Ten-year cross-sectional and longitudinal assessment and factors associated with unfavourable self-rated oral health in older adults in the United States

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2023-08-07 DOI:10.1111/ger.12710

Amrita Tembhe, John S. Preisser, Anna Batorsky, Jane A. Weintraub

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引用次数: 0

Abstract

Objective

To investigate the association of demographic and socio-economic characteristics with self-reported oral health (SROH) among older adults who participated in the Health and Retirement Study (HRS) in 2008, 2018, or both, and to describe temporal changes.

Methods

Data were from the University of Michigan's Health and Retirement Study (HRS), a nationally representative longitudinal survey of Americans aged 51 and older. Responses from participants who completed the Core HRS survey and Dental Module (DM) in 2008 (n = 1310), 2018 (n = 1330), and the “common group” at both timepoints (n = 559) were analysed. Using the common group, the outcome measure was 2018 self-rated oral health (Favourable vs Unfavourable). Potential explanatory variables included 2008 self-rated oral health (SROH), sociodemographic, and dental utilisation-related factors. Survey logistic regression analysis was used to identify factors that were associated with unfavourable 2018 SROH in 2018.

Results

Unfavourable SROH prevalence was 28.5% and 31.6% in 2008 and 2018, respectively. Among the common, longitudinal group, the unfavourable prevalence remained the same, 26.1% at both timepoints. A positive association was seen between 2018 unfavourable SROH and baseline variables of 2008 unfavourable SROH, male gender, less education, and lower levels of wealth.

Conclusions

Over a quarter of participants reported unfavourable SROH. There was little change in SROH during this period. Sociodemographic factors influence the SROH of the older population. Policies and programs to promote and protect the oral health of older adults should be designed and implemented to reduce social inequalities and improve the SROH of disadvantaged older adults.

查看原文本刊更多论文

对美国老年人口腔健康状况的十年横向和纵向评估以及与之相关的不利自评因素。

目的调查2008年、2018年或2008年和2018年参加健康与退休研究（HRS）的老年人的人口和社会经济特征与自我报告的口腔健康（SROH）之间的关系，并描述其时间变化：数据来自密歇根大学的健康与退休研究（HRS），这是一项针对 51 岁及以上美国人的全国代表性纵向调查。我们分析了 2008 年（n = 1310）、2018 年（n = 1330）完成核心 HRS 调查和牙科模块（DM）的参与者以及两个时间点的 "共同组"（n = 559）的回复。使用 "共同组 "时，结果测量指标为 2018 年的口腔健康自评（良好 vs 不良）。潜在的解释变量包括 2008 年自评口腔健康（SROH）、社会人口学和牙科使用相关因素。调查逻辑回归分析用于确定与2018年不利口腔健康状况相关的因素：2008年和2018年SROH不良率分别为28.5%和31.6%。在常见的纵向组中，两个时间点的不良率保持不变，均为 26.1%。2018年的不利SROH与2008年的不利SROH、男性性别、教育程度较低和财富水平较低等基线变量之间存在正相关：超过四分之一的参与者报告了不利的 SROH。结论：超过四分之一的参与者报告了不利的 SROH，在此期间 SROH 变化不大。社会人口因素影响着老年人口的 SROH。应设计并实施促进和保护老年人口腔健康的政策和计划，以减少社会不平等现象，改善弱势老年人的口腔健康状况。

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.