Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
권호 표지
DOI QR코드

DOI QR Code

Factors analysis of the oral health-related quality of life in the elderly

노인의 구강건강관련 삶의 질과 요인분석

  • Jo, Eun-Deok (Department of Dental Hygiene, College of Health Science, Gachon University) ;
  • Kim, Eun-Sol (Department of Health Science, Graduate School of Gachon University) ;
  • Hong, Hae-Kyung (Department of Dental Hygiene, Kyungdong University) ;
  • Han, Gyeong-Soon (Department of Dental Hygiene, College of Health Science, Gachon University)
  • 조은덕 (가천대학교 치위생학과) ;
  • 김은솔 (가천대학교 대학원 보건과학과) ;
  • 홍해경 (경동대학교 치위생학과) ;
  • 한경순 (가천대학교 치위생학과)
  • Received : 2018.09.06
  • Accepted : 2018.11.11
  • Published : 2019.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study was to compare the differences in oral health-related quality of life among elderly people aged over 65 years, in terms of physical, mental and oral health status and to analyze factors affecting their oral health-related quality of life. Methods: From May 9 to June 23, 2017, we randomly visited aged-care community centers in the metropolitan area, and recruited 222 elderly, aged 65 or older. First, each participant completed a questionnaire consisting of 4 general items: 1 systematic disease, and 3 subjective oral conditions. Afterwards, the researchers interviewed the participants to assess their mental status, using MMSE-DS and recorded the responses. Finally, an oral examination was performed to determine the number of remaining teeth. The average oral health-related quality of life according to each characteristic was analyzed by t-test and ANOVA. Hierarchical multiple regression analysis and Pearson's correlation coefficient analysis were used to analyze the correlations between factors and the factors affecting oral health-related quality of life. Results: The mean oral health-related quality of life was 4.15. Participants with 20 or more remaining teeth demonstrated better oral health-related quality of life than those with 19 or less teeth. Higher oral health-related quality of life was also found among elderly without gingival bleeding, self-reported halitosis and dry mouth. In addition, positive correlation with the number of remaining teeth and negative correlation with gingival bleeding, self-reported halitosis and dry mouth, were noted. Finally, the results of the hierarchical multiple regression analysis indicated that remaining teeth, gingival bleeding, self-reported halitosis and education were influential factors in determining the oral health-related quality of life among the elderly. Conclusions: The results of this study confirmed the necessity of better policy support, and the importance of implementing delivered, elderly-centered oral health education program by professionals to prevent tooth loss and manage periodontal diseases.

