Top

Quality of Life Research

Published in:

Open Access 01-07-2016

Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults

Authors: Maria Augusta Bessa Rebelo, Evangeline Maria Cardoso, Peter G. Robinson, Mario Vianna Vettore

Published in: Quality of Life Research | Issue 7/2016

Abstract

Purpose

To identify demographic, socioeconomic and dental clinical predictors of oral health-related quality of life (OHRQoL) in elderly people.

Methods

Cross-sectional study involving 613 elderly people aged 65–74 years in Manaus, Brazil. Interviews and oral examinations were carried out to collect demographic characteristics (age and sex) and socioeconomic data (income and education), dental clinical measures (DMFT, need of upper and lower dentures) and OHRQoL (GOHAI questionnaire). Structural equation modelling was used to estimate direct and indirect pathways between the variables.

Results

Being older predicted lower schooling but higher income. Higher income was linked to better dental status, which was linked to better OHRQoL. There were also indirect pathways. Age and education were linked to OHRQoL, mediated by clinical dental status. Income was associated with dental clinical status via education, and income predicted OHRQoL via education and clinical measures.

Conclusion

Our findings elucidate the complex pathways between individual, environmental factors and clinical factors that may determine OHRQoL and support the application of public health approaches to improve oral health in older people.

Tsakos, G. (2011). Inequalities in oral health of the older: Rising to the public health challenge? Journal of Dental Research, 90, 689–690.CrossRefPubMed

Petersen, P. E., Kandelman, D., Arpin, S., & Ogawa, H. (2010). Global oral health of older people-call for public health action. Community Dental Health, 27, 257S–267S.

Locker, D., & Allen, F. (2007). What do measures of ‘oral health-related quality of life’ measure? Community Dentistry and Oral Epidemiology, 35, 401–411.CrossRefPubMed

Sischo, L., & Broder, H. (2011). Oral health-related quality of life: What, why, how, and future implications. Journal of Dental Research, 90, 1264–1270.CrossRefPubMedPubMedCentral

Atchison, K. A., & Dolan, T. A. (1990). Development of the geriatric oral health assessment index. Journal of Dental Education, 54, 680–687.PubMed

Fuentes-García, A., Lera, L., Sánchez, H., & Albala, C. (2013). Oral health-related quality of life of older people from three South American cities. Gerodontology, 30, 67–75.CrossRefPubMed

Tsakos, G., Sheiham, A., Iliffe, S., Kharicha, K., Harari, D., Swift, C. G., et al. (2009). The impact of educational level on oral health-related quality of life in older people in London. European Journal of Oral Science, 117, 286–292.CrossRef

Erić, J., Stanĉić, I., Tihaĉek-Šojić, L. J., Kulić, L. J., Popovac, A., & Tsakos, G. (2012). Prevalence, severity, and clinical determinants of oral impacts in older people in Bosnia and Herzegovina. European Journal of Oral Science, 120, 438–443.CrossRef

Gilbert, G. (2005). Racial and socioeconomic disparities in health from population-based research to practice-based research: The example of oral health. Journal of Dental Education, 69, 1003–1014.PubMed

10.

Makhija, S. K., Gilbert, G. H., Boykin, M. J., Litaker, M. S., Allman, R. M., Baker, P. S., et al. (2006). The relationship between sociodemographic factors and oral health-related quality of life in dentate and edentulous community-dwelling older adults. Journal of the American Geriatric Society, 54, 1701–1712.CrossRef

11.

Gerritsen, A. E., Allen, P. F., Witter, D. J., Bronkhorst, E. M., & Creugers, N. H. (2010). Tooth loss and oral health-related quality of life: A systematic review and meta-analysis. Health Quality of Life Outcomes, 8, 126.CrossRefPubMedPubMedCentral

12.

Andrade, F. B., Lebrão, M. L., Santos, J. L. F., Teixeira, D. S. C., & Duarte, Y. A. O. (2012). relationship between oral health-related quality of life, oral health, socioeconomic, and general health factors in older Brazilians. Journal of the American Geriatric Society, 60, 1755–1760.CrossRef

13.

