Division of Public Health, Oral Health Section, North Carolina Department of Health and Human Services, Raleigh, North Carolina, USA.
Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Gerodontology. 2024 Sep;41(3):357-367. doi: 10.1111/ger.12710. Epub 2023 Aug 7.
To investigate the association of demographic and socio-economic characteristics with self-reported oral health (SROH) among older adults who participated in the Health and Retirement Study (HRS) in 2008, 2018, or both, and to describe temporal changes.
Data were from the University of Michigan's Health and Retirement Study (HRS), a nationally representative longitudinal survey of Americans aged 51 and older. Responses from participants who completed the Core HRS survey and Dental Module (DM) in 2008 (n = 1310), 2018 (n = 1330), and the "common group" at both timepoints (n = 559) were analysed. Using the common group, the outcome measure was 2018 self-rated oral health (Favourable vs Unfavourable). Potential explanatory variables included 2008 self-rated oral health (SROH), sociodemographic, and dental utilisation-related factors. Survey logistic regression analysis was used to identify factors that were associated with unfavourable 2018 SROH in 2018.
Unfavourable SROH prevalence was 28.5% and 31.6% in 2008 and 2018, respectively. Among the common, longitudinal group, the unfavourable prevalence remained the same, 26.1% at both timepoints. A positive association was seen between 2018 unfavourable SROH and baseline variables of 2008 unfavourable SROH, male gender, less education, and lower levels of wealth.
Over a quarter of participants reported unfavourable SROH. There was little change in SROH during this period. Sociodemographic factors influence the SROH of the older population. Policies and programs to promote and protect the oral health of older adults should be designed and implemented to reduce social inequalities and improve the SROH of disadvantaged older adults.
调查 2008 年、2018 年或两者均参加美国健康与退休研究（HRS）的老年人的人口统计学和社会经济特征与自我报告的口腔健康（SROH）之间的关联，并描述其时间变化。
数据来自密歇根大学健康与退休研究（HRS），这是一项对 51 岁及以上美国人进行的全国代表性纵向调查。对 2008 年（n=1310）、2018 年（n=1330）完成核心 HRS 调查和牙科模块（DM）的参与者以及两个时间点的“共同组”（n=559）的答复进行了分析。使用共同组，将 2018 年自我评定的口腔健康（有利与不利）作为结果测量。潜在的解释变量包括 2008 年自我评定的口腔健康（SROH）、社会人口统计学和与牙齿利用相关的因素。使用调查逻辑回归分析来确定与 2018 年不利 SROH 相关的因素。
2008 年和 2018 年不利 SROH 的患病率分别为 28.5%和 31.6%。在共同的纵向组中，不利的患病率在两个时间点均保持不变，为 26.1%。2018 年不利 SROH 与 2008 年不利 SROH 的基线变量（2018 年不利 SROH）、男性性别、受教育程度较低和财富水平较低呈正相关。
超过四分之一的参与者报告了不利的 SROH。在此期间，SROH 几乎没有变化。社会人口统计学因素影响老年人口的 SROH。应制定和实施促进和保护老年人口腔健康的政策和计划，以减少社会不平等现象并改善处境不利的老年人的 SROH。
