Department of Oral Function, College of Dental Sciences, Radboud University Nijmegen Medical Center, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands.
Department of Cariology and Preventive Dentistry, College of Dental Sciences, Radboud University Nijmegen Medical Center, Philips van Leydenlaan 25, 6525 EX Nijmegen, The Netherlands.
J Dent. 2016 Dec;55:33-39. doi: 10.1016/j.jdent.2016.09.007. Epub 2016 Sep 20.
To examine relationships between oral health (OH) factors and general health (GH) factors (including physical, mental, and social health domains), and oral health-related quality of life (OHRQoL) in a care-independent and a care-dependent older population.
Care-independent participants (n=109) were recruited from the Nijmegen dental school; care-dependent participants (n=126) from residential aged care facilities. Data collected included: OHRQoL (Geriatric Oral Health Assessment Index (GOHAI)), age, gender, socioeconomic status, number of teeth and occluding pairs, presence of carious teeth, presence of removable dental prostheses, clinically assessed treatment need (CTN), self-reported GH, and, only for care-dependent participants: care-dependency level and health domain variables: physical, mental (SF-12: Physical and Mental Component Summary scores), and social (ENRICHD social support index). Multiple linear regression analyses were performed to assess the associations with GOHAI scores.
Mean GOHAI scores of care-independent (51.6±7.4) and care-dependent participants (52.1±6.7) did not differ significantly despite considerably worse OH status of the latter. Regression models revealed significant (p≤0.05) associations between GOHAI scores and age, prosthodontic status, and CTN in care-independent participants (R=0.19) and only with CTN in care-dependent participants. (R=0.09). Self-reported GH was not significantly associated with GOHAI; when substituted by the health domain variables, only social support was significantly associated with GOHAI scores.
GOHAI outcomes are associated with different variables in care-independent and care-dependent older subjects. In care-dependent subjects, GOHAI outcomes are more strongly related to social support than to OH factors or other GH factors.
OHRQoL outcomes should not be compared across care-dependent and care-independent populations without careful interpretation of these outcomes against specific factors that distinguish such populations, like health factors and living environment.
研究口腔健康（OH）因素与一般健康（GH）因素（包括身体、心理和社会健康领域）之间的关系，以及在自理和依赖护理的老年人群中与口腔健康相关的生活质量（OHRQoL）之间的关系。
自理组参与者（n=109）从奈梅亨牙科学院招募；依赖护理组参与者（n=126）从养老院招募。收集的数据包括：口腔健康相关生活质量（老年口腔健康评估指数（GOHAI））、年龄、性别、社会经济地位、牙齿数量和咬合对、龋齿存在情况、可摘义齿存在情况、临床评估治疗需求（CTN）、自我报告的 GH，仅适用于依赖护理的参与者：依赖护理水平和健康领域变量：身体、心理（SF-12：身体和心理成分综合评分）和社会（ENRICHD 社会支持指数）。进行多元线性回归分析以评估与 GOHAI 评分的关联。
自理组（51.6±7.4）和依赖护理组（52.1±6.7）参与者的平均 GOHAI 评分无显著差异，尽管后者的 OH 状况明显较差。回归模型显示，在自理组参与者中，GOHAI 评分与年龄、修复体状态和 CTN 显著相关（p≤0.05）（R=0.19），而在依赖护理组参与者中仅与 CTN 显著相关（R=0.09）。自我报告的 GH 与 GOHAI 无显著关联；当用健康领域变量替代时，只有社会支持与 GOHAI 评分显著相关。
GOHAI 结果与自理和依赖护理的老年人群中的不同变量相关。在依赖护理的人群中，GOHAI 结果与社会支持的关系比与 OH 因素或其他 GH 因素的关系更为密切。
在不仔细解释区分这些人群的特定因素（如健康因素和生活环境）的情况下，不应在自理和依赖护理的人群之间比较 OHRQoL 结果。
Zotero 插件