Differences in oral health status between institutionalized and non‐institutionalized older adults
Identifieur interne : 00B981 ( Main/Curation ); précédent : 00B980; suivant : 00B982Differences in oral health status between institutionalized and non‐institutionalized older adults
Auteurs : Gary D. Slade [Canada] ; David Locker [Canada] ; James L. Leake [Canada] ; Sherry A. Price [Canada] ; Irene Chao [Canada]Source :
- Community Dentistry and Oral Epidemiology [ 0301-5661 ] ; 1990-10.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Attribution aléatoire, Bouche édentée (épidémiologie), Facteurs de l'âge, Facteurs sexuels, Femelle, Humains, Indice CAO, Institutionnalisation, Modèles logistiques, Mâle, Ontario (épidémiologie), Santé buccodentaire, Sujet âgé, Sujet âgé de 80 ans ou plus, Vieillissement, État de santé.
- MESH :
English descriptors
- KwdEn :
- Age Factors, Aged, Aged, 80 and over, Aging, Community dent orat epidemiot, Community dentistry, DMF Index, Decayed teeth, Dent, Dentate, Dentate subjects, East york, East york residents, Edentulism, Female, Gender, Health Status, Health status, Humans, Instit, Institution residents, Institutional environment, Institutionalization, Linear models, Logistic Models, Logistic model, Long term, Male, Middle Aged, Mouth, Edentulous (epidemiology), Odds ratio, Older adults, Ontario (epidemiology), Oral Health, Oral disease, Oral health, Oral health stattis, Oral health status, Other hand, Pairs analysis, Random Allocation, Rank test, Root caries, Sex Factors, Significant differences, Teeth extraction, Tooth loss.
- MESH :
- geographic , epidemiology : Ontario.
- epidemiology : Mouth, Edentulous.
- Teeft :
- Age Factors, Aged, Aged, 80 and over, Aging, Community dent orat epidemiot, Community dentistry, DMF Index, Decayed teeth, Dent, Dentate, Dentate subjects, East york, East york residents, Edentulism, Female, Gender, Health Status, Health status, Humans, Instit, Institution residents, Institutional environment, Institutionalization, Linear models, Logistic Models, Logistic model, Long term, Male, Middle Aged, Odds ratio, Older adults, Oral Health, Oral disease, Oral health, Oral health stattis, Oral health status, Other hand, Pairs analysis, Random Allocation, Rank test, Root caries, Sex Factors, Significant differences, Teeth extraction, Tooth loss.
Abstract
Abstract Differences in oral health status between independent and institutionalized adults have been difficult to interpret because the latter population is typically older and has a higher proportion of women, confounding any association between institutionalization and disease levels. We undertook an analysis of oral disease amongst institutionalized (n= 149) and non‐institutionalized (n= 246) samples of older adults randomly selected from the population in East York, Ontario. When the confounding effects of age and gender were controlled by constructing 67 matched pairs, institutionalized people were more than twice as likely to be edentulous (OR = 2.17, 95% CI = 1.09–4.29). This association was confirmed using data from all subjects in a logistic regression model. Analysis of covariance of data from dentate subjects revealed that the institutionalized seniors had fewer filled teeth (P < 0.05, controlling for age and sex), but there were no statistically significant differences in the number of teeth which were missing, decayed, or requiring extraction. These findings suggest that antecedent, sociodemographic factors prior to institutionalization are responsible for the higher probability of oral disease in this group of older adults.
