Social determinants of denture/bridge use: Japan gerontological evaluation study project cross-sectional study in older Japanese
Identifieur interne : 001710 ( Main/Exploration ); précédent : 001709; suivant : 001711Social determinants of denture/bridge use: Japan gerontological evaluation study project cross-sectional study in older Japanese
Auteurs : Tatsuo Yamamoto [Japon] ; Katsunori Kondo [Japon] ; Jun Aida [Japon] ; Kayo Suzuki [Japon] ; Jimpei Misawa [Japon] ; Miyo Nakade [Japon] ; Shinya Fuchida [Japon] ; Yukio Hirata [Japon]Source :
- BMC Oral Health [ 1472-6831 ] ; 2014.
Abstract
Studies suggest that using a denture/bridge may prevent disability in older people. However, not all older people with few remaining teeth use a denture/bridge. This cross-sectional study aimed to examine the social determinants which promote denture/bridge use among older Japanese.
A total of 54,388 (25,630 males and 28,758 females) community-dwelling individuals aged 65 or over, living independently, able to perform daily activities, and with 19 or fewer teeth. The dependent variable was denture/bridge use. Socio-demographics, number of teeth, present illness, social participation, social support, and social networks were used as individual-level independent variables. Data for social capital were aggregated and used as local district (n = 561 for males, n = 562 for females) -level independent variables. Number of dentists working in hospitals/clinics per population and population density were used as municipality (n = 28) -level independent variables. Three-level multilevel Poisson regression analysis was performed for each sex.
High equivalent income, low number of teeth, present illness, and living in a municipality with high population density were significantly associated with denture/bridge use in both sexes in the fully adjusted models (
Denture/bridge use was significantly associated with high economic status and present illness in both sexes, high educational attainment in males, and participation in social groups in females among community-dwelling older Japanese after adjusting for possible confounders.
Url:
DOI: 10.1186/1472-6831-14-63
PubMed: 24894968
PubMed Central: 4050218
Affiliations:
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id="I2">Center for Preventive Medical Science, Chiba University, Chiba, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Center for Preventive Medical Science, Chiba University, Chiba</wicri:regionArea><wicri:noRegion>Chiba</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Center for Well-being and Society, Nihon Fukushi University, Nagoya, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Center for Well-being and Society, Nihon Fukushi University, Nagoya</wicri:regionArea><wicri:noRegion>Nagoya</wicri:noRegion></affiliation></author><author><name sortKey="Aida, Jun" sort="Aida, Jun" uniqKey="Aida J" first="Jun" last="Aida">Jun Aida</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of International and Community Oral Health, 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study project cross-sectional study in older Japanese</title><author><name sortKey="Yamamoto, Tatsuo" sort="Yamamoto, Tatsuo" uniqKey="Yamamoto T" first="Tatsuo" last="Yamamoto">Tatsuo Yamamoto</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Dental Sociology, Kanagawa Dental University Graduate School of Dentistry, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Dental Sociology, Kanagawa Dental University Graduate School of Dentistry, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580</wicri:regionArea><wicri:noRegion>Kanagawa 238-8580</wicri:noRegion></affiliation></author><author><name sortKey="Kondo, Katsunori" sort="Kondo, Katsunori" uniqKey="Kondo K" first="Katsunori" last="Kondo">Katsunori Kondo</name><affiliation wicri:level="1"><nlm:aff id="I2">Center for Preventive Medical Science, Chiba University, Chiba, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Center for Preventive Medical Science, Chiba University, Chiba</wicri:regionArea><wicri:noRegion>Chiba</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Center for Well-being and Society, Nihon Fukushi University, Nagoya, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Center for Well-being and Society, Nihon Fukushi University, Nagoya</wicri:regionArea><wicri:noRegion>Nagoya</wicri:noRegion></affiliation></author><author><name sortKey="Aida, Jun" sort="Aida, Jun" uniqKey="Aida J" first="Jun" last="Aida">Jun Aida</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai</wicri:regionArea><wicri:noRegion>Sendai</wicri:noRegion></affiliation></author><author><name sortKey="Suzuki, Kayo" sort="Suzuki, Kayo" uniqKey="Suzuki K" first="Kayo" last="Suzuki">Kayo Suzuki</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Policy Studies, Aichi Gakuin University, Nisshin, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Policy Studies, Aichi Gakuin University, Nisshin</wicri:regionArea><wicri:noRegion>Nisshin</wicri:noRegion></affiliation></author><author><name sortKey="Misawa, Jimpei" sort="Misawa, Jimpei" uniqKey="Misawa J" first="Jimpei" last="Misawa">Jimpei Misawa</name><affiliation wicri:level="3"><nlm:aff id="I6">Faculty of Sociology, Rikkyo University, Tokyo, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Faculty of Sociology, Rikkyo University, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region></placeName></affiliation></author><author><name sortKey="Nakade, Miyo" sort="Nakade, Miyo" uniqKey="Nakade M" first="Miyo" last="Nakade">Miyo Nakade</name><affiliation wicri:level="1"><nlm:aff id="I7">Department of Nutrition, Faculty of Health and Nutrition, Tokaigakuen University, Nagoya, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Nutrition, Faculty of Health and Nutrition, Tokaigakuen University, Nagoya</wicri:regionArea><wicri:noRegion>Nagoya</wicri:noRegion></affiliation></author><author><name sortKey="Fuchida, Shinya" sort="Fuchida, Shinya" uniqKey="Fuchida