The burden of oral disorders in a population of older adults.
The burden of oral disorders in a population of older adults.
复制标题
老年人口口腔疾病的负担。
作者：
David Locker
本文描述了在社区中独立生活的50岁及以上成年人的口腔疾病负担。在这样做的过程中，它使用临床、功能、经验和心理社会影响措施来记录这部分人口的口腔健康状况。数据显示，相当大比例的受试者报告说，他们的生活质量在某种程度上受到了口腔问题的影响。虽然只有24.1%的人无牙，但30.5%的人无法咀嚼一种或多种食物；37.2%的人报告在过去四周内出现口腔或面部疼痛，67.5%的人经历了一种或多种其他口腔症状。三分之一的人报告在饮食和交流方面存在问题--社交方面的问题，18.7%的人非常担心他们的口腔健康，30.8%的人对他们口腔健康状况的某些方面不满意。收入与检查的所有健康状况指标一致相关，这表明口腔健康方面的不平等程度。此外，回归分析显示，在控制了临床、功能和经验性口腔健康指标后，低收入组在心理社会影响量表上的得分更高。本文阐述了一种疾病模型及其后果的实用性，该模型源于国际上对损伤、残疾和障碍的分类，在探索口腔健康方面。
This paper describes the burden of oral disorders in a population of adults aged 50 years and over living independently in the community. In so doing it uses clinical, functional, experiential and psychosocial impact measures to document the oral health status of this section of the population. The data reveal that substantial proportions of subjects report that their quality of life was compromised in some way by oral problems. Although only 24.1 per cent were edentulous, 30.5 per cent were unable to chew one or more foods; 37.2 per cent reported oral or facial pain in the previous four weeks and 67.5 per cent experienced one or more other oral symptoms. One third reported problems with eating and communication--social interaction, 18.7 per cent worried a great deal about their oral health and 30.8 per cent were dissatisfied with some aspect of their oral health status. Income was consistently associated with all health status measures examined, demonstrating the scope of inequalities in oral health. In addition, regression analysis showed that low income groups had higher scores on a psychosocial impact scale after controlling for clinical, functional and experiential oral health indicators. The paper illustrates the utility of a model of disease and its consequences derived from the international classification of impairments, disabilities and handicaps in exploring oral health.