Associations between social inequality and tooth loss in a household sample of elderly Thai people aged ≥60 years old

Srisilapanan, Patcharawan; Korwanich, Narumanas; Lalloo, Ratilal

doi:10.1111/ger.12140

Cited by 9 publications

(9 citation statements)

References 43 publications

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“…In a study conducted by Martin and co-workers, older non-Hispanic whites residing in urban areas appeared less affected by tooth decay than Mexican-American or black (race minorities) elderly people residing in rural areas ( p < 0.05) [ 36 ]. Education was also noted as a preventive factor against severe periodontal disease in the elderly ( p = 0.004; 30,427 participants) [ 203 ], decreasing the likelihood of suffering from this oral disease (RR 0.96 [0.95–0, 97], p < 0.05; 2332 participants) [ 89 ]. Low income also seemed to increase the prevalence of periodontitis in the elderly ( p < 0.001; 687 participants) [ 43 ] as well as the likelihood of suffering from this disease (OR 1.39 [1.01–1.91], p < 0.05; 2147 participants) [ 204 ], while high income was a prevention factor against periodontitis (RR 0.91 [0.86 0.96], p < 0.05; 2332) [ 89 ].…”

Section: Resultsmentioning

confidence: 99%

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Cianetti

Valenti

Orso

et al. 2021

IJERPH

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Dental caries and periodontal disease represent a health problem and a social cost for the entire population, and in particular for socio-economically disadvantaged individuals who are less resistant to disease. The aim of this review is to estimate the prevalence and severity of the two dental pathologies, caries and periodontal disease, in the different classes of socio-economically disadvantaged subjects and to understand which of them are most affected. A systematic search of the literature was performed in MEDLINE (via PubMed), EMBASE and Web of Science after establishing a suitable search strategy for each database, using keywords related to socio-economically vulnerable classes and health outcomes. Socio-economically disadvantaged individuals are more susceptible to tooth decay and periodontal disease (with relative tooth loss) than non-vulnerable people. Additionally, when multiple vulnerabilities are combined in the same subject, these oral diseases worsen. There is no type of vulnerability more affected by caries and periodontitis than others, since overall they all have severe disease indices. The data from this systematic literature review might be useful for health policy makers looking to allocate more resources and services to socially disadvantaged individuals, resulting in making them more resilient to oral disease due to their social marginalization.

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Section: Resultsmentioning

confidence: 99%

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Cianetti

Valenti

Orso

et al. 2021

IJERPH

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show abstract

“…We observed significant disparities in tooth loss, a finding that was consistent with that of previous studies. [ 5 27 , 28 ] Groups that included older participants, Muslims, those with low educational attainment, under universal health care, those who consumed sugar snacks frequently, and who brushed their teeth infrequently were more likely to experience greater loss of teeth. Permanent tooth loss prevalence in Thai adults is decreasing[ 3 ]; however, it is still a common oral health problem and can substantially impair quality of life and daily functioning throughout remaining life.…”

Section: Discussionmentioning

confidence: 99%

Sugary snack consumption and tooth retention among middle-aged Thai adults

Naorungroj

2020

J Int Soc Prevent Communit Dent

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A BSTRACT Objectives: This study investigated whether the habit of consuming sugary snacks was independently associated with the loss of permanent teeth. Materials and Methods: Eight hundred ninety-seven adults aged 35–65 from four communities in the lower regions of Southern Thailand completed a structured questionnaire interview and dental examinations. The independent variable was frequency of sweet snack consumption between meals in the previous week and coded as: never (0 days), occasionally (1–4 days), or frequently (≥5 days). The outcome was the number of permanent teeth (1–19 vs. ≥20 teeth). Multivariate logistic regression was used to examine the adjusted associations between sugary snack consumption and the number of retained teeth. Odds ratio (OR) and 95% confidence intervals (CI) were calculated. Results: Approximately 23% of participants retained fewer than 20 permanent teeth. Approximately 30% of participants reported sugary snack intake most days. Fewer teeth were positively associated with high-frequency sugary snack consumption, older age, Muslim, ≤ 6 years of education, universal healthcare, infrequent tooth brushing, smoking, and alcohol consumption, but not sugar-sweetened beverages. After adjusting for sociodemographic characteristics and other potential confounders, the odds of having fewer teeth were higher among participants who frequently consumed sugary snacks (OR = 2.03, 95% CI = 1.21–3.39), but was not significantly different from those who occasionally consumed sugary snacks (OR = 0.93; 95% CI = 0.58–1.50) compared to nonsugary snack consumers. Conclusion: In this study, habitual sugary snack intake was associated with fewer teeth among middle-aged Thai adults. To improve oral health and prevent further tooth loss, efforts to reduce sugary snack consumption would be needed.

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“…In this regard, osteoporosis is common in middle‐aged and older people, and is more common in postmenopausal women. According to the international standard division, the middle‐aged people mainly refer to the group between 45 and 59 years old, and the elderly people mainly refer to the group over 60 years old 21,22 . Based on this, we identify the population included in this study as the age group of 45 years or older.…”

Section: Methodsmentioning

confidence: 99%

“…According to the international standard division, the middle‐aged people mainly refer to the group between 45 and 59 years old, and the elderly people mainly refer to the group over 60 years old. 21 , 22 Based on this, we identify the population included in this study as the age group of 45 years or older. Subsequently, 1549 individuals with the missing data on terms of demographic characteristics, laboratory examination, and clinical outcomes are excluded, and 4625 individuals with intact data are enrolled in next analysis.…”

Section: Methodsmentioning

confidence: 99%

High systemic immune‐inflammation index is relevant to osteoporosis among middle‐aged and older people: A cross‐sectional study

Zhang,

2023

Immunity Inflam & Disease

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BackgroundAs one of novel inflammatory indexes proposed in recent years, systemic immune‐inflammation index (SII) can comprehensively reflect the inflammatory and immune state of the body. This study aims to explore the relationship between SII and osteoporosis among middle‐aged and older people.Materials and MethodsOur study includes 20,497 individuals from National Health and Nutrition Examination Survey (NHANES) 2005–2008, and target study population are confined to people aged 45 years and above. SII is calculated as platelet count × neutrophil count/lymphocyte count. Multivariate logistic regression analysis is used to explore the link between SII and osteoporosis, and receiver operating characteristics curve is used to screen optimal cut‐off value of SII for indicating the occurrence of osteoporosis.ResultsA total of 435 people with osteoporosis are screened among 4625 middle‐aged and older people, and individuals in osteoporosis group have higher SII than those in nonosteoporosis group (p = .024). Logistic regression analysis indicates that with the enhancement of SII, prevalence of osteoporosis in each tertile category also increases (p < .001). This tendency is also not changed in univariate model (p < .001), as well as the adjustments for different parameters. Moreover, we also identify that SII of 530.09 is the optimal cut‐off value for indicating the occurrence of osteoporosis among middle‐aged and older people.ConclusionsThis present NHANES‐based study noticed that higher SII is positively linked to osteoporosis among middle‐aged and older people, and SII should not exceed 530.09 for them to obtain a potentially lower risk of osteoporosis.

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Associations between social inequality and tooth loss in a household sample of elderly Thai people aged ≥60 years old

Abstract: Social inequality is related to the number of remaining teeth in elderly Thai people.

Cited by 9 publications

References 43 publications

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Systematic Review of the Literature on Dental Caries and Periodontal Disease in Socio-Economically Disadvantaged Individuals

Sugary snack consumption and tooth retention among middle-aged Thai adults

High systemic immune‐inflammation index is relevant to osteoporosis among middle‐aged and older people: A cross‐sectional study

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