Keywords

References

  1. Statistics Korea. 2016 life tables for Korea [Internet]. Statistics Korea; 2017.[cited 2018 Feb 5]. Avaliable from: http://kostat.go.kr/portal/korea/kor_nw/2/2/7/index.board
  2. National Health Insurance Service. 2016 Health insurance review & assessment sevice [Internet]. Korean Statistical Information Service; 2018.[cited 2018 Feb 5]. Avaliable from:http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=DT_35001_A668141&vw_cd=MT_ZTITLE&list_id=350_35001_6&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE
  3. Kim MY. Nutrient intake and food consumption of Korean elderly aged more than 65 years according to health-related quality of life [Doctoral dissertation]. Seoul: Univ. of Chungang, 2014.
  4. Park HJ, Sohn MS, Lee JH, Jin BH, Lee SH, Kim TI. The mediation effects of psychological factors in the relationship between mouth dryness and oral health related quality of life. J Korean Acad Oral Health 2014;38(1):31-40. https://doi.org/10.11149/jkaoh.2014.38.1.31
  5. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health 1994;11(1):3-11.
  6. Boffano P, Roccia F, Pittoni D, Di Dio D, Forni P, Gallesio C. Management of 112 hospitalized patients with spreading odontogenic infections: correlation with DMFT and oral health impact profile 14 indexes. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;113(2):207-13. https://doi.org/10.1016/j.tripleo.2011.02.006
  7. Nam YS, Jang JY. Potential factors associated with the quality of life in South Korean senior people: based on oral health. J Dent Hyg Sci 2013;13(3):281-9.
  8. Lee JY. The study on the validity of the OHIP 14 (oral health impact profile 14) using health index on eldery population, Gangneung city. J Dent Hyg Sci 2009;9(4):475-83.
  9. Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes 2010;8(1):126. https://doi.org/10.1186/1477-7525-8-126
  10. Kim MH, Kim KW, Lee KS. Association between oral health and oral healthrelated quality of life among the elderly. J Dent Hyg Sci 2014;14(4):488-94. https://doi.org/10.17135/jdhs.2014.14.4.488
  11. Hong SH. Factors influencing the elderly's oral health related quality of life. JKDAS 2016;18(1):475-96.
  12. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state": a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12(3):189-98. https://doi.org/10.1016/0022-3956(75)90026-6
  13. Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, Moon SW, et al. Korean version of mini mental status examination for dementia screening and its' short form. Psychiatry Investig 2010;7(2):102-8. https://doi.org/10.4306/pi.2010.7.2.102
  14. Slade GD. Derivation and validation of short-form oral health impact profile. Community Dent Oral Epidemiol 1997;25(4):284-90. https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
  15. Yom YH, Han JH. Factors associated with oral health related-quality of life in elderly persons: applying Andersen's model. J Korean Acad Fundam Nurs 2014;21(1):18-28. https://doi.org/10.7739/jkafn.2014.21.1.18
  16. Park JH, Jeong SH, Lee GR, Song KB. The impact of tooth loss on oral health related quality of life among the elderly in Seongju, Korea. J Korean Acad Dent Health 2008;32(1):63-74.
  17. Kim JM, Lee JA. Depression and health status in the elderly. J Korean Gerontol Soc 2010;30(4):1311-27.
  18. Kim HN, Ku IY, Moon SJ. Correlation analysis of factors and the geriatric oral healthrelated quality of life in Gumi. J Korean Soc Dent Hyg 2012;12(5):1039-48. https://doi.org/10.13065/jksdh.2012.12.5.1039
  19. Lee MS, Shin SJ, Jung SH. The association between oral health related quality of life (OHRQoL) and socio-economic position in the elderly in rural area of Gangwon province. J Korean Soc Dent Hyg 2011;11(5):707-15.
  20. Kim KT, Park BG. Life satisfaction and social support network of the elderly living alone. Journal of the Korea Gerontological Society 2000;20(1):153-68.
  21. Shin DS, Jung YM. Oral health-related quality of life (OHQoL) and related factors among elderly women. J Korean Acad Fundam Nurs 2008;15(3):332-41.
  22. Paganini-Hill A, White SC, Atchison KA. Dentition, dental health habits, and dementia: the leisure world cohort study. J Am Geriatr Soc 2012;60(8):1556-63. https://doi.org/10.1111/j.1532-5415.2012.04064.x
  23. Lexomboon D, Trulsson M, Wardh I, Parker MG. Chewing ability and tooth loss: association with cognitive impairment in an elderly population study. J Am Geriatr Soc 2012;60(10):1951-6. https://doi.org/10.1111/j.1532-5415.2012.04154.x
  24. Käyser A. Shortened dental arches and oral function. J Oral Rehabil 1981;8(5):457-62. https://doi.org/10.1111/j.1365-2842.1981.tb00519.x
  25. Yoshihara A, Watanabe R, Nishimuta M, Hanada N, Miyazaki H. The relationship between dietary intake and the number of teeth in elderly Japanese subjects. Gerodontology 2005;22(4):211-8. https://doi.org/10.1111/j.1741-2358.2005.00083.x
  26. Kim YH, Lee JH. The relationship of quality of health-related life with the status of oral health in adults. J Korean Acad Oral Health 2016;40(3):165-70. https://doi.org/10.11149/jkaoh.2016.40.3.165
  27. Youn HJ, Kim SS. Factor associated with oral health-related quality of life in adults. J Korean Soc Dent Hyg 2015;15(6):1117-23. https://doi.org/10.13065/jksdh.2015.15.06.1117

Cited by

  1. 일부 노인의 교육 및 소득정도가 구강건강상태 및 관리행태와 치과이용행태에 미치는 영향 vol.10, pp.12, 2020, https://doi.org/10.22156/cs4smb.2020.10.12.191
  2. 재가 치매노인 배우자의 부양부담감이 구강건강관련 삶의 질에 미치는 영향 vol.34, pp.3, 2019, https://doi.org/10.5932/jkphn.2020.34.3.429