Oral Health-Related Quality of Life in institutionalized elderly in Barcelona (Spain)
- PMID: 23385501
- PMCID: PMC3613882
- DOI: 10.4317/medoral.18280
Oral Health-Related Quality of Life in institutionalized elderly in Barcelona (Spain)
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: [corrected] 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.
Conflict of interest statement
Figures
References
-
- Barriuso Lapresa L, Sanz Barbero B. Multilevel analysis of the use of oral health services by the pediatric population. Gac Sanit. 2011;25:391–6. - PubMed
-
- Llewellyn CD, Warnakulasuriya S. The impact of stomatological disease on oral health-related quality of life. Eur J Oral Sci. 2003;111:297–304. - PubMed
-
- Martins AMEB, Barreto SM, Pordeus IA. Objective and subjective factors related to self-rated oral health among the elderly. Cad Saude Publica. 2009;25:421–35. - PubMed
-
- Zuluaga DJM, Montoya JAG, Contreras CI, Herrera RR. Association between oral health, cognitive impairment and oral health-related quality of life. Gerodontology. 2012;29:e667. - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous