Social determinants of denture/bridge use: Japan gerontological evaluation study project cross-sectional study in older Japanese
Identifieur interne : 001212 ( Pmc/Checkpoint ); précédent : 001211; suivant : 001213Social 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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<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>
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<pmc article-type="research-article" xml:lang="en"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Oral Health</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Oral Health</journal-id>
<journal-title-group><journal-title>BMC Oral Health</journal-title>
</journal-title-group>
<issn pub-type="epub">1472-6831</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24894968</article-id>
<article-id pub-id-type="pmc">4050218</article-id>
<article-id pub-id-type="publisher-id">1472-6831-14-63</article-id>
<article-id pub-id-type="doi">10.1186/1472-6831-14-63</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Social determinants of denture/bridge use: Japan gerontological evaluation study project cross-sectional study in older Japanese</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Yamamoto</surname>
<given-names>Tatsuo</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>yamamoto.tatsuo@kdu.ac.jp</email>
</contrib>
<contrib contrib-type="author" id="A2"><name><surname>Kondo</surname>
<given-names>Katsunori</given-names>
</name>
<xref ref-type="aff" rid="I2">2</xref>
<xref ref-type="aff" rid="I3">3</xref>
<email>kkondo@chiba-u.jp</email>
</contrib>
<contrib contrib-type="author" id="A3"><name><surname>Aida</surname>
<given-names>Jun</given-names>
</name>
<xref ref-type="aff" rid="I4">4</xref>
<email>j-aida@umin.ac.jp</email>
</contrib>
<contrib contrib-type="author" id="A4"><name><surname>Suzuki</surname>
<given-names>Kayo</given-names>
</name>
<xref ref-type="aff" rid="I5">5</xref>
<email>ksuzuki@psis.agu.ac.jp</email>
</contrib>
<contrib contrib-type="author" id="A5"><name><surname>Misawa</surname>
<given-names>Jimpei</given-names>
</name>
<xref ref-type="aff" rid="I6">6</xref>
<email>misawajimpei13@gmail.com</email>
</contrib>
<contrib contrib-type="author" id="A6"><name><surname>Nakade</surname>
<given-names>Miyo</given-names>
</name>
<xref ref-type="aff" rid="I7">7</xref>
<email>mnakade12@gmail.com</email>
</contrib>
<contrib contrib-type="author" id="A7"><name><surname>Fuchida</surname>
<given-names>Shinya</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>fuchida@kdu.ac.jp</email>
</contrib>
<contrib contrib-type="author" id="A8"><name><surname>Hirata</surname>
<given-names>Yukio</given-names>
</name>
<xref ref-type="aff" rid="I1">1</xref>
<email>hirata@kdu.ac.jp</email>
</contrib>
<on-behalf-of>for the JAGES group<xref ref-type="corresp" rid="d33e79"></xref>
</on-behalf-of>
</contrib-group>
<aff id="I1"><label>1</label>
Department of Dental Sociology, Kanagawa Dental University Graduate School of Dentistry, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan</aff>
<aff id="I2"><label>2</label>
Center for Preventive Medical Science, Chiba University, Chiba, Japan</aff>
<aff id="I3"><label>3</label>
Center for Well-being and Society, Nihon Fukushi University, Nagoya, Japan</aff>
<aff id="I4"><label>4</label>
Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Japan</aff>
<aff id="I5"><label>5</label>
Department of Policy Studies, Aichi Gakuin University, Nisshin, Japan</aff>
<aff id="I6"><label>6</label>
Faculty of Sociology, Rikkyo University, Tokyo, Japan</aff>
<aff id="I7"><label>7</label>
Department of Nutrition, Faculty of Health and Nutrition, Tokaigakuen University, Nagoya, Japan</aff>
<author-notes><corresp id="d33e79">for the JAGES group</corresp>
</author-notes>
<pub-date pub-type="collection"><year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>3</day>
<month>6</month>
<year>2014</year>
</pub-date>
<volume>14</volume>
<fpage>63</fpage>
<lpage>63</lpage>
<history><date date-type="received"><day>29</day>
<month>1</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>28</day>
<month>5</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2014 Yamamoto et al.; licensee BioMed Central Ltd.</copyright-statement>
<copyright-year>2014</copyright-year>
<copyright-holder>Yamamoto et al.; licensee BioMed Central Ltd.</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<self-uri xlink:href="http://www.biomedcentral.com/1472-6831/14/63"></self-uri>
<abstract><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>
</abstract>
<kwd-group><kwd>Social determinants</kwd>
<kwd>Dental prosthesis</kwd>
<kwd>Older people</kwd>
<kwd>Cross-sectional study</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<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>
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