Edentulism risk indicators among Mexican elders 60-year-old and older.
The objective of this study was to determine the prevalence of edentulism in Mexican elders aged 60 years and older, and the associated risk indicators. A cross-sectional study was undertaken in 139 elders living in either of two long-term care (LTC) facilities, or attending an adult day center (ADC) in Pachuca, Mexico. A subject was edentulous when natural teeth were completely absent, determined through a clinical examination. Risk indicators were collected using questionnaires. Analyses were performed using binary logistic regression in STATA 9.0. Mean age was 79.0±9.8 years. Many subjects were women (69.1%). The prevalence of edentulism was 36.7%. In multivariate analysis, after adjusting for age and sex, the variables that were inversely associated (p<0.05) with edentulism were living with a spouse (odds ratio=OR=0.31), and lacking health insurance (OR=0.70). Variables associated with higher risk of being edentate were lower educational attainment (OR=1.61), having received radiation therapy (OR=4.49), being a smoker (OR=4.82), and having diabetes (OR=2.94) or other chronic illnesses (OR=1.82) (with hypertension approaching significance, p=0.067). In this sample of Mexican elders, diverse variables were associated with edentulism, in particular smoking and past radiotherapy. Oral health programs within and outside LTC/ADC should take into account risk factors specific to the older population.
Área Académica de Odontología del Instituto de Ciencias de la Salud de la Universidad Autónoma del Estado de Hidalgo, Ex hacienda La Concepción S/N, ZP 42160 Tilcuautla, Hidalgo, Mexico.
H
H
Islas-Granillo
S A
SA
Borges-Yañez
S E
SE
Lucas-Rincón
C E
CE
Medina-Solís
A J
AJ
Casanova-Rosado
M L
ML
Márquez-Corona
G
G
Maupomé
D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008019:Life Style; D016015:Logistic Models; D008134:Long-Term Care; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D009066:Mouth, Edentulous / Q000453:epidemiology*; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors; D017678:Sex Distribution; D012907:Smoking / Q000009:adverse effects; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D016388:Tooth Loss / Q000453:epidemiology* / Q000209:etiology