Clinical and socio-demographic factors influencing the oral health-related quality of life of Chinese elders.
Clinical and socio-demographic factors influencing the oral health-related quality of life of Chinese elders.
复制标题
影响中国老年人口腔健康相关生活质量的临床和社会人口因素。
作者：
L. Zhao;H. C. Lin;E. Lo;M. Wong
目标
本研究的目的是探讨影响中国老年人口腔健康相关生活质量（OHRQoL）的临床和社会人口因素。
方法
选择中国东部山东省滨州市的两个城区，招募300名60-80岁的老年人。研究对象在访谈中完成了结构化问卷并接受了临床检查。调查问卷包括有关社会经济信息的问题和普通口腔健康评估指数（GOHAI）的普通话版本，该指数已被验证可用于中国老年人评估他们的 OHRQoL。使用世界卫生组织推荐的标准进行临床检查。记录牙齿状况、牙周健康状况、附着丧失（LOA）和咬合牙对的数量。对10%的受试者进行重复检查。
结果
受试者的平均 GOHAI 分数为 46.0 (SD 8.5)。 ANCOVA 结果显示，年龄较大、没有牙根龋、没有 LOA > 或 = 6mm 的牙齿或有更多咬合对的受试者的 GOHAI 分数较高，表明 OHRQoL 较好。
结论
研究中老年人的 OHRQoL 是一般的，并且受到年龄和许多临床因素的影响。由于我国牙科资源和人力有限，应优先考虑年龄相对较小、患有或高风险患根面龋和晚期牙周病、咬合牙数较少的老年人。
OBJECTIVES
The objective of this study was to explore the clinical and socio-demographic factors influencing oral health-related quality of life (OHRQoL) of the Chinese elderly.
METHODS
Two urban districts in Binzhou, Shandong Province, Eastern China were selected and 300 elders aged 60-80 years were recruited. The study subjects completed a structured questionnaire in an interview and underwent a clinical examination. The questionnaire included questions on socio-economic information and a Putonghua version of the General Oral Health Assessment Index (GOHAI) which had been validated for use in Chinese elders to evaluate their OHRQoL. Clinical examination was performed using the criteria recommended by the World Health Organization. Tooth status, periodontal health status, loss of attachment (LOA), and number of occluding tooth pairs were recorded. Duplicate examinations were conducted on 10% of the subjects.
RESULTS
The mean GOHAI score of the subjects was 46.0 (SD 8.5). Result of an ANCOVA showed that subjects who were older, had no root caries, had no tooth with LOA > or = 6mm, or had more occluding pairs had higher GOHAI scores indicating better OHRQoL.
CONCLUSION
The OHRQoL of the study elders was fair and was influenced by age and a number of clinical factors. With limited resources and dental manpower in China, higher priority should be given to the elders who are relatively younger, who have or are at high risk of developing root caries and advanced periodontal diseases, and who have few occluding tooth pairs.