Dental status and satisfaction with oral function in a sample of community-dwelling elderly people in Japan.
Dental status and satisfaction with oral function in a sample of community-dwelling elderly people in Japan.
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DOI：
10.1111/j.1754-4505.2002.tb01207.x
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发表时间：
2002-01-01
期刊：
影响因子：
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通讯作者：
Ono, Takahiro
中科院分区：
文献类型：
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作者：
Ikebe, Kazunori;Nokubi, Takashi;Ono, Takahiro
本研究的目的是确定在日本的一个城市地区的一组独立生活的老年人的牙齿状况对口腔功能和满意度的影响。研究样本由1995年至1999年的老年公民学院的参与者组成。采用问卷调查的方法，对患者的口腔健康状况和口腔满意度进行调查。有效问卷3967份，占总样本的80.8%。受试者的平均年龄为66.5 ± 4.3岁，52.2%为男性。29%的人有自然牙列，7.0%的人双颌无牙。研究样本中无牙症的患病率显著低于全国调查（p < 0.01）。总体而言，66.4%的受试者对他们的咀嚼能力感到满意，56.2%的人对他们的牙齿外观感到满意，63.1%的人对他们清晰说话的能力感到满意，76.5%的人对他们品尝食物的能力感到满意。对于全口义齿佩戴者，最大的不满意是言语（28.5%）;然而，对于RPD佩戴者，最大的不满意是咀嚼能力（21.7%）。61%的全口义齿佩戴者报告说，他们对自己的咀嚼能力感到满意，但只有11%的人可以毫无困难地吃下所有三种评估的食物。多元逐步Logistic回归分析显示，牙齿状况和自我评估的一般健康状况与所有四种口腔功能的不满和自我评估的咀嚼能力受损有显着相关。老年受试者的牙齿状况与口腔功能之间存在显著相关性。
The purpose of this study was to determine the influence of dental status on oral function and satisfaction among a group of independently living elderly persons in an urban area of Japan. The study sample consisted of participants of the Senior Citizens' College from 1995 to 1999. Their dental status and oral satisfaction were measured by a questionnaire. The number of usable questionnaires was 3967, or 80.8% of the total sample. The mean age of the subjects was 66.5+/-4.3 years, and 52.2% were male. Twenty-nine percent of them had a natural dentition, and 7.0% were edentulous in both jaws. The prevalence of edentulism in the study sample was significantly lower (p < 0.01) than that for the national survey. Overall, 66.4% of the subjects were satisfied with their ability to chew, 56.2% with the appearance of their teeth, 63.1% with their ability to speak clearly, and 76.5% with their ability to taste food. For complete-denture wearers, the greatest dissatisfaction was with speech (28.5%); however, for the RPD wearers, it was with chewing ability (21.7%). Sixty-one percent of complete-denture wearers reported that they were satisfied with their chewing ability, but only 11% of them could eat all three of the evaluated foods without difficulty. The multiple stepwise logistic regression analyses showed that both dental status and self-assessed general health had a significant association with dissatisfaction with all four oral functions and self-assessed impairment of chewing ability. There were significant associations between the elderly subjects' dental status and oral function.