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社会支持是否能预测老年男性增加使用牙科服务?

Does social support predict increased use of dental services in older men?

机构信息

Centre for Education and Research on Ageing, Department of Geriatric Medicine, Concord Repatriation General Hospital, Sydney, New South Wales, Australia.

Concord Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.

出版信息

Aust Dent J. 2022 Sep;67(3):262-270. doi: 10.1111/adj.12911. Epub 2022 Apr 21.

Abstract

BACKGROUND

Past research on social support and dental visits in older people has been limited by cross-sectional design, limited social support dimensions and non-representative samples.

METHODS

Data came from men with natural teeth completing Waves 3 and 4 of the Concord Health and Ageing in Men Project in Sydney, Australia. The relationship between social support at Wave 3 (2011-2012) and at least one dental visit per year at Wave 4 (2014-2016) was examined by Poisson regression. Social support was measured by structural (marital status, living arrangements, family support and social interaction) and functional (social support satisfaction) domains.

RESULTS

About 673 men were analysed. Structural and functional social support were not associated with the pattern of usual dental visits 5 years later in univariable or multivariable analyses. The only consistent significant factor was income source, with older men who had other sources of income more likely to regularly visit the dentist than older men solely reliant on the pension for income (prevalence ratio: 1.31, 95% CI: 1.13-1.52).

CONCLUSIONS

We found no differences in the pattern of usual dental visits between older men with different levels and types of social support. For older Australian men, income source seems to be the most important determinant of regular dental visits. © 2022 Australian Dental Association.

摘要

背景

过去关于老年人社会支持与看牙行为的研究受到横断面设计、社会支持维度有限以及代表性样本不足的限制。

方法

数据来自澳大利亚悉尼的“男性健康与老龄化研究”项目中完成第三波和第四波调查的有自然牙的男性。使用泊松回归检验了第三波(2011-2012 年)的社会支持与第四波(2014-2016 年)每年至少看一次牙之间的关系。社会支持通过结构(婚姻状况、居住安排、家庭支持和社会互动)和功能(社会支持满意度)两个维度进行衡量。

结果

约 673 名男性被纳入分析。在单变量和多变量分析中,结构和功能社会支持与 5 年后常规看牙模式均无关联。唯一一致的显著因素是收入来源,与仅靠养老金作为收入的老年男性相比,有其他收入来源的老年男性更有可能定期看牙医(患病率比:1.31,95%置信区间:1.13-1.52)。

结论

我们未发现不同社会支持水平和类型的老年男性常规看牙模式存在差异。对于澳大利亚老年男性而言,收入来源似乎是定期看牙的最重要决定因素。 © 2022 澳大利亚牙科协会。

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