Evidence map›Paper›PMID 40935788›Full record

ArticleGeriatrics & gerontology international2025

Gender differences in roles of health behavior between marital status and oral health.

Farzana Sharmin, Yusuke Matsuyama, Shiho Kino, Sakura Kiuchi, Katsunori Kondo, Jun Aida

Abstract read
In one paragraph

Article in Geriatrics & gerontology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Farzana SharminDepartment of Dental Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.ORCID https://orcid.org/0009-0005-1091-357X
Yusuke MatsuyamaDepartment of Dental Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.
Shiho KinoDepartment of Preventive Oral Health Care Sciences, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-9349-4980
Sakura KiuchiDepartment of Dental Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.
Katsunori KondoDepartment of Social Preventive Medical Sciences, Chiba University, Center for Preventive Medical Sciences, Chiba, Japan.
Jun AidaDepartment of Dental Public Health, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0002-8405-9872

Funding

Health Labour Sciences Research 19FA1012Health Labour Sciences Research 19FA2001Health Labour Sciences Research 21FA1012Health Labour Sciences Research 22FA1010Health Labour Sciences Research 22FA2001Health Labour Sciences Research 22FG2001Japan Health Promotion & Fitness FoundationJapan Science and Technology Agency JPMJOP1831Japan Society for the Promotion of Science 20H00557Japan Society for the Promotion of Science 20K10540Japan Society for the Promotion of Science 21H03153Japan Society for the Promotion of Science 21H03196Japan Society for the Promotion of Science 21K17302Japan Society for the Promotion of Science 21K19635Japan Society for the Promotion of Science 22H00934Japan Society for the Promotion of Science 22H03299Japan Society for the Promotion of Science 22K04450Japan Society for the Promotion of Science 22K13558National Research Institute for Earth Science and Disaster ResilienceTokyo Medical and Dental University priority research areas
6 · The paper itself

Abstract

aimMarital status is a form of social network and source of social support, and it is beneficial to oral health by enhancing health behaviors. We examined the mediating effects of oral health behaviors on the association of marital status with the number of teeth.

methodsThis cross-sectional study used data from the Japan Gerontological Evaluation Study 2022, targeting individuals aged ≥65 years. Marital status was the exposure, and the number of teeth was the outcome. Mediation effects of dental treatment, dental checkup, tooth brushing, alcohol drinking, and smoking were evaluated using the Karlson-Holm-Breen (KHB) method.

resultsOf the 21 745 participants, the mean number of teeth was higher in participants having a spouse (men: 18.49 [standard deviation, SD = 10.00], women: 20.08 [SD = 8.88]) than in those without a spouse (men: 16.34 [SD = 10.34], women: 17.22 [SD = 10.35]). Having a spouse was associated with a higher number of teeth, yielding coefficients of 0.76 (95% confidence interval [CI] = 0.26; 1.25) for men and 0.67 (95% CI = 0.31; 1.03) for women, after adjusting for confounders. The coefficients for the association through oral health behaviors were 0.66 (95% CI = 0.51; 0.81) for men and 0.10 (95% CI = 0.02; 0.19) for women, explaining 46.62% of the association in men and 13.68% in women.

conclusionsBeing married at an older age was associated with having a higher number of teeth, which was mediated by better oral health behaviors. These behaviors had a greater impact on men, who generally had poorer behaviors compared with women. Geriatr Gerontol Int 2025; 25: 1397-1403.

Indexed as

Health BehaviorMarital StatusOral HealthAgedAged, 80 and overCross-Sectional StudiesFemaleHumansJapanMaleSex Factorsgender differencemarital statusmediation analysisnumber of teethoral health behavior

Identifiers

PMID40935788
PMCPMC12501663

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.