Differences in oral health status between institutionalized and non-institutionalized older adults.
Identifieur interne : 004A56 ( PubMed/Corpus ); précédent : 004A55; suivant : 004A57Differences in oral health status between institutionalized and non-institutionalized older adults.
Auteurs : G D Slade ; D. Locker ; J L Leake ; S A Price ; I. ChaoSource :
- Community dentistry and oral epidemiology [ 0301-5661 ] ; 1990.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Ontario.
- epidemiology : Mouth, Edentulous.
- Age Factors, Aged, Aged, 80 and over, Aging, DMF Index, Female, Health Status, Humans, Institutionalization, Logistic Models, Male, Middle Aged, Oral Health, Random Allocation, Sex Factors.
Abstract
Differences in oral health status between independent and institutionalized adults have been difficult to interpret because the latter population is typically older and has a higher proportion of women, confounding any association between institutionalization and disease levels. We undertook an analysis of oral disease amongst institutionalized (n = 149) and non-institutionalized (n = 246) samples of older adults randomly selected from the population in East York, Ontario. When the confounding effects of age and gender were controlled by constructing 67 matched pairs, institutionalized people were more than twice as likely to be edentulous (OR = 2.17, 95% CI = 1.09-4.29). This association was confirmed using data from all subjects in a logistic regression model. Analysis of covariance of data from dentate subjects revealed that the institutionalized seniors had fewer filled teeth (P less than 0.05, controlling for age and sex), but there were no statistically significant differences in the number of teeth which were missing, decayed, or requiring extraction. These findings suggest that antecedent, sociodemographic factors prior to institutionalization are responsible for the higher probability of oral disease in this group of older adults.
PubMed: 2249414
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pubmed:2249414Le document en format XML
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<author><name sortKey="Slade, G D" sort="Slade, G D" uniqKey="Slade G" first="G D" last="Slade">G D Slade</name>
<affiliation><nlm:affiliation>Department of Community Dentistry, University of Toronto, Canada.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Locker, D" sort="Locker, D" uniqKey="Locker D" first="D" last="Locker">D. Locker</name>
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<author><name sortKey="Leake, J L" sort="Leake, J L" uniqKey="Leake J" first="J L" last="Leake">J L Leake</name>
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<author><name sortKey="Price, S A" sort="Price, S A" uniqKey="Price S" first="S A" last="Price">S A Price</name>
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<author><name sortKey="Chao, I" sort="Chao, I" uniqKey="Chao I" first="I" last="Chao">I. Chao</name>
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<author><name sortKey="Slade, G D" sort="Slade, G D" uniqKey="Slade G" first="G D" last="Slade">G D Slade</name>
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<author><name sortKey="Locker, D" sort="Locker, D" uniqKey="Locker D" first="D" last="Locker">D. Locker</name>
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<author><name sortKey="Leake, J L" sort="Leake, J L" uniqKey="Leake J" first="J L" last="Leake">J L Leake</name>
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<author><name sortKey="Price, S A" sort="Price, S A" uniqKey="Price S" first="S A" last="Price">S A Price</name>
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<author><name sortKey="Chao, I" sort="Chao, I" uniqKey="Chao I" first="I" last="Chao">I. Chao</name>
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<series><title level="j">Community dentistry and oral epidemiology</title>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Aging</term>
<term>DMF Index</term>
<term>Female</term>
<term>Health Status</term>
<term>Humans</term>
<term>Institutionalization</term>
<term>Logistic Models</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Ontario (epidemiology)</term>
<term>Oral Health</term>
<term>Random Allocation</term>
<term>Sex Factors</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ontario</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mouth, Edentulous</term>
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<keywords scheme="MESH" xml:lang="en"><term>Age Factors</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Aging</term>
<term>DMF Index</term>
<term>Female</term>
<term>Health Status</term>
<term>Humans</term>
<term>Institutionalization</term>
<term>Logistic Models</term>
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<front><div type="abstract" xml:lang="en">Differences in oral health status between independent and institutionalized adults have been difficult to interpret because the latter population is typically older and has a higher proportion of women, confounding any association between institutionalization and disease levels. We undertook an analysis of oral disease amongst institutionalized (n = 149) and non-institutionalized (n = 246) samples of older adults randomly selected from the population in East York, Ontario. When the confounding effects of age and gender were controlled by constructing 67 matched pairs, institutionalized people were more than twice as likely to be edentulous (OR = 2.17, 95% CI = 1.09-4.29). This association was confirmed using data from all subjects in a logistic regression model. Analysis of covariance of data from dentate subjects revealed that the institutionalized seniors had fewer filled teeth (P less than 0.05, controlling for age and sex), but there were no statistically significant differences in the number of teeth which were missing, decayed, or requiring extraction. These findings suggest that antecedent, sociodemographic factors prior to institutionalization are responsible for the higher probability of oral disease in this group of older adults.</div>
</front>
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<Title>Community dentistry and oral epidemiology</Title>
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<ArticleTitle>Differences in oral health status between institutionalized and non-institutionalized older adults.</ArticleTitle>
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<Abstract><AbstractText>Differences in oral health status between independent and institutionalized adults have been difficult to interpret because the latter population is typically older and has a higher proportion of women, confounding any association between institutionalization and disease levels. We undertook an analysis of oral disease amongst institutionalized (n = 149) and non-institutionalized (n = 246) samples of older adults randomly selected from the population in East York, Ontario. When the confounding effects of age and gender were controlled by constructing 67 matched pairs, institutionalized people were more than twice as likely to be edentulous (OR = 2.17, 95% CI = 1.09-4.29). This association was confirmed using data from all subjects in a logistic regression model. Analysis of covariance of data from dentate subjects revealed that the institutionalized seniors had fewer filled teeth (P less than 0.05, controlling for age and sex), but there were no statistically significant differences in the number of teeth which were missing, decayed, or requiring extraction. These findings suggest that antecedent, sociodemographic factors prior to institutionalization are responsible for the higher probability of oral disease in this group of older adults.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Slade</LastName>
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<AffiliationInfo><Affiliation>Department of Community Dentistry, University of Toronto, Canada.</Affiliation>
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<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
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<MeshHeading><DescriptorName UI="D000375" MajorTopicYN="Y">Aging</DescriptorName>
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<MeshHeading><DescriptorName UI="D004245" MajorTopicYN="N">DMF Index</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
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<MeshHeading><DescriptorName UI="D009909" MajorTopicYN="Y">Oral Health</DescriptorName>
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<MeshHeading><DescriptorName UI="D011897" MajorTopicYN="N">Random Allocation</DescriptorName>
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<MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName>
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