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 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 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 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 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 Factors determining access to oral health services among children aged less than 12 years in Peru

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 1680 ◽  
Author(s):  
Diego Azañedo ◽  
Akram Hernández-Vásquez ◽  
Mixsi Casas-Bendezú ◽  
César Gutiérrez ◽  
Andrés A. Agudelo-Suárez ◽  
...  
Keyword(s):  
Health Insurance ◽  
Oral Health ◽  
Health Services ◽  
Educational Level ◽  
Urban Areas ◽  
Univariate Analysis ◽  
Enabling Factors ◽  
Natural Region ◽  
Region Of Residence ◽  
Oral Health Services

Background:Understanding problems of access to oral health services requires knowledge of factors that determine access. This study aimed to evaluate factors that determine access to oral health services among children aged <12 years in Peru between 2014 and 2015.Methods:We performed a secondary data analysis of 71,614 Peruvian children aged <12 years and their caregivers. Data were obtained from the Survey on Demography and Family Health 2014-2015 (Encuesta Demográfica y de Salud Familiar - ENDES). Children’s access to oral health services within the previous 6 months was used as the dependent variable (i.e. Yes/No), and the Andersen and col model was used to select independent variables. Predisposing (e.g., language spoken by  tutor or guardian, wealth level, caregivers’ educational level, area of residence, natural region of residence, age, and sex) and enabling factors (e.g. type of health insurance) were considered. Descriptive statistics were calculated, and multivariate analysis was performed using generalized linear models (Poisson family).Results:Of all the children, 51% were males, 56% were aged <5 years, and 62.6% lived in urban areas. The most common type of health insurance was Integral Health Insurance (57.8%), and most respondents were in the first quintile of wealth (31.6%). Regarding caregivers, the most common educational level was high school (43.02%) and the most frequently spoken language was Spanish (88.4%). Univariate analysis revealed that all variables, except sex and primary educational level, were statistically significant. After adjustment, sex, area of residence, and language were insignificant, whereas the remaining variables were statistically significant.Conclusions:Wealth index, caregivers’ education level, natural region of residence, age, and type of health insurance are factors that determine access to oral health services among children aged <12 years in Peru. These factors should be considered when devising strategies to mitigate against inequities in access to oral health services.

scholarly journals Association of Oral Health with Multimorbidity among Older Adults: Findings from the Longitudinal Ageing Study in India, Wave-1, 2017–2019

2021 ◽  
Vol 18 (23) ◽  
pp. 12853
Author(s):  
Srikanta Kanungo ◽  
Shishirendu Ghosal ◽  
Sushmita Kerketta ◽  
Abhinav Sinha ◽  
Stewart W Mercer ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Logistic Regression ◽  
Oral Health ◽  
Descriptive Analysis ◽  
Nationwide Survey ◽  
Self Rated Health ◽  
Multivariable Logistic Regression ◽  
Ageing Study ◽  
Using Data

India is witnessing an increase in the prevalence of multimorbidity. Oral health is related to overall health but is seldom included in the assessment of multimorbidity. Hence, this study aimed to estimate the prevalence of oral morbidity and explore its association with physical multimorbidity using data from Longitudinal Ageing Study in India (LASI). LASI is a nationwide survey amongst adults aged ≥ 45 years conducted in 2018. Descriptive analysis was performed on included participants (n = 59,764) to determine the prevalence of oral morbidity. Multivariable logistic regression assessed the association between oral morbidity and physical multimorbidity. Self-rated health was compared between multimorbid participants with and without oral morbidity. Oral morbidity was prevalent in 48.56% of participants and physical multimorbidity in 50.36%. Those with multimorbidity were at a higher risk of having any oral morbidity (AOR: 1.60 (1.48–1.73)) than those without multimorbidity. Participants who had only oral morbidity rated their health to be good more often than those who had physical multimorbidity and oral morbidity (40.84% vs. 32.98%). Oral morbidity is significantly associated with physical multimorbidity. Multimorbid participants perceived their health to be inferior to those with only oral morbidity. The findings suggest multidisciplinary health teams in primary care should include the management of oral morbidity and physical multimorbidity.

scholarly journals Impact of Oral Health Status on Future Dietary Intake and Dietary Quality in Older Adults in Northern Ireland: A Longitudinal Analysis (P18-080-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Danielle Logan ◽  
Claire McEvoy ◽  
Gerry McKenna ◽  
Frank Kee ◽  
Gerry Linden ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Oral Health ◽  
Dietary Intake ◽  
Diet Quality ◽  
Dietary Diversity ◽  
Oral Health Status ◽  
Dietary Quality ◽  
Natural Teeth ◽  
The Mean

