일부 농촌지역 노인들의 치아상실이 구강건강과 관련된 삶의 질에 미치는 영향 (The impact of tooth loss on oral health related quality of life among the elderly in Seongju, Korea)

서지정보

· 발행기관 : 대한예방치과·구강보건학회
· 수록지 정보 : 대한구강보건학회지 / 32권 / 1호 / 63 ~ 74페이지
· 저자명 : 박지혜, 정성화, 이가령, 송근배

초록

Objective: The purpose of this study was to evaluate the impact The impact of tooth loss on oral health
related quality of life among the elderly population in Seongju, Korea.
Methods: A total of 517 participants (male 215, female 302) aged more than 65 years (mean 71.7
years) were surveyed cross-sectionally. The subjects were examined their oral conditions by 2 trained
dentists, and also surveyed their socio-demographic characteristics and oral health related quality of life
by face to face interviews. Dental examinations included the number of missing teeth, the number of
teeth with caries, and status and need of denture. Oral health related quality of life was evaluated by
short-form of Oral Health Impact Profile (OHIP-14). The participants were divided by two groups
according to the number of tooth loss; (1) tooth loss＜9 and (2) tooth loss ≥9, respectively. The
differences in OHIP-14 and it’s 7 subscales between two groups were tested by student’s t-test. The
association between tooth loss and OHIP-14 was assessed by multiple regression analysis after
Abstract
2005;18(5):414-419.
20. 김설희, 임선아, 박수정, 김동기. 구강건강영향지수를 이용
한 삶의 질과 관련된 구강건강평가. 대한구강보건학회지
2004;28(4):559-569.
21. 이지혜. 한국노인의 구강건조증의 관련요소 및 구강건조증
이 구강건강과 관련된 삶의 질에 미치는 영향 [석사학위논
문]. 서울:서울대학교 대학원;2006.
22. Akifusa S, Soh I, Ansai T, Hamasaki T, Takata Y, Yohida A,
et al. Relationship of number of remaining teeth to healthrelated
quality of life in community-dwelling elderly.
Gerodontology 2005;22(2):91-97.
23. Takata Y, Ansai T, Awano S, Fukuhara M, Sonoki K,
Wakisaka M, et al. Chewing ability and quality of life in an
80-year-old population. J Oral Rehabil 2006;33(5):330-334.
24. 이명선, 이장재, 김동기. 가중치 유무에 따른 구강건강영향
지수 평가방법의 판별력 비교. 대한구강보건학회지 2006;
30(4):469-479.
25. Steele JG, Sanders AE, Slade GD, Allen PF, Lahti S, Nuttall
N, et al. How do age and tooth loss affect oral health
impacts and quality of life?: a study comparing two national
samples. Community Dent Oral Epidemiol 2004;32(2):107-
114.
26. Hassel AJ, Koke U, Schmitter M, Rammelsberg P. Factors
associated with oral health-related quality of life in
institutionalized elderly. Acta Odontol Scand 2006;64(1):9-
15.
27. Kressin NR, Reisine S, Spiro A, Jones JA. Is negative
affectivity associated with oral quality of life? Community
Dent Oral Epidemiol 2001;29(6):412-423.
28. Brennan DS, Singh KA, Spencer AJ, Roberts-Thomson KF.
Positive and negative affect and oral health-related quality
of life. Health Qual Life Outcomes 2006;4:83-93.
29. Ekanayake L, Perera I. The association between clinical
oral health status and oral impacts experienced by older
individuals in Sri Lanka. J Oral Rehabil 2004;31(9):831-836.
74 박지혜, 정성화, 이가령, 송근배
adjusting for socio-demographic variables.
Results: There was significantly difference in mean scores of OHIP-14 between the participants with
＜9 tooth loss (63.60) and the participants with≥9 tooth loss (61.62) (p=0.005). Among the 7 OHIP-14
subscales, the mean scores of functional limitation, physical disability and handicap were significantly
higher in the participants with ＜9 tooth loss than in those with ≥ 9 tooth loss (p＜0.001, p=0.029, and
p=0.006, respectively). No significant differences in the mean scores of physical pain, psychological
discomfort, psychological disability and social disability were founded by the number of tooth loss.
Multiple regression analysis identified that the OHIP-14 score of an individual with ≥ 9 tooth loss was
tended to decrease compared with the score of an individual with ＜9 tooth loss after adjustment for age,
gender, educational level, job status, and income(b=-1.55, p=0.032).
Conclusions: The findings of the present study indicated that old participants with ＜9 tooth loss had
better oral health related quality of life than those with ≥9 tooth loss. Further study would be necessary
a comprehensive oral health program for the elderly to reduce a tooth loss and promote oral health.