Url:
DOI: 10.1111/j.1600-0528.1990.tb00076.x
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<front><div type="abstract">Abstract Differences in oral health status between independent and institutionalized adults have been difficult to interpret because the latter population is typically older and has a higher proportion of women, confounding any association between institutionalization and disease levels. We undertook an analysis of oral disease amongst institutionalized (n= 149) and non‐institutionalized (n= 246) samples of older adults randomly selected from the population in East York, Ontario. When the confounding effects of age and gender were controlled by constructing 67 matched pairs, institutionalized people were more than twice as likely to be edentulous (OR = 2.17, 95% CI = 1.09–4.29). This association was confirmed using data from all subjects in a logistic regression model. Analysis of covariance of data from dentate subjects revealed that the institutionalized seniors had fewer filled teeth (P < 0.05, controlling for age and sex), but there were no statistically significant differences in the number of teeth which were missing, decayed, or requiring extraction. These findings suggest that antecedent, sociodemographic factors prior to institutionalization are responsible for the higher probability of oral disease in this group of older adults.</div>
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<term>Pairs analysis</term>
<term>Rank test</term>
<term>Root caries</term>
<term>Significant differences</term>
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<front><div type="abstract">Abstract Differences in oral health status between independent and institutionalized adults have been difficult to interpret because the latter population is typically older and has a higher proportion of women, confounding any association between institutionalization and disease levels. We undertook an analysis of oral disease amongst institutionalized (n= 149) and non‐institutionalized (n= 246) samples of older adults randomly selected from the population in East York, Ontario. When the confounding effects of age and gender were controlled by constructing 67 matched pairs, institutionalized people were more than twice as likely to be edentulous (OR = 2.17, 95% CI = 1.09–4.29). This association was confirmed using data from all subjects in a logistic regression model. Analysis of covariance of data from dentate subjects revealed that the institutionalized seniors had fewer filled teeth (P < 0.05, controlling for age and sex), but there were no statistically significant differences in the number of teeth which were missing, decayed, or requiring extraction. These findings suggest that antecedent, sociodemographic factors prior to institutionalization are responsible for the higher probability of oral disease in this group of older adults.</div>
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<author><name sortKey="Slade, G D" sort="Slade, G D" uniqKey="Slade G" first="G D" last="Slade">G D Slade</name>
<affiliation wicri:level="4"><nlm:affiliation>Department of Community Dentistry, University of Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Community Dentistry, University of Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
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<author><name sortKey="Locker, D" sort="Locker, D" uniqKey="Locker D" first="D" last="Locker">D. Locker</name>
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<author><name sortKey="Leake, J L" sort="Leake, J L" uniqKey="Leake J" first="J L" last="Leake">J L Leake</name>
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<author><name sortKey="Price, S A" sort="Price, S A" uniqKey="Price S" first="S A" last="Price">S A Price</name>
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<author><name sortKey="Chao, I" sort="Chao, I" uniqKey="Chao I" first="I" last="Chao">I. Chao</name>
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<affiliation wicri:level="4"><nlm:affiliation>Department of Community Dentistry, University of Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Community Dentistry, University of Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
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<author><name sortKey="Locker, D" sort="Locker, D" uniqKey="Locker D" first="D" last="Locker">D. Locker</name>
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<author><name sortKey="Leake, J L" sort="Leake, J L" uniqKey="Leake J" first="J L" last="Leake">J L Leake</name>
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<author><name sortKey="Price, S A" sort="Price, S A" uniqKey="Price S" first="S A" last="Price">S A Price</name>
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<author><name sortKey="Chao, I" sort="Chao, I" uniqKey="Chao I" first="I" last="Chao">I. Chao</name>
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<series><title level="j">Community dentistry and oral epidemiology</title>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Aging</term>
<term>DMF Index</term>
<term>Female</term>
<term>Health Status</term>
<term>Humans</term>
<term>Institutionalization</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Ontario (epidemiology)</term>
<term>Oral Health</term>
<term>Random Allocation</term>
<term>Sex Factors</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Attribution aléatoire</term>
<term>Bouche édentée (épidémiologie)</term>
<term>Facteurs de l'âge</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice CAO</term>
<term>Institutionnalisation</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Ontario (épidémiologie)</term>
<term>Santé buccodentaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Vieillissement</term>
<term>État de santé</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ontario</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mouth, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term>
<term>Ontario</term>
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<keywords scheme="MESH" xml:lang="en"><term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Aging</term>
<term>DMF Index</term>
<term>Female</term>
<term>Health Status</term>
<term>Humans</term>
<term>Institutionalization</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Oral Health</term>
<term>Random Allocation</term>
<term>Sex Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Attribution aléatoire</term>
<term>Facteurs de l'âge</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice CAO</term>
<term>Institutionnalisation</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Santé buccodentaire</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Vieillissement</term>
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<front><div type="abstract" xml:lang="en">Differences in oral health status between independent and institutionalized adults have been difficult to interpret because the latter population is typically older and has a higher proportion of women, confounding any association between institutionalization and disease levels. We undertook an analysis of oral disease amongst institutionalized (n = 149) and non-institutionalized (n = 246) samples of older adults randomly selected from the population in East York, Ontario. When the confounding effects of age and gender were controlled by constructing 67 matched pairs, institutionalized people were more than twice as likely to be edentulous (OR = 2.17, 95% CI = 1.09-4.29). This association was confirmed using data from all subjects in a logistic regression model. Analysis of covariance of data from dentate subjects revealed that the institutionalized seniors had fewer filled teeth (P less than 0.05, controlling for age and sex), but there were no statistically significant differences in the number of teeth which were missing, decayed, or requiring extraction. These findings suggest that antecedent, sociodemographic factors prior to institutionalization are responsible for the higher probability of oral disease in this group of older adults.</div>
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