口腔健康状况不佳对社区老年人的影响:一项范围综述

Impact of Poor Oral Health on Community-Dwelling Seniors: A Scoping Review.

作者信息

Badewy Rana, Singh Harkirat, Quiñonez Carlos, Singhal Sonica

机构信息

Faculty of Dentistry, University of Toronto, Toronto, ON, Canada.

Public Health Ontario, Toronto, ON, Canada.

出版信息

Health Serv Insights. 2021 Jan 21;14:1178632921989734. doi: 10.1177/1178632921989734. eCollection 2021.

Abstract

The aim of this scoping review was to determine health-related impacts of poor oral health among community-dwelling seniors. Using MeSH terms and keywords such as elderly, general health, geriatrics, 3 electronic databases-Medline, CINAHL, and Age Line were searched. Title and abstracts were independently screened by 3 reviewers, followed by full-texts review. A total of 131 articles met our inclusion criteria, the majority of these studies were prospective cohort (77%, n = 103), and conducted in Japan (42 %, n = 55). These studies were categorized into 16 general health outcomes, with mortality (24%, n = 34), and mental health disorders (21%, n = 30) being the most common outcomes linked with poor oral health. 90% (n = 120) of the included studies reported that poor oral health in seniors can subsequently lead to a higher risk of poor general health outcomes among this population. Improving access to oral healthcare services for elderly can help not only reduce the burden of oral diseases in this population group but also address the morbidity and mortality associated with other general health diseases and conditions caused due to poor oral health. Findings from this study can help identify shortcomings in existing oral healthcare programs for elderly and develop future programs and services to improve access and utilization of oral care services by elderly.

摘要

本综述的目的是确定社区居住老年人口腔健康状况不佳对健康的影响。使用医学主题词(MeSH)和关键词,如老年人、总体健康、老年医学,对三个电子数据库——医学文献数据库(Medline)、护理学与健康领域数据库(CINAHL)和老年医学数据库(Age Line)进行了检索。标题和摘要由三位评审员独立筛选,随后进行全文评审。共有131篇文章符合我们的纳入标准,这些研究大多为前瞻性队列研究(77%,n = 103),且在日本进行(42%,n = 55)。这些研究被归类为16种总体健康结果,其中死亡率(24%,n = 34)和心理健康障碍(21%,n = 30)是与口腔健康状况不佳最常见的关联结果。90%(n = 120)的纳入研究报告称,老年人口腔健康状况不佳随后可能导致该人群总体健康状况不佳的风险更高。改善老年人获得口腔医疗服务的机会,不仅有助于减轻该人群口腔疾病的负担,还能解决因口腔健康状况不佳导致的其他总体健康疾病和状况的发病率和死亡率问题。本研究的结果有助于识别现有老年人口腔医疗保健项目的不足之处,并制定未来的项目和服务,以改善老年人获得和利用口腔护理服务的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f63/7841244/cdcb244d973e/10.1177_1178632921989734-fig1.jpg

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