General Health Status and Changes in Chewing Ability in Older Canadians over Seven Years
Identifieur interne : 008493 ( Main/Exploration ); précédent : 008492; suivant : 008494General Health Status and Changes in Chewing Ability in Older Canadians over Seven Years
Auteurs : David Locker [Canada] ; David Matear [Canada] ; Herenia Lawrence [Canada]Source :
- Journal of Public Health Dentistry [ 0022-4006 ] ; 2002-06.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Analyse de variance, Bouche édentée (physiopathologie), Bouche édentée (épidémiologie), Femelle, Humains, Incidence, Maladie chronique, Mastication, Modèles logistiques, Mâle, Odds ratio, Ontario (épidémiologie), Perte dentaire (physiopathologie), Perte dentaire (épidémiologie), Prothèse partielle conjointe (), Prévalence, Soins dentaires pour personnes âgées (utilisation), Sujet âgé, État de santé, Études longitudinales, Évaluation gériatrique.
- MESH :
- physiopathologie : Bouche édentée, Perte dentaire.
- utilisation : Soins dentaires pour personnes âgées.
- épidémiologie : Bouche édentée, Ontario, Perte dentaire.
- Adulte d'âge moyen, Analyse de variance, Femelle, Humains, Incidence, Maladie chronique, Mastication, Modèles logistiques, Mâle, Odds ratio, Prothèse partielle conjointe, Prévalence, Sujet âgé, État de santé, Études longitudinales, Évaluation gériatrique.
English descriptors
- KwdEn :
- Aged, Analysis of Variance, Baseline, Bivariate, Bivariate analyses, Bivariate level, Care provider, Chronic Disease, Community dent, Community dent health, Data collection points, Dent, Dental Care for Aged (utilization), Dental care, Dental insurance, Dental insurance coverage, Dental services, Dental status, Dentate, Dentate subjects, Denture, Partial (statistics & numerical data), Edentulous, Edentulous subjects, Female, First observation period, General health, General health status, Geriatric Assessment, Greater risk, Health Status, Higher scores, Humans, Incidence, Incidence rates, Incident case, Incident cases, Indicator foods, Logistic, Logistic Models, Logistic regression analysis, Logistic regression model, Longitudinal Studies, Longitudinal study, Male, Mastication, Medical conditions, Middle Aged, More dentures, More limitations, More teeth, Mouth, Edentulous (epidemiology), Mouth, Edentulous (physiopathology), Multivariate analyses, National diet, Natural teeth, Nonresponse weights, Observation period, Odds Ratio, Odds ratio, Older adult population, Older adults, Older subjects, Ontario (epidemiology), Oral disease, Oral function, Oral health, Oral health status, Oral health survey, Other variables, Particular interest, Predictor, Prevalence, Prevalence data, Prevalence rate, Public health dent, Public health dentistry, Recovery rate, Recovery rates, Regular source, Response proportions, Risk factor, Significant weight loss, Statistical analysis, Study phase, Study subjects, Subjects percent, Tooth Loss (epidemiology), Tooth Loss (physiopathology), Tooth loss, Weighted estimates.
- MESH :
- geographic , epidemiology : Ontario.
- epidemiology : Mouth, Edentulous, Tooth Loss.
- physiopathology : Mouth, Edentulous, Tooth Loss.
- statistics & numerical data : Denture, Partial.
- utilization : Dental Care for Aged.
- Teeft :
- Aged, Analysis of Variance, Baseline, Bivariate, Bivariate analyses, Bivariate level, Care provider, Chronic Disease, Community dent, Community dent health, Data collection points, Dent, Dental care, Dental insurance, Dental insurance coverage, Dental services, Dental status, Dentate, Dentate subjects, Edentulous, Edentulous subjects, Female, First observation period, General health, General health status, Geriatric Assessment, Greater risk, Health Status, Higher scores, Humans, Incidence, Incidence rates, Incident case, Incident cases, Indicator foods, Logistic, Logistic Models, Logistic regression analysis, Logistic regression model, Longitudinal Studies, Longitudinal study, Male, Mastication, Medical conditions, Middle Aged, More dentures, More limitations, More teeth, Multivariate analyses, National diet, Natural teeth, Nonresponse weights, Observation period, Odds Ratio, Odds ratio, Older adult population, Older adults, Older subjects, Oral disease, Oral function, Oral health, Oral health status, Oral health survey, Other variables, Particular interest, Predictor, Prevalence, Prevalence data, Prevalence rate, Public health dent, Public health dentistry, Recovery rate, Recovery rates, Regular source, Response proportions, Risk factor, Significant weight loss, Statistical analysis, Study phase, Study subjects, Subjects percent, Tooth loss, Weighted estimates.
