Risk Factors for Edentulism among the Elderly of Taiwan

台灣地區老人無牙狀態危險因素之研究

李易蓁(I-Chen Lee) ； 楊奕馨(Yi-Hsin Yang) ； 謝天渝(Tien-Yu Shieh) ； 蔡吉政(Chi-Cheng Tsai) ； 王國華(Kwo-Hwa Wang)

《Taiwan Journal of Oral Medicine Sciences》 23卷1期 (2007/04) Pp. 19-35

https://doi.org/10.7059/TJOMS.200704.0019

摘要

目的：本研究目的為探究台灣地區65歲以上老人無牙狀態的危險因素為何。方法：隨機選取1,600名老人為研究樣本，以研究人員自行設計的結構式問卷為研究工具，經由受過訓練的訪員到受訪者家中進行面對面訪視並收集資料。統計方法係以對數式迴歸分析模式呈現哪些因素會造成老人無牙的狀況。結果：造成老人無牙狀態的危險因子如下，年齡愈大、女性、教育程度愈低、每周社交活動頻率愈低、刷牙頻率較低、有咀嚼檳榔的習慣、罹患高血壓或糖尿病、無固定看牙醫的習慣、無固定就醫的牙醫診所、無使用牙線。結論：建議有關單位應該建立家庭牙醫師制度，以促進個人口腔保健照護的完整性；宣導良好的口腔衛生保健知識，教導正確的口腔衛生保健行為；以及針對特定慢性病族群進行口腔篩檢追蹤，即時提供治療。

關鍵字

老人 ； 無牙狀態 ； 危險因子

並列摘要

Object: The purpose of this study is to explore the possible causes of edentulism among Taiwanese over 65 years elders. Methods: A sample of 1,600 elders was randomly selected. Measurement parameters used in this research were structured questionnaires composed by the researchers. Information gathering was done by trained individuals who visited the subjects at their homes. A logistic regression analysis was performed to determine the factors that cause the elders to become completely toothless. Results: The risk factors of edentulism are as follows: individuals who are older age i.e., aging, female, having lower education level, having lower frequency of weekly social activities, having lower frequency of tooth brushing, having the habit of chewing betel nuts, or having hypertension and diabetes, not having regular dental checked, not visiting a fixed dental clinic for service, not using the dental floss. Conclusions: In the future, the government shall exert great efforts to establish the family-dentist system for better dental health care and protection, to publicize the correct knowledge of dental hygiene, to instruct the correct guidance of keeping good oral health condition; and also, to regularly follow up the oral screen and dental check on particular population with chronic disease in order to provide the therapy as needed.

並列關鍵字

elderly ； edentulism ； risk factor