Klotz Anna-Luisa, Tauber Benjamin, Schubert Anna-Lena, Hassel Alexander Jochen, Schröder Johannes, Wahl Hans-Werner, Rammelsberg Peter, Zenthöfer Andreas
Department of Prosthodontics, University of Heidelberg, Heidelberg, Germany.
Institute of Psychology, University of Heidelberg, Heidelberg, Germany.
Community Dent Oral Epidemiol. 2018 Dec;46(6):631-638. doi: 10.1111/cdoe.12416. Epub 2018 Sep 6.
The objective of this study was to evaluate possible longitudinal associations between oral health-related quality of life (OHRQoL) and subjective well-being among quinquagenarians and septuagenarians over up to 10 years of clinical observation.
This research is part of the "Interdisciplinary Study on Adult Development and Aging (ILSE)." All participants lived in an urban region of southwest Germany. One hundred and fifty-two participants born in 1930-1932 (older cohort, OC; n = 54) and 1950-1952 (younger cohort, YC; n = 98) underwent comprehensive psychological, medical and dental examinations at baseline and up to 10 years thereafter. The Geriatric Oral Health Assessment Index (GOHAI) was used to assess OHRQoL. The Philadelphia Geriatric Center Morale Scale (PGCMS), general life satisfaction (GLS) and individuals' general satisfaction with their health (SWH) were used to evaluate subjective well-being. Regression models and structural equation modelling (SEM) were used to analyse the longitudinal associations between OHRQoL and subjective well-being.
A cross-lagged prediction model revealed a positive association between baseline OHRQoL and subjective well-being across 10 years for both birth cohorts, OC [0.49 (0.21; 0.69)] and YC [0.36 (0.24; 0.52)]. However, higher subjective well-being at baseline was not a predictor of better OHRQoL 10 years later for either cohort.
OHRQoL seems to be a substantial predictor of subjective well-being in quinquagenarians and septuagenarians across the rather long observational period. Further studies with larger sample sizes are required to confirm this finding.
本研究的目的是在长达10年的临床观察中，评估五十多岁和七十多岁人群的口腔健康相关生活质量（OHRQoL）与主观幸福感之间可能存在的纵向关联。
本研究是“成人发展与衰老跨学科研究（ILSE）”的一部分。所有参与者都生活在德国西南部的一个城市地区。1930年至1932年出生的152名参与者（老年队列，OC；n = 54）和1950年至1952年出生的参与者（年轻队列，YC；n = 98）在基线时以及此后长达10年的时间里接受了全面的心理、医学和牙科检查。使用老年口腔健康评估指数（GOHAI）来评估OHRQoL。使用费城老年中心士气量表（PGCMS）、总体生活满意度（GLS）以及个体对自身健康的总体满意度（SWH）来评估主观幸福感。采用回归模型和结构方程模型（SEM）来分析OHRQoL与主观幸福感之间的纵向关联。
一个交叉滞后预测模型显示，两个出生队列，即OC [0.49（0.21；0.69）]和YC [0.36（0.24；0.52）]，在10年期间基线OHRQoL与主观幸福感之间均存在正相关。然而，对于任何一个队列，基线时较高的主观幸福感都不是10年后更好的OHRQoL的预测指标。
在相当长的观察期内，OHRQoL似乎是五十多岁和七十多岁人群主观幸福感的一个重要预测指标。需要进一步开展更大样本量的研究来证实这一发现。