Abstract
Objectives: The purpose of this study was to describe the onset of and recovery from chewing problems in an older adult population over a seven‐year period and to describe factors associated with these changes. Of particular interest was the relationship between general health and changes in oral functioning‐ Methods: The data came from a longitudinai study of community‐dwelling individuals who were aged 50 years and older when first recruited. Data were collected at baseline (n=907) and at three (n=611) and seven‐year (n=425) follow‐ups. Oral function was assessed by means of a six‐item index of chewing ability. Data were weighted to account for loss to follow‐up using weights derived from the seven‐year response proportions for dentate and edentulous subjects. Logistic regression analysis using backward stepwise selection was used to identify. predictors of onset and recovery. Results: At baseline, 25 percent of subjects reported a problem chewing. This rose to 26 percent at three years and 34 percent at seven years. The seven‐year incidence of chewing dysfunction was 19 percent. Of those with a chewing problem at baseline, 21 percent did not have a problem at seven years. A logistic regression model predicting the seven‐year incidence of chewing problems indicated that subjects aged 65 years or older, the edentulous, those rating their oral health as poor, those without dental insurance and those without a regular source of dentai care were more likely to be an incident case. In addition, a variable denoting the number of chronic medical conditions at baseline also entered the model. A logistic regression model predicting recovery indicated that older subjects, the edentulous, those from low‐income households, and those with limitations in activities of daily living were less likely to recover over the observation period. Conclusion: The results of this study indicate a marked increase in the prevalence of chewing problems in this older adult population over the seven‐year observation period. Poorer general health at baseline increased the probability of the onset of a chewing problem and decreased the probability of recovery.
Url:
DOI: 10.1111/j.1752-7325.2002.tb03425.x
Affiliations:
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<term>Analysis of Variance</term>
<term>Baseline</term>
<term>Bivariate</term>
<term>Bivariate analyses</term>
<term>Bivariate level</term>
<term>Care provider</term>
<term>Chronic Disease</term>
<term>Community dent</term>
<term>Community dent health</term>
<term>Data collection points</term>
<term>Dent</term>
<term>Dental Care for Aged (utilization)</term>
<term>Dental care</term>
<term>Dental insurance</term>
<term>Dental insurance coverage</term>
<term>Dental services</term>
<term>Dental status</term>
<term>Dentate</term>
<term>Dentate subjects</term>
<term>Denture, Partial (statistics & numerical data)</term>
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<term>Edentulous subjects</term>
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<term>General health status</term>
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<term>Logistic regression analysis</term>
<term>Logistic regression model</term>
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<term>Longitudinal study</term>
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<term>Mastication</term>
<term>Medical conditions</term>
<term>Middle Aged</term>
<term>More dentures</term>
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<term>More teeth</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Mouth, Edentulous (physiopathology)</term>
<term>Multivariate analyses</term>
<term>National diet</term>
<term>Natural teeth</term>
<term>Nonresponse weights</term>
<term>Observation period</term>
<term>Odds Ratio</term>
<term>Odds ratio</term>
<term>Older adult population</term>
<term>Older adults</term>
<term>Older subjects</term>
<term>Ontario (epidemiology)</term>
<term>Oral disease</term>
<term>Oral function</term>
<term>Oral health</term>
<term>Oral health status</term>
<term>Oral health survey</term>
<term>Other variables</term>
<term>Particular interest</term>
<term>Predictor</term>
<term>Prevalence</term>
<term>Prevalence data</term>
<term>Prevalence rate</term>
<term>Public health dent</term>
<term>Public health dentistry</term>
<term>Recovery rate</term>
<term>Recovery rates</term>
<term>Regular source</term>
<term>Response proportions</term>
<term>Risk factor</term>
<term>Significant weight loss</term>
<term>Statistical analysis</term>
<term>Study phase</term>
<term>Study subjects</term>
<term>Subjects percent</term>
<term>Tooth Loss (epidemiology)</term>
<term>Tooth Loss (physiopathology)</term>
<term>Tooth loss</term>
<term>Weighted estimates</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Bouche édentée (physiopathologie)</term>
<term>Bouche édentée (épidémiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Maladie chronique</term>
<term>Mastication</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Ontario (épidémiologie)</term>
<term>Perte dentaire (physiopathologie)</term>
<term>Perte dentaire (épidémiologie)</term>
<term>Prothèse partielle conjointe ()</term>
<term>Prévalence</term>
<term>Soins dentaires pour personnes âgées (utilisation)</term>
<term>Sujet âgé</term>
<term>État de santé</term>
<term>Études longitudinales</term>
<term>Évaluation gériatrique</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ontario</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mouth, Edentulous</term>
<term>Tooth Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Bouche édentée</term>
<term>Perte dentaire</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Mouth, Edentulous</term>
<term>Tooth Loss</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Denture, Partial</term>
