摘要
目的 了解社会情感支持与社会经济支持对老年人群口腔健康行为和口腔健康状况的影响,为老年人群口腔疾病防治策略的制定提供研究依据.方法 利用 1999 至 2018 年NHANES总库收集数据,通过SAS软件匹配同时具有社会支持(Social support)和口腔健康状况(Oral health)调查结果的对象纳入研究,年龄限制在 60 岁及以上.采用卡方检验分析社会情感支持与社会经济支持对老年人群口腔健康行为和口腔健康状况的影响.结果 共计 3 694 名自我报告了总体口腔健康状况结果的老年调查对象纳入了本次研究分析,其中男性占 48.3%,女性占 51.7%,平均年龄 72.2±8.1 岁.近 3 年有过常规口腔检查经历的占 44.6%,总体口腔健康状况自我评级为"很好"、"较好"、"一般"、"较差"的分别占 21.4%、39.3%、23.0%、16.3%.统计分析结果显示来自配偶和朋友情感支持对口腔健康行为和口腔健康总体状况均有显著的影响(P<0.05).社会经济支持对老年调查对象的口腔健康总体状况有十分显著的影响(P<0.01).结论 社会情感支持与社会经济支持对老年人群的口腔健康行为和口腔健康状况可能存在显著的促进作用,针对老年人群制定口腔健康促进策略时应予以考虑.
Abstract
Objective To investigate the effects of social emotional support and social economic support on oral health behaviors and oral health status of the elderly population,and to provide research basis for the development of prevention and treatment strategies for oral diseases in the elderly population.Methods Using the data collected from 1999-2018 NHANES database,and subjects with both social support(Social support)and oral health status(Oral health)surveys were included in the study,with an age limit of 60 years and above.Chi-square test was used to analyze the effects of social emotional support and social economic support on oral health behavior and oral health status of the elderly population.Results A total of 3694 elderly subjects who self-reported their overall oral health status were included in this study,including 48.3%males and 51.7%females,with an average age of 72.2±8.1 years.In the past three years,44.6%of the patients had routine oral examination experience,and the self-rating of the overall oral health status was"very good","good","general","poor",21.4%,39.3%,23.0%and 16.3%,respectively.The results of statistical analysis showed that emotional support from spouse and friends had significant effects on oral health behavior and overall oral health status(P<0.05).Social and economic support had a significant effect on the oral health of the aged subjects(P<0.01).Conclusion Social emotional support and social economic support may significantly promote the oral health behavior and oral health status of the elderly population,and should be considered when developing oral health promotion strategies for the elderly population.