Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China.
NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan 250012, China.
Int J Environ Res Public Health. 2022 Apr 13;19(8):4677. doi: 10.3390/ijerph19084677.
This study explored the relationship between depression, anxiety, stress, morbidity, and oral health-related quality of life (OHRQoL) in the migrant elderly following children (MEFC) in Weifang, China. A total of 613 MEFC were selected using multistage cluster random sampling. The GOHAI scale was used to evaluate oral health-related quality of life. The DASS-21 scale was used to assess levels of depression, anxiety, and stress. Univariate analysis and binary logistic regression were used to analyze the correlation between these indicators and oral health-related quality of life, of which 43.9% were classified as having poor oral health. Logistic regression analysis showed that the MEFC who were of older age (OR = 0.965, = 0.039), with hypertension (OR = 0.567, = 0.004), with gastroenteropathy (OR = 0.263, = 0.007), had received an outpatient service in the past year (OR = 0.669, = 0.048), were depressed (OR = 0.338, = 0.012), and anxious (OR = 0.414, = 0.026) were less likely to report good oral health status. On the other hand, the MEFC with a high school education or above (OR = 1.872, = 0.020) were more likely to report good oral health than those with primary school education and below. In conclusion, with regard to depression, anxiety, and stress: the results indicated that the fewer morbidities, the lower the level of depression and anxiety and the better the OHRQoL of MEFC. Targeted measures for government, communities, and family members were given to improve the OHRQoL of MEFC.
本研究探讨了中国潍坊随迁老年人群（MEFC）中抑郁、焦虑、压力、患病情况和口腔健康相关生活质量（OHRQoL）之间的关系。采用多阶段整群随机抽样方法选取了 613 名 MEFC。使用 GOHAI 量表评估口腔健康相关生活质量，使用 DASS-21 量表评估抑郁、焦虑和压力水平。采用单因素分析和二元逻辑回归分析这些指标与口腔健康相关生活质量之间的相关性，其中 43.9%的人被归类为口腔健康状况较差。逻辑回归分析显示，年龄较大（OR=0.965， =0.039）、患有高血压（OR=0.567， =0.004）、患有胃肠道疾病（OR=0.263， =0.007）、过去一年接受过门诊服务（OR=0.669， =0.048）、抑郁（OR=0.338， =0.012）和焦虑（OR=0.414， =0.026）的 MEFC 不太可能报告口腔健康状况良好。另一方面，受过高中及以上教育（OR=1.872， =0.020）的 MEFC 比受过小学及以下教育的 MEFC 更有可能报告口腔健康状况良好。总之，在抑郁、焦虑和压力方面：结果表明，患病越少，抑郁和焦虑水平越低，MEFC 的 OHRQoL 越好。为提高 MEFC 的 OHRQoL，政府、社区和家庭成员应采取有针对性的措施。
