Marginalization and tooth loss in older Mexican adults.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Community dental health Pub Date : 2023-11-30 DOI:10.1922/CDH_00099GarciaPerez06

A Garcia Perez, K G Rodríguez González, J A Rodríguez Chávez, L B Velázquez-Olmedo

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引用次数: 0

Abstract

Objective: To examine the association between the level of marginalization and tooth loss in adults aged ≥50 years in Mexico.

Methods: A retrospective cross‑sectional study was conducted on 2098 adults selected from communities presenting both high and medium levels of marginalization, with data obtained from the annual reports of the Epidemiological Surveillance System of Oral Pathologies 2019-2022. Analysis considered sociodemographic characteristics such as sex, age, and years of education. The prevalence of tooth loss was determined using the Decayed, Missing and Filled teeth (DMFT) index. Negative binomial regression was used to estimate rate ratio (RR) and 95% confidence intervals (CIs), using the presence of lost teeth as an outcome.

Results: Most (62.4%) participants had lost at least one tooth, of whom 60.3% had a medium level of marginalization, 28.8% a high level, and 10.9% a very high level. More adults who lived in high or very high marginalization communities had lost teeth [RR=1.19 (95% CI 1.08 - 1.30)] than those living in communities with a medium level of marginalization. More males [RR=1.19 (95% CI 1.09 - 1.31)], adults ≥70 years [RR=1.77 (95% CI 1.57 - 1.99)], people who were illiterate [RR=1.60 (95% CI 1.35 - 1.88)] or who had poor oral hygiene [RR=1.26 (95% CI 1.15 - 1.38)] had also lost teeth.

Conclusion: High and very high marginalization was associated with tooth loss in adults ≥50 years in Mexico. Effective oral health strategies are required to prevent tooth loss, as are interventions to improve access to and quality of dental services for marginalized communities.

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墨西哥老年人的边缘化和牙齿脱落。

目的:研究墨西哥≥50岁成人边缘化程度与牙齿脱落之间的关系。方法:采用回顾性横断面研究方法，选取来自中高边缘化社区的2098名成年人，数据来自2019-2022年口腔病理流行病学监测系统年度报告。分析考虑了社会人口特征，如性别、年龄和受教育年限。使用蛀牙、缺牙和补牙(DMFT)指数来确定牙齿脱落的发生率。使用负二项回归来估计比率(RR)和95%置信区间(ci)，以牙齿脱落的存在作为结果。结果:大多数(62.4%)参与者至少有一颗牙齿脱落，其中60.3%为中等水平，28.8%为高水平，10.9%为非常高水平。生活在高边缘化或非常高边缘化社区的成年人比生活在中等边缘化社区的成年人有更多的牙齿脱落[RR=1.19 (95% CI 1.08 - 1.30)]。男性[RR=1.19 (95% CI 1.09 - 1.31)]、70岁以上成人[RR=1.77 (95% CI 1.57 - 1.99)]、文盲[RR=1.60 (95% CI 1.35 - 1.88)]或口腔卫生较差的[RR=1.26 (95% CI 1.15 - 1.38)]也有较多的牙齿脱落。结论:在墨西哥≥50岁的成年人中，高边缘化和非常高边缘化与牙齿脱落有关。需要有效的口腔卫生战略来防止牙齿脱落，也需要干预措施来改善边缘化社区获得牙科服务的机会和质量。

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

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.