영어초록

Objective: The purpose of this study was to evaluate the impact The impact of tooth loss on oral health
related quality of life among the elderly population in Seongju, Korea.
Methods: A total of 517 participants (male 215, female 302) aged more than 65 years (mean 71.7
years) were surveyed cross-sectionally. The subjects were examined their oral conditions by 2 trained
dentists, and also surveyed their socio-demographic characteristics and oral health related quality of life
by face to face interviews. Dental examinations included the number of missing teeth, the number of
teeth with caries, and status and need of denture. Oral health related quality of life was evaluated by
short-form of Oral Health Impact Profile (OHIP-14). The participants were divided by two groups
according to the number of tooth loss; (1) tooth loss＜9 and (2) tooth loss ≥9, respectively. The
differences in OHIP-14 and it’s 7 subscales between two groups were tested by student’s t-test. The
association between tooth loss and OHIP-14 was assessed by multiple regression analysis after
Abstract
2005;18(5):414-419.
20. 김설희, 임선아, 박수정, 김동기. 구강건강영향지수를 이용
한 삶의 질과 관련된 구강건강평가. 대한구강보건학회지
2004;28(4):559-569.
21. 이지혜. 한국노인의 구강건조증의 관련요소 및 구강건조증
이 구강건강과 관련된 삶의 질에 미치는 영향 [석사학위논
문]. 서울:서울대학교 대학원;2006.
22. Akifusa S, Soh I, Ansai T, Hamasaki T, Takata Y, Yohida A,
et al. Relationship of number of remaining teeth to healthrelated
quality of life in community-dwelling elderly.
Gerodontology 2005;22(2):91-97.
23. Takata Y, Ansai T, Awano S, Fukuhara M, Sonoki K,
Wakisaka M, et al. Chewing ability and quality of life in an
80-year-old population. J Oral Rehabil 2006;33(5):330-334.
24. 이명선, 이장재, 김동기. 가중치 유무에 따른 구강건강영향
지수 평가방법의 판별력 비교. 대한구강보건학회지 2006;
30(4):469-479.
25. Steele JG, Sanders AE, Slade GD, Allen PF, Lahti S, Nuttall
N, et al. How do age and tooth loss affect oral health
impacts and quality of life?: a study comparing two national
samples. Community Dent Oral Epidemiol 2004;32(2):107-
114.
26. Hassel AJ, Koke U, Schmitter M, Rammelsberg P. Factors
associated with oral health-related quality of life in
institutionalized elderly. Acta Odontol Scand 2006;64(1):9-
15.
27. Kressin NR, Reisine S, Spiro A, Jones JA. Is negative
affectivity associated with oral quality of life? Community
Dent Oral Epidemiol 2001;29(6):412-423.
28. Brennan DS, Singh KA, Spencer AJ, Roberts-Thomson KF.
Positive and negative affect and oral health-related quality
of life. Health Qual Life Outcomes 2006;4:83-93.
29. Ekanayake L, Perera I. The association between clinical
oral health status and oral impacts experienced by older
individuals in Sri Lanka. J Oral Rehabil 2004;31(9):831-836.
74 박지혜, 정성화, 이가령, 송근배
adjusting for socio-demographic variables.
Results: There was significantly difference in mean scores of OHIP-14 between the participants with
＜9 tooth loss (63.60) and the participants with≥9 tooth loss (61.62) (p=0.005). Among the 7 OHIP-14
subscales, the mean scores of functional limitation, physical disability and handicap were significantly
higher in the participants with ＜9 tooth loss than in those with ≥ 9 tooth loss (p＜0.001, p=0.029, and
p=0.006, respectively). No significant differences in the mean scores of physical pain, psychological
discomfort, psychological disability and social disability were founded by the number of tooth loss.
Multiple regression analysis identified that the OHIP-14 score of an individual with ≥ 9 tooth loss was
tended to decrease compared with the score of an individual with ＜9 tooth loss after adjustment for age,
gender, educational level, job status, and income(b=-1.55, p=0.032).
Conclusions: The findings of the present study indicated that old participants with ＜9 tooth loss had
better oral health related quality of life than those with ≥9 tooth loss. Further study would be necessary
a comprehensive oral health program for the elderly to reduce a tooth loss and promote oral health.

참고자료

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