</keywords>
<keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Soins dentaires pour personnes âgées</term>
</keywords>
<keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Dental Care for Aged</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term>
<term>Ontario</term>
<term>Perte dentaire</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Aged</term>
<term>Analysis of Variance</term>
<term>Baseline</term>
<term>Bivariate</term>
<term>Bivariate analyses</term>
<term>Bivariate level</term>
<term>Care provider</term>
<term>Chronic Disease</term>
<term>Community dent</term>
<term>Community dent health</term>
<term>Data collection points</term>
<term>Dent</term>
<term>Dental care</term>
<term>Dental insurance</term>
<term>Dental insurance coverage</term>
<term>Dental services</term>
<term>Dental status</term>
<term>Dentate</term>
<term>Dentate subjects</term>
<term>Edentulous</term>
<term>Edentulous subjects</term>
<term>Female</term>
<term>First observation period</term>
<term>General health</term>
<term>General health status</term>
<term>Geriatric Assessment</term>
<term>Greater risk</term>
<term>Health Status</term>
<term>Higher scores</term>
<term>Humans</term>
<term>Incidence</term>
<term>Incidence rates</term>
<term>Incident case</term>
<term>Incident cases</term>
<term>Indicator foods</term>
<term>Logistic</term>
<term>Logistic Models</term>
<term>Logistic regression analysis</term>
<term>Logistic regression model</term>
<term>Longitudinal Studies</term>
<term>Longitudinal study</term>
<term>Male</term>
<term>Mastication</term>
<term>Medical conditions</term>
<term>Middle Aged</term>
<term>More dentures</term>
<term>More limitations</term>
<term>More teeth</term>
<term>Multivariate analyses</term>
<term>National diet</term>
<term>Natural teeth</term>
<term>Nonresponse weights</term>
<term>Observation period</term>
<term>Odds Ratio</term>
<term>Odds ratio</term>
<term>Older adult population</term>
<term>Older adults</term>
<term>Older subjects</term>
<term>Oral disease</term>
<term>Oral function</term>
<term>Oral health</term>
<term>Oral health status</term>
<term>Oral health survey</term>
<term>Other variables</term>
<term>Particular interest</term>
<term>Predictor</term>
<term>Prevalence</term>
<term>Prevalence data</term>
<term>Prevalence rate</term>
<term>Public health dent</term>
<term>Public health dentistry</term>
<term>Recovery rate</term>
<term>Recovery rates</term>
<term>Regular source</term>
<term>Response proportions</term>
<term>Risk factor</term>
<term>Significant weight loss</term>
<term>Statistical analysis</term>
<term>Study phase</term>
<term>Study subjects</term>
<term>Subjects percent</term>
<term>Tooth loss</term>
<term>Weighted estimates</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Analyse de variance</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Maladie chronique</term>
<term>Mastication</term>
<term>Modèles logistiques</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Prothèse partielle conjointe</term>
<term>Prévalence</term>
<term>Sujet âgé</term>
<term>État de santé</term>
<term>Études longitudinales</term>
<term>Évaluation gériatrique</term>
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<front><div type="abstract" xml:lang="en">Objectives: The purpose of this study was to describe the onset of and recovery from chewing problems in an older adult population over a seven‐year period and to describe factors associated with these changes. Of particular interest was the relationship between general health and changes in oral functioning‐ Methods: The data came from a longitudinai study of community‐dwelling individuals who were aged 50 years and older when first recruited. Data were collected at baseline (n=907) and at three (n=611) and seven‐year (n=425) follow‐ups. Oral function was assessed by means of a six‐item index of chewing ability. Data were weighted to account for loss to follow‐up using weights derived from the seven‐year response proportions for dentate and edentulous subjects. Logistic regression analysis using backward stepwise selection was used to identify. predictors of onset and recovery. Results: At baseline, 25 percent of subjects reported a problem chewing. This rose to 26 percent at three years and 34 percent at seven years. The seven‐year incidence of chewing dysfunction was 19 percent. Of those with a chewing problem at baseline, 21 percent did not have a problem at seven years. A logistic regression model predicting the seven‐year incidence of chewing problems indicated that subjects aged 65 years or older, the edentulous, those rating their oral health as poor, those without dental insurance and those without a regular source of dentai care were more likely to be an incident case. In addition, a variable denoting the number of chronic medical conditions at baseline also entered the model. A logistic regression model predicting recovery indicated that older subjects, the edentulous, those from low‐income households, and those with limitations in activities of daily living were less likely to recover over the observation period. Conclusion: The results of this study indicate a marked increase in the prevalence of chewing problems in this older adult population over the seven‐year observation period. Poorer general health at baseline increased the probability of the onset of a chewing problem and decreased the probability of recovery.</div>
</front>
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<name sortKey="Lawrence, Herenia" sort="Lawrence, Herenia" uniqKey="Lawrence H" first="Herenia" last="Lawrence">Herenia Lawrence</name>
<name sortKey="Matear, David" sort="Matear, David" uniqKey="Matear D" first="David" last="Matear">David Matear</name>
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