2010年中国慢性病监测项目的内容与方法

  目的  分析我国老年人的口腔缺失牙现状及生活方式影响因素。  方法  利用2010年全国慢病监测抽样调查数据，以14 877位 ≥ 60岁老年人作为分析样本，对中国老年人口腔缺失牙状况进行描述，并利用多因素logistic统计分析方法对吸烟、饮酒、口腔卫生习惯、休闲看电视时间和蔬菜饮食频率等日常生活方式与口腔缺失牙患病相关关系进行研究。  结果  我国老年人口腔缺失牙患病率为68.94 %。多因素logistic回归结果显示，看电视时间 ≥ 1.5小时/天（OR = 1.228，95 % CI = 1.039～1.324）、进食蔬菜频率 < 2次/天（OR = 1.173，95 % CI = 1.061～1.296）、近12个月饮酒（OR = 1.096，95 % CI = 1.006～1.206）是缺失牙患病危险因素，没看过牙的老年人缺失牙患病风险是看过牙的8.033倍（95 % CI = 7.388～8.734）。  结论  中国老年人口腔缺失牙患病率较高，生活方式尤其是近期曾看过牙与中国老年人缺失牙的患病密切相关。

Effect of smoking cessation on tooth loss: a systematic review with meta-analysis

  Objective  To analyze the prevalence of and the effect of life style on missing teeth among the elderly in China.  Methods  Data on 19 981 residents aged 60 years and above were derived from Nation Chronic Disease Surveillance conducted in 2010 across in China. Chi-square test and unconditional multivariate logistic regression were used to explore the association of life style with missing teeth in the elderly.  Results  The prevalence rate of missing teeth was 68.94% in the elderly surveyed. Regression analysis revealed following significant risk factors for missing teeth in the elderly: with a television screen time of 1.5 hours or more per day (odds ratio (OR) = 1.228, 95% confidence interval [95% CI]: 1.039 – 1.324), consuming vegetables less than 2 times per day (OR = 1.173, 95% CI: 1.061 – 1.296), and alcohol drinking during past 12 months (OR = 1.096, 95% CI: 1.006 – 1.206); in addition, the elderly never visiting a dentist was at a greatly increased risk of missing teeth (OR = 8.003, 95% CI: 7.338 – 8.734) in contrast to those with a history of visiting a dentist.  Conclusion  The prevalence of missing teeth was relatively high and associated with life style, especially with the history of visiting a dentist, among the elderly in China.