Abstract Objectives Evidence linking oral health status with dietary intake and quality in older adults is inconsistent and limited by few prospective studies conducted to date. This study investigated whether oral health status, defined as number of natural teeth and prosthodontic rehabilitation, had an impact on future dietary intake and dietary quality in older Northern Irish (NI) men. Methods This study involved older men [n = 1096, mean = 63.5(2.9) years] from the Prospective Epidemiological Study of Myocardial Infarction (PRIME). A dental examination was undertaken at baseline (2001–2006) and oral health status was defined as: 21–28 teeth without dentures (n = 453), 21–28 teeth with dentures (n = 111), 1–20 teeth without dentures (n = 99), 1–20 teeth with dentures (n = 354), and edentate with dentures (n = 79). A food frequency questionnaire administered in 2015 derived intakes of major food groups and diet quality scores were characterised by the Dietary Diversity Score (DDS) and Mediterranean Diet Score (MDS). Associations between oral health status, food intake and diet quality scores were assessed using regression models adjusted for potential confounders including, age, socio-economic status, smoking and alcohol. Results In fully adjusted models, the mean dietary intake of fruit, vegetables and nuts significantly differed between oral health status groups. In comparison to edentate men with dentures, the mean fruit intake was significantly higher in each dentate group: 21–28 teeth without dentures (P = 0.001), 21–28 teeth with dentures (P = 0.001), 1–20 teeth without dentures (P = 0.04), and 1–20 teeth with dentures (P = 0.03). The mean DDS was significantly higher amongst men with 21–28 teeth without dentures, compared to those with 1–20 teeth without dentures (P = 0.001), 1–20 teeth with dentures (P < 0.001), and edentate with dentures (P < 0.001), and mean MDS results were similar. Compared to men with 21–28 teeth without dentures, edentate men with dentures were 64% less likely to achieve the dietary guideline of 2 portions/day (P = 0.01). Conclusions A greater number of natural teeth was associated with a higher future intake of fruit, vegetables and nuts, as well as higher dietary quality scores, in older NI men. Interventions should optimise retaining natural teeth to help improve dietary intake and quality in older adults. Funding Sources Department of Economy funded PhD.

scholarly journals Utilization of Integrated Child Development Services in India: Programmatic Insights from National Family Health Survey, 2016

2020 ◽  
Vol 17 (9) ◽  
pp. 3197 ◽  
Author(s):  
Sunil Rajpal ◽  
William Joe ◽  
Malavika A. Subramanyam ◽  
Rajan Sankar ◽  
Smriti Sharma ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Child Development ◽  
Service Utilization ◽  
Random Effects ◽  
Health Survey ◽  
Urban Areas ◽  
Family Health ◽  
National Family Health Survey ◽  
Childhood Care ◽  
National Family

The Integrated Child Development Services (ICDS) program launched in India in 1975 is one of the world’s largest flagship programs that aims to improve early childhood care and development via a range of healthcare, nutrition and early education services. The key to success of ICDS is in finding solutions to the historical challenges of geographic and socioeconomic inequalities in access to various services under this umbrella scheme. Using birth history data from the National Family Health Survey (Demographic and Health Survey), 2015–2016, this study presents (a) socioeconomic patterning in service uptake across rural and urban India, and (b) continuum in service utilization at three points (i.e., by mothers during pregnancy, by mothers while breastfeeding and by children aged 0–72 months) in India. We used an intersectional approach and ran a series multilevel logistic regression (random effects) models to understand patterning in utilization among mothers across socioeconomic groups. We also computed the area under the receiver operating characteristic curve (ROC-AUC) based on a logistic regression model to examine concordance between service utilization across three different points. The service utilization (any service) by mothers during pregnancy was about 20 percentage points higher for rural areas (60.5 percent; 95% CI: 60.3; 30.7) than urban areas (38.8 percent; 95% CI: 38.4; 39.1). We also found a lower uptake of services related to health and nutrition education during pregnancy (41.9 percent in rural) and early childcare (preschool) (42.4 percent). One in every two mother–child pairs did not avail any benefits from ICDS in urban areas. Estimates from random effects model revealed higher odds of utilization among schedule caste mothers from middle-class households in rural households. AUC estimates suggested a high concordance between service utilization by mothers and their children (AUC: 0.79 in rural; 0.84 in urban) implying a higher likelihood of continuum if service utilization commences at pregnancy.

scholarly journals The association between children’s oral health behaviors, parents’ oral health knowledge and parents’ education level: a survey of 8446 families in Wuhan

2020 ◽  
Author(s):  
Liangwen Chen ◽  
Jialan Hong ◽  
Dian Xiong ◽  
Luyi Zhang ◽  
Yuhong Li ◽  
...  
Keyword(s):  
Oral Health ◽  
Health Behaviors ◽  
Health Knowledge ◽  
Education Level ◽  
Fissure Sealants ◽  
Oral Health Knowledge ◽  
Pit And Fissure Sealants ◽  
Oral Health Behaviors ◽  
Education Levels ◽  
Children’S Oral Health

Abstract Background: Children aged 6-7 years are in the early mixed dentition, which is a period of high prevalence of dental caries and other dental diseases and a critical period for the formation of oral health behaviors. Therefore, good oral hygiene habits of children and oral health knowledge of parents are very important. This study sought to explore the relationship between children’s oral health behaviors, parental oral health knowledge, parental choices of pit and fissure sealants, and parents’ education levels based on a large-scale sample size for the first time, and to compare the influences of parental education levels between parents.Methods: Families of the first and second graders of primary schools in Wuhan Hongshan District were included in this study. A total of 8446 questionnaires were collected to obtain comprehensive information on children’s oral health behaviors, parents’ oral health knowledge and parents’ pit and fissure sealants-related choices. The relationship between these and parents’ education levels were studied using logistic regression analysis and chi-square test.Results: Parents who reported good educational background had more favorable oral health knowledge than those of other parents, and their children had better oral hygiene behaviors. Four indicators of five measures to children’s oral health behaviors were significantly associated with mother’s education level, and three of them were related to father’s education level. Moreover, seven indicators of eight measures to parents’ oral health knowledge were significantly related to mother’s education level and four of them were affected by the father’s. In addition, parents with higher educational attainments paid more attention to the completeness of medical facilities, the environment of dental practice, the distance to treatment sites, and took less concern of children’s willingness when choosing the pit and fissure sealants sites.Conclusions: In families with children at the early mixed dentition stage, parents with higher education levels tend to have better oral health knowledge and more oral health care needs, such as pit and fissure sealants. In addition, children of parents who have better educated parents tend to perform better oral hygiene practices.

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