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Adverse Childhood Experiences and Oral Health Conditions Among Middle-aged and Older Chinese Adults: Exploring the Moderating Roles of Education and Gender.

Publication ,  Journal Article
Zhang, K; Wu, B; Zhang, W
Published in: Research on aging
February 2023

This study aims to examine whether adverse childhood experiences (ACEs) are associated with oral health conditions (denture use, difficulty in chewing, and edentulism) among middle-aged and older adults in China and if gender and adulthood education moderate the associations. Data were obtained from the 2014 and 2018 surveys from the China Health and Retirement Longitudinal Study (N = 17,091) and logistic regressions were carried out. Results show that childhood hunger (OR = 1.12), loneliness (OR = 1.10) and family relations (OR = 1.07) were significantly associated with higher odds of denture use and there were significant associations between hunger (OR = 1.16) and difficulty in chewing. For the female subsample, education significantly moderated the adverse effect of childhood hunger on denture use and difficulty in chewing. Findings suggest that ACEs have long-lasting impacts on oral health conditions in later life and adulthood education might offer critical resources for females, helping them buffer the detrimental health impacts of ACEs.

Duke Scholars

Published In

Research on aging

DOI

EISSN

1552-7573

ISSN

0164-0275

Publication Date

February 2023

Volume

45

Issue

2

Start / End Page

221 / 238

Related Subject Headings

  • Oral Health
  • Middle Aged
  • Longitudinal Studies
  • Humans
  • Gerontology
  • Female
  • Educational Status
  • East Asian People
  • Aged
  • Adverse Childhood Experiences
 

Citation

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Chicago
ICMJE
MLA
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Zhang, K., Wu, B., & Zhang, W. (2023). Adverse Childhood Experiences and Oral Health Conditions Among Middle-aged and Older Chinese Adults: Exploring the Moderating Roles of Education and Gender. Research on Aging, 45(2), 221–238. https://doi.org/10.1177/01640275221088926
Zhang, Keqing, Bei Wu, and Wei Zhang. “Adverse Childhood Experiences and Oral Health Conditions Among Middle-aged and Older Chinese Adults: Exploring the Moderating Roles of Education and Gender.Research on Aging 45, no. 2 (February 2023): 221–38. https://doi.org/10.1177/01640275221088926.
Zhang, Keqing, et al. “Adverse Childhood Experiences and Oral Health Conditions Among Middle-aged and Older Chinese Adults: Exploring the Moderating Roles of Education and Gender.Research on Aging, vol. 45, no. 2, Feb. 2023, pp. 221–38. Epmc, doi:10.1177/01640275221088926.
Journal cover image

Published In

Research on aging

DOI

EISSN

1552-7573

ISSN

0164-0275

Publication Date

February 2023

Volume

45

Issue

2

Start / End Page

221 / 238

Related Subject Headings

  • Oral Health
  • Middle Aged
  • Longitudinal Studies
  • Humans
  • Gerontology
  • Female
  • Educational Status
  • East Asian People
  • Aged
  • Adverse Childhood Experiences