Makhija Sonia K, Gilbert Gregg H, Boykin Michael J, Litaker Mark S, Allman Richard M, Baker Patricia Sawyer, Locher Julie L, Ritchie Christine S
Department of Diagnostic Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA.
J Am Geriatr Soc. 2006 Nov;54(11):1701-12. doi: 10.1111/j.1532-5415.2006.00923.x.
To quantify the associations between sociodemographic factors and oral health-related quality of life (OHRQoL) in dentate and edentulous community-dwelling older adults.
Cross-sectional study using a 54-item OHRQoL questionnaire.
Five counties in central Alabama: Jefferson and Tuscaloosa (urban), and Hale, Bibb, and Pickens (rural).
Two hundred eighty-eight participants (Dental Study subjects) aged 65 and older were recruited from participants in the University of Alabama at Birmingham Study of Aging, a longitudinal study of mobility in older African Americans and non-Hispanic whites.
Dental Study subjects were queried on their OHRQoL and sociodemographic status and classified into two categories: dentate and edentulous. Bivariate analyses were used to quantify associations between sociodemographic variables and OHRQoL after excluding participants with severe depression. Variables included age, sex, race, marital status, veteran status, residence, income, education, and transportation difficulties.
Dentate and edentulous subjects had similar OHRQoL across age, sex, marital status, veteran status, and residence. Analyses suggested a strong association between OHRQoL and race, education, income, and transportation difficulties in dentate subjects. Sociodemographic factors were less strongly associated with OHRQoL in edentulous participants.
OHRQoL decrements were prevalent in dentate and edentulous subjects. Of dentate persons, African Americans and those with a 6th-grade education or less, with income less than 16,000 dollars/year, and with transportation difficulties were more likely to have decrements in OHRQoL. In edentulous persons, these associations were not statistically significant or were weaker. These findings suggest differential associations between sociodemographic factors and OHRQoL when stratified according to dentate status.
量化社会人口学因素与有牙及无牙的社区居住老年人的口腔健康相关生活质量（OHRQoL）之间的关联。
采用一份包含54个条目的OHRQoL问卷进行横断面研究。
阿拉巴马州中部的五个县：杰斐逊县和塔斯卡卢萨县（城市），以及黑尔县、 Bibb县和皮肯斯县（农村）。
从阿拉巴马大学伯明翰分校衰老研究的参与者中招募了288名65岁及以上的参与者（牙科研究对象），该研究是一项关于老年非裔美国人和非西班牙裔白人活动能力的纵向研究。
询问牙科研究对象的OHRQoL和社会人口学状况，并将其分为两类：有牙和无牙。在排除患有严重抑郁症的参与者后，采用双变量分析来量化社会人口学变量与OHRQoL之间的关联。变量包括年龄、性别、种族、婚姻状况、退伍军人身份、居住地点、收入、教育程度和交通困难。
有牙和无牙的研究对象在年龄、性别、婚姻状况、退伍军人身份和居住地点方面的OHRQoL相似。分析表明，有牙研究对象的OHRQoL与种族、教育程度、收入和交通困难之间存在强烈关联。社会人口学因素与无牙参与者的OHRQoL之间的关联较弱。
OHRQoL下降在有牙和无牙的研究对象中普遍存在。在有牙人群中，非裔美国人以及那些受教育程度为六年级或以下、年收入低于16,000美元且有交通困难的人更有可能出现OHRQoL下降。在无牙人群中，这些关联无统计学意义或较弱。这些发现表明，根据有牙状况分层时，社会人口学因素与OHRQoL之间存在不同的关联。
