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Int. J. Environ. Res. Public Health 2014, 11(11), 11308-11324; doi:10.3390/ijerph111111308

Prevalence of Loss of All Teeth (Edentulism) and Associated Factors in Older Adults in China, Ghana, India, Mexico, Russia and South Africa

1
HIV/AIDS/STIs and TB (HAST), Human Sciences Research Council, Private Bag X41, Pretoria 0001, South Africa
2
Department of Psychology, University of the Free State, Bloemfontein 9300, South Africa
3
ASEAN Institute for Health Development, Madidol University, Salaya, Phutthamonthon, Nakhonpathom 73170, Thailand
4
Department of Restorative Dentistry, University of Ghana Dental School, College of Health Sciences, Korle-Bu, Accra KB 460, Ghana
5
Department of Community Health, University of Ghana Medical School, College of Health Sciences, Korle-Bu, KB 4236, Accra, Ghana
6
Institute of Health & Society, Centre for Oral Health Research, Newcastle University, Newcastle NE2 4BW, UK
7
Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Umeå SE-90187, Sweden
8
Shanghai municipal Center for Disease Control and Prevention, No. 1380 West Zhongshan Rd, Changning District, Shanghai 200336, China
9
International Institute for Population Studies, Mumbai, Maharashtra 400088, India
10
Department of Anthropology, University of Oregon, Eugene, OR 97403, USA
11
World Health Organization, SAGE, 1211 Geneva 27, Switzerland
12
Department of Oral and Maxillofacial Surgery, Oregon Health and Science University, Portland OR 97201, USA
13
University of Newcastle Research Centre for Gender, Health and Ageing, Newcastle, NSW 2305, Australia
The SAGE Survey Group also contribute to this work, see acknowledgments.
*
Author to whom correspondence should be addressed.
Received: 14 July 2014 / Revised: 8 October 2014 / Accepted: 14 October 2014 / Published: 30 October 2014
(This article belongs to the Special Issue Social and Environmental Determinants of Oral Health)
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Abstract

Little information exists about the loss of all one’s teeth (edentulism) among older adults in low- and middle-income countries. This study examines the prevalence of edentulism and associated factors among older adults in a cross-sectional study across six such countries. Data from the World Health Organization (WHO’s) Study on global AGEing and adult health (SAGE) Wave 1 was used for this study with adults aged 50-plus from China (N = 13,367), Ghana (N = 4724), India (N = 7150), Mexico (N = 2315), Russian Federation (N = 3938) and South Africa (N = 3840). Multivariate regression was used to assess predictors of edentulism. The overall prevalence of edentulism was 11.7% in the six countries, with India, Mexico, and Russia has higher prevalence rates (16.3%–21.7%) than China, Ghana, and South Africa (3.0%–9.0%). In multivariate logistic analysis sociodemographic factors (older age, lower education), chronic conditions (arthritis, asthma), health risk behaviour (former daily tobacco use, inadequate fruits and vegetable consumption) and other health related variables (functional disability and low social cohesion) were associated with edentulism. The national estimates and identified factors associated with edentulism among older adults across the six countries helps to identify areas for further exploration and targets for intervention. View Full-Text
Keywords: edentulism; associated factors; China; Ghana; India; Mexico; Russia; South Africa edentulism; associated factors; China; Ghana; India; Mexico; Russia; South Africa
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Peltzer, K.; Hewlett, S.; Yawson, A.E.; Moynihan, P.; Preet, R.; Wu, F.; Guo, G.; Arokiasamy, P.; Snodgrass, J.J.; Chatterji, S.; Engelstad, M.E.; Kowal, P. Prevalence of Loss of All Teeth (Edentulism) and Associated Factors in Older Adults in China, Ghana, India, Mexico, Russia and South Africa. Int. J. Environ. Res. Public Health 2014, 11, 11308-11324.

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