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马来西亚老年人社会人口因素与自我健康感知对口腔健康相关生活质量的影响。

Association of sociodemographic factors and self-perception of health status on oral health-related quality of life among the older persons in Malaysia.

机构信息

Institute for Public Health, National Institutes of Health, Ministry of Health, Selangor, Malaysia.

Biostatistics & Repository Data Sector, National Institutes of Health, Ministry of Health, Selangor, Malaysia.

出版信息

Geriatr Gerontol Int. 2020 Dec;20 Suppl 2:57-62. doi: 10.1111/ggi.13969.

Abstract

AIM

This study aimed to evaluate the oral health-related quality of life (OHRQoL) among older persons in Malaysia and its associations with sociodemographic and self-perception towards general health as well as oral health.

METHODS

A cross-sectional survey among community dwelling older persons utilizing stratified cluster sampling was conducted in 2018. Well-trained interviewers conducted a face-to-face interview with older persons aged ≥60 years to collect information on participants' sociodemographic characteristics, self-perception on general as well as oral health using the Geriatric Oral Health Assessment Index (GOHAI). Multivariate analysis of the data collected was performed using SPSS version 23.

RESULTS

Overall, the GOHAI mean ± SD score for older persons in Malaysia was 51.83 ± 7.98, which was an average of fair mean (P < 0.001). Those with poor self-rated oral health (48.34 ± 8.96) or poor self-rated general health (47.13 ± 8.93) had poor mean OHRQoL (P < 0.001). Logistic regression analysis shows older persons who stay with spouse/partner (adjusted odds ratio [aOR]: 1.96 [1.66, 2.31]), no formal education (aOR: 1.84 [1.29, 2.61]) and self-perceived unhealthy oral health (aOR: 3.83 [3.19, 4.59]) were significantly associated with higher odds of having poor OHRQoL.

CONCLUSIONS

The estimated OHRQoL of older persons in Malaysia is rated as fair, with minimum association contributed by the sociodemographic factors, but with a significant influence by self-rated oral and general health. Self-perception of health can be used as a good indicator to estimate the OHRQoL. Geriatr Gerontol Int 2020; 20: 57-62.

摘要

目的

本研究旨在评估马来西亚老年人的口腔健康相关生活质量(OHRQoL)及其与社会人口学因素、对一般健康和口腔健康的自我认知的关系。

方法

2018 年采用分层聚类抽样方法对社区居住的老年人进行了横断面调查。经过培训的访谈员与年龄≥60 岁的老年人进行了面对面访谈,收集了参与者的社会人口学特征、使用老年口腔健康评估指数(GOHAI)对一般和口腔健康的自我认知信息。使用 SPSS 版本 23 对收集的数据进行多变量分析。

结果

总体而言,马来西亚老年人的 GOHAI 平均得分为 51.83±7.98,属于中等偏下水平(P<0.001)。自评口腔健康状况差(48.34±8.96)或自评一般健康状况差(47.13±8.93)的老年人的 OHRQoL 较差(P<0.001)。Logistic 回归分析显示,与配偶/伴侣同住(调整后的优势比[aOR]:1.96[1.66,2.31])、没有受过正规教育(aOR:1.84[1.29,2.61])和自我感知口腔健康状况不佳(aOR:3.83[3.19,4.59])的老年人发生 OHRQoL 较差的可能性显著增加。

结论

估计马来西亚老年人的 OHRQoL 为中等,社会人口学因素对其影响最小,但自我感知的口腔和一般健康状况对其影响较大。自我感知的健康状况可用作估计 OHRQoL 的良好指标。老年医学与老年病学国际 2020;20:57-62。

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