Oral health-related quality of life and loneliness among older adults.
Oral health-related quality of life and loneliness among older adults.
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DOI：
10.1007/s10433-016-0392-1
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发表时间：
2017-06
影响因子：
3.8
通讯作者：
Watt RG
中科院分区：
文献类型：
--
作者：
Rouxel P;Heilmann A;Demakakos P;Aida J;Tsakos G;Watt RG
孤独是老龄化人口中的一个严重问题。主要风险因素包括健康状况不佳、抑郁、物质条件差以及社会参与和社会支持程度低。口腔疾病和牙齿脱落对老年人的生活质量和健康有显著的负面影响。然而，缺乏将口腔健康与孤独感联系起来的研究。本研究调查了口腔健康相关的生活质量（通过使用口腔对日常表现的影响-OIDP-措施）和生活在英格兰的老年人之间的孤独感之间的关联。分析了英国老龄化纵向研究第三波（2006-2007年）和第五波（2010-2011年）50岁及以上受访者的数据。在调整了社会人口统计学、社会经济学、健康和心理社会因素的横断面逻辑回归模型中，与没有口腔影响的人相比，报告至少有一次口腔影响的人的孤独几率高出1.48（1.16-1.88; p < 0.01）。同样，在完全调整的纵向模型中，报告口腔撞击事件的受访者变得孤独的可能性增加了1.56倍（1.09-2.25; p < 0.05）。口腔健康相关的生活质量和孤独之间的关联在调整抑郁症状，低社会参与和社会支持后减弱。口腔健康相关的生活质量被确定为老年人孤独的独立风险因素。老年人保持良好的口腔健康可能是对抗孤独的一个保护因素。本文的在线版本（doi：10.1007/s10433-016-0392-1）包含补充材料，可供授权用户使用。
Loneliness is a serious concern in aging populations. The key risk factors include poor health, depression, poor material circumstances, and low social participation and social support. Oral disease and tooth loss have a significant negative impact on the quality of life and well-being of older adults. However, there is a lack of studies relating oral health to loneliness. This study investigated the association between oral health-related quality of life (through the use of the oral impact on daily performances—OIDP—measure) and loneliness amongst older adults living in England. Data from respondents aged 50 and older from the third (2006–2007) and fifth (2010–2011) waves of the English Longitudinal Study of Ageing were analyzed. In the cross-sectional logistic regression model that adjusted for socio-demographic, socio-economic, health, and psychosocial factors, the odds of loneliness were 1.48 (1.16–1.88; p < 0.01) higher amongst those who reported at least one oral impact compared to those with no oral impact. Similarly, in the fully adjusted longitudinal model, respondents who reported an incident oral impact were 1.56 times (1.09–2.25; p < 0.05) more likely to become lonely. The association between oral health-related quality of life and loneliness was attenuated after adjusting for depressive symptoms, low social participation, and social support. Oral health-related quality of life was identified as an independent risk factor for loneliness amongst older adults. Maintaining good oral health in older age may be a protective factor against loneliness. The online version of this article (doi:10.1007/s10433-016-0392-1) contains supplementary material, which is available to authorized users.