Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지

Association between the self-reported periodontal health status and oral health-related quality of life among elderly Koreans

한국노인의 자가보고 치주건강상태와 구강건강관련 삶의 질의 연관성

  • Jang, Moon-Sung (Department of Periodontology, School of Dentistry, Seoul National University) ;
  • Kim, Hae-Young (Dental Research Institute, Seoul National University) ;
  • Shim, Yeon-Su (Department of Periodontology, School of Dentistry, Seoul National University) ;
  • Rhyu, In-Chul (Department of Periodontology, School of Dentistry, Seoul National University, Dental Research Institute, Seoul National University) ;
  • Han, Soo-Boo (Department of Periodontology, School of Dentistry, Seoul National University, Dental Research Institute, Seoul National University) ;
  • Chung, Chong-Pyoung (Department of Periodontology, School of Dentistry, Seoul National University, Dental Research Institute, Seoul National University) ;
  • Ku, Young (Department of Periodontology, School of Dentistry, Seoul National University, Dental Research Institute, Seoul National University)
  • 장문성 (서울대학교 치과대학 치주과학교실) ;
  • 김혜영 (서울대학교 치학연구소) ;
  • 심연수 (서울대학교 치과대학 치주과학교실) ;
  • 류인철 (서울대학교 치과대학 치주과학교실, 서울대학교 치학연구소) ;
  • 한수부 (서울대학교 치과대학 치주과학교실, 서울대학교 치학연구소) ;
  • 정종평 (서울대학교 치과대학 치주과학교실, 서울대학교 치학연구소) ;
  • 구영 (서울대학교 치과대학 치주과학교실, 서울대학교 치학연구소)
  • Published : 2006.09.30
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Abstract

Purpose: This study assessed the impact of self-reported periodontal health on the oral health-related quality of life among elderly Koreans. Methods: Four hundred twenty one elderly Koreans in Seoul and suburban areas were selected with a cluster (institution) sampling method, and were requested to take oral examinations and finish questionnaires on the Oral Health Impact Profile-14(OHIP-14). and self-reported periodontal health status, such as periodontal symptoms, self-rated periodontal health and periodontal treatment need. As the dependent variable, OHIP-14 showed a positive skewed distribution (skewness: 1.17), we transformed to square-root form to apply parametric analyses. Bivariate analysis by t-test and ANOVA, and multivariate analysis with the two-level regression model accounting clusters were implemented. Results: Mean age of the subjects was 74.6 years and 66.5% were women. Fourteen items of OHIP-14 were summarized to one factor explaining 78.6% of total variance and produced the Chronbach alpha coefficient of 0.92. Results from the multivariate model, adjusting for age, sex, type of institutions, ability to pay, and number of teeth present, showed significantly lower OHIP-14 with reporting less than 3 periodontal symptoms (p(O.OOO1), rating their own periodontal health as above average level (p=O.0144), and thinking they don't need any periodontal treatments in the near future (p=O.0148), than their counterparts. The intraclass-corrrelation estimated by the final model was 0.028. Conclusion: This study demonstrates a significant association between self-reported periodontal health status and the oral health-related quality of life.

