University of Washington, School of Dentistry, Department of Oral Health Sciences, Box 357475, Seattle, WA 98195-7475, USA.
Am J Public Health. 2013 Aug;103(8):1507-15. doi: 10.2105/AJPH.2012.301145. Epub 2013 Jan 17.
We evaluated the relationship between financial hardship and self-reported oral health for older men and women.
We focused on adults in the 2008 Health and Retirement Study (n = 1,359). The predictor variables were 4 financial hardship indicators. We used Poisson regression models to estimate the prevalence ratio of poor self-reported oral health.
In the non-gender-stratified model, number of financial hardships was not significantly associated with self-reported oral health. Food insecurity was associated with a 12% greater prevalence of poor self-reported oral health (95% confidence interval [CI] = 1.04, 1.21). In the gender-stratified models, women with 3 or more financial hardships had a 24% greater prevalence of poor self-reported oral health than women with zero (95% CI = 1.09, 1.40). Number of hardships was not associated with self-reported oral health for men. For men, skipping medications was associated with 50% lower prevalence of poor self-reported oral health (95% CI = 0.32, 0.76).
Number of financial hardships was differentially associated with self-reported oral health for older men and women. Most financial hardship indicators affected both genders similarly. Future interventions to improve vulnerable older adults' oral health should account for gender-based heterogeneity in financial hardship experiences.
我们评估了经济困难与老年男女自我报告的口腔健康状况之间的关系。
我们关注的是 2008 年健康与退休研究（n=1359）中的成年人。预测变量是 4 个财务困难指标。我们使用泊松回归模型来估计自我报告的口腔健康不良的患病率比。
在不分性别分层的模型中，经济困难的数量与自我报告的口腔健康状况没有显著关联。粮食不安全与自我报告的口腔健康不良的患病率增加 12%相关（95%置信区间[CI]：1.04，1.21）。在性别分层模型中，与没有经济困难的女性相比，有 3 个或更多经济困难的女性自我报告的口腔健康不良的患病率高 24%（95%CI：1.09，1.40）。对于男性来说，经济困难的数量与自我报告的口腔健康状况无关。对于男性来说，漏服药物与自我报告的口腔健康不良的患病率降低 50%相关（95%CI：0.32，0.76）。
经济困难的数量与老年男女的自我报告的口腔健康状况存在差异相关。大多数经济困难指标对两性的影响相似。未来改善弱势老年人口口腔健康的干预措施应考虑到经济困难经历方面的性别差异。
