Social Relationships and Tooth Loss in Adults Aged 60 Years and Older: A Systematic Review and Meta-Analysis.

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2024-10-22 DOI:10.1111/cdoe.13011

Eiko Yoshida-Kohno, Kenji Fueki, Amal A Wanigatunga, Thomas K M Cudjoe, Jun Aida

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引用次数: 0

Abstract

Objective: To systematically assess current evidence on the extent to which social relationships are associated with tooth loss in adults aged 60 years and older.

Methods: A systematic literature search was conducted on PubMed, Embase, Web of Science, CINAHL and The Cochrane Library databases to identify relevant studies published from 1966 up to March 2024. Cross-sectional or cohort studies investigating the association between structural, functional and/or combined (structural and functional) components of social relationships and the number of remaining teeth or edentulism among community-dwelling or institutionalised older adults were included. Data were extracted on participants' and study characteristics, including study design, the type of measures used to assess social relationships (structural, functional, and combined), outcome measures and association estimates. The quality of the studies was assessed using the Newcastle-Ottawa Scale (NOS) for cohort studies and the adapted NOS for cross-sectional studies. The reported association between social relationships and the number of remaining teeth or edentulism was summarised using meta-analysis with robust variance estimation.

Results: Twenty studies were included in the review and 12 studies (125 553 participants) in the meta-analysis. Across the 12 studies, the average odds ratio (95% confidence interval) was 1.15 (1.01-1.32), indicating a 15% higher likelihood of having a lower number of teeth or edentulism for those with weaker social relationships. The GRADE certainty of the body of evidence was low.

Conclusions: Weak social relationships were associated with a lower number of teeth or edentulism in older adults. Our findings may inform potential public health approaches that target and modify social relationships to prevent and address older adults' oral diseases. Still, the directionality and the underlying mechanisms connecting social relationships and tooth loss need to be further explored by longitudinal studies with follow-up long enough for oral health outcomes or changes in social relationships to occur.

Trial registration: Protocol Registration: PROSPERO (CRD42023417845).

查看原文本刊更多论文

60 岁及以上成年人的社会关系与牙齿脱落：系统回顾与元分析》。

目的系统评估当前关于社会关系与 60 岁及以上成年人牙齿脱落相关程度的证据：在 PubMed、Embase、Web of Science、CINAHL 和 Cochrane Library 数据库中进行系统性文献检索，以确定从 1966 年至 2024 年 3 月期间发表的相关研究。研究对象包括调查社会关系的结构性、功能性和/或组合性（结构性和功能性）成分与社区居住或机构养老的老年人剩余牙齿数量或牙齿缺失之间关系的横断面或队列研究。研究人员提取了有关参与者和研究特征的数据，包括研究设计、用于评估社会关系的测量类型（结构性、功能性和组合性）、结果测量和关联估计值。对队列研究采用纽卡斯尔-渥太华量表（Newcastle-Ottawa Scale，NOS）对横断面研究采用改编的 NOS 对研究质量进行评估。采用荟萃分析法和稳健方差估计法总结了所报告的社会关系与剩余牙齿数量或缺牙之间的关系：20 项研究被纳入综述，12 项研究（125 553 名参与者）被纳入荟萃分析。在这 12 项研究中，平均几率比（95% 置信区间）为 1.15 (1.01-1.32)，这表明社会关系较弱的人拥有较少牙齿或牙齿缺损的可能性要高出 15%。证据体的 GRADE 确定性较低：社会关系薄弱与老年人牙齿数量较少或牙齿缺损有关。我们的研究结果可能会为针对和改变社会关系的潜在公共卫生方法提供信息，以预防和解决老年人的口腔疾病。尽管如此，社会关系与牙齿脱落之间的方向性和内在机制仍需通过纵向研究进一步探讨，随访时间要足够长，以便出现口腔健康结果或社会关系的变化：协议注册：prospero（CRD42023417845）。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.