McGrath C, Bedi R
WHO Collaborating Centre for Disability, Culture and Oral Health, Eastman Dental Institute for Oral Health Care Sciences, University of London.
Gerodontology. 1998;15(2):93-8. doi: 10.1111/j.1741-2358.1998.00093.x.
The aim of this study was to was to determine whether older adults perceive oral health as affecting their life quality and to identify variations in impacts in relation to socio-demographic factors, dental service utilisation and method of payment.
This study formed part of the Office for National Statistics Omnibus Survey, which utilised a random probability sample of addresses from the British Postcode Address File (PAF).
3,000 homes were selected from one hundred post sectors across Britain. Respondents were interviewed in their homes about how oral health affects their quality of life. Subjects 454 older people (aged 65 and over) took part in the survey.
The study group perceived oral health as impacting on their quality of life in general (negative and/or positive impact) (70%, 318), enhancing (53%, 241) and detracting (44%, 199) from their life quality. The most frequently perceived way in which oral health affects life quality was its effect on eating and comfort. Older people from higher socio-economic groups reported that oral health had a greater impact on their quality of life in general (positive and/or negative impacts), (OR = 1.77, 95% CI = 1.22,2.78) and specifically, enhancing their quality of life (OR = 1.52, 95% CI = 1.01,2.30). Those who reported attending the dentist within the last year perceived that their oral health enhanced their life quality (OR = 1.55, 95% CI = 1.01,2.38).
Socio-economic background and dental attendance pattern are associated with how older people perceived oral health as affecting quality of life. These findings may have implications for promoting regular dental attendance and auditing dental services for older people.
本研究旨在确定老年人是否认为口腔健康会影响其生活质量，并确定与社会人口因素、牙科服务利用情况及支付方式相关的影响差异。
本研究是英国国家统计局综合调查的一部分，该调查采用了来自英国邮政编码地址文件（PAF）的随机概率地址样本。
从英国各地100个邮政区域中选取了3000户家庭。研究人员在受访者家中就口腔健康如何影响他们的生活质量进行了访谈。454名老年人（65岁及以上）参与了此次调查。
研究组认为口腔健康总体上会影响他们的生活质量（产生负面和/或正面影响）（70%，318人），提升（53%，241人）或降低（44%，199人）他们的生活质量。口腔健康影响生活质量最常被提及的方式是对饮食和舒适度的影响。社会经济地位较高群体的老年人报告称，总体而言口腔健康对他们的生活质量有更大影响（正面和/或负面影响）（OR = 1.77，95%置信区间 = 1.22，2.78），具体而言，提升了他们的生活质量（OR = 1.52，95%置信区间 = 1.01，2.30）。那些报告在过去一年看过牙医的人认为他们的口腔健康提升了生活质量（OR = 1.55，95%置信区间 = 1.01，2.38）。
社会经济背景和看牙模式与老年人如何看待口腔健康对生活质量的影响有关。这些发现可能对促进老年人定期看牙和评估老年人牙科服务有启示意义。
