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General health status and changes in chewing ability in older Canadians over seven years.

Identifieur interne : 003236 ( PubMed/Corpus ); précédent : 003235; suivant : 003237

General health status and changes in chewing ability in older Canadians over seven years.

Auteurs : David Locker ; David Matear ; Herenia Lawrence

Source :

RBID : pubmed:11989209

English descriptors

Abstract

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.

PubMed: 11989209

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pubmed:11989209

Le document en format XML

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<title xml:lang="en">General health status and changes in chewing ability in older Canadians over seven years.</title>
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<name sortKey="Locker, David" sort="Locker, David" uniqKey="Locker D" first="David" last="Locker">David Locker</name>
<affiliation>
<nlm:affiliation>Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, 124 Edward Street, Toronto, Ontario, M5G 1G6, Canada. david.locker@utoronto.ca</nlm:affiliation>
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<name sortKey="Matear, David" sort="Matear, David" uniqKey="Matear D" first="David" last="Matear">David Matear</name>
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<author>
<name sortKey="Lawrence, Herenia" sort="Lawrence, Herenia" uniqKey="Lawrence H" first="Herenia" last="Lawrence">Herenia Lawrence</name>
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<title xml:lang="en">General health status and changes in chewing ability in older Canadians over seven years.</title>
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<name sortKey="Locker, David" sort="Locker, David" uniqKey="Locker D" first="David" last="Locker">David Locker</name>
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<nlm:affiliation>Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, 124 Edward Street, Toronto, Ontario, M5G 1G6, Canada. david.locker@utoronto.ca</nlm:affiliation>
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<name sortKey="Matear, David" sort="Matear, David" uniqKey="Matear D" first="David" last="Matear">David Matear</name>
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<name sortKey="Lawrence, Herenia" sort="Lawrence, Herenia" uniqKey="Lawrence H" first="Herenia" last="Lawrence">Herenia Lawrence</name>
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<title level="j">Journal of public health dentistry</title>
<idno type="ISSN">0022-4006</idno>
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<date when="2002" type="published">2002</date>
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<term>Aged</term>
<term>Analysis of Variance</term>
<term>Chronic Disease</term>
<term>Dental Care for Aged (utilization)</term>
<term>Denture, Partial (statistics & numerical data)</term>
<term>Female</term>
<term>Geriatric Assessment</term>
<term>Health Status</term>
<term>Humans</term>
<term>Incidence</term>
<term>Logistic Models</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Mastication</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Mouth, Edentulous (physiopathology)</term>
<term>Odds Ratio</term>
<term>Ontario (epidemiology)</term>
<term>Prevalence</term>
<term>Tooth Loss (epidemiology)</term>
<term>Tooth Loss (physiopathology)</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>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Mouth, Edentulous</term>
<term>Tooth Loss</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Denture, Partial</term>
</keywords>
<keywords scheme="MESH" qualifier="utilization" xml:lang="en">
<term>Dental Care for Aged</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Analysis of Variance</term>
<term>Chronic Disease</term>
<term>Female</term>
<term>Geriatric Assessment</term>
<term>Health Status</term>
<term>Humans</term>
<term>Incidence</term>
<term>Logistic Models</term>
<term>Longitudinal Studies</term>
<term>Male</term>
<term>Mastication</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
<term>Prevalence</term>
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<front>
<div type="abstract" xml:lang="en">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.</div>
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<DateCompleted>
<Year>2002</Year>
<Month>07</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised>
<Year>2009</Year>
<Month>11</Month>
<Day>11</Day>
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<ISSN IssnType="Print">0022-4006</ISSN>
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<Volume>62</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2002</Year>
<Season>Spring</Season>
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<Title>Journal of public health dentistry</Title>
<ISOAbbreviation>J Public Health Dent</ISOAbbreviation>
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<ArticleTitle>General health status and changes in chewing ability in older Canadians over seven years.</ArticleTitle>
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<MedlinePgn>70-7</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The data came from a longitudinal 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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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 dental 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.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText>
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<Affiliation>Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, 124 Edward Street, Toronto, Ontario, M5G 1G6, Canada. david.locker@utoronto.ca</Affiliation>
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<DescriptorName UI="D008409" MajorTopicYN="Y">Mastication</DescriptorName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<DescriptorName UI="D009066" MajorTopicYN="N">Mouth, Edentulous</DescriptorName>
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<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
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<DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName>
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<DescriptorName UI="D016388" MajorTopicYN="N">Tooth Loss</DescriptorName>
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