Trends and Trajectories of Oral Health Among Older Americans: The Role of Cognit

美国老年人口腔健康的趋势和轨迹：认知的作用

基本信息

批准号：
8330920
负责人：
Bei Wu
金额：
$ 21.46万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-04-15 至 2014-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8330920
关键词：
Address American Biometry Birth Chronic Clinical Cognitive Data Data Analyses Data Set Deglutition Dementia Dental Dental caries Deterioration Development Diabetes Mellitus Disadvantaged Education Elderly Epidemiology Ethnic Origin Frequencies Future Geriatrics Gerontology Goals Health Health Status Heart Diseases Impaired cognition Impairment Incidence Individual Individual Differences Interdisciplinary Study Intervention Lead Mastication Methods Mouth Diseases Nature Older Population Oral health Pain Pattern Performance Periodontal Diseases Personal Satisfaction Population Prevalence Prevention strategy Psychology Public Health Race Research Risk Factors Role Sampling Science Sex Characteristics Socioeconomic Status Subgroup Systemic disease Tooth Attrition age difference age related cognitive function cohort cost effective early onset experience inflammatory marker innovation member nutrition population based prevent racial and ethnic racial difference research clinical testing socioeconomics trend

项目摘要

DESCRIPTION (provided by applicant): Oral health is a critical but often overlooked component of health and well-being in older Americans. Compared to younger individuals, elderly people have an increased incidence and prevalence of oral diseases. Little is known about the patterns of oral health changes in late life at either the population or the individual level. In addition, few studies have examined factors, such as cognitive function, that may be associated with oral health changes. This study has the following specific aims: (1) examine and project racial/ethnic and socioeconomic disparities in oral health trends among older Americans; (2) examine the intra- and inter-individual differences of change in oral health among older adults; (3) cross-sectionally analyze the relationship between cognitive function and oral health; and (4) assess the linkage between cognitive function and oral health among older adults by conducting longitudinal data analysis. This proposed research is innovative in several respects: 1) state-of-the-art analytic approach to analyses on population trends and projections, and individual trajectories of oral health; 2) examination of racial/ethnic and socioeconomic disparities in oral health trends and trajectories; 3) focus on individuals with a range of cognitive function (from individuals with potential dementia to cognitively normal); 4) examination of the linkage between cognitive function and oral health while controlling for other important covariates; and 5) use of multiple well-established datasets, including nationally and regionally representative samples, that are longitudinal or cross-sectional in nature, to compare and confirm the patterns and predictors of oral health across the various datasets. We expect our study to lead to a better understanding of the mechanism underlying oral health deterioration and its risk factors. And, in turn, our study may suggest strategies for effective and innovative practices to prevent oral health deterioration. As secondary data will be used, the proposed study is a very cost-effective way to accomplish our objectives. PUBLIC HEALTH RELEVANCE: Relevant to Public Health The growing number and proportion of the older adults in the U.S. makes geriatric oral health an increasingly important public health issue that this study will address. This study will lead to the development of effective prevention and intervention strategies.

描述（由申请人提供）：口腔健康是老年人健康和福祉的关键但经常被忽视的组成部分。与年轻人相比，老年人的发病率和患病率增加。关于人口或个人层面的后期生活变化的模式知之甚少。此外，很少有研究检查可能与口腔健康变化有关的因素，例如认知功能。这项研究具有以下具体目的：（1）研究和预测老年人口腔健康趋势中的种族/种族和社会经济差异；（2）检查老年人口腔健康变化变化的个人内部和个体间差异；（3）横截面分析认知功能与口腔健康之间的关系；（4）通过进行纵向数据分析来评估老年人认知功能与口腔健康之间的联系。这项拟议的研究在几个方面具有创新性：1）对人口趋势和预测的分析以及口腔健康的个人轨迹的最先进的分析方法； 2）检查口腔健康趋势和轨迹中的种族/种族和社会经济差异； 3）专注于具有一系列认知功能的个体（从具有潜在痴呆症的个体到认知正常）； 4）在控制其他重要协变量的同时，检查认知功能与口腔健康之间的联系； 5）使用纵向或横截面本质上的多个公认的数据集，包括全国和地区代表性的样本，以比较和确认各种数据集中口腔健康的模式和预测指标。我们希望我们的研究能够更好地了解口腔健康恶化及其危险因素的机制。反过来，我们的研究可能会提出有效和创新实践的策略，以防止口腔健康恶化。由于将使用辅助数据，因此拟议的研究是实现我们目标的非常有效的方法。公共卫生相关性：与公共卫生相关的是，美国老年人的数量和比例不断增长，使老年口腔健康成为本研究将解决的日益重要的公共卫生问题。这项研究将导致有效的预防和干预策略的发展。