Prevalence of and factors associated with fewer than 20 remaining teeth in Taiwanese adults with disabilities: a community-based cross-sectional study
Identifieur interne : 000108 ( Main/Exploration ); précédent : 000107; suivant : 000109Prevalence of and factors associated with fewer than 20 remaining teeth in Taiwanese adults with disabilities: a community-based cross-sectional study
Auteurs : Mei-Yu Pan [Taïwan] ; Tsung-Cheng Hsieh [Taïwan] ; Hung-Cheng Tai [Taïwan] ; Ming-Shyan Lin [Taïwan] ; Yu-Chen Lin [Taïwan] ; Mei-Yen Chen [Taïwan]Source :
- BMJ Open [ 2044-6055 ] ; 2017.
Abstract
To examine the prevalence of and the factors associated with a number of remaining teeth (NRT) <20 among adults with disabilities.
A community-based, cross-sectional descriptive study.
This study was part of a health promotion programme designed for community-dwelling adults with disabilities.
A total of 549 adults with disabilities, aged 20–80 years, living in the community in Chiayi County in Taiwan.
Various parameters, including NRT, oral health behaviours (ie, oral hygiene, dietary habits and substance use), comorbidities, disability classification and capability for performing activities of daily living, were measured. Data were statistically analysed using descriptive statistics and multivariate logistic regression analysis.
The mean NRT was 18.1 (SD=10.9); 44.8% of participants had NRT <20 (including 13.7% edentulous participants). Most participants had poor oral hygiene: 83.4% reported seldom using dental floss, 78% did not undergo regular 6-monthly dental check-ups and 77.4% seldom brushed their teeth after meal. After adjusting for potentially confounding variables, the intellectual disability group had a significantly higher risk of an NRT <20 than the physical disability group (OR 2.30, 95% CI 1.30 to 4.08). Additionally, the rare use of dental floss and hypertension significantly increased the possibility of an NRT <20 (OR 1.73–2.12, 95% CI 1.15 to 3.71).
An NRT <20 and edentulism were highly prevalent among adults with disabilities, who displayed poor oral hygiene behaviours. Adults with intellectual disabilities had a greater likelihood of having an NRT <20 than did those with physical disability. In addition to unmodifiable factors, the poor use of dental floss was significantly associated with an NRT <20.
Url:
DOI: 10.1136/bmjopen-2017-016270
PubMed: 28993381
PubMed Central: 5639993
Affiliations:
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first="Mei-Yu" last="Pan">Mei-Yu Pan</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution content-type="department">Department of Nursing</institution>,<institution>Chang Gung University of Science and Technology</institution>,<addr-line content-type="city">Chiayi</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution content-type="department">Institute of Medical Sciences</institution>,<institution>Tzu Chi University</institution>,<addr-line content-type="city">Hualien</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hsieh, Tsung Cheng" sort="Hsieh, Tsung Cheng" uniqKey="Hsieh T" first="Tsung-Cheng" last="Hsieh">Tsung-Cheng Hsieh</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution content-type="department">Institute of Medical Sciences</institution>,<institution>Tzu Chi University</institution>,<addr-line content-type="city">Hualien</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Tai, Hung Cheng" sort="Tai, Hung Cheng" uniqKey="Tai H" first="Hung-Cheng" last="Tai">Hung-Cheng Tai</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution content-type="department">Department of General Education</institution>,<institution>Chang Gung University of Science and Technology</institution>,<addr-line content-type="city">Chiayi</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lin, Ming Shyan" sort="Lin, Ming Shyan" uniqKey="Lin M" first="Ming-Shyan" last="Lin">Ming-Shyan Lin</name><affiliation wicri:level="1"><nlm:aff id="aff4"><institution content-type="department">Department of Cardiology</institution>,<institution>Chang Gung Memorial Hospital</institution>,<addr-line content-type="city">Chiayi</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lin, Yu Chen" sort="Lin, Yu Chen" uniqKey="Lin Y" first="Yu-Chen" last="Lin">Yu-Chen Lin</name><affiliation wicri:level="1"><nlm:aff id="aff5"><institution content-type="department">Department of Health Promotion</institution>,<institution>Chiayi Bureau of Health</institution>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Mei Yen" sort="Chen, Mei Yen" uniqKey="Chen M" first="Mei-Yen" last="Chen">Mei-Yen Chen</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution content-type="department">Department of Nursing</institution>,<institution>Chang Gung University of Science and Technology</institution>,<addr-line content-type="city">Chiayi</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><institution content-type="department">Department of Cardiology</institution>,<institution>Chang Gung Memorial Hospital</institution>,<addr-line content-type="city">Chiayi</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff6"><institution content-type="department">Department of Nursing</institution>,<institution>Chang Gung University</institution>,<addr-line content-type="city">Taoyuan</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMJ Open</title><idno type="eISSN">2044-6055</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>To examine the prevalence of and the factors associated with a number of remaining teeth (NRT) <20 among adults with disabilities.