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Impact of oral health status on oral health-related quality of life in Chinese hospitalised geriatric patients

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Abstract

Objectives

To examine the oral health status of Chinese hospitalised geriatric patients and identify its impacts on their oral health-related quality of life (OHRQoL).

Design

Cross-sectional correlational study.

Setting

Geriatric wards of a regional hospital in Hong Kong.

Subjects

A consecutive sample of Chinese hospitalised geriatric patients (N = 155) aged ≥ 65 years who were communicable.

Measurements

The Brief Oral Health Status Examination (BOHSE) was used to evaluate oral status. The General Oral Health Assessment Index (GOHAI) was used to assess OHRQoL.

Results

The oral health status of the Chinese hospitalised geriatric patients was fair, with the more prominent problems being decayed teeth, lack of occluded teeth, coated tongue, excessive tartar, dry and rough red oral tissue and diseased gum. The GOHAI score indicated their compromised OHRQoL. By using hierarchical regression analysis, fewer than eight pairs of occluding teeth (β = −0.33, P < 0.001), unhealthy gum (β = −0.26, P = 0.03) and perceived oral dryness (β = −0.18, P = 0.04) significantly accounted for 17% of variance in the OHRQoL of Chinese hospitalised geriatric patients.

Conclusion

This study suggests that routine screening for dental and gum problems, providing adequate adaptation of denture prosthesis and reducing oral dryness of geriatric patients may be important care to optimise the OHRQoL of Chinese hospitalised geriatric patients. The study needs to be replicated in larger-scale multicentre settings and incorporate the use of more-comprehensive oral assessment indices.

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References

  1. Ship, J. A. (2002). Improving oral health in older people. Journal of the American Geriatrics Society, 1454–1455.

  2. Locker, D., Matear, D., & Stephens, M., et al. (2002). Oral health-related quality of life of a population of medically compromised elderly people. Community Dental Health, 19, 90–97.

    PubMed  Google Scholar 

  3. Ghezzi, E. M., & Ship, J. A. (2000). Systemic diseases and their treatments in the elderly: Impact on oral health. Journal of Public Health Dentistry, 60, 289–296.

    Article  PubMed  CAS  Google Scholar 

  4. Jones, J. A., Kressin, N. R., & Miller, D. R., et al. (2006). Oral conditions and quality of life. The Journal of Ambulatory Care Management, 29, 167–181.

    PubMed  Google Scholar 

  5. Benyamini, Y., Leventhal, H., & Leventhal, E. A. (2004). Self-rated oral health as an independent predictor of self-rated general health, self-esteem and life satisfaction. Social Science & Medicine, 59, 1109–1116.

    Article  Google Scholar 

  6. Lee, I. C., Shieh, T. Y., & Yang, Y. H., et al. (2007). Individuals’ perception of oral health and its impact on the health-related quality of life. Journal of Oral Rehabilitation, 34, 79–87.

    Article  PubMed  Google Scholar 

  7. Hujoel, P. P. (2004). Endpoints in periodontal trials: The need for an evidence-based research approach. Periodontology, 36, 196–204.

    Article  Google Scholar 

  8. Ikebe, K., Matsuda, K., & Morii, K. (2007). Impact of dry mouth and hyposalivation on oral health-related quality of life of elderly Japanese. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 103, 216–222.

    PubMed  Google Scholar 

  9. Locker, D. (2003). Dental status, xerostomia and the oral health-related quality of life of an elderly institutionalized population. Special Care in Dentistry, 23, 86–93.

    Article  PubMed  Google Scholar 

  10. Locker, D., & Gibson, B. (2005). Discrepancies between self-ratings of and satisfaction with oral health in two older adult populations. Community Dentistry and Oral Epidemiology, 33, 280–288.

    Article  PubMed  Google Scholar 

  11. Tada, A., Watanabe, T., & Yokoe, H., et al. (2003). Relationship between the number of remaining teeth and physical activity in community-dwelling elderly. Archives of Gerontology and Geriatrics, 37, 109–117.

    Article  PubMed  Google Scholar 

  12. Tsakos, G., Marcenes, W., & Sheiham, A. (2004). Relationship between clinical dental status and oral impacts in an elderly population. Oral Health & Preventive Dentistry, 2, 211–220.

    Google Scholar 

  13. Tsakos, G., Steele, J. G., & Marcenes, W., et al. (2006). Clinical correlates of oral health-related quality of life: Evidence from a national sample of British older people. European Journal of Oral Sciences, 114, 391–395.

    Article  PubMed  Google Scholar 

  14. Gilbert, G. H., Meng, X., & Duncan, P., et al. (2004). Incidence of tooth loss and prosthodontic dental care: Effect on chewing difficulty onset, a component of oral health-related quality of life. Journal of the American Geriatrics Society, 52, 880–885.

