Oral health among the elderly in 7 Latin American and Caribbean cities, 1999-2000: a cross-sectional study
Identifieur interne : 000E89 ( Main/Exploration ); précédent : 000E88; suivant : 000E90Oral health among the elderly in 7 Latin American and Caribbean cities, 1999-2000: a cross-sectional study
Auteurs : Hema Singh [Trinité-et-Tobago] ; Rohan G. Maharaj ; Rahul Naidu [Trinité-et-Tobago]Source :
- BMC Oral Health [ 1472-6831 ] ; 2015.
Abstract
To describe the prevalence of missing teeth, use of bridges and dentures and unmet dental needs among those aged 60 years and above. The associations of these conditions with socio-demographics, type 2 diabetes mellitus and depression were also studied. The work was carried out in 7 Latin American and Caribbean (LAC) cities in 1999-2000.
A secondary analysis was conducted on the Survey of Health and Well-Being of Elders (SABE) dataset. The 7 cities were Buenos Aires, Bridgetown, São Paulo, Santiago, Havana, Mexico City and Montevideo. This survey did not employ any oral examinations. Descriptive statistics, chi-square and regression analysis were used to test for associations.
Data for 10 902 persons were analyzed. Females made up 62% of the population. Across the SABE population, between 93.7% (Mexico City) to 99.9% (Santiago) reported missing teeth, with an average of 97.5%. Of those with missing teeth, between 55.1% (Mexico City) and 82.4% (São Paulo) reported having bridges or dentures, with an average of 70.1% across all SABE cities. The proportion of the SABE population with ‘unmet dental needs’ ranged from 85.8% (Santiago) to 98.4% (Havana), with an average of 94.5%. Bridgetown, São Paulo and Mexico City demonstrated a statistically significant association between aging and tooth loss. Generally a greater proportion of females (97.6%) reported tooth loss compared with males (96.8%), but in only São Paulo and Montevideo was there a statistically significant association between sex and tooth loss. Generally those with higher education reported less tooth loss, primary education (97.6% had tooth loss), secondary (96.8%) and tertiary (94.7%). All the SABE cities except Buenos Aires demonstrated a statistically significant association between tooth loss and education.
The prevalence of missing teeth, use of bridges and dentures and unmet dental needs were high in the SABE cities in 1999-2000. In general across the SABE cities, the elderly with the most missing teeth were less educated or less likely to be a professional. They tended to be not working and were receiving a pension. Additionally they were less likely to report their health as ‘excellent’, were diabetic and were more likely to give responses suggestive of depression.
Url:
DOI: 10.1186/s12903-015-0030-x
PubMed: 25888257
PubMed Central: 4404071
Affiliations:
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Maharaj</name><affiliation><nlm:aff id="Aff2">Unit of Public Health and Primary Care, The Faculty of Medical Sciences, The University of the West Indies, St. Augustine, West Indies Trinidad and Tobago</nlm:aff><wicri:noCountry code="subfield">West Indies Trinidad and Tobago</wicri:noCountry></affiliation></author><author><name sortKey="Naidu, Rahul" sort="Naidu, Rahul" uniqKey="Naidu R" first="Rahul" last="Naidu">Rahul Naidu</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Community Dentistry, The Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago</nlm:aff><country xml:lang="fr">Trinité-et-Tobago</country><wicri:regionArea>Community Dentistry, The Faculty of Medical Sciences, The University of the West Indies, St. Augustine</wicri:regionArea><wicri:noRegion>St. Augustine</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25888257</idno><idno type="pmc">4404071</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4404071</idno><idno type="RBID">PMC:4404071</idno><idno type="doi">10.1186/s12903-015-0030-x</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000B90</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000B90</idno><idno type="wicri:Area/Pmc/Curation">000B90</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000B90</idno><idno type="wicri:Area/Pmc/Checkpoint">000C12</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000C12</idno><idno type="wicri:Area/Ncbi/Merge">005A69</idno><idno type="wicri:Area/Ncbi/Curation">005A69</idno><idno type="wicri:Area/Ncbi/Checkpoint">005A69</idno><idno type="wicri:Area/Main/Merge">000E91</idno><idno type="wicri:Area/Main/Curation">000E89</idno><idno type="wicri:Area/Main/Exploration">000E89</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Oral health among the elderly in 7 Latin American and Caribbean cities, 1999-2000: a cross-sectional study</title><author><name sortKey="Singh, Hema" sort="Singh, Hema" uniqKey="Singh H" first="Hema" last="Singh">Hema Singh</name><affiliation wicri:level="1"><nlm:aff id="Aff1">The