Oral health-related quality of life and related factors among residents in a disaster area of the Great East Japan Earthquake and giant tsunami
Identifieur interne : 005F20 ( Ncbi/Merge ); précédent : 005F19; suivant : 005F21Oral health-related quality of life and related factors among residents in a disaster area of the Great East Japan Earthquake and giant tsunami
Auteurs : Mitsuo Kishi ; Fumie Aizawa ; Miki Matsui ; Yukari Yokoyama ; Akiko Abe ; Kentaro Minami ; Ruriko Suzuki ; Hiroyuki Miura ; Kiyomi Sakata ; Akira Ogawa [Japon]Source :
- Health and Quality of Life Outcomes [ 1477-7525 ] ; 2015.
Abstract
Oral health is one of the most important issues for disaster survivors. The aim of this study was to determine post-disaster distribution of oral health-related quality of life (OHRQoL) and related factors in survivors of the Great East Japan Earthquake and Tsunami.
Questionnaires to assess OHRQoL, psychological distress, disaster-related experiences, and current systemic-health and economic conditions were sent to survivors over 18 years of age living in Otsuchi, one of the most severely damaged municipalities. OHRQoL and psychological distress were assessed using the General Oral Health Assessment Index (GOHAI) and the Kessler Psychological Distress Scale (K6), Japanese version, respectively. Among 11,411 residents, 1,987 returned the questionnaire (response rate, 17.4 %) and received an oral examination to determine number of present teeth, dental caries status, and tooth-mobility grade, and to assess periodontal health using the Community Periodontal Index. Relationships between GOHAI and related factors were examined by nonparametric bivariate and multinomial logistic regression analyses using GOHAI cutoff points at the 25th and 50th national standard percentiles.
GOHAI scores were significantly lower in the 50–69-age group compared with other age groups in this study and compared with the national standard score. In bivariate analyses, all factors assessed in this study (i.e., sex, age, evacuation from home, interruption of dental treatment, lost or fractured dentures, self-rated systemic health, serious psychological distress (SPD), economic status, number of teeth, having decayed teeth, CPI code, and tooth mobility) were significantly associated with OHRQoL. Subsequent multinomial logistic regression analyses revealed that participants of upper-middle age, who had received dental treatment before the disaster, who had lost or fractured dentures, and who had clinical oral health problems were likely to show low levels of OHRQoL. In addition, perceived systemic health and SPD were also related with OHRQoL.
OHRQoL of disaster survivors was associated with oral problems stemming from the disaster in addition to factors related to OHRQoL in ordinary times such as clinical oral status and perceived systemic health. Furthermore, SPD was also associated with OHRQoL, which suggests the disaster’s great negative impact on both oral and mental health conditions.
Url:
DOI: 10.1186/s12955-015-0339-9
PubMed: 26369321
PubMed Central: 4570176
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Oral health-related quality of life and related factors among residents in a disaster area of the Great East Japan Earthquake and giant tsunami</title><author><name sortKey="Kishi, Mitsuo" sort="Kishi, Mitsuo" uniqKey="Kishi M" first="Mitsuo" last="Kishi">Mitsuo Kishi</name><affiliation><nlm:aff id="Aff1">Division of Preventive Dentistry, Department of Oral Medicine, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Aizawa, Fumie" sort="Aizawa, Fumie" uniqKey="Aizawa F" first="Fumie" last="Aizawa">Fumie Aizawa</name><affiliation><nlm:aff id="Aff1">Division of Preventive Dentistry, Department of Oral Medicine, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Matsui, Miki" sort="Matsui, Miki" uniqKey="Matsui M" first="Miki" last="Matsui">Miki Matsui</name><affiliation><nlm:aff id="Aff1">Division of Preventive Dentistry, Department of Oral Medicine, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Yokoyama, Yukari" sort="Yokoyama, Yukari" uniqKey="Yokoyama Y" first="Yukari" last="Yokoyama">Yukari Yokoyama</name><affiliation><nlm:aff id="Aff2">Department of Social Welfare, Nihon Fukushi University, Okuda, Mihama Town, Aichi 470-3295 Japan</nlm:aff><wicri:noCountry code="subfield">Aichi 470-3295 