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The relationship between sociodemographic factors and oral health-related quality of life in dentate and edentulous community-dwelling older adults

Identifieur interne : 000254 ( PascalFrancis/Curation ); précédent : 000253; suivant : 000255

The relationship between sociodemographic factors and oral health-related quality of life in dentate and edentulous community-dwelling older adults

Auteurs : Sonia K. Makhija [États-Unis] ; Gregg H. Gilbert [États-Unis] ; Michael J. Boykin [États-Unis] ; Mark S. Litaker [États-Unis] ; Richard M. Allman [États-Unis] ; Patricia Sawyer Baker [États-Unis] ; Julie L. Locher [États-Unis] ; Christine S. Ritchie [États-Unis]

Source :

RBID : Pascal:07-0021311

Descripteurs français

English descriptors

Abstract

OBJECTIVES: To quantify the associations between sociodemographic factors and oral health-related quality of life (OHRQoL) in dentate and edentulous community-dwelling older adults. DESIGN: Cross-sectional study using a 54-item OHRQoL questionnaire. SETTING: Five counties in central Alabama: Jefferson and Tuscaloosa (urban), and Hale, Bibb, and Pickens (rural). PARTICIPANTS: Two hundred eighty-eight participants (Dental Study subjects) aged 65 and older were recruited from participants in the University of Alabama at Birmingham Study of Aging, a longitudinal study of mobility in older African Americans and non-Hispanic whites. MEASUREMENTS: Dental Study subjects were queried on their OHRQoL and sociodemographic status and classified into two categories: dentate and edentulous. Bivariate analyses were used to quantify associations between sociodemographic variables and OHRQoL after excluding participants with severe depression. Variables included age, sex, race, marital status, veteran status, residence, income, education, and transportation difficulties. RESULTS: Dentate and edentulous subjects had similar OHRQoL across age, sex, marital status, veteran status, and residence. Analyses suggested a strong association between OHRQoL and race, education, income, and transportation difficulties in dentate subjects. Sociodemographic factors were less strongly associated with OHRQoL in edentulous participants. CONCLUSION: OHRQoL decrements were prevalent in dentate and edentulous subjects. Of dentate persons, African Americans and those with a 6th-grade education or less, with income less than $16,000/year, and with transportation difficulties were more likely to have decrements in OHRQoL. In edentulous persons, these associations were not statistically significant or were weaker. These findings suggest differential associations between sociodemographic factors and OHRQoL when stratified according to dentate status.
pA  
A01 01  1    @0 0002-8614
A03   1    @0 J. Am. Geriatr. Soc.
A05       @2 54
A06       @2 11
A08 01  1  ENG  @1 The relationship between sociodemographic factors and oral health-related quality of life in dentate and edentulous community-dwelling older adults
A11 01  1    @1 MAKHIJA (Sonia K.)
A11 02  1    @1 GILBERT (Gregg H.)
A11 03  1    @1 BOYKIN (Michael J.)
A11 04  1    @1 LITAKER (Mark S.)
A11 05  1    @1 ALLMAN (Richard M.)
A11 06  1    @1 SAWYER BAKER (Patricia)
A11 07  1    @1 LOCHER (Julie L.)
A11 08  1    @1 RITCHIE (Christine S.)
A14 01      @1 Department of Diagnostic Sciences, School of Dentistry, University of Alabama at Birmingham @2 Birmingham, Alabama @3 USA @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.
A14 02      @1 Center for Aging, University of Alabama at Birmingham @2 Birmingham, Alabama @3 USA @Z 5 aut. @Z 6 aut. @Z 7 aut.
A14 03      @1 Division of Gerontology and Geriatric Medicine, University of Alabama at Birmingham @2 Birmingham, Alabama @3 USA @Z 5 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut.
A14 04      @1 Birmingham/Atlanta Veterans Affairs Geriatric Research, Education, and Clinical Center @2 Birmingham, Alabama @3 USA @Z 5 aut. @Z 8 aut.
