Medical and cognitive correlates of Denture wearing in older community-dwelling adults
Identifieur interne : 007B53 ( Main/Exploration ); précédent : 007B52; suivant : 007B54Medical and cognitive correlates of Denture wearing in older community-dwelling adults
Auteurs : Robert J. Weyant [États-Unis] ; Rajesh S. Pandav [États-Unis] ; Judith L. Plowman [États-Unis] ; Mary Ganguli [États-Unis]Source :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2004.
Descripteurs français
- KwdFr :
- Analyse multivariée, Appareils de prothèse dentaire (utilisation), Bouche édentée (rééducation et réadaptation), Bouche édentée (épidémiologie), Bouche édentée (étiologie), Capacité mentale, Cognition, Dépression (diagnostic), Dépression (épidémiologie), Dépression (étiologie), Enquêtes de santé, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Humains, Loi du khi-deux, Modèles logistiques, Mâle, Pennsylvanie (épidémiologie), Qualité de vie, Questionnaire sur l'état mental de Kahn, Santé buccodentaire, Santé en zone rurale (), Santé mentale, Sujet âgé, Sujet âgé de 80 ans ou plus, État de santé, Études de cohortes, Études transversales, Évaluation des besoins, Évaluation gériatrique ().
- MESH :
- diagnostic : Dépression.
- rééducation et réadaptation : Bouche édentée.
- utilisation : Appareils de prothèse dentaire.
- épidémiologie : Bouche édentée, Dépression, Pennsylvanie.
- étiologie : Bouche édentée, Dépression.
- Pascal (Inist)
- Analyse multivariée, Capacité mentale, Cognition, Dentier, Enquêtes de santé, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Humains, Loi du khi-deux, Modèles logistiques, Mâle, Personne âgée, Communauté, Gériatrie, Qualité de vie, Questionnaire sur l'état mental de Kahn, Santé buccodentaire, Santé en zone rurale, Santé mentale, Sujet âgé, Sujet âgé de 80 ans ou plus, État de santé, Études de cohortes, Études transversales, Évaluation des besoins, Évaluation gériatrique.
- Wicri :
- topic : Personne âgée.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Chi-Square Distribution, Cognition, Cohort Studies, Community, Cross-Sectional Studies, Denture, Dentures (utilization), Depression (diagnosis), Depression (epidemiology), Depression (etiology), Elderly, Female, Geriatric Assessment (statistics & numerical data), Geriatrics, Health Status, Health Surveys, Humans, Logistic Models, Male, Mental Competency, Mental Health, Mental Status Schedule, Mouth, Edentulous (epidemiology), Mouth, Edentulous (etiology), Mouth, Edentulous (rehabilitation), Multivariate Analysis, Needs Assessment, Oral Health, Pennsylvania (epidemiology), Quality of Life, Rural Health (statistics & numerical data), Socioeconomic Factors, Surveys and Questionnaires.
- MESH :
- geographic , epidemiology : Pennsylvania.
- diagnosis : Depression.
- epidemiology : Depression, Mouth, Edentulous.
- etiology : Depression, Mouth, Edentulous.
- rehabilitation : Mouth, Edentulous.
- statistics & numerical data : Geriatric Assessment, Rural Health.
- utilization : Dentures.
- Aged, Aged, 80 and over, Chi-Square Distribution, Cognition, Cohort Studies, Cross-Sectional Studies, Female, Health Status, Health Surveys, Humans, Logistic Models, Male, Mental Competency, Mental Health, Mental Status Schedule, Multivariate Analysis, Needs Assessment, Oral Health, Quality of Life, Socioeconomic Factors, Surveys and Questionnaires.
Abstract
OBJECTIVES: To examine the association between denture wearing and use of dental services, oral function limitations, and medical and cognitive status in a community-based cohort of rural older adults enrolled in an epidemiological study. DESIGN: This cross-sectional study was part of a larger cohort study, the Monongahela Valley Independent Elders Survey. Dental data were collected during the fifth wave of assessments (10 years after the start of the study in 1987). SETTING: Monongahela Valley, a rural western Pennsylvania community. PARTICIPANTS: The 805 participants were English-speaking community-dwelling (noninstitutionalized) persons, aged 73 and older, with at least a sixth grade education. MEASUREMENTS: A questionnaire was used to collect data on denture-wearing status, oral function limitations, and recency of the last dental visit. Other data collected included demographics, self-rated health, medication usage, depression, cognitive status using the Mini-Mental State Examination, and self-reports of weight loss and appetite. RESULTS: There were 44.7% of participants who had full dentures. Those with complete dentures were more likely to complain of oral function limitation, report poor health status, and take prescription medications. Additionally, 93.6% of those with complete dentures had not seen a dentist in more than 1 year. CONCLUSION: Denture wearing and edentulism are common in older patients and can he related to poor quality of life and risk for undiagnosed oral disease and may be a marker for other medical comorbidities. Geriatricians need to include oral health status evaluations and understand that attention to the oral cavity should be part of an older adult's care.
Affiliations:
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Weyant</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Dental Public Health, School of Dental Medicine, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Pandav, Rajesh S" sort="Pandav, Rajesh S" uniqKey="Pandav R" first="Rajesh S." last="Pandav">Rajesh S. Pandav</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Psychiatry, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Plowman, Judith L" sort="Plowman, Judith L" uniqKey="Plowman J" first="Judith L." last="Plowman">Judith L. Plowman</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Division of Geriatric Medicine, Department of Medicine, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="05"><s1>Veterans Affairs Pittsburgh Geriatric Research Education and Clinical Center</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Ganguli, Mary" sort="Ganguli, Mary" uniqKey="Ganguli M" first="Mary" last="Ganguli">Mary Ganguli</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="06"><s1>Division of Geriatrics and Neuropsychiatry, Department of Psychiatry, School of Medicine, University of Pittsburgh</s1><s2>Pittsburgh, Pennsylvania</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">Pittsburgh</settlement></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author></analytic><series><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="abbreviated">J. Am. Geriatr. Soc.</title><idno type="ISSN">0002-8614</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of the American Geriatrics Society</title><title level="j" type="abbreviated">J. Am. Geriatr. Soc.</title><idno type="ISSN">0002-8614</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Chi-Square Distribution</term><term>Cognition</term><term>Cohort Studies</term><term>Community</term><term>Cross-Sectional Studies</term><term>Denture</term><term>Dentures (utilization)</term><term>Depression (diagnosis)</term><term>Depression (epidemiology)</term><term>Depression (etiology)</term><term>Elderly</term><term>Female</term><term>Geriatric Assessment (statistics & numerical data)</term><term>Geriatrics</term><term>Health Status</term><term>Health Surveys</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Mental Competency</term><term>Mental Health</term><term>Mental Status Schedule</term><term>Mouth, Edentulous (epidemiology)</term><term>Mouth, Edentulous (etiology)</term><term>Mouth, Edentulous (rehabilitation)</term><term>Multivariate Analysis</term><term>Needs Assessment</term><term>Oral Health</term><term>Pennsylvania (epidemiology)</term><term>Quality of Life</term><term>Rural Health (statistics & numerical data)</term><term>Socioeconomic Factors</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Analyse multivariée</term><term>Appareils de prothèse dentaire (utilisation)</term><term>Bouche édentée (rééducation et réadaptation)</term><term>Bouche édentée (épidémiologie)</term><term>Bouche édentée (étiologie)</term><term>Capacité mentale</term><term>Cognition</term><term>Dépression (diagnostic)</term><term>Dépression (épidémiologie)</term><term>Dépression (étiologie)</term><term>Enquêtes de santé</term><term>Enquêtes et questionnaires</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Loi du khi-deux</term><term>Modèles logistiques</term><term>Mâle</term><term>Pennsylvanie (épidémiologie)</term><term>Qualité de vie</term><term>Questionnaire sur l'état mental de Kahn</term><term>Santé buccodentaire</term><term>Santé en zone rurale ()</term><term>Santé mentale</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>État