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Abe, Akiko" sort="Abe, Akiko" uniqKey="Abe A" first="Akiko" last="Abe">Akiko Abe</name><affiliation><nlm:aff id="Aff1">Division of Preventive Dentistry, Department of Oral Medicine, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Minami, Kentaro" sort="Minami, Kentaro" uniqKey="Minami K" first="Kentaro" last="Minami">Kentaro Minami</name><affiliation><nlm:aff id="Aff1">Division of Preventive Dentistry, Department of Oral Medicine, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Suzuki, Ruriko" sort="Suzuki, Ruriko" uniqKey="Suzuki R" first="Ruriko" last="Suzuki">Ruriko Suzuki</name><affiliation><nlm:aff id="Aff3">Faculty of Community Nursing, Iwate College of Nursing 14-1 Sengakubo, Ogama, Takizawa, Iwate 020-0751 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-0751 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Miura, Hiroyuki" sort="Miura, Hiroyuki" uniqKey="Miura H" first="Hiroyuki" last="Miura">Hiroyuki Miura</name><affiliation><nlm:aff id="Aff4">Division of Orthodontics, Department of Developmental Oral Health Science, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Sakata, Kiyomi" sort="Sakata, Kiyomi" uniqKey="Sakata K" first="Kiyomi" last="Sakata">Kiyomi Sakata</name><affiliation><nlm:aff id="Aff5">Department of Hygiene and Preventive Medicine, School of Medicine Iwate Medical University, 2-1-1 Nishitokuta, Yahaba, Iwate 028-3694 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 028-3694 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Ogawa, Akira" sort="Ogawa, Akira" uniqKey="Ogawa A" first="Akira" last="Ogawa">Akira Ogawa</name><affiliation wicri:level="4"><nlm:aff id="Aff6">Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505 Japan</nlm:aff><orgName type="university">Université de médecine d'Iwate</orgName><country>Japon</country><placeName><settlement type="city">Morioka</settlement><region type="prefecture">Préfecture d'Iwate</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26369321</idno><idno type="pmc">4570176</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4570176</idno><idno type="RBID">PMC:4570176</idno><idno type="doi">10.1186/s12955-015-0339-9</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000C60</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C60</idno><idno type="wicri:Area/Pmc/Curation">000C60</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000C60</idno><idno 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id="Aff1">Division of Preventive Dentistry, Department of Oral Medicine, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Matsui, Miki" sort="Matsui, Miki" uniqKey="Matsui M" first="Miki" last="Matsui">Miki Matsui</name><affiliation><nlm:aff id="Aff1">Division of Preventive Dentistry, Department of Oral Medicine, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Yokoyama, Yukari" sort="Yokoyama, Yukari" uniqKey="Yokoyama Y" first="Yukari" last="Yokoyama">Yukari Yokoyama</name><affiliation><nlm:aff id="Aff2">Department of Social Welfare, Nihon Fukushi University, Okuda, Mihama Town, Aichi 470-3295 Japan</nlm:aff><wicri:noCountry code="subfield">Aichi 470-3295 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Abe, Akiko" sort="Abe, Akiko" uniqKey="Abe A" first="Akiko" last="Abe">Akiko Abe</name><affiliation><nlm:aff id="Aff1">Division of Preventive Dentistry, Department of Oral Medicine, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Minami, Kentaro" sort="Minami, Kentaro" uniqKey="Minami K" first="Kentaro" last="Minami">Kentaro Minami</name><affiliation><nlm:aff id="Aff1">Division of Preventive Dentistry, Department of Oral Medicine, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Suzuki, Ruriko" sort="Suzuki, Ruriko" uniqKey="Suzuki R" first="Ruriko" last="Suzuki">Ruriko Suzuki</name><affiliation><nlm:aff id="Aff3">Faculty of Community Nursing, Iwate College of Nursing 14-1 Sengakubo, Ogama, Takizawa, Iwate 020-0751 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-0751 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Miura, Hiroyuki" sort="Miura, Hiroyuki" uniqKey="Miura H" first="Hiroyuki" last="Miura">Hiroyuki Miura</name><affiliation><nlm:aff id="Aff4">Division of Orthodontics, Department of Developmental Oral Health Science, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 020-8505 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Sakata, Kiyomi" sort="Sakata, Kiyomi" uniqKey="Sakata