, P=0.002) were the significant predicting variables of brushing twice a day, and use of dental floss once a day or more (OR=1.02, 95% CI=0.23-3.53, P=0.003). Conclusion: This study has shown the effectiveness of the health belief model with added commitment to plan construct to predict oral health behavior in female students. Thus, it seems that the model as a acceptable framework for designing training programs to improve oral health behavior in students.

scholarly journals Patterns of SES Health Disparities Among Older Adults in Three Upper Middle- and Two High-Income Countries

2018 ◽  
Vol 74 (6) ◽  
pp. e25-e37 ◽  
Author(s):  
Mary McEniry ◽  
Rafael Samper-Ternent ◽  
Carmen Elisa Flórez ◽  
Renata Pardo ◽  
Carlos Cano-Gutierrez
Keyword(s):  
South Africa ◽  
Older Adults ◽  
Health Behaviors ◽  
Chronic Conditions ◽  
High Income ◽  
Middle Income ◽  
Logistic Regression Models ◽  
Prevalence Of Obesity ◽  
Obesity Hypertension ◽  
Health Gradient

Abstract Objectives To examine the socioeconomic status (SES) health gradient for obesity, diabetes, and hypertension within a diverse group of health outcomes and behaviors among older adults (60+) in upper middle-income countries benchmarked with high-income countries. Method We used data from three upper middle-income settings (Colombia-SABE-Bogotá, Mexico-SAGE, and South Africa-SAGE) and two high-income countries (England-ELSA and US-HRS) to estimate logistic regression models using age, gender, and education to predict health and health behaviors. Results The sharpest gradients appear in middle-income settings but follow expected patterns found in high-income countries for poor self-reported health, functionality, cognitive impairment, and depression. However, weaker gradients appear for obesity, hypertension, diabetes, and other chronic conditions in Colombia and Mexico and the gradient reverses in South Africa. Strong disparities exist in risky health behaviors and in early nutritional status in the middle-income settings. Discussion Rapid demographic and nutritional transitions, urbanization, poor early life conditions, social mobility, negative health behavior, and unique country circumstances provide a useful framework for understanding the SES health gradient in middle-income settings. In contrast with high-income countries, the increasing prevalence of obesity, an important risk factor for chronic conditions and other aspects of health, may ultimately change the SES gradient for diseases in the future.

scholarly journals Removable Partial Dentures for Older Adults

2020 ◽  
Vol 9 (3) ◽  
pp. 34-39
Author(s):  
Tim Friel ◽  
Sarah Waia
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oral Health ◽  
Acrylic Resin ◽  
Population Replacement ◽  
Related Quality ◽  
Health Related ◽  
Natural Teeth ◽  
Partially Dentate

Improvements in oral health including increased retention of natural teeth have given rise to a partially dentate older population. Replacement of missing natural teeth is important to improve function, aesthetics and quality of life for this patient group. A variety of options are available to replace missing teeth in partially dentate older adults, including fixed, removable and implant retained prostheses. This article will discuss the provision of removable partial dentures including treatment planning and denture design. When planning removable partial dentures, careful attention must be paid to stabilising the patient prior to delivering any prosthesis. Partial dentures should be designed to minimise the potential for plaque accumulation with carefully designed metal based frameworks. Acrylic resin can also be utilised with attention to detail to minimise the risk of damage to delicate supporting tissues. Removable dentures have the advantage that they can be readily added to in the event of further tooth loss which may be particularly relevant for older adults. Partial dentures which optimise support, retention and stability can function very successfully and significantly improve patients’ oral health related quality of life.

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 ARTICLE: Oral health status of older adults in Kentucky: results from the Kentucky Elder Oral Health Survey

2010 ◽  
Vol 30 (5) ◽  
pp. 185-192 ◽  
Author(s):  
Heather M. Bush ◽  
Noel E. Dickens ◽  
Robert G. Henry ◽  
Lisa Durham ◽  
Nancy Sallee ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Oral Health ◽  
Health Survey ◽  
Oral Health Status

scholarly journals Multimorbidity and tooth loss: the Brazilian National Health Survey, 2019

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rafael Aiello Bomfim ◽  
Andreia Morales Cascaes ◽  
Cesar de Oliveira
Keyword(s):  
Older Adults ◽  
Health Survey ◽  
Policy Development ◽  
Tooth Loss ◽  
National Health Survey ◽  
Geographic Region ◽  
Lower Odds ◽  
Logistic Regression Models ◽  
Functional Dentition ◽  
Nationally Representative

Abstract Background Little is known about the presence of two or more chronic conditions (multimorbidity) on tooth loss between adults and older adults. Understanding the mechanisms of multimorbidity on tooth loss is essential to inform policy development. This study aims to investigate the association between multimorbidity and severity of tooth loss in Brazilian adults and older adults. Methods We analysed data from a nationally representative sample of 88,531 Brazilian individuals aged 18 and over who participated in the 2019 Brazilian Health Survey. Tooth loss was the outcome by two different classifications: functional dentition (lost 1–12 teeth) and severe tooth loss (lost 23–32 teeth). The presence of multimorbidity was the main exposure and based on 13 self-reported doctor-diagnosed chronic diseases that were further categorised into two groups, i.e., ≥2 or ≥ 3 comorbidities. Sociodemographic covariates included sex, age, race, income, level of education and tobacco smoking and geographic region of residency. Multivariate logistic regression models estimated the OR (Odds Ratios) and 95%CI of the associations between multimorbidity and tooth loss. Results For 65,803 adults (aged 18 to 59), the presence of multimorbidity (≥2) was associated with 32% higher odds of having severe tooth loss (95% CI, 1.17; 1.49) and 33% lower odds of having functional dentition (95% CI, 0.60; 0.75). For the 22,728 older adults (aged 60 and older), multimorbidity (≥2) was associated with a 17% higher odds of severe tooth loss (95% CI, 1.06; 1.29) and 23% lower odds of having functional dentition (95% CI 0.70; 0.85). The sensitivity analysis, excluding hypertension, confirmed our findings. Conclusions Brazilian adults and older adults with multimorbidity are more likely to have severe tooth loss and less likely to have functional dentition.

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