Oral health status in older adults with social security in Mexico City: Latent class analysis
Identifieur interne : 001858 ( Main/Exploration ); précédent : 001857; suivant : 001859Oral health status in older adults with social security in Mexico City: Latent class analysis
Auteurs : Sergio Sánchez-García [Mexique] ; Erika Heredia-Ponce [Mexique] ; Pablo Cruz-Hervert [Mexique] ; Teresa Juárez-Cedillo [Mexique] ; Ángel Cárdenas-Bahena [Mexique] ; Carmen García-Pe A [Mexique]Source :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2014.
Abstract
Objective: To explore the oral health status through a latent class analysis in elderly social security beneficiaries from Southwest Mexico City. Material and Methods: Cross-sectional study of beneficiaries of the State Employee Social Security and Social Services Institute (ISSSTE, in Spanish) and the Mexican Institute of Social Security (IMSS, in Spanish) aged 60 years or older. Oral health conditions such as edentulism, coronal and root caries (DMFT and DFT ≥ 75 percentile), clinical attachment loss (≥ 4 mm), and healthy teeth (≤ 25 percentile) were determined. A latent class analysis (LCA) was performed to classify the oral health status of dentate patients. Results: In total, 336 patients were included (47.9% from the ISSSTE and 52.1% from the IMSS), with an average age of 74.4 (SD = 7.1) years. The 75th percentile of the DMFT = 23 and of the DFT = 2. Of the patients, 77.9% had periodontal disease. The 25th percentile of healthy teeth = 4. A three class model is adequate, with a high classification quality (Entropy = 0.915). The patients were classified as “Edentulous” (15.2%), “Class 1 = Unfavorable” (13.7%), “Class 2 = Somewhat favorable” (10.4%), and “Class 3 = Favorable” (60.7%). Using “Class 3 = Favorable” as a reference, there was an association (OR = 3.4; 95% CI = 1.8-6.4) between being edentulous and being 75 years of age and over, compared with the 60- to 74-year age group. Conclusion: The oral health in elderly social security beneficiaries is not optimal. The probability of becoming edentulous increases with age. A three-class model appropriately classifies the oral health dimensions in the elderly population.
Url:
DOI: 10.4317/jced.51224
PubMed: 24596632
PubMed Central: 3935902
Affiliations:
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Latent class analysis</title><author><name sortKey="Sanchez Garcia, Sergio" sort="Sanchez Garcia, Sergio" uniqKey="Sanchez Garcia S" first="Sergio" last="Sánchez-García">Sergio Sánchez-García</name><affiliation wicri:level="1"><nlm:aff id="A1">Epidemiological Research and Health Services Unit, Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City, Mexico</nlm:aff><country xml:lang="fr">Mexique</country><wicri:regionArea>Epidemiological Research and Health Services Unit, Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City</wicri:regionArea><wicri:noRegion>Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Public Health and Oral Epidemiology. School of Dentistry. National Autonomous University of Mexico. 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Latent class analysis</title><author><name sortKey="Sanchez Garcia, Sergio" sort="Sanchez Garcia, Sergio" uniqKey="Sanchez Garcia S" first="Sergio" last="Sánchez-García">Sergio Sánchez-García</name><affiliation wicri:level="1"><nlm:aff id="A1">Epidemiological Research and Health Services Unit, Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City, Mexico</nlm:aff><country xml:lang="fr">Mexique</country><wicri:regionArea>Epidemiological Research and Health Services Unit, Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City</wicri:regionArea><wicri:noRegion>Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Public Health and Oral Epidemiology. School of Dentistry. National Autonomous University of Mexico. Mexico City, Mexico</nlm:aff><country xml:lang="fr">Mexique</country><wicri:regionArea>Department of Public Health and Oral Epidemiology. School of Dentistry. National Autonomous University of Mexico. Mexico City</wicri:regionArea></affiliation></author><author><name sortKey="Heredia Ponce, Erika" sort="Heredia Ponce, Erika" uniqKey="Heredia Ponce E" first="Erika" last="Heredia-Ponce">Erika Heredia-Ponce</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Public Health and Oral Epidemiology. School of Dentistry. National Autonomous University of Mexico. Mexico City, Mexico</nlm:aff><country xml:lang="fr">Mexique</country><wicri:regionArea>Department of Public Health and Oral Epidemiology. School of Dentistry. National Autonomous University of Mexico. Mexico City</wicri:regionArea></affiliation></author><author><name sortKey="Cruz Hervert, Pablo" sort="Cruz Hervert, Pablo" uniqKey="Cruz Hervert P" first="Pablo" last="Cruz-Hervert">Pablo Cruz-Hervert</name><affiliation wicri:level="1"><nlm:aff id="A3">National Institute of Public Health. Cuernavaca, Morelos, Mexico</nlm:aff><country xml:lang="fr">Mexique</country><wicri:regionArea>National Institute of Public Health. Cuernavaca, Morelos</wicri:regionArea><wicri:noRegion>Morelos</wicri:noRegion></affiliation></author><author><name sortKey="Juarez Cedillo, Teresa" sort="Juarez Cedillo, Teresa" uniqKey="Juarez Cedillo T" first="Teresa" last="Juárez-Cedillo">Teresa Juárez-Cedillo</name><affiliation wicri:level="1"><nlm:aff id="A1">Epidemiological