A14 05      @1 Palliative Care Center, University of Alabama at Birmingham @2 Birmingham, Alabama @3 USA @Z 8 aut.
A20       @1 1701-1712
A21       @1 2006
A23 01      @0 ENG
A43 01      @1 INIST @2 8328 @5 354000158932000090
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 39 ref.
A47 01  1    @0 07-0021311
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of the American Geriatrics Society
A66 01      @0 USA
C01 01    ENG  @0 OBJECTIVES: To quantify the associations between sociodemographic factors and oral health-related quality of life (OHRQoL) in dentate and edentulous community-dwelling older adults. DESIGN: Cross-sectional study using a 54-item OHRQoL questionnaire. SETTING: Five counties in central Alabama: Jefferson and Tuscaloosa (urban), and Hale, Bibb, and Pickens (rural). PARTICIPANTS: Two hundred eighty-eight participants (Dental Study subjects) aged 65 and older were recruited from participants in the University of Alabama at Birmingham Study of Aging, a longitudinal study of mobility in older African Americans and non-Hispanic whites. MEASUREMENTS: Dental Study subjects were queried on their OHRQoL and sociodemographic status and classified into two categories: dentate and edentulous. Bivariate analyses were used to quantify associations between sociodemographic variables and OHRQoL after excluding participants with severe depression. Variables included age, sex, race, marital status, veteran status, residence, income, education, and transportation difficulties. RESULTS: Dentate and edentulous subjects had similar OHRQoL across age, sex, marital status, veteran status, and residence. Analyses suggested a strong association between OHRQoL and race, education, income, and transportation difficulties in dentate subjects. Sociodemographic factors were less strongly associated with OHRQoL in edentulous participants. CONCLUSION: OHRQoL decrements were prevalent in dentate and edentulous subjects. Of dentate persons, African Americans and those with a 6th-grade education or less, with income less than $16,000/year, and with transportation difficulties were more likely to have decrements in OHRQoL. In edentulous persons, these associations were not statistically significant or were weaker. These findings suggest differential associations between sociodemographic factors and OHRQoL when stratified according to dentate status.
C02 01  X    @0 002B01
C02 02  X    @0 002B10C02
C03 01  X  FRE  @0 Dent pathologie @5 01
C03 01  X  ENG  @0 Dental disease @5 01
C03 01  X  SPA  @0 Diente patología @5 01
C03 02  X  FRE  @0 Facteur sociodémographique @5 02
C03 02  X  ENG  @0 Sociodemographic factor @5 02
C03 02  X  SPA  @0 Factor sociodemográfico @5 02
C03 03  X  FRE  @0 Cavité buccale @5 03
C03 03  X  ENG  @0 Oral cavity @5 03
C03 03  X  SPA  @0 Cavidad bucal @5 03
C03 04  X  FRE  @0 A domicile @5 05
C03 04  X  ENG  @0 At home @5 05
C03 04  X  SPA  @0 A domicilio @5 05
C03 05  X  FRE  @0 Logement habitation @5 06
C03 05  X  ENG  @0 Housing @5 06
C03 05  X  SPA  @0 Habitación @5 06
C03 06  X  FRE  @0 Personne âgée @5 08
C03 06  X  ENG  @0 Elderly @5 08
C03 06  X  SPA  @0 Anciano @5 08
C03 07  X  FRE  @0 Gériatrie @5 09
C03 07  X  ENG  @0 Geriatrics @5 09
C03 07  X  SPA  @0 Geriatría @5 09
C03 08  X  FRE  @0 Gérontologie @5 11
C03 08  X  ENG  @0 Gerontology @5 11
C03 08  X  SPA  @0 Gerontología @5 11
C03 09  X  FRE  @0 Santé bucco-dentaire @4 CD @5 96
C03 09  X  ENG  @0 Bucco-dental health @4 CD @5 96
C03 09  X  SPA  @0 Salud bucodental @4 CD @5 96
C03 10  X  FRE  @0 Qualité de vie liée à la santé @4 CD @5 97
C03 10  X  ENG  @0 Health-Related Quality of Life @4 CD @5 97
C03 10  X  SPA  @0 Calidad de vida relacionada con la salud @4 CD @5 97
C07 01  X  FRE  @0 Homme
C07 01  X  ENG  @0 Human
C07 01  X  SPA  @0 Hombre
C07 02  X  FRE  @0 Stomatologie @5 37
C07 02  X  ENG  @0 Stomatology @5 37
C07 02  X  SPA  @0 Estomatología @5 37
N21       @1 010
N44 01      @1 OTO
N82       @1 OTO