S" first="Shinya" last="Fuchida">Shinya Fuchida</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Dental Sociology, Kanagawa Dental University Graduate School of Dentistry, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Dental Sociology, Kanagawa Dental University Graduate School of Dentistry, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580</wicri:regionArea><wicri:noRegion>Kanagawa 238-8580</wicri:noRegion></affiliation></author><author><name sortKey="Hirata, Yukio" sort="Hirata, Yukio" uniqKey="Hirata Y" first="Yukio" last="Hirata">Yukio Hirata</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Dental Sociology, Kanagawa Dental University Graduate School of Dentistry, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Dental Sociology, Kanagawa Dental University Graduate School of Dentistry, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580</wicri:regionArea><wicri:noRegion>Kanagawa 238-8580</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Oral Health</title><idno type="eISSN">1472-6831</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Studies suggest that using a denture/bridge may prevent disability in older people. However, not all older people with few remaining teeth use a denture/bridge. This cross-sectional study aimed to examine the social determinants which promote denture/bridge use among older Japanese.</p></sec><sec><title>Methods</title><p>A total of 54,388 (25,630 males and 28,758 females) community-dwelling individuals aged 65 or over, living independently, able to perform daily activities, and with 19 or fewer teeth. The dependent variable was denture/bridge use. Socio-demographics, number of teeth, present illness, social participation, social support, and social networks were used as individual-level independent variables. Data for social capital were aggregated and used as local district (n = 561 for males, n = 562 for females) -level independent variables. Number of dentists working in hospitals/clinics per population and population density were used as municipality (n = 28) -level independent variables. Three-level multilevel Poisson regression analysis was performed for each sex.</p></sec><sec><title>Results</title><p>High equivalent income, low number of teeth, present illness, and living in a municipality with high population density were significantly associated with denture/bridge use in both sexes in the fully adjusted models (<italic>p</italic> < 0.05). Denture/bridge use was significantly associated with high educational attainment in males and participating in social groups in females in the fully adjusted model (<italic>p</italic> < 0.05). No significant associations were observed between denture/bridge use and social capital.</p></sec><sec><title>Conclusions</title><p>Denture/bridge use was significantly associated with high economic status and present illness in both sexes, high educational attainment in males, and participation in social groups in females among community-dwelling older Japanese after adjusting for possible confounders.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kanehisa, Y" uniqKey="Kanehisa Y">Y Kanehisa</name></author><author><name sortKey="Yoshida, M" uniqKey="Yoshida M">M Yoshida</name></author><author><name sortKey="Taji, T" uniqKey="Taji T">T Taji</name></author><author><name sortKey="Akagawa, Y" uniqKey="Akagawa Y">Y Akagawa</name></author><author><name sortKey="Nakamura, H" uniqKey="Nakamura H">H Nakamura</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yamamoto, T" uniqKey="Yamamoto T">T 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uniqKey="Morita M">M Morita</name></author><author><name sortKey="Tada, T" uniqKey="Tada T">T Tada</name></author><author><name sortKey="Watanabe, T" uniqKey="Watanabe T">T Watanabe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kondo, K" uniqKey="Kondo K">K Kondo</name></author><author><name sortKey="Ashida, T" uniqKey="Ashida T">T Ashida</name></author><author><name sortKey="Hirai, H" uniqKey="Hirai H">H Hirai</name></author><author><name sortKey="Misawa, J" uniqKey="Misawa J">J Misawa</name></author><author><name sortKey="Suzuki, K" uniqKey="Suzuki K">K Suzuki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sanzone, La" uniqKey="Sanzone L">LA Sanzone</name></author><author><name sortKey="Lee, Jy" uniqKey="Lee J">JY Lee</name></author><author><name sortKey="Divaris, K" uniqKey="Divaris K">K Divaris</name></author><author><name sortKey="Dewalt, Da" uniqKey="Dewalt D">DA DeWalt</name></author><author><name sortKey="Baker, Ad" uniqKey="Baker A">AD Baker</name></author><author><name sortKey="Vann, Wf" uniqKey="Vann W">WF Vann</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement></list><tree><country name="Japon"><noRegion><name sortKey="Yamamoto, Tatsuo" sort="Yamamoto, Tatsuo" uniqKey="Yamamoto T" first="Tatsuo" last="Yamamoto">Tatsuo Yamamoto</name></noRegion><name sortKey="Aida, Jun" sort="Aida, Jun" uniqKey="Aida J" first="Jun" last="Aida">Jun Aida</name><name sortKey="Fuchida, Shinya" sort="Fuchida, Shinya" uniqKey="Fuchida S" first="Shinya" last="Fuchida">Shinya Fuchida</name><name sortKey="Hirata, Yukio" sort="Hirata, Yukio" uniqKey="Hirata Y" first="Yukio" last="Hirata">Yukio Hirata</name><name sortKey="Kondo, Katsunori" sort="Kondo, Katsunori" uniqKey="Kondo K" first="Katsunori" last="Kondo">Katsunori Kondo</name><name sortKey="Kondo, Katsunori" sort="Kondo, Katsunori" uniqKey="Kondo K" first="Katsunori" last="Kondo">Katsunori Kondo</name><name sortKey="Misawa, Jimpei" sort="Misawa, Jimpei" uniqKey="Misawa J" first="Jimpei" last="Misawa">Jimpei Misawa</name><name sortKey="Nakade, Miyo" sort="Nakade, Miyo" uniqKey="Nakade M" first="Miyo" last="Nakade">Miyo Nakade</name><name sortKey="Suzuki, Kayo" sort="Suzuki, Kayo" uniqKey="Suzuki K" first="Kayo" last="Suzuki">Kayo Suzuki</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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