Psychosocial Profiles of Older Adults by Dentition Status and Dental Utilisation History.

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

Community dentistry and oral epidemiology Pub Date : 2025-04-25 DOI:10.1111/cdoe.13040

T L Finlayson, K Moss, J A Jones, J S Preisser, J A Weintraub

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引用次数: 0

Abstract

Objective: Psychosocial factors can affect health. Patterns of psychosocial stressors and resources among older adults were examined for oral health status.

Methods: The Health and Retirement Study (HRS) is a representative sample of US adults > 50 years. Participants completed the 2018 HRS CORE survey and the Psychosocial and Lifestyle Questionnaire-Panel A "Leave Behind" survey (HRS-LB) (N = 4703). All measures were self-reported and stratified into outcome groups: (1) edentulous/dentate, (2) with/without a recent dental visit in the last 2 years. Psychosocial measures covered three domains: well-being, beliefs, and lifestyle. Specifically, loneliness, life satisfaction, perceived age, social status, control, mastery, and chronic stressors were included in this analysis. Latent class analysis (LCA) identified profiles of adults based on the distribution of psychological and social stressors and resources. Associations between latent classes and being edentulous and a recent dental visit were examined in logistic regression models.

Results: About 30% reported no recent dental visit; 14% were edentulous. Three latent classes were identified; profiles had different distributions of psychosocial factors. About half (47%) were in Class A: "Satisfied/Connected" (n = 2230), 28% in Class B: "Satisfied/Lonely" (n = 1293), and 25% in Class C: "Unsatisfied/Lonely" (n = 1180). "Satisfied/Connected" adults had the fewest psychosocial risk factors, most resources, were dentate, and had a recent dental visit. "Unsatisfied/Lonely" adults exhibited the most psychosocial risk factors and fewest resources and lacked a recent dental visit. "Satisfied/Lonely" adults exhibited characteristics between Classes A and C. In fully adjusted regression models, Class B adults had 1.29 (1.03-1.62) times greater odds than Class A to be edentulous and 1.26 (1.07-1.50) times greater odds to not have a recent dental visit. Class C adults had 1.22 (0.97-1.53) times greater odds than Class A to be edentulous and 1.31 (1.10-1.57) times greater odds to not have a recent dental visit.

Conclusion: Adverse psychosocial factors are associated with edentulism and lack of routine dental visits. Exposure to psychosocial risk and resource factors can affect oral health. Health providers should assess older adults for loneliness and other psychosocial risk factors, and policies and programmes that support older adults' psychosocial needs should be expanded.

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老年人牙齿状况和牙科使用史的社会心理特征。

目的：心理社会因素可影响健康。对老年人的口腔健康状况进行了心理社会压力源和资源模式的检查。方法：健康与退休研究（HRS）是美国50岁以上成年人的代表性样本。参与者完成了2018年HRS CORE调查和心理社会和生活方式问卷- A组“落后”调查（HRS- lb）（N = 4703）。所有的测量都是自我报告的，并分为结果组：(1)无牙/有牙；(2)最近2年内有/没有牙科就诊。社会心理测量涵盖了三个领域：幸福、信仰和生活方式。具体来说，孤独、生活满意度、感知年龄、社会地位、控制、掌握和慢性压力因素都包括在这个分析中。潜在类别分析（LCA）基于心理和社会压力源和资源的分布来识别成人的特征。在逻辑回归模型中检验了潜在类别和无牙与最近牙科就诊之间的关系。结果：约30%的患者近期未就诊；14%无牙。确定了三个潜在类别；档案中心理社会因素的分布不同。大约一半（47%）的人属于A类：“满意/有联系”（n = 2230）， 28%的人属于B类：“满意/孤独”（n = 1293）， 25%的人属于C类：“不满意/孤独”（n = 1180）。“满意/有联系”的成年人的心理风险因素最少，资源最多，有牙齿，最近去看过牙医。“不满意/孤独”的成年人表现出最多的社会心理风险因素和最少的资源，并且缺乏最近的牙科检查。“满意/孤独”的成年人表现出介于A类和c类之间的特征。在完全调整的回归模型中，B类成年人无牙的几率是A类的1.29（1.03-1.62）倍，最近没有看牙医的几率是A类的1.26（1.07-1.50）倍。C类成年人无牙的几率是A类的1.22倍（0.97-1.53），最近没有看过牙医的几率是A类的1.31倍（1.10-1.57）。结论：不良心理社会因素与缺牙和缺乏常规牙科就诊有关。暴露于社会心理风险和资源因素会影响口腔健康。保健提供者应评估老年人的孤独感和其他社会心理风险因素，并应扩大支持老年人社会心理需求的政策和规划。

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 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.