School of Nursing, National Yang Ming University, No. 155, Section 2, Li-Nong St., Shi-Pai, Taipei, 112, Taiwan.
Qual Life Res. 2013 May;22(4):811-25. doi: 10.1007/s11136-012-0205-8. Epub 2012 May 30.
The impact of oral health status on Taiwanese adults' quality of life has not been measured definitively. This study evaluated the effects of oral health-related variables on quality of life among adults in Taiwan.
A cross-sectional study design with secondary database analysis was adopted. Information about oral health-related variables in adults aged 18-64 years was collected from the National Health Interview Survey and quality-of-life data from the Short-Form Health Survey (SF-36). Univariate and multivariate regression analysis was used to determine risk factors for oral health and associations between oral health and eight domains of quality of life defined by the SF-36.
Gender (P < 0.001), marital status (P < 0.001), monthly income (P < 0.001), disease history (P < 0.001), betel nut chewing (P < 0.001), oral hygiene (P < 0.001), oral health status (P < 0.001), and dental care utilization (P = 0.001) had significant effects on general health as an aspect of quality of life; gender (P < 0.001), marital status (divorced, P < 0.001), income level (20,000-80,000 NTD, P < 0.001), disease history (P < 0.001), oral hygiene, oral health-related food choice limitations (P < 0.001), and dental care utilization (P < 0.001) had significant effects on general mental health. Subjects who practiced dental self-care with tooth brushing had significantly higher social functioning scores than those who did not (P < 0.001). Significant differences were also found in scale items for physical functioning, role limitations due to physical health, bodily pain, vitality, and role limitations due to emotional problems (all P < 0.001).
Demographic (i.e., age, gender, and marital status and income levels) and oral health-related factors (i.e., oral hygiene, dental visits, disease history, and lifestyle factors such as cigarette smoking, alcohol use, and betel nut chewing) are all significantly associated with oral health-related quality of life in Taiwanese adults.
口腔健康状况对台湾成年人生活质量的影响尚未得到明确评估。本研究旨在评估与口腔健康相关的变量对台湾成年人生活质量的影响。
采用横断面研究设计和二级数据库分析。从全国健康访谈调查中收集 18-64 岁成年人的口腔健康相关变量信息，并从健康简表（SF-36）中获取生活质量数据。采用单变量和多变量回归分析来确定口腔健康的危险因素，以及口腔健康与 SF-36 定义的八个生活质量领域之间的关联。
性别（P < 0.001）、婚姻状况（P < 0.001）、月收入（P < 0.001）、疾病史（P < 0.001）、嚼槟榔（P < 0.001）、口腔卫生（P < 0.001）、口腔健康状况（P < 0.001）和牙科保健利用情况（P = 0.001）对生活质量的一般健康状况有显著影响；性别（P < 0.001）、婚姻状况（离婚，P < 0.001）、收入水平（20,000-80,000 新台币，P < 0.001）、疾病史（P < 0.001）、口腔卫生、口腔健康相关食物选择受限（P < 0.001）和牙科保健利用情况（P < 0.001）对一般心理健康有显著影响。进行自我口腔保健（刷牙）的受试者的社会功能评分明显高于未进行自我口腔保健的受试者（P < 0.001）。在生理功能、因身体健康问题导致的角色受限、躯体疼痛、活力和因情绪问题导致的角色受限等量表项目上也存在显著差异（均 P < 0.001）。
人口统计学因素（即年龄、性别、婚姻状况和收入水平）和口腔健康相关因素（即口腔卫生、牙科就诊、疾病史以及生活方式因素，如吸烟、饮酒和嚼槟榔）均与台湾成年人的口腔健康相关生活质量显著相关。
