Juárez Pacheco Soledad Jimena, Juárez Pacheco María Alejandra, Castro-Núñez Gabriela Mariana, de Los Ríos Fernández Enrique Manuel, Nogueira Guimarães de Abreu Mauro Henrique, Escalante-Otárola Wilfredo Gustavo
Facultad de Odontología, Universidad Católica de Santa María. Arequipa, Perú.
Faculdade de Odontologia, Universidade Federal de Minas Gerais. Belo Horizonte, Brasil.
Rev Cient Odontol (Lima). 2025 Mar 3;13(1):e229. doi: 10.21142/2523-2754-1301-2025-229. eCollection 2025 Jan-Mar.
To determine the prevalence of oral health problems and dental anxiety in rural older adults, and their impact on oral health-related quality of life (OHRQoL).
A cross-sectional descriptive and analytical study was conducted among older adults in San Juan de Siguas, Arequipa, involving 64 participants aged 60 and above who provided informed consent. Sociodemographic, clinical, and oral health data were collected through structured interviews, using the Modified Dental Anxiety Scale (MDAS) and the OHIP-5 questionnaire to assess dental anxiety and OHRQoL, respectively. Binary logistic regression was applied to analyze the relationship between dental anxiety and OHRQoL, adjusting for relevant variables.
Participants had an average age of 68.5 years, the majority were women (54.7%), and most lacked health insurance (85.9%). All participants had decayed teeth, and 68.8% had experienced tooth loss. Half of the participants exhibited moderate dental anxiety (mean MDAS: 11.6), and the impact on OHRQoL was moderate (mean OHIP-5: 8.4). Logistic regression revealed that each one-unit increase in dental anxiety (MDAS) increased the odds of a greater impact on OHRQoL by 1.49 times. Additionally, participants satisfied with dental care were 4.67 times more likely to report a greater impact
Dental anxiety worsens OHRQoL in rural older adults due to access barriers and negative dental care experiences.
确定农村老年人口腔健康问题和牙科焦虑症的患病率，以及它们对口腔健康相关生活质量（OHRQoL）的影响。
在阿雷基帕省圣胡安德西瓜斯对老年人进行了一项横断面描述性和分析性研究，涉及64名60岁及以上且签署知情同意书的参与者。通过结构化访谈收集社会人口统计学、临床和口腔健康数据，分别使用改良牙科焦虑量表（MDAS）和OHIP-5问卷评估牙科焦虑症和OHRQoL。应用二元逻辑回归分析牙科焦虑症与OHRQoL之间的关系，并对相关变量进行调整。
参与者的平均年龄为68.5岁，大多数为女性（54.7%），且大多数人没有医疗保险（85.9%）。所有参与者都有龋齿，68.8%的人有牙齿脱落经历。一半的参与者表现出中度牙科焦虑（平均MDAS：11.6），对OHRQoL的影响为中度（平均OHIP-5：8.4）。逻辑回归显示，牙科焦虑（MDAS）每增加一个单位，对OHRQoL产生更大影响的几率就增加1.49倍。此外，对牙科护理满意的参与者报告有更大影响的可能性高出4.67倍。
由于获得护理的障碍和负面的牙科护理经历，牙科焦虑症会使农村老年人的OHRQoL恶化。
