Nursing Department, University of Massachusetts Boston, Robert and Donna Manning College of Nursing and Health Sciences, Boston, MA 02125, USA.
College of Dentistry, New York University, New York, NY 10012, USA.
Int J Environ Res Public Health. 2022 Feb 18;19(4):2382. doi: 10.3390/ijerph19042382.
Many older adults suffer from poor oral health, including tooth loss, and disparities among racial/ethnic and socially disadvantaged populations continue to exist.
Data were obtained from the National Health and Nutrition Examination Survey among the adult population in the U.S. The prevalence of edentulism and multiple regression models were conducted on 15,821 adults, including Asians, Blacks, Hispanics, Whites, and others to assess the relationships between tooth loss and their predictors.
The prevalence of complete tooth loss increased with age from 0.7% for ages 20-44 to 20.2% for ages 65 and over. There are disparities in complete tooth loss regarding race/ethnicity, with the highest percentages (9%) among Whites and Blacks and the lowest percentages among Asians (3%) and Hispanics (4%). After adjusting for predictors, their impact on tooth loss was not consistent within racial/ethnic groups, as Asians had more tooth loss from Model 1 (β = -1.974, < 0.0001) to Model 5 (β = -1.1705, < 0.0001).
Tooth loss was significantly higher among older adults and racial/ethnic groups even after controlling for other predictors among a nationally representative sample. The findings point to the fact that subgroup-tailored preventions are necessary.
许多老年人的口腔健康状况不佳，包括牙齿缺失，且不同种族/族裔和社会弱势群体之间仍存在差异。
数据来自美国成年人的国家健康和营养检查调查。对 15821 名成年人进行了无牙和多元回归模型分析，包括亚洲人、黑人、西班牙裔、白人及其他种族，以评估牙齿缺失与预测因素之间的关系。
完全牙齿缺失的患病率随年龄增长而增加，从 20-44 岁的 0.7%增加到 65 岁及以上的 20.2%。在种族/族裔方面存在完全牙齿缺失的差异，白人（9%）和黑人（9%）的比例最高，而亚洲人（3%）和西班牙裔（4%）的比例最低。在调整了预测因素后，它们对牙齿缺失的影响在不同种族/族裔群体中并不一致，因为亚洲人从模型 1（β=-1.974，<0.0001）到模型 5（β=-1.1705，<0.0001）的牙齿缺失更多。
即使在全国代表性样本中控制了其他预测因素，老年人和不同种族/族裔群体的牙齿缺失率仍然显著更高。这些发现表明，需要针对特定亚组的预防措施。
