Randolph W M, Ostir G V, Markides K S
Department of Preventive Medicine and Community Health and the Sealy Center on Aging, University of Texas Medical Branch, Galveston 77555, USA.
J Am Geriatr Soc. 2001 May;49(5):585-9. doi: 10.1046/j.1532-5415.2001.49118.x.
To describe the prevalence of tooth loss, to examine risk factors for having fewer teeth or no teeth, and to describe the use of dental services in an older Mexican-American population.
Data from the baseline phase of the Hispanic Established Population for the Epidemiological Study of the Elderly survey conducted from 1993 to 1994, a cross-sectional survey of older Mexican Americans.
Five southwestern states: Texas, California, Arizona, New Mexico, and Colorado.
3,050 noninstitutionalized Mexican Americans age 65 to 99.
Twenty-seven percent of the sample was completely edentulous and 22% reported visiting or speaking with a dental care professional in the preceding year. Logistic regression analyses showed that being older or being female was significantly associated with tooth loss, adjusting for education, income, smoking status, and diabetes mellitus. Current smokers (odds ratio (OR) = 1.69; 95% CI = 1.31-2.20) and diabetics (OR = 1.53; 95% CI = 1.27-1.84) were more at risk for tooth loss, as were persons of lower socioeconomic status.
The prevalence of tooth loss and use of dental services in this population of older Mexican Americans is lower than what has been previously found among older people in the general population.
描述牙齿缺失的患病率，研究牙齿较少或无牙的风险因素，并描述老年墨西哥裔美国人使用牙科服务的情况。
来自1993年至1994年进行的西班牙裔老年人流行病学研究既定人群基线阶段的数据，这是一项对老年墨西哥裔美国人的横断面调查。
五个西南部州：得克萨斯州、加利福尼亚州、亚利桑那州、新墨西哥州和科罗拉多州。
3050名65至99岁未入住机构的墨西哥裔美国人。
27%的样本完全无牙，22%的人报告在前一年看过牙科护理专业人员或与之交谈过。逻辑回归分析表明，在调整了教育程度、收入、吸烟状况和糖尿病因素后，年龄较大或女性与牙齿缺失显著相关。当前吸烟者（优势比（OR）=1.69；95%置信区间=1.31-2.20）和糖尿病患者（OR=1.53；95%置信区间=1.27-1.84）牙齿缺失的风险更高，社会经济地位较低的人也是如此。
在这群老年墨西哥裔美国人中，牙齿缺失的患病率和牙科服务的使用率低于之前在一般老年人群中发现的水平。
