牙列缺失对老年人群一般健康状况自我评价的影响  

The impact of tooth loss on self-assessed general health status in the elderly population

作　　者：夏登云 赵蓉[2] 陈燕[1] XIA Deng-yun;ZHAO Rong;CHEN Yan(Department of Endodontics,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Neurology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院牙体牙髓科,上海200001 [2]上海交通大学医学院附属第九人民医院神经内科,上海200001

出　　处：《口腔颌面修复学杂志》2025年第1期29-32,62,共5页Chinese Journal of Prosthodontics

基　　金：上海交通大学“医工交叉基金”青年项目(项目编号:YG2021QN77)。

摘　　要：目的:了解我国老年人群一般健康状况自我评价情况,分析牙列缺失对一般健康状况自我评价的影响。方法:采用横断面调查的方法,对北京大学国家发展研究院主持的中国健康与养老追踪调查CHARLS(China Health and Retirement Longitudinal Study)数据库进行数据挖掘与分析,年龄限定60岁以上,纳入具备完整的人口学信息、一般健康状况自我评价、牙列缺失情况以及慢性疾病患病情况等信息的对象进行统计分析。结果:共纳入研究对象8184人,其中男性4116人,女性4068人,平均年龄(68.0±6.2)岁。存在牙列缺失的有639人,占7.8%。其中佩戴假牙的占67.1%(429/639)。调查人群评价自我健康状况“一般”的占48.5%,评价“好”或“很好”的占21.5%,评价“不好”或“很不好”的占30.0%。单因素logistic回归结果显示牙列缺失状况显著增加了自我健康评价结果不好的风险(P<0.01),多元logistic回归校正混杂因素和其他影响因素后发现牙列缺失状况仍然具有独立的影响作用(P<0.05)。结论:牙列缺失对老年人群自我健康评价造成了显著影响,应加强对老年人群口腔健康的关注。Objective:To understand the self-assessment of general health status among the elderly population in China and to analyze the impact of tooth loss on self-assessed health status.Methods:A cross-sectional survey method was employed,utilizing data mining and analysis from the China Health and Retirement Longitudinal Study(CHARLS)database hosted by the National School of Development at Peking University.The study included subjects aged 60 and above,with complete demographic information,self-assessed general health status,tooth loss conditions,and chronic disease prevalence for statistical analysis.Results:A total of 8184 subjects were included,comprising 4116 males and 4068 females,with an average age of(68.0±6.2)years.Among them,639 individuals had experienced tooth loss,accounting for 7.8%.Of these,67.1%(429/639)wore dentures.The surveyed population rated their health status as"average"in 48.5%,"good"or"very good"in 21.5%,and"poor"or"very poor"in 30.0%.Univariate logistic regression results showed that the condition of tooth loss significantly increased the risk of a negative self-health assessment(P<0.01).After adjusting for confounding factors and other influencing factors in multivariate logistic regression,tooth loss still had an independent impact(P<0.05).Conclusion:The loss of teeth significantly impacts the self-health assessment of the elderly population,and there should be an increased focus on their oral health.

关 键 词：老年 一般健康状况 自我评价 影响因素 

分 类 号：R783.4[医药卫生—口腔医学]