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The sample included 9054 older adults aged 55 to 74. Control variables and oral health behaviors were measured through a questionnaire interview, and the number of remaining teeth and periodontal health were obtained from an oral health examination. A chi-square test was used for univariate analysis. Multivariate Logistic regression was used to explore the association between health behaviors and the number of remaining teeth.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The average number of remaining teeth in the sample was 24.4\u2009\u00b1\u20097.7. There was a higher proportion of older adults living in urban areas with 20 or more teeth than those living in rural areas (83.2% vs. 79.4%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001); and a higher proportion of individuals with high education levels with 20 or more teeth compared to those with low education levels (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Logistic regression models showed that older adults who used toothpicks `(OR\u2009=\u20093.37, 95% CI 2.94\u20133.85), dental floss (OR\u2009=\u20091.93, 95% CI 1.05\u20133.53), toothpaste (OR\u2009=\u20093.89, 95% CI 3.14\u20134.83); and never smoked (OR\u2009=\u20091.43 95% CI 1.20\u20131.70) were more likely to retain 20 or more natural teeth; whereas older adults who had a dental visit were less likely to retain 20 or more natural teeth (OR\u2009=\u20090.45, 95% CI 0.39\u2013052).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Good oral hygiene practices, never smoking, and regular dental visits focusing on prevention are significantly associated with teeth retention. It is critical to promote a healthy lifestyle and improve prevention-oriented oral health care systems.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12903-022-02283-2","type":"journal-article","created":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T05:14:43Z","timestamp":1657775683000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Health behaviors and tooth retention among older adults in China: findings from the 4th Chinese national oral health survey"],"prefix":"10.1186","volume":"22","author":[{"given":"Xiaoyan","family":"Ou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liwei","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yixuan","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaolin","family":"Pei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiujuan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahrzad","family":"Siamdoust","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bei","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,14]]},"reference":[{"key":"2283_CR1","unstructured":"World Health Organization. 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