Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Sweden.
Scand J Public Health. 2018 Nov;46(7):690-698. doi: 10.1177/1403494817717406. Epub 2017 Aug 3.
To study edentulism and use of dental services in a population-based sample of people aged 65 years and older from northern Sweden and western Finland.
In 2010, people aged 65, 70, 75 and 80 years who were living in one of 32 municipalities in northern Sweden and western Finland were invited to answer a questionnaire as part of the Gerontological Regional Database (GERDA) study ( n = 6099). The questionnaire contained items related to socioeconomic status, general health and edentulism.
The prevalence of edentulism was 34.9% in Finland, compared with 20.6% in Sweden ( p < 0.001), 31.9% in rural areas, compared with 20.9% in urban areas ( p < 0.001), and 25% overall. The prevalence of edentulism rose from 17.8% in 65-year-olds, 23.8% in 70-year-olds, 33.5% in 75-year-olds and 37.3% in 80-year-olds ( p < 0.001), and was 23.8% in women, compared with 27% in men ( p < 0.001). In multivariate models, edentulism was associated with lower educational level (odds ratio (OR) 2.87, 95% confidence interval (CI) 2.31-3.58), low income level (OR 1.7, CI 1.09-1.47), residence in a rural area (OR 1.43, CI 1.23-1.66), male sex (OR 1.30, CI 1.12-1.52), dependence in instrumental activities of daily living (OR 1.48, CI 1.25-1.74), social isolation (OR 1.52, CI 1.17-1.98) and poor self-experienced health (OR 1.38, CI 1.17-1.62).
One-quarter of the total sample was edentulous, with a higher prevalence of edentulism in Finland than in Sweden and in rural than in urban areas. Edentulism was associated with socioeconomic, psychological and health-related factors. These findings could be used to inform preventive measures and identify people aged 65 years and older who are in need of oral care.
研究瑞典北部和芬兰西部基于人群的 65 岁及以上老年人样本中的无牙颌和牙科服务使用情况。
2010 年，瑞典北部和芬兰西部 32 个市中的 65 岁、70 岁、75 岁和 80 岁人群被邀请回答问卷调查，这是老年学区域数据库（GERDA）研究的一部分（n=6099）。问卷包含与社会经济地位、一般健康和无牙颌相关的项目。
芬兰无牙颌患病率为 34.9%，而瑞典为 20.6%（p<0.001）；农村地区为 31.9%，而城市地区为 20.9%（p<0.001）；总体为 25%。无牙颌患病率从 65 岁的 17.8%、70 岁的 23.8%、75 岁的 33.5%和 80 岁的 37.3%上升（p<0.001）；女性为 23.8%，男性为 27%（p<0.001）。在多变量模型中，无牙颌与较低的教育水平（比值比（OR）2.87，95%置信区间（CI）2.31-3.58）、低收入水平（OR 1.7，CI 1.09-1.47）、居住在农村地区（OR 1.43，CI 1.23-1.66）、男性（OR 1.30，CI 1.12-1.52）、日常生活活动工具性依赖（OR 1.48，CI 1.25-1.74）、社会孤立（OR 1.52，CI 1.17-1.98）和自我健康体验较差（OR 1.38，CI 1.17-1.62）有关。
四分之一的总样本无牙颌，芬兰的无牙颌患病率高于瑞典，农村地区高于城市地区。无牙颌与社会经济、心理和健康相关因素有关。这些发现可用于为预防措施提供信息，并确定需要口腔护理的 65 岁及以上人群。
