Oral Health-Related Quality of Life in institutionalized elderly in Barcelona (Spain)
Identifieur interne : 002346 ( Main/Exploration ); précédent : 002345; suivant : 002347Oral Health-Related Quality of Life in institutionalized elderly in Barcelona (Spain)
Auteurs : Marco Cornejo [Espagne] ; Gl Ria Pérez [Espagne] ; Kenio C. De Lima ; Elías Casals-Peidro [Espagne] ; Carme Borrell [Espagne]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2013.
Abstract
Objective: The objective of this study is to describe the oral health status and the factors associated with oral health-related quality of life (OHRQoL) in people aged 65 and older institutionalized in Barcelona in 2009. Study Design: Cross sectional study in 194 elderly. The dependent variable was poor OHRQoL, according to the Geriatric Oral Health Assessment Index (GOHAI). The independent variables were socio-demographic data, last dental visit, subjective and objective oral health status. Robust Poisson regression analysis was used to determine the factors associated with OHRQoL as well as the strengths of association (Prevalence Ratios with respective confidence intervals at 95%). Results: According to GOHAI, 94 women (68.1%) and 36 men (64.3%) had poor OHRQoL. The average DMFT index (number of decayed, missing and filled teeth) was 22.8, with mean 10.2 remaining teeth. According to the Community Periodontal Index only 1.9% were healthy. 33.8% of the sample (35.5% of women and 30.4% of men) presented edentulism, 54.2% needed upper dental prostheses (51.1% of women and 60.7% of men) and 64.7% needed lower ones (61.6% of women and 71.4% of men). Only 7.2% had visited a dentist in the past year (8.8% of women and 3.6% of men). After fitting several multivariate adjusted robust Poisson regression models, poor OHRQoL was found to be associated to self-reporting problems with teeth or gums, self-reporting poor opinion about teeth/gums/denture and also associated to functional edentulism, needing upper denture, but not to socio-demographic factors or time since last dental visit. Conclusions: The study population has poor objective oral health. A high percentage has poor OHRQoL associated to subjective and objective oral health conditions. Dental care is required and these services should be included in the Spanish National Health System.
Url:
DOI: 10.4317/medoral.18280
PubMed: 23385501
PubMed Central: 3613882
Affiliations:
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institutionalized elderly in Barcelona (Spain)</title><author><name sortKey="Cornejo, Marco" sort="Cornejo, Marco" uniqKey="Cornejo M" first="Marco" last="Cornejo">Marco Cornejo</name><affiliation wicri:level="1"><nlm:aff id="A1">DDS, MSc in Public Health. Faculty of Dentistry, University of Chile. - Service of Health Information Systems. Agència de Salut Pública de Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, MSc in Public Health. Faculty of Dentistry, University of Chile. - Service of Health Information Systems. Agència de Salut Pública de Barcelona</wicri:regionArea><wicri:noRegion>University of Chile. - Service of Health Information Systems. Agència de Salut Pública de Barcelona</wicri:noRegion></affiliation></author><author><name sortKey="Perez, Gl Ria" sort="Perez, Gl Ria" uniqKey="Perez G" first="Gl Ria" last="Pérez">Gl Ria Pérez</name><affiliation wicri:level="1"><nlm:aff id="A2">MDr, PhD. Agència de Salut Pública de Barcelona - Department of Experimental and Health Sciences. Universitat Pompeu Fabra - CIBER Epidemiología y Salud Pública (CIBERESP), Spain) - Biomedical Research Institute Sant Pau. Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>MDr, PhD. Agència de Salut Pública de Barcelona - Department of Experimental and Health Sciences. Universitat Pompeu Fabra - CIBER Epidemiología y Salud Pública (CIBERESP), Spain) - Biomedical Research Institute Sant Pau. Barcelona</wicri:regionArea><wicri:noRegion>Spain) - Biomedical Research Institute Sant Pau. Barcelona</wicri:noRegion></affiliation></author><author><name sortKey="De Lima, Kenio C" sort="De Lima, Kenio C" uniqKey="De Lima K" first="Kenio C." last="De Lima">Kenio C. De Lima</name><affiliation><nlm:aff id="A3">DDS, PhD. Federal University of Río Grande do Norte. Brasil</nlm:aff><wicri:noCountry code="subfield">PhD. Federal University of Río Grande do Norte. Brasil</wicri:noCountry></affiliation></author><author><name sortKey="Casals Peidro, Elias" sort="Casals Peidro, Elias" uniqKey="Casals