Objectives. This study aimed to assess the long-term effect of socio-behavioral characteristics on oral impacts on daily performances (OIDP) at age 65 and the influence on OIDP at age 65 of changes in socio-behavioral characteristics between age 50 and 65. Methods. In 1992, all 50-year-olds in two counties of Sweden were invited to participate in a longitudinal survey. A total of 6346 responded and, of those, 4143 completed follow-ups at ages 55, 60 and 65 years. Results. At age 65, 26.9% had oral impacts. Subjects being immigrants, being unmarried, reporting economic barriers, bad general health, bad quality dental care, less than annual dental attendance, limited social network and smoking at age 50 experienced oral impacts at age 65 more frequently than their counterparts in the opposite groups. Compared to the stable advantaged groups, stable disadvantaged groups regarding marital status, health status, smoking and reported quality of care had increased ORs for oral impacts. Compared to the stable advantaged groups, those who experienced deterioration with respect to health status, dental attendance and quality of oral health care and those who quitted smoking had increased ORs for oral impacts. Conclusions. Disadvantaged socio-behavioral condition at age 50 had a long lasting detrimental effect on OHRQoL at age 65. Deterioration in socio-behavioral circumstances was associated with increased oral impacts. Early protection against the effect of socio-behavioral adversity by imposing economic barriers, ensure provision of high quality care and by promotion of healthy lifestyles seems to have the potential to reduce oral impacts at older ages. © 2011 Informa Healthcare.

OIDP chort risk factors socio behavioral

Vulnerable Populations vulnerable population prospective study longitudinal study Oral Health Follow-Up Studies follow up Prospective Studies human Longitudinal Studies daily life activity middle aged Cohort Studies Activities of Daily Living comparative study health status Marital Status Aged social support social mobility dental procedure marriage quality of life health Dental Care smoking cessation Sweden Humans smoking male Emigrants and Immigrants female Socioeconomic Factors socioeconomics Article Social Environment migration health care quality age Age Factors Quality of Health Care Utilization Review standard cohort analysis social class Healthcare Disparities health care disparity Health Services Accessibility health care delivery