K" first="Kiyomi" last="Sakata">Kiyomi Sakata</name><affiliation><nlm:aff id="Aff5">Department of Hygiene and Preventive Medicine, School of Medicine Iwate Medical University, 2-1-1 Nishitokuta, Yahaba, Iwate 028-3694 Japan</nlm:aff><wicri:noCountry code="subfield">Iwate 028-3694 Japan</wicri:noCountry></affiliation></author><author><name sortKey="Ogawa, Akira" sort="Ogawa, Akira" uniqKey="Ogawa A" first="Akira" last="Ogawa">Akira Ogawa</name><affiliation wicri:level="4"><nlm:aff id="Aff6">Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505 Japan</nlm:aff><orgName type="university">Université de médecine d'Iwate</orgName><country>Japon</country><placeName><settlement type="city">Morioka</settlement><region type="prefecture">Préfecture d'Iwate</region></placeName></affiliation></author></analytic><series><title level="j">Health and Quality of Life Outcomes</title><idno type="eISSN">1477-7525</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Oral health is one of the most important issues for disaster survivors. The aim of this study was to determine post-disaster distribution of oral health-related quality of life (OHRQoL) and related factors in survivors of the Great East Japan Earthquake and Tsunami.</p></sec><sec><title>Methods</title><p>Questionnaires to assess OHRQoL, psychological distress, disaster-related experiences, and current systemic-health and economic conditions were sent to survivors over 18 years of age living in Otsuchi, one of the most severely damaged municipalities. OHRQoL and psychological distress were assessed using the General Oral Health Assessment Index (GOHAI) and the Kessler Psychological Distress Scale (K6), Japanese version, respectively. Among 11,411 residents, 1,987 returned the questionnaire (response rate, 17.4 %) and received an oral examination to determine number of present teeth, dental caries status, and tooth-mobility grade, and to assess periodontal health using the Community Periodontal Index. Relationships between GOHAI and related factors were examined by nonparametric bivariate and multinomial logistic regression analyses using GOHAI cutoff points at the 25<sup>th</sup> and 50<sup>th</sup> national standard percentiles.</p></sec><sec><title>Results</title><p>GOHAI scores were significantly lower in the 50–69-age group compared with other age groups in this study and compared with the national standard score. In bivariate analyses, all factors assessed in this study (i.e., sex, age, evacuation from home, interruption of dental treatment, lost or fractured dentures, self-rated systemic health, serious psychological distress (SPD), economic status, number of teeth, having decayed teeth, CPI code, and tooth mobility) were significantly associated with OHRQoL. Subsequent multinomial logistic regression analyses revealed that participants of upper-middle age, who had received dental treatment before the disaster, who had lost or fractured dentures, and who had clinical oral health problems were likely to show low levels of OHRQoL. In addition, perceived systemic health and SPD were also related with OHRQoL.</p></sec><sec><title>Conclusions</title><p>OHRQoL of disaster survivors was associated with oral problems stemming from the disaster in addition to factors related to OHRQoL in ordinary times such as clinical oral status and perceived systemic health. Furthermore, SPD was also associated with OHRQoL, which suggests the disaster’s great negative impact on both oral and mental health conditions.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Nohara, M" uniqKey="Nohara M">M Nohara</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hosokawa, R" uniqKey="Hosokawa R">R Hosokawa</name></author><author><name sortKey="Taura, K" uniqKey="Taura K">K Taura</name></author><author><name sortKey="Ito, E" uniqKey="Ito E">E Ito</name></author><author><name sortKey="Koseki, T" uniqKey="Koseki T">T Koseki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Naito, M" uniqKey="Naito M">M Naito</name></author><author><name sortKey="Suzukamo, Y" uniqKey="Suzukamo Y">Y Suzukamo</name></author><author><name sortKey="Nakayama, T" uniqKey="Nakayama T">T Nakayama</name></author><author><name sortKey="Hamajima, N" uniqKey="Hamajima N">N Hamajima</name></author><author><name sortKey="Fukuhara, S" uniqKey="Fukuhara S">S Fukuhara</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Naito, M" uniqKey="Naito