Burden of poor oral health in older age: findings from a population-based study of older British men
Identifieur interne : 001363 ( Main/Exploration ); précédent : 001362; suivant : 001364Burden of poor oral health in older age: findings from a population-based study of older British men
Auteurs : S E Ramsay [Royaume-Uni] ; P H Whincup [Royaume-Uni] ; R G Watt [Royaume-Uni] ; G. Tsakos [Royaume-Uni] ; A O Papacosta [Royaume-Uni] ; L T Lennon [Royaume-Uni] ; S G Wannamethee [Royaume-Uni]Source :
- BMJ Open [ 2044-6055 ] ; 2015.
Descripteurs français
- KwdFr :
- Autorapport, Bouche édentée (épidémiologie), Caries dentaires (épidémiologie), Classe sociale, Coût de la maladie, Humains, Maladies parodontales (épidémiologie), Mâle, Qualité de vie, Royaume-Uni, Santé buccodentaire (), Sujet âgé, Sujet âgé de 80 ans ou plus, Xérostomie (épidémiologie), Études prospectives, Études transversales.
- MESH :
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Cost of Illness, Cross-Sectional Studies, Dental Caries (epidemiology), Humans, Male, Mouth, Edentulous (epidemiology), Oral Health (statistics & numerical data), Periodontal Diseases (epidemiology), Prospective Studies, Quality of Life, Self Report, Social Class, United Kingdom, Xerostomia (epidemiology).
- MESH :
- epidemiology : Dental Caries, Mouth, Edentulous, Periodontal Diseases, Xerostomia.
- statistics & numerical data : Oral Health.
- Aged, Aged, 80 and over, Cost of Illness, Cross-Sectional Studies, Humans, Male, Prospective Studies, Quality of Life, Self Report, Social Class, United Kingdom.
Abstract
Evidence of the extent of poor oral health in the older UK adult population is limited. We describe the prevalence of oral health conditions, using objective clinical and subjective measures, in a population-based study of older men.
Cross-sectional study.
A representative sample of men aged 71–92 years in 2010–2012 from the British Regional Heart Study, initially recruited in 1978–1980 from general practices across Britain. Physical examination among 1660 men included the number of teeth, and periodontal disease in index teeth in each sextant (loss of attachment, periodontal pocket, gingival bleeding). Postal questionnaires (completed by 2147 men including all participants who were clinically examined) included self-rated oral health, oral impacts on daily life and current perception of dry mouth experience.
Among 1660 men clinically examined, 338 (20%) were edentulous and a further 728 (43%) had <21 teeth. For periodontal disease, 233 (19%) had loss of attachment (>5.5 mm) affecting 1–20% of sites while 303 (24%) had >20% sites affected. The prevalence of gingival bleeding was 16%. Among 2147 men who returned postal questionnaires, 35% reported fair/poor oral health; 11% reported difficulty eating due to oral health problems. 31% reported 1–2 symptoms of dry mouth and 20% reported 3–5 symptoms of dry mouth. The prevalence of edentulism, loss of attachment, or fair/poor self-rated oral health was greater in those from manual social class.
These findings highlight the high burden of poor oral health in older British men. This was reflected in both the objective clinical and subjective measures of oral health conditions. The determinants of these oral health problems in older populations merit further research to reduce the burden and consequences of poor oral health in older people.
Url:
DOI: 10.1136/bmjopen-2015-009476
PubMed: 26715480
PubMed Central: 4710823
Affiliations:
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Tsakos</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Department of Epidemiology & Public Health</addr-line>,<institution>UCL</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Papacosta, A O" sort="Papacosta, A O" uniqKey="Papacosta A" first="A O" last="Papacosta">A O Papacosta</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Primary Care & Population Health</addr-line>,<institution>UCL</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lennon, L T" sort="Lennon, L T" uniqKey="Lennon L" first="L T" last="Lennon">L T Lennon</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Primary Care & Population Health</addr-line>,<institution>UCL</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wannamethee, S G" sort="Wannamethee, S G" uniqKey="Wannamethee S" first="S G" last="Wannamethee">S G Wannamethee</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Primary Care & Population Health</addr-line>,<institution>UCL</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</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="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cost of Illness</term><term>Cross-Sectional Studies</term><term>Dental Caries (epidemiology)</term><term>Humans</term><term>Male</term><term>Mouth, Edentulous (epidemiology)</term><term>Oral Health (statistics & numerical data)</term><term>Periodontal Diseases (epidemiology)</term><term>Prospective Studies</term><term>Quality of Life</term><term>Self Report</term><term>Social Class</term><term>United Kingdom</term><term>Xerostomia (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Autorapport</term><term>Bouche édentée (épidémiologie)</term><term>Caries dentaires (épidémiologie)</term><term>Classe sociale</term><term>Coût de la maladie</term><term>Humains</term><term>Maladies parodontales (épidémiologie)</term><term>Mâle</term><term>Qualité de vie</term><term>Royaume-Uni</term><term>Santé buccodentaire ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Xérostomie (épidémiologie)</term><term>Études prospectives</term><term>Études transversales</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Dental