Binge drinking and oral health-related quality of life in older adults: Socioeconomic position matters

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2023-08-27 DOI:10.1111/ger.12711

Leandro Machado Oliveira, Thayná Regina Pelissari, Flávio Fernando Demarco, Fabrício Batistin Zanatta

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引用次数: 0

Abstract

Objective

The objective of the study was to investigate whether the association between binge drinking and oral health-related quality of life (OHRQoL) differs by socioeconomic position (SEP) in Brazilian older adults.

Background

The adverse health effects of alcohol consumption disproportionately affect socioeconomically disadvantaged and older individuals. Moreover, measures of binge drinking may capture different domains of the association between alcohol misuse and health that might be independent of the traditional markers of volume or frequency of consumption. Evidence of the association between alcohol use and oral health outcomes has failed to consider binge drinking and possible effect modification by SEP.

Methods

We conducted a secondary cross-sectional analysis using the baseline data from The Brazilian Longitudinal Study of Ageing (2015-2016). Effect Measure Modification analyses using multivariable Poisson regression models tested whether the association between past-month binge drinking and higher scores of the Oral Impacts on Daily Performance (OIDP) questionnaire differed in magnitude by level of household wealth and educational attainment, assessed using Relative Excess Risk due to Interaction (RERI) and simple slope test.

Results

The analytical sample comprised 8857 individuals. Participants who were from low-wealth households or with lower education and reported past-month binge drinking had 27% (95% CI: 1.16 to 1.39) and 28% (95% CI: 1.18 to 1.40) higher OIDP scores, respectively, than those not binge drinkers from higher SEP, and super-additive associations were detected (RERI for household wealth: 0.12; RERI for educational attainment: 0.14).

Conclusion

Binge drinkers from low SEP have poorer OHRQoL. Public oral health initiatives aiming to combat binge drinking are likely to disproportionately benefit vulnerable groups.

查看原文本刊更多论文

老年人酗酒和口腔健康相关生活质量:社会经济地位的影响

目的:本研究的目的是调查巴西老年人酗酒与口腔健康相关生活质量(OHRQoL)之间的关系是否因社会经济地位(SEP)而异。背景:酒精消费对健康的不良影响不成比例地影响社会经济弱势群体和老年人。此外，对酗酒的测量可能会捕捉到酒精滥用与健康之间关联的不同领域，这些领域可能独立于饮酒量或饮酒频率的传统标志。酒精使用与口腔健康结果之间的关联证据没有考虑到酗酒和sep可能改变的影响。方法:我们使用巴西老龄化纵向研究(2015-2016)的基线数据进行了二次横断面分析。效应测量修正分析使用多变量泊松回归模型检验了过去一个月的酗酒与口腔对日常表现的影响(OIDP)问卷得分之间的关联是否因家庭财富水平和受教育程度的不同而有所不同，评估方法是相互作用的相对超额风险(rei)和简单斜率检验。结果:分析样本共8857人。来自低财富家庭或受教育程度较低且报告过去一个月酗酒的参与者，其OIDP得分分别比来自较高SEP的非酗酒者高27% (95% CI: 1.16至1.39)和28% (95% CI: 1.18至1.40)，并且检测到超加性关联(家庭财富的rei: 0.12;教育程度的rei为0.14)。结论:低SEP酗酒者的OHRQoL较差。旨在打击酗酒的公共口腔卫生倡议可能会不成比例地惠及弱势群体。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.