Social Support, Depression, and Oral Health in Later Life

晚年的社会支持、抑郁和口腔健康

• 批准号: 7669382
• 负责人: Bei Wu
• 金额: $ 21.63万
• 依托单位: UNIVERSITY OF NORTH CAROLINA GREENSBORO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-01 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7669382
• 关键词: Address; Affect; Age; American; Arts; Behavioral; Biometry; Complex; Data; Data Set; Deglutition; Dental; Deterioration; Development; Diagnosis; Educational Background; Elderly; Emotional; Epidemiology; Family; Friends; Gender; Geriatrics; Gerontology; Goals; Health; Health behavior; Healthcare; Incidence; Income; Individual; Individual Differences; Interdisciplinary Study; Intervention; Lead; Mastication; Mediating; Medical; Medicare claim; Methods; Modeling; Mouth Diseases; Oral health; Pain; Personal Satisfaction; Play; Population; Prevalence; Preventive Intervention; Psychology; Public Health; Race; Research; Role; Sampling; Science; Social Network; Social support; Sociology; Systemic disease; Time; Variant; base; behavioral health; cost; cost effective; depression; depressive symptoms; early onset; experience; innovation; low socioeconomic status; prevent; psychologic; psychosocial; research clinical testing; response; social; socioeconomics

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 disease. Some research suggests that social, psychological, and behavioral factors are associated with oral health; however, this evidence is largely based on cross-sectional and non-representative samples with little control of the complex effects of key covariates. In addition, little is known about the inter-relationship between oral health and social, psychological and behavioral factors. In response to RFA-DE-08-009, we propose to develop dynamic models of oral health to comprehensively examine psychosocial and health behavioral determinants of oral health. This study has the following Specific Aims: 1) depict the trajectories of oral health among older individuals; 2) examine the reciprocal linkages between the changes in oral health and those in social support; 3) assess the reciprocal linkages between the changes in oral health and depressive symptoms; and 4) evaluate variations in the associations among oral health, depressive symptoms, and social support in older individuals across socioeconomic strata. This proposed research is innovative in several respects: state-of-the-art approach to undertake longitudinal and multi-level analysis of oral health; examination of the reciprocal linkage among social support, depression and oral health; use of multiple well-established longitudinal datasets, including nationally and regionally representative samples, to compare and confirm the reciprocal linkages across various datasets and to identify predictors of oral health; and use of Medicare claims data to obtain diagnosed medical conditions and health care use. We aim to better understand determinants of oral health from social and behavioral perspectives. 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. Project Narrative: 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。一些研究表明，社会，心理和行为因素与口腔健康有关。但是，该证据很大程度上基于横截面和非代表性样本，几乎无法控制关键协变量的复杂作用。此外，关于口腔健康与社会，心理和行为因素之间的关系鲜为人知。为了响应RFA-DE-08-009，我们建议开发口腔健康的动态模型，以全面检查口腔健康的心理和健康行为决定因素。这项研究具有以下特定目的：1）描绘老年人口腔健康的轨迹； 2）检查口腔健康变化与社会支持方面的变化之间的相互联系； 3）评估口腔健康变化与抑郁症状之间的相互联系； 4）评估口腔健康，抑郁症状和社会经济支持的社会经济阶层的社会支持之间的差异。这项拟议的研究在几个方面都是创新的：对口腔健康进行纵向和多层次分析的最新方法；检查社会支持，抑郁和口腔健康之间的相互联系；使用多个公认的纵向数据集，包括全国和地区代表性的样本，以比较和确认各个数据集的相互联系，并确定口腔健康的预测因素；并使用Medicare索赔数据以获取已诊断的医疗状况和医疗保健使用。我们的目标是从社会和行为的角度更好地了解口腔健康的决定因素。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。项目叙述：美国老年人的数量和比例日益增加，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。