Oral health-related quality of life of community-dwellers in the canton of Bern, Switzerland
DOI:
https://doi.org/10.2340/aos.v84.42707Keywords:
Oral health-related quality of life, public health, oral health, epidemiologyAbstract
Objective: The study aims to describe and analyze the oral health-related quality of life (OHRQoL) of persons aged ≥45 years in the canton of Bern, Switzerland.
Material and Methods: Community dwellers were recruited by random sampling from the canton of Bern. Data were collected by a questionnaire (demographic factors, medical history, oral health behavior, dental patient-reported outcomes [dPROs]) and a clinical examination (dental caries, periodontal disease, oral hygiene, mastication). dPROs were evaluated using the OHRQoL-questionnaire Geriatric Oral Health Assessment Index with items related to four domains: functional limitations, pain and discomfort, psychological impact, behavioral impact. χ2 tests, Cochrane Armitage trend tests and binary logistic regression were performed with P < 0.05 statistical significance.
Results: The highest prevalence (199/44%, n [total] = 275 participants) of reported problems was observed in the psychological impact domain. Binary logistic regression shows that participants with rheumatoid arthritis (odds ratio [OR] = 4.86, 95% confidence interval [CI] = 1.70–13.87) and chewing deficiencies (OR 28.43, 95% CI = 2.11–382.68) had higher odds of having functional limitations, while participants with bleeding gums (OR = 1.69, 95% CI = 1.02–2.81) had higher odds of experiencing pain and discomfort. Participants with depression had higher odds of having pain and discomfort (OR = 2.44, 95% CI = 1.03–5.81), suffering a behavioral impact (OR 5.89, 95% CI = 1.57–22.20) and a low OHRQoL (OR = 2.33, 95% CI = 0.09–0.58).
Conclusions: The study shows that poor oral hygiene, high DMFT, chewing deficiency, rheumatoid arthritis, and depression are associated with low OHRQoL.
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Acta Odontologica Scandinavica publishes original research papers as well as critical reviews relevant to the diagnosis, epidemiology, health service, prevention, aetiology, pathogenesis, pathology, physiology, microbiology, development and treatment of diseases affecting tissues of the oral cavity and associated structures including papers on cause and effect or explanatory/associative relationships for experimental or observational studies.
