Pengpid Supa, Peltzer Karl
ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand.
Department of Research & Innovation, University of Limpopo, Turfloop, South Africa.
BMC Oral Health. 2018 Jul 3;18(1):118. doi: 10.1186/s12903-018-0582-7.
Little information exists about the loss of all one's teeth (edentulism) among older adults in Indonesia. The aim of this study was to investigate the prevalence of edentulism and associated factors among older adults in Indonesia.
This study examines the self-reported prevalence of edentulism and associated factors among older adults (50 years and older) in a cross-sectional national study using the Indonesia Family Life Survey IFLS-5, 2014/15. The community-based study uses a multi-stage stratified sampling design to interview and assess household members, with a household response rate of over 90%.
The overall prevalence of edentulism was 7.2, 29.8% in 80 years and older and 11.8% in those with no formal education. In adjusted Poisson regression analysis, older age, living in five major island groups and having functional disability were associated with edentulism. In addition, among men, having quit and current tobacco use and among women, having low social capital were associated with edentulism. Further, in adjusted analysis, among men, edentulism was positively associated with hypertension and negatively associated with diabetes, and among women, edentulism was associated with functional disability.
Results suggest that overall and/or among men or women that older age, living in five major island groups, having functional disability, tobacco quitters and users and those with low social capital was associated with edentulism. The identified associated factors of edentulism may be utilized in oral health programmes targeting older adults in Indonesia.
关于印度尼西亚老年人全口无牙(无牙症)的情况,现有信息较少。本研究的目的是调查印度尼西亚老年人中无牙症的患病率及其相关因素。
本研究在一项全国性横断面研究中,利用2014/15年印度尼西亚家庭生活调查(IFLS-5),考察了老年人(50岁及以上)自我报告的无牙症患病率及其相关因素。这项基于社区的研究采用多阶段分层抽样设计,对家庭成员进行访谈和评估,家庭应答率超过90%。
无牙症的总体患病率为7.2%,80岁及以上人群中为29.8%,未受过正规教育的人群中为11.8%。在调整后的泊松回归分析中,年龄较大、居住在五个主要岛屿组以及有功能障碍与无牙症相关。此外,在男性中,戒烟和当前吸烟以及在女性中,社会资本较低与无牙症相关。此外,在调整分析中,在男性中,无牙症与高血压呈正相关,与糖尿病呈负相关,在女性中,无牙症与功能障碍相关。
结果表明,总体上和/或在男性或女性中,年龄较大、居住在五个主要岛屿组、有功能障碍、戒烟者和吸烟者以及社会资本较低与无牙症相关。所确定的无牙症相关因素可用于针对印度尼西亚老年人的口腔健康项目。