Department of Global Health Promotion, Tokyo Medical and Dental University.
J Epidemiol. 2022 Oct 5;32(10):464-468. doi: 10.2188/jea.JE20200366. Epub 2021 Oct 19.
Procrastination is associated with stress and unhealthy behaviors. The oral condition reflects the long-term history of an individual's stress exposure and oral health behaviors; however, empirical studies on the association of procrastination in childhood with remaining teeth in older age are limited. We investigated the association of procrastination in childhood with the number of remaining teeth among community-dwelling older Japanese adults.
In total, 1,616 community-dwelling senior residents of Wakuya City (Miyagi Prefecture, Japan) who were enrolled in the National Health Plan & the Medical Care System for the Elderly completed a self-administered questionnaire on the number of teeth. Procrastination was measured using a single binary question about timing of holiday homework completion in childhood. The number of remaining teeth was assessed via a questionnaire with response options of ≥20, 10-19, 1-9, and 0 teeth. Ordered logistic regression models with potential confounders (sex, age, maternal education, childhood socioeconomic status [SES], childhood maltreatment, conscientiousness trait) and mediators (adulthood SES, smoking history, alcohol use history) were estimated.
Forty-six percent of participants reported a higher tendency to procrastinate in childhood. The proportions of participants with ≥20, 10-19, 1-9, and 0 teeth were 39.6%, 22.7%, 24.0%, and 13.7%, respectively. After adjusting for all covariates, a higher tendency to procrastinate in childhood was significantly associated with having fewer remaining teeth (odds ratio 1.28; 95% confidence interval, 1.05-1.57).
A higher tendency to procrastinate in childhood was associated with having fewer remaining teeth in later life.
拖延与压力和不健康的行为有关。口腔状况反映了个体长期暴露于压力和口腔健康行为的历史;然而,关于儿童期拖延与老年时剩余牙齿数量之间关联的实证研究有限。我们调查了儿童期拖延与社区居住的日本老年人剩余牙齿数量之间的关联。
总共纳入了日本宫城县若柳市(Wakuya 市)的 1616 名社区居住的高龄居民,他们参加了国家健康计划和老年人医疗保健系统,并完成了一份关于牙齿数量的自我管理问卷。儿童期拖延症使用关于假期作业完成时间的单一二元问题进行测量。剩余牙齿数量通过问卷评估,答案选项为≥20、10-19、1-9 和 0 颗。使用包含潜在混杂因素(性别、年龄、母亲教育、儿童期社会经济状况[SES]、儿童期虐待、尽责特质)和中介因素(成年 SES、吸烟史、饮酒史)的有序逻辑回归模型进行估计。
46%的参与者报告在儿童期有更高的拖延倾向。参与者中剩余牙齿数≥20、10-19、1-9 和 0 颗的比例分别为 39.6%、22.7%、24.0%和 13.7%。调整所有协变量后,儿童期较高的拖延倾向与较少的剩余牙齿数量显著相关(比值比 1.28;95%置信区间,1.05-1.57)。
儿童期较高的拖延倾向与晚年剩余牙齿数量较少有关。