Keywords

References

  1. Petersen PE, Yamamoto T. Improving the oral health of older people: the approach of the WHO Global Oral Health Programme, Community Dent Oral Epidemiol 2005;33: 81-92, https://doi.org/10.1111/j.1600-0528.2004.00219.x
  2. Shtereva N. Aging and oral health related to quality of life in geriatric patients. Rejuvenation Res 2006;9:355-357 https://doi.org/10.1089/rej.2006.9.355
  3. World Health Organization. Active aging: a policy frarrework, Geneva, Switzerland: WHO 2002
  4. 보건복지부. 2003 국민구강건강실태조사 III. 본 조사 결과 보고서. 2003:86-87
  5. 보건복지부. 2000 국민구강건강실태조사. 2000:71-73
  6. Buck D, Newton JT. Non-clinical outcome measures in dentistry: Publishing trends 1988-98. Community Dent Oral Epidemiol 2001;29:2-8 https://doi.org/10.1034/j.1600-0528.2001.00002.x
  7. Strassburger C, Heydecke G, Kerschbaum T. Influence of prosthetic and implant therapy on satisfaction and quality of life: a systematic literature review. Part 1-characteristics of the studies. Int J Prosthodont 2004;17:83-93
  8. Foy SP, Shugars DA, Phillips C, Marciani RD, Conrad SM, White RP. The impact of intravenous antibiotics on health related quality of life outcomes and clinical recovery after third molar surgery. J Oral Maxillofac Surg 2004;62:15-21 https://doi.org/10.1016/j.joms.2003.04.003
  9. Slade GD, Foy SP, Shugars DA, Phillips C, White RP Jr. Impact of third molar symptoms, pain, and swelling on oral healthrelated quality of life. J Oral Maxillofac Surg 2004:62:1118-1124 https://doi.org/10.1016/j.joms.2003.11.014
  10. McGrath C, Comfort ME, Lo EC, Luo Y. Can third molar surgery improve quality of life? A 6-month cohort study, J Oral Maxillofac Surg 2003;61:759-763 https://doi.org/10.1016/S0278-2391(03)00150-2
  11. Cunningham SJ, Hunt NP. Quality of life and its importance in orthodontics. JO 2001;28:152-158
  12. Pace-Balzan A, Cawood JI, Howell R, Lowe D, Rogers N. The Liverpool Oral Rehabilitation Questionnaire: a pilot study. J Rehabilitat 2004; 31:609-617 https://doi.org/10.1111/j.1365-2842.2004.01279.x
  13. Needleman I, McGrath C, Floyd P, Biddle A. Impact of oral health on the life quality of periodontal patients. J Clin Periodontol 2004;31:454-457 https://doi.org/10.1111/j.1600-051X.2004.00498.x
  14. Ng SKS, Leung WK. Oral health-related quality of life and periodontal status. Community Dent Oral Epidemiol 2006;34: 114-122 https://doi.org/10.1111/j.1600-0528.2006.00267.x
  15. Locker D. Measuring oral health: a conceptual framework. Community Dental Health 1988;5:3-18
  16. Slade GD, editor: Measuring Oral Health and quality of life. Chapel Hill, NC: University of North Carolina, Dental Ecology; 1997
  17. Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Oral Epidemiol 1994;11:3-11
  18. Allen PF, Locker D. Do item weights matter? An assessment using the oral health impact profile. Community Dent Oral Epidemiol 1997;14:133-138
  19. Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 1997;25: 284-290 https://doi.org/10.1111/j.1600-0528.1997.tb00941.x
  20. 배광학. 한국 노인의 삶의 질 관련 구강건상실태 및 구강건강사업모형 개발. 서울대학교 대학원 석사학위 논문 2002
  21. 이명선, 김설희, 양정승, 오정숙, 김동기. 65세 이상 일부 노인의 Oral Health Impact Profile의 타당도 및 신뢰도. 대한구강보건학회지 2005;29:210-221
  22. Locker D. Developing Short-form measures of oral health-related quality of life. J Public Health Dent 2002;62:13-20 https://doi.org/10.1111/j.1752-7325.2002.tb03415.x
  23. Gilbert GH. Racial and socioeconomic dis parities in health from population-based research to practice-based research: the example of oral health. J Dent Edu 2005; 69:1003-1014
  24. Kim H, Preisser JS, Rozier 00, Valiyaparambil JV. Multi-level analysis of group-randomized trials (GRT) with binary outcomes. Community Dent Oral Epidemiol 2006;34: 241-251 https://doi.org/10.1111/j.1600-0528.2006.00307.x
  25. SAS system for linear models third edition. SAS Institute Inc, Cary,USA 1999
  26. Weintraub JA, Uses of oral health related quality of life measures in public health. Community Dental Health 1998;15:8-13
  27. Wong MC, Lo EC, McMillian AS. Validation of a Chinese version of the Oral Health Impact Profile. Community Dent Oral Epidemiol 2002;30:423-433 https://doi.org/10.1034/j.1600-0528.2002.00013.x
  28. Xin WN, Ling JQ. Validation of a Chinese version of the oral health impact profile- 14. Zhonghua Kou Qiang Yi Xue Za Zhi 2006;41:242-245
  29. John MT, Koepsell TD, Hujoel P, Miglioretti DL, LeResche L, Micheelis W. Demographic factors, denture status and oral health-related quality of life. Community Dent Oral Epidemiol 2004; 32:125-132 https://doi.org/10.1111/j.0301-5661.2004.00144.x
  30. Allison P, Locker D, Jokovoc A, Slade G. A cross-cultural study of oral health values. J Dent Res 1999;78:643-649 https://doi.org/10.1177/00220345990780020301
  31. 김설희, 임선아, 박수정. 김동기. 구강건강영향 지수를 이용한 삶의 질과 관련된 구강건강평가. 2004;28:559-569