School of Public Administration, Xinjiang University of Finance & Economics, Xinjiang, China.
National Health Commission Contraceptives Adverse Reaction Surveillance Center; Jiangsu Health Development Research Center, Jiangsu Provincial Medical Key Laboratory of Fertility Protection and Health Technology Assessment, Nanjing, China.
J Public Health Dent. 2024 Jun;84(2):103-109. doi: 10.1111/jphd.12604. Epub 2024 Mar 15.
In recent years, there has been a growing academic interest in investigating the determinants of healthy aging. The main objective of this study was to investigate the association between oral status, as defined by tooth loss and denture use, and healthy aging among Chinese older adults over a four-year duration.
The data were derived from the 2014 and 2018 waves of the Chinese Longitudinal Healthy Longevity Survey. Descriptive statistics and multivariate logistic regression analysis were employed for statistical analysis.
The results suggest that older adults with ≥20 natural teeth have a higher likelihood of experiencing healthy aging compared to those with fewer than 20 natural teeth. In the fully adjusted model, only older adults with ≥20 natural teeth demonstrated a higher rate of healthy aging compared to those with 0 natural teeth, with an OR (95% CI): 2.09 (1.54-2.84).
These results highlight the importance of maintaining ≥20 teeth for promoting healthy aging among Chinese older adults. Furthermore, wearing dentures can, to varying degrees, mitigate the adverse effects of tooth loss on healthy aging. Rehabilitative interventions, such as the utilization of dentures and other clinical strategies, play a pivotal role in enhancing the oral health status of older individuals.
近年来，学术界越来越关注健康老龄化的决定因素。本研究的主要目的是调查在四年的时间内，口腔状况（定义为牙齿缺失和使用义齿）与中国老年人健康老龄化之间的关系。
数据来自中国长寿纵向研究的 2014 年和 2018 年的两次调查。采用描述性统计和多变量逻辑回归分析进行统计分析。
结果表明，与缺失少于 20 颗天然牙的老年人相比，拥有 20 颗或更多天然牙的老年人更有可能经历健康老龄化。在完全调整的模型中，只有拥有 20 颗或更多天然牙的老年人与缺失 0 颗天然牙的老年人相比，健康老龄化的比例更高，OR（95%CI）为 2.09（1.54-2.84）。
这些结果强调了保持 20 颗或更多天然牙对促进中国老年人健康老龄化的重要性。此外，佩戴义齿在一定程度上可以减轻牙齿缺失对健康老龄化的不利影响。康复干预措施，如使用义齿和其他临床策略，在增强老年人的口腔健康状况方面发挥着关键作用。
