Ethnicity, Social, and Clinical Risk Factors to Tooth Loss among Older Adults in the U.S., NHANES 2011–2018

Haeok Lee, Deogwoon Kim, Andrew Jung and Wonjeong Chae
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Haeok Lee: Nursing Department, University of Massachusetts Boston, Robert and Donna Manning College of Nursing and Health Sciences, Boston, MA 02125, USA
Deogwoon Kim: Nursing Department, University of Massachusetts Boston, Robert and Donna Manning College of Nursing and Health Sciences, Boston, MA 02125, USA
Andrew Jung: College of Dentistry, New York University, New York, NY 10012, USA
Wonjeong Chae: Office of Strategic Planning, Healthcare Policy and Strategy Task Force, Yonsei University Health System, Seoul 03722, Korea

IJERPH, 2022, vol. 19, issue 4, 1-15

Abstract: Background. Many older adults suffer from poor oral health, including tooth loss, and disparities among racial/ethnic and socially disadvantaged populations continue to exist. Methods. Data were obtained from the National Health and Nutrition Examination Survey among the adult population in the U.S. The prevalence of edentulism and multiple regression models were conducted on 15,821 adults, including Asians, Blacks, Hispanics, Whites, and others to assess the relationships between tooth loss and their predictors. Results. The prevalence of complete tooth loss increased with age from 0.7% for ages 20–44 to 20.2% for ages 65 and over. There are disparities in complete tooth loss regarding race/ethnicity, with the highest percentages (9%) among Whites and Blacks and the lowest percentages among Asians (3%) and Hispanics (4%). After adjusting for predictors, their impact on tooth loss was not consistent within racial/ethnic groups, as Asians had more tooth loss from Model 1 (β = −1.974, p < 0.0001) to Model 5 (β = −1.1705, p < 0.0001). Conclusion. Tooth loss was significantly higher among older adults and racial/ethnic groups even after controlling for other predictors among a nationally representative sample. The findings point to the fact that subgroup-tailored preventions are necessary.

Keywords: older adults; oral health; health disparities; ethnicity; dementia; social factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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