性别调整后韩国老年人口腔健康指标与口腔健康相关生活质量的关系。

Gender modified association of oral health indicators with oral health-related quality of life among Korean elders.

机构信息

Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University, 101 Daehak-Ro, Jongno-Gu, Seoul, 03080, Republic of Korea.

Department of Immunology and Molecular Microbiology, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea.

出版信息

BMC Oral Health. 2022 May 6;22(1):168. doi: 10.1186/s12903-022-02104-6.

DOI:10.1186/s12903-022-02104-6

PMID:35524199

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9078006/

Abstract

OBJECTIVE

To evaluate the association between oral health-related quality of life (OHRQoL) and oral health indicators including dental status, total occlusion force (TOF), number of natural and rehabilitated teeth (NRT), number of natural teeth (NT), and to explore the effect modification on the association by gender among Korean elders.

METHODS

A total of 675 participants aged 65 or above recruited by a cluster-based stratified random sampling were included in this cross-sectional study. The 14-items Korean version of the Oral Health Impact Profile (OHIP) was used to measure OHRQoL. The responses about OHIP were dichotomized by the cut-off point of 'fairly often' to determine the 'poor' versus 'fair' OHRQoL. Age, gender, education level, alcohol drinking, smoking, metabolic syndrome, frailty, and periodontitis were considered as confounders. Multiple multivariable logistic regression analyses were applied to assess the adjusted association between oral health indicators and OHRQoL. Gender stratified analysis was also applied to explore the effect modification of the association.

RESULTS

The prevalence of poor OHRQoL was 43.0%, which was higher in women, less-educated elders, alcohol non-drinkers and frailty elders (p < 0.05). Elders with poor OHRQoL also showed lower values of oral health indicators than elders with fair OHRQoL (p < 0.05). Those with NRT ≤ 24, NT ≤ 14, and TOF < 330 N increased the risk of poor OHRQoL by 2.3 times (OR = 2.26, confidence interval [CI] 1.54-3.31), 1.5 times (OR = 1.45, CI 1.02-2.07), and 1.5 times (OR = 1.47, CI 1.06-2.04), respectively. In women, the association of NRT ≤ 24 with poor OHRQoL increased from OR of 2.3 to OR of 2.4, while, in men, the association of TOF < 330 N with poor OHRQoL increased from OR of 1.5 to OR of 3.2.

CONCLUSION

Oral health indicators consisting of TOF, NRT, and NT were independently associated with poor OHRQoL among Korean elders. Gender modified the association of TOF and NRT. Preventive and/or curative management for keeping natural teeth and the rehabilitation of missing teeth to recover the occlusal force may be essential for reducing poor OHRQoL.

摘要

目的

评估口腔健康相关生活质量 (OHRQoL) 与口腔健康指标之间的关系，包括牙齿状况、总咬合力 (TOF)、天然牙和修复牙数量 (NRT)、天然牙数量 (NT)，并探讨性别对韩国老年人这种关联的修饰作用。

方法

本横断面研究共纳入了 675 名年龄在 65 岁及以上的通过聚类分层随机抽样的参与者。使用 14 项韩国版口腔健康影响简表 (OHIP) 来衡量 OHRQoL。根据“相当经常”的临界点将 OHIP 反应分为两类，以确定“较差”与“尚可”的 OHRQoL。年龄、性别、教育程度、饮酒、吸烟、代谢综合征、衰弱和牙周炎被视为混杂因素。应用多变量逻辑回归分析评估口腔健康指标与 OHRQoL 之间的调整关联。还进行了性别分层分析，以探讨关联的修饰作用。

结果

较差 OHRQoL 的患病率为 43.0%，女性、受教育程度较低、不饮酒和衰弱的老年人中较高（p<0.05）。与 OHRQoL 尚可的老年人相比，OHRQoL 较差的老年人口腔健康指标值也较低（p<0.05）。NRT≤24、NT≤14 和 TOF<330 N 的老年人患较差 OHRQoL 的风险分别增加 2.3 倍（OR=2.26，置信区间 [CI] 1.54-3.31）、1.5 倍（OR=1.45，CI 1.02-2.07）和 1.5 倍（OR=1.47，CI 1.06-2.04）。在女性中，NRT≤24 与较差 OHRQoL 的关联从 OR 2.3 增加到 OR 2.4，而在男性中，TOF<330 N 与较差 OHRQoL 的关联从 OR 1.5 增加到 OR 3.2。