University of the West Indies, St. Augustine, Trinidad and Tobago</nlm:aff><country xml:lang="fr">Trinité-et-Tobago</country><wicri:regionArea>The University of the West Indies, St. Augustine</wicri:regionArea><wicri:noRegion>St. Augustine</wicri:noRegion></affiliation></author><author><name sortKey="Maharaj, Rohan G" sort="Maharaj, Rohan G" uniqKey="Maharaj R" first="Rohan G" last="Maharaj">Rohan G. Maharaj</name><affiliation><nlm:aff id="Aff2">Unit of Public Health and Primary Care, The Faculty of Medical Sciences, The University of the West Indies, St. Augustine, West Indies Trinidad and Tobago</nlm:aff><wicri:noCountry code="subfield">West Indies Trinidad and Tobago</wicri:noCountry></affiliation></author><author><name sortKey="Naidu, Rahul" sort="Naidu, Rahul" uniqKey="Naidu R" first="Rahul" last="Naidu">Rahul Naidu</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Community Dentistry, The Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago</nlm:aff><country xml:lang="fr">Trinité-et-Tobago</country><wicri:regionArea>Community Dentistry, The Faculty of Medical Sciences, The University of the West Indies, St. Augustine</wicri:regionArea><wicri:noRegion>St. Augustine</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Oral Health</title><idno type="eISSN">1472-6831</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>To describe the prevalence of missing teeth, use of bridges and dentures and unmet dental needs among those aged 60 years and above. The associations of these conditions with socio-demographics, type 2 diabetes mellitus and depression were also studied. The work was carried out in 7 Latin American and Caribbean (LAC) cities in 1999-2000.</p></sec><sec><title>Methods</title><p>A secondary analysis was conducted on the Survey of Health and Well-Being of Elders (SABE) dataset. The 7 cities were Buenos Aires, Bridgetown, São Paulo, Santiago, Havana, Mexico City and Montevideo. This survey did not employ any oral examinations. Descriptive statistics, chi-square and regression analysis were used to test for associations.</p></sec><sec><title>Results</title><p>Data for 10 902 persons were analyzed. Females made up 62% of the population. Across the SABE population, between 93.7% (Mexico City) to 99.9% (Santiago) reported missing teeth, with an average of 97.5%. Of those with missing teeth, between 55.1% (Mexico City) and 82.4% (São Paulo) reported having bridges or dentures, with an average of 70.1% across all SABE cities. The proportion of the SABE population with ‘unmet dental needs’ ranged from 85.8% (Santiago) to 98.4% (Havana), with an average of 94.5%. Bridgetown, São Paulo and Mexico City demonstrated a statistically significant association between aging and tooth loss. Generally a greater proportion of females (97.6%) reported tooth loss compared with males (96.8%), but in only São Paulo and Montevideo was there a statistically significant association between sex and tooth loss. Generally those with higher education reported less tooth loss, primary education (97.6% had tooth loss), secondary (96.8%) and tertiary (94.7%). All the SABE cities except Buenos Aires demonstrated a statistically significant association between tooth loss and education.</p></sec><sec><title>Conclusions</title><p>The prevalence of missing teeth, use of bridges and dentures and unmet dental needs were high in the SABE cities in 1999-2000. In general across the SABE cities, the elderly with the most missing teeth were less educated or less likely to be a professional. They tended to be not working and were receiving a pension. Additionally they were less likely to report their health as ‘excellent’, were diabetic and were more likely to give responses suggestive of depression.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Brennan, Ds" uniqKey="Brennan D">DS Brennan</name></author><author><name sortKey="Spencer, Aj" uniqKey="Spencer A">AJ Spencer</name></author><author><name sortKey="Roberts Thomson, Kf" uniqKey="Roberts Thomson K">KF Roberts-Thomson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johansson, V" uniqKey="Johansson V">V Johansson</name></author><author><name sortKey="Axtelius, B" uniqKey="Axtelius B">B Axtelius</name></author><author><name sortKey="Soderfeldt, B" uniqKey="Soderfeldt B">B Söderfeldt</name></author><author><name sortKey="Sampogna, F" uniqKey="Sampogna F">F Sampogna</name></author><author><name sortKey="Paulander, J" 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Maharaj</name></noCountry><country name="Trinité-et-Tobago"><noRegion><name sortKey="Singh, Hema" sort="Singh, Hema" uniqKey="Singh H" first="Hema" last="Singh">Hema Singh</name></noRegion><name sortKey="Naidu, Rahul" sort="Naidu, Rahul" uniqKey="Naidu R" first="Rahul" last="Naidu">Rahul Naidu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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