Oral health-related quality of life in institutionalized elderly in (Spain) Barcelona
Cornejo, Marco (Agència de Salut Pública de Barcelona)
Pérez Albarracín, Glòria (Institut d'Investigació Biomèdica Sant Pau)
de Lima, Kenio C. (Universidade Federal do Rio Grande do Norte)
Casals-Peidro, Elías (Primary Health Care Center Sant Miquel)
Borrell i Thió, Carme (Institut d'Investigació Biomèdica Sant Pau)
Universitat Autònoma de Barcelona

Data:	2013
Resum:	Objective: The objective of this study is to describe the oral health status and the factors associated with oral health-related quality of life (OHRQoL) in people aged 65 and older institutionalized in Barcelona in 2009. Study Desing: Cross sectional study in 194 elderly. The dependent variable was poor OHRQoL, according to the Geriatric Oral Health Assessment Index (GOHAI). The independent variables were socio-demographic data, last dental visit, subjective and objective oral health status. Robust Poisson regression analysis was used to determine the factors associated with OHRQoL as well as the strengths of association (Prevalence Ratios with respective confidence intervals at 95%). Results: According to GOHAI, 94 women (68. 1%) and 36 men (64. 3%) had poor OHRQoL. The average DMFT index (number of decayed, missing and filled teeth) was 22. 8, with mean 10. 2 remaining teeth. According to the Community Periodontal Index only 1. 9% were healthy. 33. 8% of the sample (35. 5% of women and 30. 4% of men) presented edentulism, 54. 2% needed upper dental prostheses (51. 1% of women and 60. 7% of men) and 64. 7% needed lower ones (61. 6% of women and 71. 4% of men). Only 7. 2% had visited a dentist in the past year (8. 8% of women and 3. 6% of men). After fitting several multivariate adjusted robust Poisson regression models, poor OHRQoL was found to be associated to self-reporting problems with teeth or gums, self-reporting poor opinion about teeth/gums/denture and also associated to functional edentulism, needing upper denture, but not to sociodemographic factors or time since last dental visit. Conclusions: The study population has poor objective oral health. A high percentage has poor OHRQoL associated to subjective and objective oral health conditions. Dental care is required and these services should be included in the Spanish National Health System. © Medicina Oral S. L. C. I. F. B.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Elderly ; Geriatric oral health assessment index (GOHAI) ; Homes for the aged ; Oral health ; Quality of life ; Self-assessment
Publicat a:	Medicina oral, patología oral y cirugía bucal, Vol. 18 Núm. 2 (january 2013) , ISSN 1698-6946

DOI: 10.4317/medoral.18280
PMID: 23385501

8 p, 526.6 KB

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