Peidro E" first="Elías" last="Casals-Peidro">Elías Casals-Peidro</name><affiliation wicri:level="3"><nlm:aff id="A4">DDS, PhD. Primary Health Care Center Sant Miquel, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, PhD. Primary Health Care Center Sant Miquel, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Borrell, Carme" sort="Borrell, Carme" uniqKey="Borrell C" first="Carme" last="Borrell">Carme Borrell</name><affiliation wicri:level="1"><nlm:aff id="A2">MDr, PhD. Agència de Salut Pública de Barcelona - Department of Experimental and Health Sciences. Universitat Pompeu Fabra - CIBER Epidemiología y Salud Pública (CIBERESP), Spain) - Biomedical Research Institute Sant Pau. Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>MDr, PhD. Agència de Salut Pública de Barcelona - Department of Experimental and Health Sciences. Universitat Pompeu Fabra - CIBER Epidemiología y Salud Pública (CIBERESP), Spain) - Biomedical Research Institute Sant Pau. Barcelona</wicri:regionArea><wicri:noRegion>Spain) - Biomedical Research Institute Sant Pau. Barcelona</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23385501</idno><idno type="pmc">3613882</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3613882</idno><idno type="RBID">PMC:3613882</idno><idno type="doi">10.4317/medoral.18280</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000383</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000383</idno><idno type="wicri:Area/Pmc/Curation">000383</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000383</idno><idno type="wicri:Area/Pmc/Checkpoint">001893</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001893</idno><idno type="wicri:Area/Ncbi/Merge">004471</idno><idno type="wicri:Area/Ncbi/Curation">004471</idno><idno type="wicri:Area/Ncbi/Checkpoint">004471</idno><idno type="wicri:doubleKey">1698-4447:2013:Cornejo M:oral:health:related</idno><idno type="wicri:Area/Main/Merge">002357</idno><idno type="wicri:Area/Main/Curation">002346</idno><idno type="wicri:Area/Main/Exploration">002346</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Oral Health-Related Quality of Life in
institutionalized elderly in Barcelona (Spain)</title><author><name sortKey="Cornejo, Marco" sort="Cornejo, Marco" uniqKey="Cornejo M" first="Marco" last="Cornejo">Marco Cornejo</name><affiliation wicri:level="1"><nlm:aff id="A1">DDS, MSc in Public Health. Faculty of Dentistry, University of Chile. - Service of Health Information Systems. Agència de Salut Pública de Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, MSc in Public Health. Faculty of Dentistry, University of Chile. - Service of Health Information Systems. Agència de Salut Pública de Barcelona</wicri:regionArea><wicri:noRegion>University of Chile. - Service of Health Information Systems. Agència de Salut Pública de Barcelona</wicri:noRegion></affiliation></author><author><name sortKey="Perez, Gl Ria" sort="Perez, Gl Ria" uniqKey="Perez G" first="Gl Ria" last="Pérez">Gl Ria Pérez</name><affiliation wicri:level="1"><nlm:aff id="A2">MDr, PhD. Agència de Salut Pública de Barcelona - Department of Experimental and Health Sciences. Universitat Pompeu Fabra - CIBER Epidemiología y Salud Pública (CIBERESP), Spain) - Biomedical Research Institute Sant Pau. Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>MDr, PhD. Agència de Salut Pública de Barcelona - Department of Experimental and Health Sciences. Universitat Pompeu Fabra - CIBER Epidemiología y Salud Pública (CIBERESP), Spain) - Biomedical Research Institute Sant Pau. Barcelona</wicri:regionArea><wicri:noRegion>Spain) - Biomedical Research Institute Sant Pau. Barcelona</wicri:noRegion></affiliation></author><author><name sortKey="De Lima, Kenio C" sort="De Lima, Kenio C" uniqKey="De Lima K" first="Kenio C." last="De Lima">Kenio C. De Lima</name><affiliation><nlm:aff id="A3">DDS, PhD. Federal University of Río Grande do Norte. Brasil</nlm:aff><wicri:noCountry code="subfield">PhD. Federal University of Río Grande do Norte. Brasil</wicri:noCountry></affiliation></author><author><name sortKey="Casals Peidro, Elias" sort="Casals Peidro, Elias" uniqKey="Casals Peidro E" first="Elías" last="Casals-Peidro">Elías Casals-Peidro</name><affiliation wicri:level="3"><nlm:aff id="A4">DDS, PhD. Primary Health Care Center Sant Miquel, Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>DDS, PhD. Primary Health Care Center Sant