Research and Health Services Unit, Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City, Mexico</nlm:aff><country xml:lang="fr">Mexique</country><wicri:regionArea>Epidemiological Research and Health Services Unit, Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City</wicri:regionArea><wicri:noRegion>Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City</wicri:noRegion></affiliation></author><author><name sortKey="Cardenas Bahena, Angel" sort="Cardenas Bahena, Angel" uniqKey="Cardenas Bahena A" first="Ángel" last="Cárdenas-Bahena">Ángel Cárdenas-Bahena</name><affiliation wicri:level="1"><nlm:aff id="A1">Epidemiological Research and Health Services Unit, Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City, Mexico</nlm:aff><country xml:lang="fr">Mexique</country><wicri:regionArea>Epidemiological Research and Health Services Unit, Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City</wicri:regionArea><wicri:noRegion>Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City</wicri:noRegion></affiliation></author><author><name sortKey="Garcia Pe A, Carmen" sort="Garcia Pe A, Carmen" uniqKey="Garcia Pe A C" first="Carmen" last="García-Pe A">Carmen García-Pe A</name><affiliation wicri:level="1"><nlm:aff id="A1">Epidemiological Research and Health Services Unit, Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City, Mexico</nlm:aff><country xml:lang="fr">Mexique</country><wicri:regionArea>Epidemiological Research and Health Services Unit, Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City</wicri:regionArea><wicri:noRegion>Aging Sub-unit. Siglo XXI National Medical Center. Mexican Institute for Social Security. Mexico City</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Clinical and Experimental Dentistry</title><idno type="eISSN">1989-5488</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Objective: To explore the oral health status through a latent class analysis in elderly social security beneficiaries from Southwest Mexico City.
Material and Methods: Cross-sectional study of beneficiaries of the State Employee Social Security and Social Services Institute (ISSSTE, in Spanish) and the Mexican Institute of Social Security (IMSS, in Spanish) aged 60 years or older. Oral health conditions such as edentulism, coronal and root caries (DMFT and DFT ≥ 75 percentile), clinical attachment loss (≥ 4 mm), and healthy teeth (≤ 25 percentile) were determined. A latent class analysis (LCA) was performed to classify the oral health status of dentate patients.
Results: In total, 336 patients were included (47.9% from the ISSSTE and 52.1% from the IMSS), with an average age of 74.4 (SD = 7.1) years. The 75th percentile of the DMFT = 23 and of the DFT = 2. Of the patients, 77.9% had periodontal disease. The 25th percentile of healthy teeth = 4. A three class model is adequate, with a high classification quality (Entropy = 0.915). The patients were classified as “Edentulous” (15.2%), “Class 1 = Unfavorable” (13.7%), “Class 2 = Somewhat favorable” (10.4%), and “Class 3 = Favorable” (60.7%). Using “Class 3 = Favorable” as a reference, there was an association (OR = 3.4; 95% CI = 1.8-6.4) between being edentulous and being 75 years of age and over, compared with the 60- to 74-year age group.
Conclusion: The oral health in elderly social security beneficiaries is not optimal. The probability of becoming edentulous increases with age. A three-class model appropriately classifies the oral health dimensions in the elderly population.
</p><p><bold> Key words:</bold>Elderly, Latent class analysis (LCA), oral health, social security, Mexico.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Naciones Unidas, Un" uniqKey="Naciones Unidas U">UN Naciones Unidas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Medina Solis, Ce" uniqKey="Medina Solis C">CE Medina-Solís</name></author><author><name sortKey="Perez Nu Ez, R" uniqKey="Perez Nu Ez R">R Pérez-Núñez</name></author><author><name sortKey="Maupome, G" uniqKey="Maupome G">G Maupomé</name></author><author><name sortKey="Avila Burgos, L" uniqKey="Avila Burgos L">L Avila-Burgos</name></author><author><name sortKey="Pontigo Loyola, Ap" uniqKey="Pontigo Loyola A">AP Pontigo-Loyola</name></author><author><name sortKey="Pati O Marin, N" uniqKey="Pati O Marin N">N Patiño-Marín</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marino, R" uniqKey="Marino 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Cárdenas-Bahena</name><name sortKey="Cruz Hervert, Pablo" sort="Cruz Hervert, Pablo" uniqKey="Cruz Hervert P" first="Pablo" last="Cruz-Hervert">Pablo Cruz-Hervert</name><name sortKey="Garcia Pe A, Carmen" sort="Garcia Pe A, Carmen" uniqKey="Garcia Pe A C" first="Carmen" last="García-Pe A">Carmen García-Pe A</name><name sortKey="Heredia Ponce, Erika" sort="Heredia Ponce, Erika" uniqKey="Heredia Ponce E" first="Erika" last="Heredia-Ponce">Erika Heredia-Ponce</name><name sortKey="Juarez Cedillo, Teresa" sort="Juarez Cedillo, Teresa" uniqKey="Juarez Cedillo T" first="Teresa" last="Juárez-Cedillo">Teresa Juárez-Cedillo</name><name sortKey="Sanchez Garcia, Sergio" sort="Sanchez Garcia, Sergio" uniqKey="Sanchez Garcia S" first="Sergio" last="Sánchez-García">Sergio Sánchez-García</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Exploration
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