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<name sortKey="Sawyer Baker, Patricia" sort="Sawyer Baker, Patricia" uniqKey="Sawyer Baker P" first="Patricia" last="Sawyer Baker">Patricia Sawyer Baker</name>
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<name sortKey="Locher, Julie L" sort="Locher, Julie L" uniqKey="Locher J" first="Julie L." last="Locher">Julie L. Locher</name>
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<s1>Center for Aging, University of Alabama at Birmingham</s1>
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</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Division of Gerontology and Geriatric Medicine, University of Alabama at Birmingham</s1>
<s2>Birmingham, Alabama</s2>
<s3>USA</s3>
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<country>États-Unis</country>
</affiliation>
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<author>
<name sortKey="Ritchie, Christine S" sort="Ritchie, Christine S" uniqKey="Ritchie C" first="Christine S." last="Ritchie">Christine S. Ritchie</name>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Division of Gerontology and Geriatric Medicine, University of Alabama at Birmingham</s1>
<s2>Birmingham, Alabama</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
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<country>États-Unis</country>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>Birmingham/Atlanta Veterans Affairs Geriatric Research, Education, and Clinical Center</s1>
<s2>Birmingham, Alabama</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="05">
<s1>Palliative Care Center, University of Alabama at Birmingham</s1>
<s2>Birmingham, Alabama</s2>
<s3>USA</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
</affiliation>
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<series>
<title level="j" type="main">Journal of the American Geriatrics Society</title>
<title level="j" type="abbreviated">J. Am. Geriatr. Soc.</title>
<idno type="ISSN">0002-8614</idno>
<imprint>
<date when="2006">2006</date>
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<title level="j" type="main">Journal of the American Geriatrics Society</title>
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<idno type="ISSN">0002-8614</idno>
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<term>At home</term>
<term>Bucco-dental health</term>
<term>Dental disease</term>
<term>Elderly</term>
<term>Geriatrics</term>
<term>Gerontology</term>
<term>Health-Related Quality of Life</term>
<term>Housing</term>
<term>Oral cavity</term>
<term>Sociodemographic factor</term>
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<term>Dent pathologie</term>
<term>Facteur sociodémographique</term>
<term>Cavité buccale</term>
<term>A domicile</term>
<term>Logement habitation</term>
<term>Personne âgée</term>
<term>Gériatrie</term>
<term>Gérontologie</term>
<term>Santé bucco-dentaire</term>
<term>Qualité de vie liée à la santé</term>
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<div type="abstract" xml:lang="en">OBJECTIVES: To quantify the associations between sociodemographic factors and oral health-related quality of life (OHRQoL) in dentate and edentulous community-dwelling older adults. DESIGN: Cross-sectional study using a 54-item OHRQoL questionnaire. SETTING: Five counties in central Alabama: Jefferson and Tuscaloosa (urban), and Hale, Bibb, and Pickens (rural). PARTICIPANTS: Two hundred eighty-eight participants (Dental Study subjects) aged 65 and older were recruited from participants in the University of Alabama at Birmingham Study of Aging, a longitudinal study of mobility in older African Americans and non-Hispanic whites. MEASUREMENTS: Dental Study subjects were queried on their OHRQoL and sociodemographic status and classified into two categories: dentate and edentulous. Bivariate analyses were used to quantify associations between sociodemographic variables and OHRQoL after excluding participants with severe depression. Variables included age, sex, race, marital status, veteran status, residence, income, education, and transportation difficulties. RESULTS: Dentate and edentulous subjects had similar OHRQoL across age, sex, marital status, veteran status, and residence. Analyses suggested a strong association between OHRQoL and race, education, income, and transportation difficulties in dentate subjects. Sociodemographic factors were less strongly associated with OHRQoL in edentulous participants. CONCLUSION: OHRQoL decrements were prevalent in dentate and edentulous subjects. Of dentate persons, African Americans and those with a 6th-grade education or less, with income less than $16,000/year, and with transportation difficulties were more likely to have decrements in OHRQoL. In edentulous persons, these associations were not statistically significant or were weaker. These findings suggest differential associations between sociodemographic factors and OHRQoL when stratified according to dentate status.</div>
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