M">M Naito</name></author><author><name sortKey="Suzukamo, Y" uniqKey="Suzukamo Y">Y Suzukamo</name></author><author><name sortKey="Nakayama, T" uniqKey="Nakayama T">T Nakayama</name></author><author><name sortKey="Fukuhara, S" uniqKey="Fukuhara S">S Fukuhara</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zaitsu, T" uniqKey="Zaitsu T">T Zaitsu</name></author><author><name sortKey="Ueno, M" uniqKey="Ueno M">M Ueno</name></author><author><name sortKey="Shinada, K" uniqKey="Shinada K">K Shinada</name></author><author><name sortKey="Ohara, S" uniqKey="Ohara S">S Ohara</name></author><author><name sortKey="Wright, Fa" uniqKey="Wright F">FA Wright</name></author><author><name sortKey="Kawaguchi, Y" uniqKey="Kawaguchi Y">Y 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Health Qual Life Outcomes</journal-id><journal-id journal-id-type="iso-abbrev">Health Qual Life Outcomes</journal-id><journal-title-group><journal-title>Health and Quality of Life Outcomes</journal-title></journal-title-group><issn pub-type="epub">1477-7525</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26369321</article-id><article-id pub-id-type="pmc">4570176</article-id><article-id pub-id-type="publisher-id">339</article-id><article-id pub-id-type="doi">10.1186/s12955-015-0339-9</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>Oral health-related quality of life and related factors among residents in a disaster area of the Great East Japan Earthquake and giant tsunami</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Kishi</surname><given-names>Mitsuo</given-names></name><address><email>mkishi@iwate-med.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Aizawa</surname><given-names>Fumie</given-names></name><address><email>faizawa@iwate-med.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Matsui</surname><given-names>Miki</given-names></name><address><email>matsuim@iwate-med.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Yokoyama</surname><given-names>Yukari</given-names></name><address><email>yukari0317@gmail.com</email></address><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Abe</surname><given-names>Akiko</given-names></name><address><email>aabe@iwate-med.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Minami</surname><given-names>Kentaro</given-names></name><address><email>kminami@iwate-med.ac.jp</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Suzuki</surname><given-names>Ruriko</given-names></name><address><email>rsuzuki@iwate-nurse.ac.jp</email></address><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author"><name><surname>Miura</surname><given-names>Hiroyuki</given-names></name><address><email>hmiura@iwate-med.ac.jp</email></address><xref ref-type="aff" rid="Aff4"></xref></contrib><contrib contrib-type="author"><name><surname>Sakata</surname><given-names>Kiyomi</given-names></name><address><email>ksakata@iwate-med.ac.jp</email></address><xref ref-type="aff" rid="Aff5"></xref></contrib><contrib contrib-type="author"><name><surname>Ogawa</surname><given-names>Akira</given-names></name><address><email>president@iwate-med.ac.jp</email></address><xref ref-type="aff" rid="Aff6"></xref></contrib><aff id="Aff1"><label></label>Division of Preventive Dentistry, Department of Oral Medicine, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</aff><aff id="Aff2"><label></label>Department of Social Welfare, Nihon Fukushi University, Okuda, Mihama Town, Aichi 470-3295 Japan</aff><aff id="Aff3"><label></label>Faculty of Community Nursing, Iwate College of Nursing 14-1 Sengakubo, Ogama, Takizawa, Iwate 020-0751 Japan</aff><aff id="Aff4"><label></label>Division of Orthodontics, Department of Developmental Oral Health Science, School of Dentistry Iwate Medical University, 1-3-27 Chuo-dori, Morioka, Iwate 020-8505 Japan</aff><aff id="Aff5"><label></label>Department of Hygiene and Preventive Medicine, School of Medicine Iwate Medical University, 2-1-1 Nishitokuta, Yahaba, Iwate 028-3694 Japan</aff><aff id="Aff6"><label></label>Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505 Japan</aff></contrib-group><pub-date pub-type="epub"><day>15</day><month>9</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>15</day><month>9</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>13</volume><elocation-id>143</elocation-id><history><date date-type="received"><day>20</day><month>2</month><year>2015</year></date><date date-type="accepted"><day>3</day><month>9</month><year>2015</year></date></history><permissions><copyright-statement>© Kishi et al. 2015</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Oral health is one of the most important issues for disaster survivors. The aim of this study was to determine post-disaster distribution of oral health-related quality of life (OHRQoL) and related factors in survivors of the Great East Japan Earthquake and Tsunami.