The Associations of Social Determinants and Medical Conditions With Edentulism in Indonesia's Aging Population.

IF 1.7 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2025-09-22 DOI:10.1111/ger.70020

Mustika Arini, Ahmad Watsiq Maula, Rahmi Khairani Aulia, Renaissa Prithasuri Darajati, Judy Chia-Chun Yuan, Cortino Sukotjo

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引用次数: 0

Abstract

Objective: To describe edentulism and its associations in older adult Indonesians.

Background: Indonesia is the fourth largest population in the world, with a total population of 274.859 million people in 2022. The prevalence of edentulism was 7.2% in 2018. The population aged 60 and above was around 9.6% in 2019 and is projected to reach around 20% by 2045.

Methods: The data were obtained from the most recent Indonesian Family Life Survey (IFLS-5), which investigated edentulism in individuals aged 65 and older. The exposure variables were social determinants of health and medical conditions, with the outcome being edentulism status. Log binomial regression was used to estimate the prevalence ratio.

Results: The overall weighted prevalence of edentulism was 15.7% (95% CI = 13.5-18.1). The sample comprised 2598 respondents aged 65 years or above. The prevalence of edentulism was 2.1 times higher in individuals over 75 years old. Higher education is linked to a lower prevalence of tooth loss. Insurance holders had a 20% lower prevalence. Hypertension increased prevalence by 20%, and chronic lung disease raised it by 1.5 times. Multivariate analysis confirmed significant interactions between education, economic status and age, affecting edentulism rates.

Conclusion: The social determinants of health (education level, economic status, insurance and age) and medical conditions influenced the prevalence of edentulism in Indonesia's aging population. Addressing these upstream factors is essential for reducing oral health disparities and improving population-level oral health outcomes.

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社会决定因素和医疗条件与印尼老年人口无牙症的关联。

目的：描述印度尼西亚老年人的牙长牙症及其相关性。背景：印尼是世界第四大人口大国，2022年总人口为27485.9万人。2018年，蛀牙症的患病率为7.2%。2019年，60岁及以上人口约为9.6%，预计到2045年将达到20%左右。方法：数据来自最近的印度尼西亚家庭生活调查（IFLS-5），该调查调查了65岁及以上个体的牙齿问题。暴露变量是健康和医疗状况的社会决定因素，其结果是牙齿状况。采用对数二项回归估计患病率。结果：全牙化加权患病率为15.7% （95% CI = 13.5-18.1）。样本包括2598名年龄在65岁或以上的受访者。在75岁以上的人群中，蛀牙的患病率要高出2.1倍。高等教育与较低的牙齿脱落率有关。保险持有人的患病率降低了20%。高血压的患病率增加了20%，慢性肺病的患病率增加了1.5倍。多变量分析证实，教育程度、经济状况和年龄之间存在显著的交互作用，影响蛀牙率。结论：健康的社会决定因素（教育水平、经济状况、保险和年龄）和医疗条件影响着印度尼西亚老龄人口中蛀牙症的流行。解决这些上游因素对于减少口腔健康差距和改善人口水平的口腔健康结果至关重要。

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.