Avlund Kirsten, Holm-Pedersen Poul, Morse Douglas E, Viitanen Matti, Winblad Bengt
Department of Social Medicine, Institute of Public Health, Blegdamsvej 3, 2200 Copenhagen N, Denmark.
Community Dent Oral Epidemiol. 2003 Dec;31(6):454-62. doi: 10.1046/j.1600-0528.2003.00115.x.
To analyze whether social relations during a 7-year follow-up influence oral health among generally healthy, community-dwelling persons over the age of 80 years.
The present investigation is based on a subsample of 129 dentate community-dwelling individuals from The Kungsholmen Elders Oral Health Study (KEOHS), which included data from interviews and oral examinations. Social relations were measured in terms of marital status, living alone, frequency of contacts, number of confidants, and satisfaction with social contacts and with the frequency of contacts. Oral health was measured in terms of coronal caries and root caries.
The primary findings of the adjusted multivariate logistic regression analysis were that persons who lived alone or who became alone during the 7 years prior to the dental examination had greater odds of having coronal caries (odds ratio (OR): 2.4, 95% CI: 1.0-5.7) than those who continually lived with others, and that persons who were continuously dissatisfied with the frequency of their social contacts were more likely to have root caries than those who reported a sustained satisfaction with the frequency of their social contacts (OR: 2.9, 95% CI: 1.2-7.2).
This study suggests that social relations are related to the oral health status of old-old individuals. From a psychosocial perspective, our findings contribute to a deeper understanding of the background of oral health status in older adults.
分析在7年随访期间的社会关系是否会影响80岁以上一般健康的社区居住者的口腔健康。
本调查基于来自 Kungsholmen 老年人口腔健康研究（KEOHS）的129名有牙的社区居住个体的子样本，该研究包括访谈和口腔检查的数据。社会关系通过婚姻状况、独居情况、接触频率、知己数量、对社交接触的满意度以及接触频率来衡量。口腔健康通过冠龋和根龋来衡量。
调整后的多变量逻辑回归分析的主要结果是，在牙科检查前7年内独居或变得独居的人患冠龋的几率（优势比（OR）：2.4，95%置信区间：1.0 - 5.7）高于那些一直与他人同住的人，并且那些对社交接触频率持续不满意的人比那些对社交接触频率表示持续满意的人更有可能患根龋（OR：2.9，95%置信区间：1.2 - 7.2）。
本研究表明社会关系与高龄个体的口腔健康状况有关。从心理社会角度来看，我们的研究结果有助于更深入地理解老年人口腔健康状况的背景。