</p></sec><sec><title>Design</title><p>A community-based, cross-sectional descriptive study.</p></sec><sec><title>Setting</title><p>This study was part of a health promotion programme designed for community-dwelling adults with disabilities.</p></sec><sec><title>Participants</title><p>A total of 549 adults with disabilities, aged 20–80 years, living in the community in Chiayi County in Taiwan.</p></sec><sec><title>Outcome measures</title><p>Various parameters, including NRT, oral health behaviours (ie, oral hygiene, dietary habits and substance use), comorbidities, disability classification and capability for performing activities of daily living, were measured. Data were statistically analysed using descriptive statistics and multivariate logistic regression analysis.</p></sec><sec><title>Results</title><p>The mean NRT was 18.1 (SD=10.9); 44.8% of participants had NRT <20 (including 13.7% edentulous participants). Most participants had poor oral hygiene: 83.4% reported seldom using dental floss, 78% did not undergo regular 6-monthly dental check-ups and 77.4% seldom brushed their teeth after meal. After adjusting for potentially confounding variables, the intellectual disability group had a significantly higher risk of an NRT <20 than the physical disability group (OR 2.30, 95% CI 1.30 to 4.08). Additionally, the rare use of dental floss and hypertension significantly increased the possibility of an NRT <20 (OR 1.73–2.12, 95% CI 1.15 to 3.71).</p></sec><sec><title>Conclusions</title><p>An NRT <20 and edentulism were highly prevalent among adults with disabilities, who displayed poor oral hygiene behaviours. Adults with intellectual disabilities had a greater likelihood of having an NRT <20 than did those with physical disability. In addition to unmodifiable factors, the poor use of dental floss was significantly associated with an NRT <20.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Wang, Tf" uniqKey="Wang T">TF Wang</name></author><author><name sortKey="Chen, Yy" uniqKey="Chen Y">YY Chen</name></author><author><name sortKey="Liou, Ym" uniqKey="Liou Y">YM Liou</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leroy, R" uniqKey="Leroy R">R Leroy</name></author><author><name sortKey="Declerck, D" uniqKey="Declerck D">D Declerck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yamanaka, K" uniqKey="Yamanaka K">K Yamanaka</name></author><author><name sortKey="Nakagaki, H" uniqKey="Nakagaki H">H Nakagaki</name></author><author><name sortKey="Morita, I" uniqKey="Morita I">I Morita</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marcenes, W" 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Bershadsky</name></author><author><name sortKey="Kane, Rl" uniqKey="Kane R">RL Kane</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Elliott, I" uniqKey="Elliott I">I Elliott</name></author><author><name sortKey="Nunn, J" uniqKey="Nunn J">J Nunn</name></author><author><name sortKey="Sadlier, D" uniqKey="Sadlier D">D Sadlier</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Taïwan</li></country></list><tree><country name="Taïwan"><noRegion><name sortKey="Pan, Mei Yu" sort="Pan, Mei Yu" uniqKey="Pan M" first="Mei-Yu" last="Pan">Mei-Yu Pan</name></noRegion><name sortKey="Chen, Mei Yen" sort="Chen, Mei Yen" uniqKey="Chen M" first="Mei-Yen" last="Chen">Mei-Yen Chen</name><name sortKey="Chen, Mei Yen" sort="Chen, Mei Yen" uniqKey="Chen M" first="Mei-Yen" last="Chen">Mei-Yen Chen</name><name sortKey="Chen, Mei Yen" sort="Chen, Mei Yen" uniqKey="Chen M" first="Mei-Yen" last="Chen">Mei-Yen Chen</name><name sortKey="Hsieh, Tsung Cheng" sort="Hsieh, Tsung Cheng" uniqKey="Hsieh T" first="Tsung-Cheng" last="Hsieh">Tsung-Cheng Hsieh</name><name sortKey="Lin, Ming Shyan" sort="Lin, Ming Shyan" uniqKey="Lin M" first="Ming-Shyan" last="Lin">Ming-Shyan Lin</name><name sortKey="Lin, Yu Chen" sort="Lin, Yu Chen" uniqKey="Lin Y" first="Yu-Chen" last="Lin">Yu-Chen Lin</name><name sortKey="Pan, Mei Yu" sort="Pan, Mei Yu" uniqKey="Pan M" first="Mei-Yu" last="Pan">Mei-Yu Pan</name><name sortKey="Tai, Hung Cheng" sort="Tai, Hung Cheng" uniqKey="Tai H" first="Hung-Cheng" last="Tai">Hung-Cheng Tai</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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