Yoon Hyun-Seo, Kim Hae-Young, Patton Lauren L, Chun Jin-Ho, Bae Kwang-Hak, Lee Mi-Ok
Department of Dental Hygiene, Dong-Eui University, Busan, Korea.
Community Dent Oral Epidemiol. 2013 Oct;41(5):459-65. doi: 10.1111/cdoe.12041. Epub 2013 Feb 10.
This study aims to comprehensively assess the association of subjective and objective oral health status and oral health behaviors with happiness, under consideration of demographic, socioeconomic, and general health-related factors. This study also aims to test whether subjective oral health outcomes are better predictors of happiness compared with objective oral health outcomes.
The data were collected from 479 community-dwelling elders aged 65 years or over selected by a cluster sampling method. A questionnaire and an oral examination were implemented. A multiple regression method was conducted to assess associations with happiness index (HI).
The mean age of the elders was 74.6 years. Mean (standard deviation, SD) HI, EuroQol-visual analog scale (EQ-VAS) and 14-item oral health impact profile (OHIP-14) index were 5.7 (SD 2.3), 59.8 (SD 21.1), and 16.3 (SD 13.1). In the final model, a significant association with HI of the OHIP-14 index (P = 0.091) among all the participants and significant associations of oral symptoms (P = 0.038), wearing a removable denture (P = 0.039), and of the oral health behavior of daily toothbrushing (P = 0.007) among poorer oral health QoL group were confirmed under consideration of other related factors. While correlations of HI to subjective measures of health, EQ-VAS and OHIP-14 score were moderate to weak, those to objective measures of health were only weak or insignificant.
Oral impacts which might persistently affect one's daily life need to be considered in designing and delivering public services aimed to promote people's happiness. With oral health impacts and behaviors accounting for 10% of happiness among elders, public and community services for the elderly that support oral health and daily toothbrushing for the dentate are critical for the well-being of our elders.
本研究旨在综合评估主观和客观口腔健康状况及口腔健康行为与幸福感之间的关联，并考虑人口统计学、社会经济和一般健康相关因素。本研究还旨在检验主观口腔健康结果是否比客观口腔健康结果更能预测幸福感。
采用整群抽样方法从479名65岁及以上的社区居住老年人中收集数据。实施了问卷调查和口腔检查。采用多元回归方法评估与幸福指数（HI）的关联。
老年人的平均年龄为74.6岁。平均（标准差，SD）HI、欧洲五维度健康量表视觉模拟评分（EQ-VAS）和14项口腔健康影响程度量表（OHIP-14）指数分别为5.7（SD 2.3）、59.8（SD 21.1）和16.3（SD 13.1）。在最终模型中，在考虑其他相关因素的情况下，确认了所有参与者中OHIP-14指数与HI之间的显著关联（P = 0.091），以及口腔健康相关生活质量较差组中口腔症状（P = 0.038）、佩戴可摘义齿（P = 0.039）和每日刷牙的口腔健康行为（P = 0.007）与HI之间的显著关联。虽然HI与主观健康指标、EQ-VAS和OHIP-14评分的相关性为中度至弱，但与客观健康指标的相关性仅为弱或不显著。
在设计和提供旨在促进人们幸福的公共服务时，需要考虑可能持续影响人们日常生活的口腔影响。由于口腔健康影响和行为占老年人幸福感的10%，支持口腔健康和为有牙者提供日常刷牙服务的公共和社区老年人服务对我们老年人的福祉至关重要。
