Background: Oral health is a fundamental component of overall health and mental well-being. However, due to social and economic factors impacting health care access, older people have limited resources and opportunities to meet their ongoing oral health care needs. With an increase in the proportion of aged population and increased life expectancy, early onset of edentulism is a growing public health problem. This study aimed to measure and determine oral health status and its implications on self-reported health among adults aged 50 years and over, in India. Method: This study utilizes the data from a prospective longitudinal survey of national survey data from WHO-SAGE Wave 1 (2007). Study samples in India (n = 6555) were conditioned on self-reported health. The main predictor variable is edentulism. The methods were multinomial logistic regression, chi-squared tests, and the relative risk ratios. Results: Nationally, about 30.5% had good, 47.1% had moderate, and 22.4% reported their health as bad. Among edentulous, the prevalence of good, moderate, and bad health is 27.2%, 45.4%, and 27.4%, respectively. It was found that elderly who had edentulism had were significantly less likely to have “Good” and “Moderate” health status. Adjusted relative risk ratios showed a significant association between self rated health and covariates such as education, wealth, eating less, and feeling hungry. Conclusion: Findings indicate that the reporting of good health among Indian edentulous adults are inadmissibly low. Since, edentulism has never been paid enough attention despite its toll on quality of life of an individual, policies and programs should be aimed towards oral care especially for older adults. There is a need to improve the health literacy of the older adults through community health education and making use of activity opportunities that can improve their self-rated health.

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The Impact of Edentulism on Self-Reported Health Among Indian Elderly

  • Neha Shri,
  • Ajit Kumar Jaiswal

摘要

Background: Oral health is a fundamental component of overall health and mental well-being. However, due to social and economic factors impacting health care access, older people have limited resources and opportunities to meet their ongoing oral health care needs. With an increase in the proportion of aged population and increased life expectancy, early onset of edentulism is a growing public health problem. This study aimed to measure and determine oral health status and its implications on self-reported health among adults aged 50 years and over, in India. Method: This study utilizes the data from a prospective longitudinal survey of national survey data from WHO-SAGE Wave 1 (2007). Study samples in India (n = 6555) were conditioned on self-reported health. The main predictor variable is edentulism. The methods were multinomial logistic regression, chi-squared tests, and the relative risk ratios. Results: Nationally, about 30.5% had good, 47.1% had moderate, and 22.4% reported their health as bad. Among edentulous, the prevalence of good, moderate, and bad health is 27.2%, 45.4%, and 27.4%, respectively. It was found that elderly who had edentulism had were significantly less likely to have “Good” and “Moderate” health status. Adjusted relative risk ratios showed a significant association between self rated health and covariates such as education, wealth, eating less, and feeling hungry. Conclusion: Findings indicate that the reporting of good health among Indian edentulous adults are inadmissibly low. Since, edentulism has never been paid enough attention despite its toll on quality of life of an individual, policies and programs should be aimed towards oral care especially for older adults. There is a need to improve the health literacy of the older adults through community health education and making use of activity opportunities that can improve their self-rated health.