Dental care and associated factors among older adults with schizophrenia
Dental care and associated factors among older adults with schizophrenia
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DOI：
10.14219/jada.archive.2011.0029
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发表时间：
2011-01-01
影响因子：
3.9
通讯作者：
Rizvi, Batool F.
中科院分区：
文献类型：
--
作者：
Janardhanan, Thulasiram;Cohen, Carl I.;Rizvi, Batool F.
背景关于老年精神分裂症患者的牙科护理的数据很少。作者调查了这一人群的牙科保健利用率和牙科治疗相关因素。样本包括198名55岁及以上的精神分裂症社区居民参与者和113名参与者的社区对照组。作者采用晚年患病行为模型作为选择18个年度牙科就诊预测变量的基础。研究结果显示，精神分裂症组和社区对照组在参与者的百分比（分别为28%和31%）方面没有显着差异，报告在前一年至少有两次牙科就诊或一次牙科就诊（分别为48%和54%）。然而，结果显示，精神分裂症和社区对照组中的参与者百分比存在显着差异，他们表示他们的牙齿或假牙有问题（分别为41%和23%）。当分别检查精神分裂症组的参与者时，作者发现了四个变量与至少有一次牙科就诊显著相关：经济状况良好（OR = 1.12）、执行认知功能较好（OR = 1.11）、牙齿或假牙问题较少（OR = 0.33）和口腔运动障碍较少（OR = 0.86）。在这项研究中，大多数老年精神分裂症患者每年至少没有接受两次牙科治疗，尽管他们的护理频率并不比年龄匹配的同龄人差。精神病评估应包括有关牙齿护理的问题。对这些患者的牙齿护理的最大改善可能是针对那些报告牙齿有更多问题的人，包括口腔运动障碍;那些有更大认知障碍的人，特别是在执行功能方面;以及那些经济资源减少的人。
Background. Few data are available concerning dental care in older adults with schizophrenia. The authors examined the utilization of dental care and factors related to dental treatment in this population.Methods. The sample consisted of 198 community-dwelling participants 55 years and older with schizophrenia and a community comparison group of 113 participants. The authors adapted a model of illness behavior in later life as the basis for selection of 18 predictor variables of annual dental care visits.Results. The study results showed no significant differences between the schizophrenia and community comparison groups with regard to the percentage of participants (28 and 31 percent, respectively) reporting having had at least two dental visits in the previous year or one dental visit (48 and 54 percent, respectively). However, the results showed significant differences in the percentage of participants in the schizophrenia and community comparison groups who stated that they experienced problems with their teeth or dentures (41 and 23 percent, respectively). When examining participants in the schizophrenia group separately, the authors found four variables that were significantly associated with having had at least one dental visit: financial well-being (odds ratio [OR] = 1.12), better executive cognitive functioning (OR = 1.11), fewer perceived problems with teeth or dentures (OR = 0.33) and fewer oral dyskinesias (OR = 0.86).Conclusions. Most older adults with schizophrenia in this study did not receive at least two dental visits per year, although their frequency of care was no worse than that of their age-matched peers. Psychiatric assessments should include questions about dental care. The greatest improvement in dental care for such patients likely is to occur by targeting people who report having more problems with their teeth, including oral dyskinesias; those who have greater cognitive impairments, especially in executive functioning; and those who have diminished financial resources.