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RISS 인기검색어
- 검색키워드
- 저자 : ( Lauren L. Patton ) (검색결과 2 건)
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최은실 ( Eun Sil Choi ),유지영 ( Jiyoung Lyu ),( Lauren L. Patton ),김혜영 ( Hae-young Kim ) 한국치위생과학회 2017 치위생과학회지 Vol.17 No.1
Systemic health conditions increase with advancing age, and may be linked to poor self-reported oral health. The purpose of this study was to evaluate the association between systemic health conditions and poor self-reported oral health among Korean elderly. The study used a nationally representative sample of Koreans (2012 Korea National Health and Nutrition Examination Survey) aged 65∼98 years (n=1,595). Systemic health conditions in this population were assessed by the presence of one or more of the following conditions: obesity, hypertension, diabetes, and hypercholesterolemia. The relative risk of poor self-reported oral health according to the occurrence of systemic health conditions was estimated by multivariate logistic regression after controlling for several potential confounders (i.e., socio-demographic factors, oral health behaviors, health behaviors, and psychological factors). After adjustment for these confounders, the relative risk of having poor self-reported oral health was greater among the elderly with one or more systemic health conditions than in those without a systemic health condition. The odds ratio of having poor self-reported oral health according to the occurrence of systemic health conditions was 1.51 (95% confidence interval, 1.08∼2.12). Among the Korean elderly, perception of poor oral health was associated with the presence of one or more systemic health conditions. Future studies are needed to examine the detailed causal relation between systemic health conditions and poor oral health longitudinally.
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Kim, Hae-Young,Jang, Moon-Sung,Chung, Chong-Pyoung,Paik, Dai-Il,Park, Yong-Duk,Patton, Lauren L.,Ku, Young Blackwell Publishing Ltd 2009 community dentistry and oral epidemiology Vol.37 No.5
<P>Abstract – </P><P>Objective </P><P>The aim of this study was to assess the association of chewing ability to oral health-related quality of life (OHRQoL) measured by the Oral Health Impact Profile-14 (OHIP-14) controlling for clinical oral health status, self-reported health status, demographic factors, and socioeconomic conditions among community-dwelling and institutionalized Korean elders.</P><P>Methods </P><P>This cross-sectional study comprised a sample of 307 community-dwelling and 102 institutionalized people over the age of 60, using a cluster sampling procedure. A questionnaire was implemented and a clinical oral examination was completed for each subject. The outcome variable of interest was the OHIP-14 score, and its associations with chewing ability, objective oral health status, self-reported health status, demographic factors, and socioeconomic conditions were assessed. Because of highly-skewed distribution of the OHIP-14 scores, nonparametric analytic methods were used. The final model was developed using a multivariable two-level logistic regression model for a dichotomized OHIP-14 score to account for the cluster sampling method applied to this study.</P><P>Results </P><P>The mean age of the participants was 75.4 years, with 67.7% being women. The median OHIP-14 score was 7. Negative oral health impacts were experienced fairly often or very often by a total of 36.4% of elderly. In the final model, elders who could chew none to three and four to six foods among seven indicator foods were 3.4 (<I>P</I> = 0.010) and 2.0 (<I>P</I> = 0.040) times more likely, respectively, to have worse OHRQoL compared with elders who could chew all seven food types. Also significant associations with worse OHRQoL were shown for being concerned about oral health [Odds Ratio (OR) = 4.9, <I>P</I> = 0.002], fair or better self-reported oral health (OR = 0.12, <I>P</I> = 0.002), very good/good self-reported general health (OR = 0.38, <I>P</I> = 0.008), being married (OR = 2.0, <I>P</I> = 0.054), and having a favourable economic status (OR = 0.43, <I>P</I> = 0.042).</P><P>Conclusions </P><P>This study showed highly significant association between chewing ability and OHRQoL measured by the OHIP-14 score after controlling for related factors. Amelioration of chewing ability might independently contribute to improving the OHRQoL of elders.</P>
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