de santé</term><term>Études de cohortes</term><term>Études transversales</term><term>Évaluation des besoins</term><term>Évaluation gériatrique ()</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Pennsylvania</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Depression</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Dépression</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Depression</term><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Depression</term><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Bouche édentée</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Geriatric Assessment</term><term>Rural Health</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Appareils de prothèse dentaire</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Dentures</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term><term>Dépression</term><term>Pennsylvanie</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Bouche édentée</term><term>Dépression</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Chi-Square Distribution</term><term>Cognition</term><term>Cohort Studies</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Status</term><term>Health Surveys</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Mental Competency</term><term>Mental Health</term><term>Mental Status Schedule</term><term>Multivariate Analysis</term><term>Needs Assessment</term><term>Oral Health</term><term>Quality of Life</term><term>Socioeconomic Factors</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Analyse multivariée</term><term>Capacité mentale</term><term>Cognition</term><term>Dentier</term><term>Enquêtes de santé</term><term>Enquêtes et questionnaires</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Loi du khi-deux</term><term>Modèles logistiques</term><term>Mâle</term><term>Personne âgée</term><term>Communauté</term><term>Gériatrie</term><term>Qualité de vie</term><term>Questionnaire sur l'état mental de Kahn</term><term>Santé buccodentaire</term><term>Santé en zone rurale</term><term>Santé mentale</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>État de santé</term><term>Études de cohortes</term><term>Études transversales</term><term>Évaluation des besoins</term><term>Évaluation gériatrique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Personne âgée</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">OBJECTIVES: To examine the association between denture wearing and use of dental services, oral function limitations, and medical and cognitive status in a community-based cohort of rural older adults enrolled in an epidemiological study. DESIGN: This cross-sectional study was part of a larger cohort study, the Monongahela Valley Independent Elders Survey. Dental data were collected during the fifth wave of assessments (10 years after the start of the study in 1987). SETTING: Monongahela Valley, a rural western Pennsylvania community. PARTICIPANTS: The 805 participants were English-speaking community-dwelling (noninstitutionalized) persons, aged 73 and older, with at least a sixth grade education. MEASUREMENTS: A questionnaire was used to collect data on denture-wearing status, oral function limitations, and recency of the last dental visit. Other data collected included demographics, self-rated health, medication usage, depression, cognitive status using the Mini-Mental State Examination, and self-reports of weight loss and appetite. RESULTS: There were 44.7% of participants who had full dentures. Those with complete dentures were more likely to complain of oral function limitation, report poor health status, and take prescription medications. Additionally, 93.6% of those with complete dentures had not seen a dentist in more than 1 year. CONCLUSION: Denture wearing and edentulism are common in older patients and can he related to poor quality of life and risk for undiagnosed oral disease and may be a marker for other medical comorbidities. Geriatricians need to include oral health status evaluations and understand that attention to the oral cavity should be part of an older adult's care.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region><settlement><li>Pittsburgh</li></settlement><orgName><li>Université de Pittsburgh</li></orgName></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Weyant, Robert J" sort="Weyant, Robert J" uniqKey="Weyant R" first="Robert J." last="Weyant">Robert J. Weyant</name></region><name sortKey="Ganguli, Mary" sort="Ganguli, Mary" uniqKey="Ganguli M" first="Mary" last="Ganguli">Mary Ganguli</name><name sortKey="Ganguli, Mary" sort="Ganguli, Mary" uniqKey="Ganguli M" first="Mary" last="Ganguli">Mary Ganguli</name><name sortKey="Pandav, Rajesh S" sort="Pandav, Rajesh S" uniqKey="Pandav R" first="Rajesh S." last="Pandav">Rajesh S. Pandav</name><name sortKey="Plowman, Judith L" sort="Plowman, Judith L" uniqKey="Plowman J" first="Judith L." last="Plowman">Judith L. Plowman</name><name sortKey="Plowman, Judith L" sort="Plowman, Judith L" uniqKey="Plowman J" first="Judith L." last="Plowman">Judith L. Plowman</name><name sortKey="Weyant, Robert J" sort="Weyant, Robert J" uniqKey="Weyant R" first="Robert J." last="Weyant">Robert J. Weyant</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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