    Article  PubMed  Google Scholar 

  15. Kleinman, A. (1980). Patients and healers in the context of culture. Berkeley: University of California Press.

    Google Scholar 

  16. Chu, L. W., Pei, C. K., Ho, M. H., & Chan, P. T. (1995). Validation of the abbreviated mental test (Hong Kong version) in elderly medical patients. Hong Kong Medical Journal, 1, 207–211.

    Google Scholar 

  17. Tabachnick, B., & Fidell, L. (2001). Using multivariate statistics. 4th ed. Boston: Allyn & Bacon.

    Google Scholar 

  18. Atchison, K. A., & Dolan, T. A. (1990). Development of the geriatric oral health assessment index. Journal of Dental Education, 11, 680–687.

    Google Scholar 

  19. Atchison, K. A., Der-Martirosian, C., & Gift, H. C. (1998). Components of self-reported oral health and general health in racial and ethnic groups. Journal of Public Health Dentistry, 58, 301–308.

    Article  PubMed  CAS  Google Scholar 

  20. Wong, M., Liu, J. K. S., Lo, ECM. (2002). Translation and validation of the Chinese version of GOHAI. Journal of Public Health Dentistry, 62, 78–83.

    Google Scholar 

  21. Kayser-Jones, J., Bird, W. F., & Paul, S. M., et al. (1995). An instrument to assess the oral health status of nursing home residents. The Gerontologist, 35, 814–824.

    PubMed  CAS  Google Scholar 

  22. Thompson, W. M., Lawrence, H. P., Broadhent, J. M., et al. (2006). The impact of xerostomia on oral health-related quality of life among younger adults. Health and Quality of Life Outcomes, 4, 86. (doi: 10.118611477-7525-4-86).

  23. Katz, S., & Akpom, C. A. (1976). A measure of primary sociobiological functions. International Journal of Health Services, 6, 493–507.

    Article  PubMed  CAS  Google Scholar 

  24. Tornquist, K., Lovgren, M., & Solderfeldt, B. (1990). Sensitivity, specificity and predictive value in Katz’s and Barthel’s ADL indices applied on patients in long term nursing care. Scandinavian Journal of Caring Sciences, 4, 99–106.

    PubMed  CAS  Google Scholar 

  25. Oral Health Survey 2001. (2002). Common dental diseases and oral health related behaviour. Hong Kong: Department of Health, Government of HKSAR.

  26. Nowjack-Raymer, R. E., & Sheiham, A. (2003). Association of edentulism and diet and nutrition in U.S. adults. Journal of Dental Research, 82, 123–126.

    Article  PubMed  CAS  Google Scholar 

  27. Takata, Y., Ansai, T., & Awano, S., et al. (2006). Chewing ability and quality of life in an 80-year-old population. Journal of Oral Rehabilitation, 33, 330–334.

    Article  PubMed  CAS  Google Scholar 

  28. Gerdin, E. W., & Einarson, S., et al. (2005). Impact of dry mouth conditions on oral health-related quality of life in older people. Gerodontology, 22, 219–226.

    Article  PubMed  Google Scholar 

  29. Petersen, P. E., & Yamamoto, T. (2005). Improving the oral health of older people: The approach of the WHO Global Oral Health Programme. Community Dentistry and Oral Epidemiology, 33, 81–92.

    Article  PubMed  Google Scholar 

  30. Kwan, S. Y., & Williams, S. A. (1999). Dental beliefs, knowledge and behaviour of Chinese people in the United Kingdom. Community Dental Health, 16, 33–39.

    PubMed  CAS  Google Scholar 

  31. Yoshida, Y., Hatanaka, Y., Imaki, M., Ogawa, Y., Miyatani, S., & Tanada, S. (2001). Epidemiological study on improving the QOL and oral conditions of the Aged—Part 2: Relationship between tooth loss and lifestyle factors for adults men. Journal of Physiological Anthropology, 20, 369–373.

    Article  CAS  Google Scholar 

  32. Kressin, N. R., Spiro, A. III, Atchison, K. A., Kazis, L., & Jones, J. A. (2002). Is depressive symptomatology associated with worse oral functioning and well-being among older adults? Journal of Public Health Dentistry, 62(1), 5–12.

    Article  PubMed  Google Scholar 

  33. McGrath, C., & Bedi, R. (2002). Influences of social support on the oral health of older people in Britian. Journal of Oral Rehabilitation, 29, 918–922.

    Article  PubMed  Google Scholar 

  34. World Health Organization. (1997). Oral health surveys: Basic methods. 4th ed. Geneva: WHO.

    Google Scholar 

  35. Population Census 2001, Thematic Report—older people. Hong Kong Special Administrative Region: Hong Kong Census and Statistics Department.

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Correspondence to Doris S. F. Yu.

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Yu, D.S.F., Lee, D.T.F., Hong, A.W.L. et al. Impact of oral health status on oral health-related quality of life in Chinese hospitalised geriatric patients. Qual Life Res 17, 397–405 (2008). https://doi.org/10.1007/s11136-008-9314-9

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  • DOI: https://doi.org/10.1007/s11136-008-9314-9

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