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Is Social Network Diversity Associated with Tooth Loss among Older Japanese Adults?

Aida, J; Kondo, K; Yamamoto, T; Saito, M; Ito, K; Suzuki, K; Osaka, K; (2016) Is Social Network Diversity Associated with Tooth Loss among Older Japanese Adults? PLoS One , 11 (7) , Article e0159970. 10.1371/journal.pone.0159970. Green open access

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Abstract

BACKGROUND: We sought to examine social network diversity as a potential determinant of oral health, considering size and contact frequency of the social network and oral health behaviors. METHODS: Our cross-sectional study was based on data from the 2010 Japan Gerontological Evaluation Study. Data from 19,756 community-dwelling individuals aged 65 years or older were analyzed. We inquired about diversity of friendships based on seven types of friends. Ordered logistic regression models were developed to determine the association between the diversity of social networks and number of teeth (categorized as ≥20, 10-19, 1-9, and 0). RESULTS: Of the participants, 54.1% were women (mean age, 73.9 years; standard deviation, 6.2). The proportion of respondents with ≥20 teeth was 34.1%. After adjusting for age, sex, socioeconomic status (income, education, and occupation), marital status, health status (diabetes and mental health), and size and contact frequency of the social network, an increase in the diversity of social networks was significantly associated with having more teeth (odds ratio = 1.08; 95% confidence interval, 1.04-1.11). Even adjusted for oral health behaviors (smoking, curative/preventive dental care access, use of dental floss/fluoride toothpaste), significant association was still observed (odds ratio = 1.05 (95% confidence interval, 1.02-1.08)). CONCLUSION: Social connectedness among people from diverse backgrounds may increase information channels and promote the diffusion of oral health behaviors and prevent tooth loss.

Type: Article
Title: Is Social Network Diversity Associated with Tooth Loss among Older Japanese Adults?
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1371/journal.pone.0159970
Publisher version: http://dx.doi.org/10.1371/journal.pone.0159970
Language: English
Additional information: © 2016 Aida et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywords: Aged, Aged, 80 and over, Female, Humans, Japan, Male, Social Support, Tooth Loss
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10037723
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