</p></sec><sec><title>Methods</title><p>Questionnaires to assess OHRQoL, psychological distress, disaster-related experiences, and current systemic-health and economic conditions were sent to survivors over 18 years of age living in Otsuchi, one of the most severely damaged municipalities. OHRQoL and psychological distress were assessed using the General Oral Health Assessment Index (GOHAI) and the Kessler Psychological Distress Scale (K6), Japanese version, respectively. Among 11,411 residents, 1,987 returned the questionnaire (response rate, 17.4 %) and received an oral examination to determine number of present teeth, dental caries status, and tooth-mobility grade, and to assess periodontal health using the Community Periodontal Index. Relationships between GOHAI and related factors were examined by nonparametric bivariate and multinomial logistic regression analyses using GOHAI cutoff points at the 25<sup>th</sup> and 50<sup>th</sup> national standard percentiles.</p></sec><sec><title>Results</title><p>GOHAI scores were significantly lower in the 50–69-age group compared with other age groups in this study and compared with the national standard score. In bivariate analyses, all factors assessed in this study (i.e., sex, age, evacuation from home, interruption of dental treatment, lost or fractured dentures, self-rated systemic health, serious psychological distress (SPD), economic status, number of teeth, having decayed teeth, CPI code, and tooth mobility) were significantly associated with OHRQoL. Subsequent multinomial logistic regression analyses revealed that participants of upper-middle age, who had received dental treatment before the disaster, who had lost or fractured dentures, and who had clinical oral health problems were likely to show low levels of OHRQoL. In addition, perceived systemic health and SPD were also related with OHRQoL.</p></sec><sec><title>Conclusions</title><p>OHRQoL of disaster survivors was associated with oral problems stemming from the disaster in addition to factors related to OHRQoL in ordinary times such as clinical oral status and perceived systemic health. Furthermore, SPD was also associated with OHRQoL, which suggests the disaster’s great negative impact on both oral and mental health conditions.</p></sec></abstract><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Japon</li></country><region><li>Préfecture d'Iwate</li></region><settlement><li>Morioka</li></settlement><orgName><li>Université de médecine d'Iwate</li></orgName></list><tree><noCountry><name sortKey="Abe, Akiko" sort="Abe, Akiko" uniqKey="Abe A" first="Akiko" last="Abe">Akiko Abe</name><name sortKey="Aizawa, Fumie" sort="Aizawa, Fumie" uniqKey="Aizawa F" first="Fumie" last="Aizawa">Fumie Aizawa</name><name sortKey="Kishi, Mitsuo" sort="Kishi, Mitsuo" uniqKey="Kishi M" first="Mitsuo" last="Kishi">Mitsuo Kishi</name><name sortKey="Matsui, Miki" sort="Matsui, Miki" uniqKey="Matsui M" first="Miki" last="Matsui">Miki Matsui</name><name sortKey="Minami, Kentaro" sort="Minami, Kentaro" uniqKey="Minami K" first="Kentaro" last="Minami">Kentaro Minami</name><name sortKey="Miura, Hiroyuki" sort="Miura, Hiroyuki" uniqKey="Miura H" first="Hiroyuki" last="Miura">Hiroyuki Miura</name><name sortKey="Sakata, Kiyomi" sort="Sakata, Kiyomi" uniqKey="Sakata K" first="Kiyomi" last="Sakata">Kiyomi Sakata</name><name sortKey="Suzuki, Ruriko" sort="Suzuki, Ruriko" uniqKey="Suzuki R" first="Ruriko" last="Suzuki">Ruriko Suzuki</name><name sortKey="Yokoyama, Yukari" sort="Yokoyama, Yukari" uniqKey="Yokoyama Y" first="Yukari" last="Yokoyama">Yukari Yokoyama</name></noCountry><country name="Japon"><region name="Préfecture d'Iwate"><name sortKey="Ogawa, Akira" sort="Ogawa, Akira" uniqKey="Ogawa A" first="Akira" last="Ogawa">Akira Ogawa</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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