Abstract

EUSTAQUIO-RAGA, María Vicenta; MONTIEL-COMPANY, José María  and  ALMERICH-SILLA, José Manuel. Factors associated with edentulousness in an elderly population in Valencia (Spain). Gac Sanit [online]. 2013, vol.27, n.2, pp.123-127. ISSN 0213-9111.  https://dx.doi.org/10.1016/j.gaceta.2012.02.009.

Objective: To determine the prevalence of edentulism and its association with various socioeconomic factors and oral health habits in the population aged 65-74 years old in the region of Valencia. Methods: A cross sectional study was designed. Thirty-four primary health centers and five nursing homes were chosen at random in the region of Valencia (10-15 voluntary participants per sampling point). Clinical examinations were carried out by three calibrated dentists (kappa>0.85) in the same centers. The total sample consisted of 531 individuals (235 men and 296 women). Results: The percentage of toothlessness was 20.7% and the mean number of natural teeth present was 14.92. The prevalence of edentulism was significantly higher (p <0.05) in men, institutionalized persons, those with no schooling, those with poor oral hygiene, those who visited the dentist regularly and those living in peri-urban/rural areas. In a multivariate logistic regression model with edentulism as the dependent variable, the following factors were identified as significant independent variables: institutionalization (odds ratio [OR]=2.88), poor oral hygiene (OR=2.35), regular visits to the dentist (OR=2.34) and age (OR=1.19). Conclusion: Edentulousness is a complex phenomenon that involves distinct social and economic factors.

Keywords : Epidemiology; Dental health surveys; Elderly; Tooth loss.

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