Hamburg Center for Health Economics, Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
Int J Environ Res Public Health. 2021 Dec 7;18(24):12886. doi: 10.3390/ijerph182412886.
The aim was to examine the association between oral health-related quality of life and loneliness and perceived as well as objective social isolation. Data were used from a nationally representative survey with n = 3075 (late Summer 2021). The established Oral Health Impact Profile (OHIP-G5) was used to quantify oral health-related quality of life. Moreover, established tools were used to quantify the outcome measures (De Jong Gierveld loneliness scale, Bude/Lantermann scale and Lubben Social Network Scale). It was adjusted for several covariates in regression analysis. Linear regressions showed that low oral health-related quality of life is associated with higher loneliness (B = 0.03, < 0.001), higher perceived social isolation (B = 0.06, < 0.001) and higher objective social isolation (B = 0.07, < 0.05). Further regressions were performed (e.g., stratified by denture usage). Our study stressed the importance of low oral health-related quality of life for loneliness and social isolation (both perceived and objective). This knowledge is important to address individuals at risk. Future studies should clarify the underlying mechanisms.
目的是研究口腔健康相关生活质量与孤独感以及感知和客观社会隔离之间的关系。本研究的数据来自于一项具有全国代表性的调查,共纳入了 3075 名参与者(2021 年夏末)。采用既定的口腔健康影响量表(OHIP-G5)来量化口腔健康相关生活质量。此外,还使用既定工具来量化结局指标(De Jong-Gierveld 孤独量表、Bude/Lantermann 量表和 Lubben 社会网络量表)。在回归分析中,对几个协变量进行了调整。线性回归显示,口腔健康相关生活质量较低与孤独感更高(B = 0.03,<0.001)、感知社会隔离程度更高(B = 0.06,<0.001)和客观社会隔离程度更高(B = 0.07,<0.05)相关。进一步进行了回归分析(例如,按义齿使用情况进行分层)。本研究强调了口腔健康相关生活质量低与孤独感和社会隔离(包括感知和客观)之间的重要关系。这一知识对于识别处于风险中的个体非常重要。未来的研究应阐明潜在的机制。