Sánchez-García, S., Heredia-Ponce, E., Juárez-Cedillo, T., Gallegos-Carrillo, K., Espinel-Bermúdez, C., Fuente-Hernández, J., et al. (2010). Psychometric properties of the General Oral Health Assessment Index (GOHAI) and dental status of an older Mexican population. Journal of Public Health Dentistry, 70, 300–307.CrossRefPubMed

14.

Tsakos, G., Steele, J. G., Marcenes, W., Walls, A. W., & Sheiham, A. (2006). Clinical correlates of oral health related quality of life: Evidence from a national sample of British older people. European Journal of Oral Sciences, 114, 391–395.CrossRefPubMed

15.

Tsakos, G., Marcenes, W., & Sheiham, A. (2004). The relationship between clinical dental status and oral impacts in an older population. Oral Health and Preventive Dentistry, 2, 211–220.PubMed

16.

Joaquim, A. M., Wyatt, C. C., Aleksejuniene, J., Greghi, S. L., Pegoraro, L. F., & Kiyak, H. A. (2010). A comparison of the dental health of Brazilian and Canadian independently living older. Gerodontology, 27, 258–265.CrossRefPubMed

17.

Swoboda, J., Kiyak, H. A., Persson, R. E., Persson, G. R., Yamaguchi, D. E. K., MacEntee, M. I., et al. (2006). Predictors of oral health quality of life in older adults. Special Care Dentistry, 26, 137–144.CrossRef

18.

Mesas, A. E., de Andrade, S. M., & Cabrera, M. A. (2008). Factors associated with negative self-perception of oral health among older people in a Brazilian community. Gerodontology, 25, 49–56.CrossRefPubMed

19.

Baker, S. R., Pearson, N. K., & Robinson, P. G. (2008). Testing the applicability of a conceptual model of oral health in housebound edentulous older people. Community Dentistry and Oral Epidemiology, 36, 237–248.CrossRefPubMed

20.

Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. The Journal of the American Medical Association, 273, 59–65.CrossRefPubMed

21.

Newton, J. T., & Bower, E. J. (2005). The social determinants of oral health: New approaches to conceptualizing and researching complex causal networks. Community Dentistry and Oral Epidemiology, 33, 25–34.CrossRefPubMed

22.

Baker, S. R., Pankhurst, C. L., & Robinson, P. G. (2007). Testing relationships between clinical and non-clinical variables in xerostomia: A structural equation model of oral health-related quality of life. Quality of Life Research, 16, 297–308.CrossRefPubMed

23.

Gururatana, O., Baker, S. R., & Robinson, P. G. (2014). Determinants of children’s oral-health-related quality of life over time. Community Dentistry and Oral Epidemiology, 42, 206–215.CrossRefPubMed

24.

Foster Page, L. A., Thomson, W. M., Ukra, A., & Baker, S. R. (2013). Clinical status in adolescents: Is its impact on oral health-related quality of life influenced by psychological characteristics? European Journal of Oral Sciences, 121, 182–187.CrossRefPubMed

25.

Gupta, E., Robinson, P. G., Marya, C. M., & Baker, S. R. (2015) Oral health inequalities: Relationships between environmental and individual factors. Journal of Dental Research, 94, 1362–1368.CrossRefPubMed

26.

Singh, A., Harford, J., Watt, R. G., & Peres, M. A. (2015). The role of theories in explaining the association between social inequalities and population oral health: A scoping review protocol. The JBI Database of Systematic Reviews and Implementation Reports, 3, 30–40.CrossRef

27.

Cohen, J. (1998). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.

28.

Cardoso, A. M., Parente, R. C. P., Vettore, M. V., & Rebelo, M. A. B. (2011). Oral health conditions of older residents in the city of Manaus, Amazonas: Estimates by sex oral health. Revista Brasileira de Epidemiologia, 14, 1–10.CrossRef

29.

Malheiros, S. M. F., Okamoto, I., & Bertolucci, P. H. F. (1997). Dados normativos para o teste de fluência verbal: Categorias animais em nosso meio. Arquivos Neuropsiquiatria, 55, 56–61.CrossRef

30.

WHO. (1997). Oral health surveys, basic methods (4th ed.). Genebra: World Health Organization.

31.