Miquel, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Borrell, Carme" sort="Borrell, Carme" uniqKey="Borrell C" first="Carme" last="Borrell">Carme Borrell</name><affiliation wicri:level="1"><nlm:aff id="A2">MDr, PhD. Agència de Salut Pública de Barcelona - Department of Experimental and Health Sciences. Universitat Pompeu Fabra - CIBER Epidemiología y Salud Pública (CIBERESP), Spain) - Biomedical Research Institute Sant Pau. Barcelona, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>MDr, PhD. Agència de Salut Pública de Barcelona - Department of Experimental and Health Sciences. Universitat Pompeu Fabra - CIBER Epidemiología y Salud Pública (CIBERESP), Spain) - Biomedical Research Institute Sant Pau. Barcelona</wicri:regionArea><wicri:noRegion>Spain) - Biomedical Research Institute Sant Pau. Barcelona</wicri:noRegion></affiliation></author></analytic><series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title><idno type="ISSN">1698-4447</idno><idno type="eISSN">1698-6946</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Objective: The objective of this study is to describe the oral health status and the factors associated with oral health-related quality of life (OHRQoL) in people aged 65 and older institutionalized in Barcelona in 2009.
Study Design: Cross sectional study in 194 elderly. The dependent variable was poor OHRQoL, according to the Geriatric Oral Health Assessment Index (GOHAI). The independent variables were socio-demographic data, last dental visit, subjective and objective oral health status. Robust Poisson regression analysis was used to determine the factors associated with OHRQoL as well as the strengths of association (Prevalence Ratios with respective confidence intervals at 95%).
Results: According to GOHAI, 94 women (68.1%) and 36 men (64.3%) had poor OHRQoL. The average DMFT index (number of decayed, missing and filled teeth) was 22.8, with mean 10.2 remaining teeth. According to the Community Periodontal Index only 1.9% were healthy. 33.8% of the sample (35.5% of women and 30.4% of men) presented edentulism, 54.2% needed upper dental prostheses (51.1% of women and 60.7% of men) and 64.7% needed lower ones (61.6% of women and 71.4% of men). Only 7.2% had visited a dentist in the past year (8.8% of women and 3.6% of men). After fitting several multivariate adjusted robust Poisson regression models, poor OHRQoL was found to be associated to self-reporting problems with teeth or gums, self-reporting poor opinion about teeth/gums/denture and also associated to functional edentulism, needing upper denture, but not to socio-demographic factors or time since last dental visit.
Conclusions: The study population has poor objective oral health. A high percentage has poor OHRQoL associated to subjective and objective oral health conditions. Dental care is required and these services should be included in the Spanish National Health System.
</p><p><bold> Key words:</bold>Oral health, homes for the aged, elderly, self-assessment, quality of life, geriatric oral health assessment index (GOHAI).</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Listl, S" uniqKey="Listl S">S Listl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barriuso Lapresa, L" uniqKey="Barriuso Lapresa L">L Barriuso Lapresa</name></author><author><name sortKey="Sanz Barbero, B" uniqKey="Sanz Barbero B">B Sanz Barbero</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Llewellyn, Cd" uniqKey="Llewellyn C">CD Llewellyn</name></author><author><name sortKey="Warnakulasuriya, S" uniqKey="Warnakulasuriya S">S Warnakulasuriya</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Martins, Ameb" uniqKey="Martins A">AMEB Martins</name></author><author><name sortKey="Barreto, Sm" uniqKey="Barreto S">SM 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De Lima</name></noCountry><country name="Espagne"><noRegion><name sortKey="Cornejo, Marco" sort="Cornejo, Marco" uniqKey="Cornejo M" first="Marco" last="Cornejo">Marco Cornejo</name></noRegion><name sortKey="Borrell, Carme" sort="Borrell, Carme" uniqKey="Borrell C" first="Carme" last="Borrell">Carme Borrell</name><name sortKey="Casals Peidro, Elias" sort="Casals Peidro, Elias" uniqKey="Casals Peidro E" first="Elías" last="Casals-Peidro">Elías Casals-Peidro</name><name sortKey="Perez, Gl Ria" sort="Perez, Gl Ria" uniqKey="Perez G" first="Gl Ria" last="Pérez">Gl Ria Pérez</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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