Gender differences in roles of health behavior between marital status and oral health

IF 2.5 4区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatrics & Gerontology International Pub Date : 2025-09-11 DOI:10.1111/ggi.70170

Farzana Sharmin, Yusuke Matsuyama, Shiho Kino, Sakura Kiuchi, Katsunori Kondo, Jun Aida

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引用次数: 0

Abstract

Aim

Marital status is a form of social network and source of social support, and it is beneficial to oral health by enhancing health behaviors. We examined the mediating effects of oral health behaviors on the association of marital status with the number of teeth.

Methods

This cross-sectional study used data from the Japan Gerontological Evaluation Study 2022, targeting individuals aged ≥65 years. Marital status was the exposure, and the number of teeth was the outcome. Mediation effects of dental treatment, dental checkup, tooth brushing, alcohol drinking, and smoking were evaluated using the Karlson–Holm–Breen (KHB) method.

Results

Of the 21 745 participants, the mean number of teeth was higher in participants having a spouse (men: 18.49 [standard deviation, SD = 10.00], women: 20.08 [SD = 8.88]) than in those without a spouse (men: 16.34 [SD = 10.34], women: 17.22 [SD = 10.35]). Having a spouse was associated with a higher number of teeth, yielding coefficients of 0.76 (95% confidence interval [CI] = 0.26; 1.25) for men and 0.67 (95% CI = 0.31; 1.03) for women, after adjusting for confounders. The coefficients for the association through oral health behaviors were 0.66 (95% CI = 0.51; 0.81) for men and 0.10 (95% CI = 0.02; 0.19) for women, explaining 46.62% of the association in men and 13.68% in women.

Conclusions

Being married at an older age was associated with having a higher number of teeth, which was mediated by better oral health behaviors. These behaviors had a greater impact on men, who generally had poorer behaviors compared with women. Geriatr Gerontol Int 2025; 25: 1397–1403.

Abstract Image

查看原文本刊更多论文

健康行为在婚姻状况和口腔健康之间作用的性别差异。

目的：婚姻状况是社会网络的一种形式和社会支持的来源，通过促进健康行为有利于口腔健康。我们考察了口腔健康行为在婚姻状况与牙齿数量之间的中介作用。方法：本横断面研究使用日本老年学评估研究2022的数据，目标是年龄≥65岁的个体。婚姻状况是暴露，牙齿的数量是结果。采用Karlson-Holm-Breen （KHB）法评价牙科治疗、牙科检查、刷牙、饮酒和吸烟的中介作用。结果：在21745名参与者中，有配偶的参与者（男性：18.49[标准差，SD = 10.00]，女性：20.08 [SD = 8.88]）的平均牙齿数量高于无配偶的参与者（男性：16.34 [SD = 10.34]，女性：17.22 [SD = 10.35]）。有配偶与牙齿数量较多相关，在调整混杂因素后，男性的系数为0.76(95%可信区间[CI] = 0.26; 1.25)，女性的系数为0.67 （95% CI = 0.31; 1.03）。男性与口腔健康行为相关的系数为0.66 (95% CI = 0.51; 0.81)，女性为0.10 (95% CI = 0.02; 0.19)，解释了男性与女性之间46.62%和13.68%的关联。结论：晚婚者的牙齿数量较多，这与良好的口腔健康行为有关。这些行为对男性的影响更大，与女性相比，男性的行为通常更差。Geriatr Gerontol 2025；••: ••-••.

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

Geriatrics & Gerontology International 医学-老年医学

CiteScore

5.50

自引率

6.10%

发文量

189

审稿时长

4-8 weeks

期刊介绍： Geriatrics & Gerontology International is the official Journal of the Japan Geriatrics Society, reflecting the growing importance of the subject area in developed economies and their particular significance to a country like Japan with a large aging population. Geriatrics & Gerontology International is now an international publication with contributions from around the world and published four times per year.