Kressin, N. R., Atchison, K. A., & Miller, D. R. (1997). Comparing the impact of oral disease in two populations of older adults: Application of the geriatric oral health assessment index. Journal of Public Health Dentistry, 57, 224–321.CrossRefPubMed

32.

MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. A. (2002). Comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7, 83–104.CrossRefPubMedPubMedCentral

33.

Hu, L.-T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef

34.

Baker, S. R., Mat, A., & Robinson, P. G. (2010). What psychosocial factors influence adolescents’ oral health? Journal of Dental Research, 89, 1230–1235.CrossRefPubMed

35.

Sabbah, W., Tsakos, G., Chandola, T., Sheiham, A., & Watt, R. G. (2007). Social gradients in oral and general health. Journal of Dental Research, 86, 992–996.CrossRefPubMed

36.

Gabardo, M. C. L., Moyses, S. J., Moyses, S. T., Olandoski, M., Olinto, M. T. A., & Patussi, M. P. (2015). Social, economic, and behavioural variables associated with oral health-related quality of life among Brazilian adults. Ciencia e Saúde Coletiva, 20, 1531–1540.CrossRefPubMed

37.

Tsakos, G., Marcenes, W., & Sheiham, A. (2001). Cross-cultural differences in oral impacts on daily performance between Greek and British older adults. Community Dental Health, 18, 209–213.PubMed

38.

Sheiham, A., Steele, J. G., Marcenes, W., Tsakos, G., Finch, S., & Walls, A. W. (2001). Prevalence of impacts of dental and oral disorders and their effects on eating among older people; a national survey in Great Britain. Community Dentistry and Oral Epidemiology, 29, 195–203.CrossRefPubMed

39.

Guarnizo-Herreño, C. C., Watt, R. G., Fuller, E., Steele, J. G., Shen, J., Morris, S., et al. (2014). Socioeconomic position and subjective oral health: Findings for the adult population in England, Wales and Northern Ireland. BMC Public Health, 14, 827.CrossRefPubMedPubMedCentral

40.

Tsakos, G., Demakakos, P., Breeze, E., & Watt, R. G. (2011). Social gradients in oral health in older adults: Findings from the English longitudinal survey of aging. American Journal of Public Health, 101, 1892–1899.CrossRefPubMedPubMedCentral

41.

Fenlon, M. R., Sherriff, M., & Walter, J. D. (2000). An investigation of factors influencing patients’ use of new complete dentures using structural equation modelling techniques. Community Dentistry and Oral Epidemiology, 28, 133–140.CrossRefPubMed

42.

Yamaga, E., Sato, Y., & Minakuchi, S. (2013). A structural equation model relating oral condition, denture quality, chewing ability, satisfaction, and oral health-related quality of life in complete denture wearers. Journal of Dentistry, 41, 710–717.CrossRefPubMed

43.

John, M. T., Koepsell, T. D., Hujoel, P., Miglioretti, D. L., Leresche, L., & Micheelis, W. (2004). Demographic factors, denture status and oral health-related quality of life. Community Dentistry and Oral Epidemiology, 32, 125–132.CrossRefPubMed

44.

Srisilapanan, P., & Sheiham, A. (2001). The prevalence of dental impacts on daily performances in older people in Northern Thailand. Gerodontology, 18, 102–108.CrossRefPubMed

45.

Holland, P. W. (1988). Causal inference, path analysis and recursive structural equation models. Sociological Methodology, 18, 449–484.CrossRef

Title: Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults
Authors: Maria Augusta Bessa Rebelo
Evangeline Maria Cardoso
Peter G. Robinson
Mario Vianna Vettore
Publication date: 01-07-2016
Publisher: Springer International Publishing
Published in: Quality of Life Research / Issue 7/2016
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-015-1209-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 7/2016

Prognostic value of health-related quality of life in patients with metastatic pancreatic adenocarcinoma: a random forest methodology

The PROMIS FatigueFM Profile: a self-report measure of fatigue for use in fibromyalgia

The EQ-5D-5L valuation study in Korea

Response shift and disease activity in inflammatory bowel disease

Frailty predicts trajectories of quality of life over time among British community-dwelling older people

On the effect of adding clinical samples to validation studies of patient-reported outcome item banks: a simulation study