Caries</term><term>Mouth, Edentulous</term><term>Periodontal Diseases</term><term>Xerostomia</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Oral Health</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term><term>Caries dentaires</term><term>Maladies parodontales</term><term>Xérostomie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Cost of Illness</term><term>Cross-Sectional Studies</term><term>Humans</term><term>Male</term><term>Prospective Studies</term><term>Quality of Life</term><term>Self Report</term><term>Social Class</term><term>United Kingdom</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Autorapport</term><term>Classe sociale</term><term>Coût de la maladie</term><term>Humains</term><term>Mâle</term><term>Qualité de vie</term><term>Royaume-Uni</term><term>Santé buccodentaire</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études prospectives</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>Evidence of the extent of poor oral health in the older UK adult population is limited. We describe the prevalence of oral health conditions, using objective clinical and subjective measures, in a population-based study of older men.</p></sec><sec><title>Design</title><p>Cross-sectional study.</p></sec><sec><title>Setting and participants</title><p>A representative sample of men aged 71–92 years in 2010–2012 from the British Regional Heart Study, initially recruited in 1978–1980 from general practices across Britain. Physical examination among 1660 men included the number of teeth, and periodontal disease in index teeth in each sextant (loss of attachment, periodontal pocket, gingival bleeding). Postal questionnaires (completed by 2147 men including all participants who were clinically examined) included self-rated oral health, oral impacts on daily life and current perception of dry mouth experience.</p></sec><sec><title>Results</title><p>Among 1660 men clinically examined, 338 (20%) were edentulous and a further 728 (43%) had <21 teeth. For periodontal disease, 233 (19%) had loss of attachment (>5.5 mm) affecting 1–20% of sites while 303 (24%) had >20% sites affected. The prevalence of gingival bleeding was 16%. Among 2147 men who returned postal questionnaires, 35% reported fair/poor oral health; 11% reported difficulty eating due to oral health problems. 31% reported 1–2 symptoms of dry mouth and 20% reported 3–5 symptoms of dry mouth. The prevalence of edentulism, loss of attachment, or fair/poor self-rated oral health was greater in those from manual social class.</p></sec><sec><title>Conclusions</title><p>These findings highlight the high burden of poor oral health in older British men. This was reflected in both the objective clinical and subjective measures of oral health conditions. The determinants of these oral health problems in older populations merit further research to reduce the burden and consequences of poor oral health in older people.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Beard, Jr" uniqKey="Beard J">JR Beard</name></author><author><name sortKey="Bloom, De" uniqKey="Bloom D">DE Bloom</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Petersen, Pe" uniqKey="Petersen P">PE Petersen</name></author><author><name sortKey="Yamamoto, T" uniqKey="Yamamoto T">T Yamamoto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marcenes, W" uniqKey="Marcenes W">W Marcenes</name></author><author><name sortKey="Kassebaum, Nj" uniqKey="Kassebaum N">NJ Kassebaum</name></author><author><name sortKey="Bernabe, E" uniqKey="Bernabe E">E Bernabé</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Lader</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steele, J" uniqKey="Steele J">J Steele</name></author><author><name sortKey="Shen, J" uniqKey="Shen J">J Shen</name></author><author><name sortKey="Tsakos, G" uniqKey="Tsakos G">G Tsakos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Townsend, N" uniqKey="Townsend N">N Townsend</name></author><author><name sortKey="Williams, J" uniqKey="Williams J">J Williams</name></author><author><name sortKey="Bhatnagar, P" uniqKey="Bhatnagar P">P Bhatnagar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Griffin, So" uniqKey="Griffin S">SO Griffin</name></author><author><name sortKey="Jones, Ja" uniqKey="Jones J">JA Jones</name></author><author><name sortKey="Brunson, D" uniqKey="Brunson D">D Brunson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thomson, Wm" uniqKey="Thomson W">WM Thomson</name></author><author><name sortKey="Ma, S" uniqKey="Ma S">S Ma</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pretty, Ia" uniqKey="Pretty I">IA Pretty</name></author><author><name sortKey="Ellwood, Rp" uniqKey="Ellwood R">RP Ellwood</name></author><author><name sortKey="Lo, Ec" uniqKey="Lo E">EC Lo</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Ramsay, S E" sort="Ramsay, S E" uniqKey="Ramsay S" first="S E" last="Ramsay">S E Ramsay</name></noRegion><name sortKey="Lennon, L T" sort="Lennon, L T" uniqKey="Lennon L" first="L T" last="Lennon">L T Lennon</name><name sortKey="Papacosta, A O" sort="Papacosta, A O" uniqKey="Papacosta A" first="A O" last="Papacosta">A O Papacosta</name><name sortKey="Tsakos, G" sort="Tsakos, G" uniqKey="Tsakos G" first="G" last="Tsakos">G. Tsakos</name><name sortKey="Wannamethee, S G" sort="Wannamethee, S G" uniqKey="Wannamethee S" first="S G" last="Wannamethee">S G Wannamethee</name><name sortKey="Watt, R G" sort="Watt, R G" uniqKey="Watt R" first="R G" last="Watt">R G Watt</name><name sortKey="Whincup, P H" sort="Whincup, P H" uniqKey="Whincup P" first="P H" last="Whincup">P H Whincup</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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