Jensen Peter M, Saunders Ralph L, Thierer Todd, Friedman Bruce
Department of Surgery, Division of Dental Services, School of Medicine, University of New Mexico, Albuquerque, New Mexico, USA.
J Am Geriatr Soc. 2008 Apr;56(4):711-7. doi: 10.1111/j.1532-5415.2008.01631.x. Epub 2008 Feb 13.
To examine, in community-dwelling elderly persons with disabilities, the association between oral health-related quality of life (OHRQOL) as measured using the 14-item Oral Health Impact Profile (OHIP-14) and specific oral health, health, and disability status variables; life satisfaction; living alone; and low income.
Observational cross-sectional.
A Medicare demonstration conducted in 19 counties in three states.
Six hundred forty-one disabled, cognitively intact, community-dwelling individuals aged 65 and older.
The subjects' OHRQOL was assessed using the OHIP-14, which was scored using three different methods. Data on oral health, health and functional status, life satisfaction, prior health services use, and sociodemographics were collected using interviewer-administered questionnaires.
The participants' mean age was 79.1, and they were dependent in an average of 1.8 activities of daily living (ADLs); 43.1% were edentulous, 77.4% wore a denture, 40.4% felt that they were currently in need of dental treatment, and 64.7% had not had a dental examination in the previous 6 months. Seven of the 16 variables of interest had significant bivariate relationships using three OHIP scoring methods. Logistic regression analysis found that poor OHRQOL was significantly associated with perceived need for dental treatment (odds ratio (OR)=2.61), poor self-rated health (OR=2.29), poor (OR=2.00) and fair (OR=1.73) mental health, fewer than 17 teeth (OR=1.74), and relatively poor cognitive functioning (OR=1.52).
OHRQOL is associated with some (perceived need for dental treatment, poor self-rated health, worse mental health, fewer teeth, and relatively poor cognitive status) but not all (e.g., ADL and instrumental ADL dependence) measures of oral health, health, and disability status and not with life satisfaction, living alone, or low income.
在社区居住的残疾老年人中，研究使用14项口腔健康影响程度量表（OHIP - 14）测量的口腔健康相关生活质量（OHRQOL）与特定口腔健康、健康及残疾状况变量、生活满意度、独居情况和低收入之间的关联。
观察性横断面研究。
在三个州的19个县进行的一项医疗保险示范项目。
641名65岁及以上、有残疾、认知功能完好的社区居住个体。
使用OHIP - 14评估受试者的OHRQOL，该量表采用三种不同方法计分。通过访谈员 administered问卷收集口腔健康、健康和功能状况、生活满意度、既往医疗服务使用情况及社会人口统计学数据。
参与者的平均年龄为79.1岁，平均依赖1.8项日常生活活动（ADL）；43.1%无牙，77.4%佩戴假牙，40.4%认为自己目前需要牙科治疗，64.7%在过去6个月内未进行牙科检查。使用三种OHIP计分方法，16个感兴趣变量中的7个具有显著的双变量关系。逻辑回归分析发现，OHRQOL差与感觉需要牙科治疗（优势比（OR）=2.61）、自我健康评价差（OR = 2.29）、心理健康差（OR = 2.00）和一般（OR = 1.73）、牙齿少于17颗（OR = 1.74）以及认知功能相对较差（OR = 1.52）显著相关。
OHRQOL与某些（感觉需要牙科治疗、自我健康评价差、心理健康较差、牙齿较少以及认知状态相对较差）但并非所有（例如ADL和工具性ADL依赖）口腔健康、健康及残疾状况指标相关，与生活满意度、独居情况或低收入无关。
