Assessing the effects of oral health-related variables on quality of life in Taiwanese adults
Assessing the effects of oral health-related variables on quality of life in Taiwanese adults
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DOI：
10.1007/s11136-012-0205-8
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发表时间：
2013-05-01
影响因子：
3.5
通讯作者：
Shu, Yu
中科院分区：
文献类型：
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作者：
Wang, Tze-Fang;Chou, Chyuan;Shu, Yu
口腔健康状况对台湾成年人生活质量的影响尚未得到确切的测量。本研究以台湾地区成年人为研究对象，探讨口腔健康相关变数对生活质量的影响。18-64岁成人口腔健康相关变量的信息来自全国健康访谈调查，生活质量数据来自健康调查简表（SF-36（A（R）））。单变量和多变量回归分析用于确定口腔健康的危险因素以及口腔健康与SF-36定义的8个生活质量领域之间的关联。（P < 0.001），婚姻状况（P < 0.001），月收入（P < 0.001）、病史咀嚼槟榔组（P < 0.001）（P < 0.001），口腔卫生（P < 0.001），口腔健康状况（P < 0.001），口腔保健利用（P = 0.001）对作为生活质量一个方面的总体健康有显著影响;性别（P < 0.001），婚姻状况（离异，P < 0.001），收入水平（2万~ 8万新台币，P < 0.001），病史（P < 0.001）、口腔卫生、与口腔健康相关的食物选择限制（P < 0.001）和牙科保健利用（P < 0.001）对总体心理健康有显著影响。进行刷牙自我护理的受试者的社会功能评分显著高于未进行刷牙自我护理的受试者（P < 0.001）。在身体功能、由于身体健康导致的角色限制、身体疼痛、活力和由于情绪问题导致的角色限制的量表项目中也发现了显著差异（所有P < 0.001）。年龄、性别、婚姻状况和收入水平）和口腔健康相关因素（即，口腔卫生、牙科就诊、疾病史和生活方式因素（如吸烟、饮酒和嚼槟榔）都与台湾成年人的口腔健康相关生活质量显著相关。
The impact of oral health status on Taiwanese adults' quality of life has not been measured definitively. This study evaluated the effects of oral health-related variables on quality of life among adults in Taiwan.A cross-sectional study design with secondary database analysis was adopted. Information about oral health-related variables in adults aged 18-64 years was collected from the National Health Interview Survey and quality-of-life data from the Short-Form Health Survey (SF-36(A (R))). Univariate and multivariate regression analysis was used to determine risk factors for oral health and associations between oral health and eight domains of quality of life defined by the SF-36.Gender (P < 0.001), marital status (P < 0.001), monthly income (P < 0.001), disease history (P < 0.001), betel nut chewing (P < 0.001), oral hygiene (P < 0.001), oral health status (P < 0.001), and dental care utilization (P = 0.001) had significant effects on general health as an aspect of quality of life; gender (P < 0.001), marital status (divorced, P < 0.001), income level (20,000-80,000 NTD, P < 0.001), disease history (P < 0.001), oral hygiene, oral health-related food choice limitations (P < 0.001), and dental care utilization (P < 0.001) had significant effects on general mental health. Subjects who practiced dental self-care with tooth brushing had significantly higher social functioning scores than those who did not (P < 0.001). Significant differences were also found in scale items for physical functioning, role limitations due to physical health, bodily pain, vitality, and role limitations due to emotional problems (all P < 0.001).Demographic (i.e., age, gender, and marital status and income levels) and oral health-related factors (i.e., oral hygiene, dental visits, disease history, and lifestyle factors such as cigarette smoking, alcohol use, and betel nut chewing) are all significantly associated with oral health-related quality of life in Taiwanese adults.