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Variations in the social impact of oral conditions among older adults in South Australia, Ontario, and North Carolina.

Identifieur interne : 009F66 ( Main/Exploration ); précédent : 009F65; suivant : 009F67

Variations in the social impact of oral conditions among older adults in South Australia, Ontario, and North Carolina.

Auteurs : G D Slade [États-Unis] ; A J Spencer ; D. Locker ; R J Hunt ; R P Strauss ; J D Beck

Source :

RBID : pubmed:8876595

Descripteurs français

English descriptors

Abstract

Previous studies among older adults have demonstrated that oral disease frequently leads to dysfunction, discomfort, and disability. This study aimed to assess variations in the social impact of oral conditions among six strata of people aged 65 years and older: residents of metropolitan Adelaide and rural Mt Gambier, South Australia; residents of metropolitan Toronto-North York and non-metropolitan Simcoe-Sudbury counties, Ontario, Canada; and blacks and whites in the Piedmont region of North Carolina (NC), United States. Subjects were participants in three oral epidemiological studies of random samples of the elderly populations in the six strata. Some 1,642 participants completed a 49-item Oral Health Impact Profile (OHIP) questionnaire which asked about impacts caused by problems with the teeth, mouth, or dentures during the previous 12 months. The percentage of dentate people reporting impacts fairly often or very often was greatest among NC blacks for 41 of the OHIP items. Two summary variables of social impact were used as dependent variables in bivariate and multivariate least-squares regression analyses. Among dentate people, mean levels of social impact were greatest for NC blacks and lowest for NC whites, while people from South Australia and Ontario had intermediate levels of social impact (P < 0.01). Missing teeth, retained root fragments, root-surface decay, periodontal pockets, and problem-motivated dental visits were associated with higher levels of social impact (P < 0.05), although there persisted a two-fold difference in social impact across the six strata after adjustment for those factors Among edentulous people, there was no statistically significant variation in social impact among strata. The findings suggest that there are social and cultural factors influencing oral health and its social impact, and that those factors differ most between dentate blacks and whites in NC.

DOI: 10.1177/00220345960750070301
PubMed: 8876595


Affiliations:


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Le document en format XML

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<term>Aged</term>
<term>Analysis of Variance</term>
<term>Chi-Square Distribution</term>
<term>Cross-Sectional Studies</term>
<term>Dental Care for Aged (psychology)</term>
<term>Dental Care for Aged (statistics & numerical data)</term>
<term>Dental Care for Aged (utilization)</term>
<term>Dental Caries (epidemiology)</term>
<term>Dental Caries (ethnology)</term>
<term>Dental Caries (psychology)</term>
<term>European Continental Ancestry Group (statistics & numerical data)</term>
<term>Humans</term>
<term>Least-Squares Analysis</term>
<term>Mouth Diseases (epidemiology)</term>
<term>Mouth Diseases (ethnology)</term>
<term>Mouth Diseases (psychology)</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Mouth, Edentulous (ethnology)</term>
<term>Mouth, Edentulous (psychology)</term>
<term>North Carolina (epidemiology)</term>
<term>Ontario (epidemiology)</term>
<term>Periodontal Diseases (epidemiology)</term>
<term>Periodontal Diseases (ethnology)</term>
<term>Periodontal Diseases (psychology)</term>
<term>Prevalence</term>
<term>Quality of Life</term>
<term>Rural Health (statistics & numerical data)</term>
<term>Sampling Studies</term>
<term>Sickness Impact Profile</term>
<term>Social Adjustment</term>
<term>Socioeconomic Factors</term>
<term>South Australia (epidemiology)</term>
<term>Statistics, Nonparametric</term>
<term>Surveys and Questionnaires</term>
<term>Urban Health (statistics & numerical data)</term>
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<term>Adaptation sociale</term>
<term>Afro-Américains ()</term>
<term>Analyse de variance</term>
<term>Australie-Méridionale (épidémiologie)</term>
<term>Bouche édentée (ethnologie)</term>
<term>Bouche édentée (psychologie)</term>
<term>Bouche édentée (épidémiologie)</term>
<term>Caries dentaires (ethnologie)</term>
<term>Caries dentaires (psychologie)</term>
<term>Caries dentaires (épidémiologie)</term>
<term>Caroline du Nord (épidémiologie)</term>
<term>Enquêtes et questionnaires</term>
<term>Facteurs socioéconomiques</term>
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<term>Loi du khi-deux</term>
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<term>Méthode des moindres carrés</term>
<term>Ontario (épidémiologie)</term>
<term>Population d'origine européenne ()</term>
<term>Profil d'impact de la maladie</term>
<term>Prévalence</term>
<term>Qualité de vie</term>
<term>Santé en zone urbaine ()</term>
<term>Santé en zone rurale ()</term>
<term>Soins dentaires pour personnes âgées ()</term>
<term>Soins dentaires pour personnes âgées (psychologie)</term>
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<term>Statistique non paramétrique</term>
<term>Sujet âgé</term>
<term>Études par échantillonnage</term>
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<term>Mouth, Edentulous</term>
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<term>Caries dentaires</term>
<term>Maladies de la bouche</term>
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<term>Dental Caries</term>
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<term>Bouche édentée</term>
<term>Caries dentaires</term>
<term>Maladies de la bouche</term>
<term>Maladies parodontales</term>
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<term>Dental Care for Aged</term>
<term>Dental Caries</term>
<term>Mouth Diseases</term>
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<term>Enquêtes et questionnaires</term>
<term>Facteurs socioéconomiques</term>
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<term>Qualité de vie</term>
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<term>Soins dentaires pour personnes âgées</term>
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<div type="abstract" xml:lang="en">Previous studies among older adults have demonstrated that oral disease frequently leads to dysfunction, discomfort, and disability. This study aimed to assess variations in the social impact of oral conditions among six strata of people aged 65 years and older: residents of metropolitan Adelaide and rural Mt Gambier, South Australia; residents of metropolitan Toronto-North York and non-metropolitan Simcoe-Sudbury counties, Ontario, Canada; and blacks and whites in the Piedmont region of North Carolina (NC), United States. Subjects were participants in three oral epidemiological studies of random samples of the elderly populations in the six strata. Some 1,642 participants completed a 49-item Oral Health Impact Profile (OHIP) questionnaire which asked about impacts caused by problems with the teeth, mouth, or dentures during the previous 12 months. The percentage of dentate people reporting impacts fairly often or very often was greatest among NC blacks for 41 of the OHIP items. Two summary variables of social impact were used as dependent variables in bivariate and multivariate least-squares regression analyses. Among dentate people, mean levels of social impact were greatest for NC blacks and lowest for NC whites, while people from South Australia and Ontario had intermediate levels of social impact (P < 0.01). Missing teeth, retained root fragments, root-surface decay, periodontal pockets, and problem-motivated dental visits were associated with higher levels of social impact (P < 0.05), although there persisted a two-fold difference in social impact across the six strata after adjustment for those factors Among edentulous people, there was no statistically significant variation in social impact among strata. The findings suggest that there are social and cultural factors influencing oral health and its social impact, and that those factors differ most between dentate blacks and whites in NC.</div>
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