Public Dental Service, Kalmar County Council, Oskarshamn, Sweden.
Department of Oral Diagnostics, Faculty of Odontology, Malmö University, Malmo, Sweden.
Acta Odontol Scand. 2021 Apr;79(3):218-231. doi: 10.1080/00016357.2020.1849790. Epub 2021 Feb 17.
The aim of this integrative review was to describe salutogenic factors associated with oral health outcomes in older people, from the theoretical perspectives of Antonovsky and Lalonde.
This study was based on a primary selection of 10,016 articles. To organize reported salutogenic factors, the Lalonde health field concept and Antonovsky's salutogenic theory were cross tabulated.
The final analysis was based on 58 studies. The following oral health outcome variables were reported: remaining teeth, caries, periodontal disease, oral function and oral health related quality of life (OHRQoL). We could identify 77 salutogenic factors for oral health and OHRQoL. Salutogenic factors were identified primarily within the fields of Human Biology (such as 'higher saliva flow', 'BMI < 30 kg/m' and 'higher cognitive ability at age 11'), Lifestyle (such as 'higher education level', 'social network diversity' and 'optimal oral health behaviour') and Environment (such as 'lower income inequality', 'public water fluoridation' and 'higher neighbourhood education level'). In the age group 60 years and over, there was a lack of studies with specific reference to salutogenic factors.
The results provide an overview of salutogenic factors for oral health from two theoretical perspectives. The method allowed concomitant disclosure of both theoretical perspectives and examination of their congruence. Further hypothesis-driven research is needed to understand how elderly people can best maintain good oral health.
本综述旨在从 Antonovsky 和 Lalonde 的理论视角描述与老年人口腔健康结果相关的健康促进因素。
本研究基于对 10016 篇文章的初步选择。为了组织报告的健康促进因素，交叉列表了 Lalonde 健康领域概念和 Antonovsky 的健康促进理论。
最终分析基于 58 项研究。报告了以下口腔健康结果变量：剩余牙齿、龋齿、牙周病、口腔功能和口腔健康相关生活质量（OHRQoL）。我们可以确定 77 个与口腔健康和 OHRQoL 相关的健康促进因素。健康促进因素主要在人类生物学领域（如“更高的唾液流量”、“BMI<30kg/m”和“11 岁时更高的认知能力”）、生活方式（如“更高的教育水平”、“社会网络多样性”和“最佳口腔健康行为”）和环境（如“较低的收入不平等”、“公共水氟化”和“更高的邻里教育水平”）中得到确认。在 60 岁及以上的年龄组中，缺乏针对健康促进因素的具体研究。
这些结果从两个理论视角提供了对口腔健康健康促进因素的概述。该方法允许同时揭示两个理论视角，并检查它们的一致性。需要进一步进行假设驱动的研究，以了解老年人如何最好地保持良好的口腔健康。
