Section of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
OBT Research Center, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
Gerodontology. 2019 Jun;36(2):134-141. doi: 10.1111/ger.12390. Epub 2019 Jan 30.
The aim was to investigate the relationships between subjective well-being and the existence of primary care dentists in community-dwelling elderly people.
Some studies have reported subjective well-being focusing on oral health, but no studies have examined the relationship between subjective well-being and primary care dentists.
This cross-sectional study used data from community-dwelling elderly people aged ≥70 years (n = 624). The Philadelphia Geriatric Center Morale Scale (PGCMS; range = 0 [low morale]-17) was used to assess subjective well-being. Additional information regarding age group, sex, medical consulting situation (ambulatory care/home care), primary care dentists, family structure, economic status, health status was collected via questionnaire.
The average PGCMS score in ambulatory care patients (ACP) group who have primary care dentists was highest among community-dwelling elderly people. In a logistic regression model, a low PGCMS score (0-11) was independently correlated to 80-89 age group (OR = 1.70; 95% CI, 1.13-2.54; P = 0.008), ≥90 age group (OR = 3.86; 95% CI, 1.83-8.18; P < 0.001), unsatisfied for economic status (OR = 2.68; 95% CI, 1.59-4.53; P < 0.001), unsatisfied for health status (OR = 3.94; 95% CI, 2.60-5.98; P < 0.001) and having no primary care dentists (OR = 1.81; 95% CI, 1.09-3.01; P = 0.021) in ACP group.
The subjective well-being of ACP who have primary care dentists was higher than in other people. Primary dentists contributed to the subjective well-being of elderly people.
旨在研究社区居住的老年人主观幸福感与初级保健牙医的存在之间的关系。
一些研究报告了聚焦于口腔健康的主观幸福感，但没有研究检查主观幸福感与初级保健牙医之间的关系。
本横断面研究使用了≥70 岁的社区居住老年人的数据（n=624）。使用费城老年中心士气量表（PGCMS；范围=0[低士气]-17）评估主观幸福感。通过问卷收集了年龄组、性别、医疗咨询情况（门诊/家庭护理）、初级保健牙医、家庭结构、经济状况、健康状况等附加信息。
在有初级保健牙医的门诊护理患者（ACP）组中，平均 PGCMS 评分最高。在逻辑回归模型中，低 PGCMS 评分（0-11）与 80-89 岁年龄组（OR=1.70；95%CI，1.13-2.54；P=0.008）、≥90 岁年龄组（OR=3.86；95%CI，1.83-8.18；P<0.001）、对经济状况不满意（OR=2.68；95%CI，1.59-4.53；P<0.001）、对健康状况不满意（OR=3.94；95%CI，2.60-5.98；P<0.001）和没有初级保健牙医（OR=1.81；95%CI，1.09-3.01；P=0.021）独立相关。
有初级保健牙医的 ACP 的主观幸福感高于其他人群。初级牙医有助于老年人的主观幸福感。
