口腔健康与自评健康的比较分析:"我们所有人研究计划 "与 "健康与退休研究 "对比

Jane A. Weintraub, Kevin L. Moss, Tracy L. Finlayson, Judith A. Jones, John S. Preisser
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引用次数: 0

摘要

口腔健康状况不佳会影响整体健康。本研究评估了两个横断面数据集中老年人的牙科因素(有牙状态和牙科利用率)与自评健康(S-RH)之间的关联:(1)美国国立卫生研究院 "我们所有人(AoU)研究计划"(2018年5月至2022年7月发布)和(2)美国全国代表性的 "健康与退休研究"(HRS)2018年波。年龄≥51岁的参与者被纳入这些分析,条件是:(1)来自AoU的参与者有来自电子健康记录(EHR)和调查的临床牙科和医疗数据(n = 5480);(2)来自HRS的参与者有牙科和社会人口调查数据(n = 14358)。S-RH 采用二分法(尚可/较差与较好),并通过逻辑回归进行分析。HRS和分层的抽样调查权重以及AoU结果的平均值使用了加权的HRS种族-人种和年龄分布,将各自的分析标准化为美国人口。在 AoU 和 HRS 中,分别有 32.6% 和 28.6% 的人报告 S-RH 尚可/较差。7.7% 的 AoU 电子病历提供了牙齿状况信息。在人群标准化分析中,缺乏牙科服务会增加 AoU S-RH 尚可/较差的几率,OR (95% CI) = 1.28 (1.11-1.48),HRS = 1.45 (1.09-1.94),患有糖尿病、教育程度较低和曾经吸烟也会增加 S-RH 尚可/较差的几率。没有天然牙齿与 S-RH 尚可/较差没有统计学关联。在两个数据集中,缺乏牙科服务与口腔健康状况一般/差呈正相关。需要在 AoU 和 HRS 中提供更多更好的口腔健康信息。
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A Comparative Analysis of Oral Health and Self-Rated Health: ‘All of Us Research Program’ vs. ‘Health and Retirement Study’
Poor oral health can impact overall health. This study assessed the association between dental factors (dentate status and dental utilization) and self-rated health (S-RH) among older adults in two cross-sectional datasets: (1) NIH “All of Us (AoU) Research Program” (May 2018—July 2022 release) and (2) U.S. nationally representative “Health and Retirement Study” (HRS) 2018 wave. Participants aged ≥ 51 years were included in these analyses if (1) from AoU, they had clinical dental and medical data from electronic health records (EHRs) and surveys (n = 5480), and (2) from HRS, they had dental and socio-demographic survey data (n = 14,358). S-RH was dichotomized (fair/poor vs. better) and analyzed with logistic regression. Sample survey weights for HRS and stratification and averaging AoU results used the weighted HRS race–ethnicity and age distribution standardized respective analyses to the U.S. population. Fair/poor S-RH was reported by 32.6% in AoU and 28.6% in HRS. Dentate status information was available from 7.7% of AoU EHRs. In population-standardized analyses, lack of dental service use increased odds of fair/poor S-RH in AoU, OR (95% CI) = 1.28 (1.11–1.48), and in HRS = 1.45 (1.09–1.94), as did having diabetes, less education, and ever being a smoker. Having no natural teeth was not statistically associated with fair/poor S-RH. Lack of dental service was positively associated with fair/poor S-RH in both datasets. More and better oral health information in AoU and HRS are needed.
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来源期刊
International Journal of Environmental Research and Public Health
International Journal of Environmental Research and Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
7.30
自引率
0.00%
发文量
14422
审稿时长
1 months
期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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