Refereed journal article or data article (A1)
Oral health-related quality of life among home-dwelling older people with and without domiciliary care
List of Authors: Salmi Riikka, Närhi Timo, Suominen Auli, Suominen Anna Liisa, Lahti Satu
Publisher: WILEY
Publication year: 2022
Journal: Gerodontology
Journal name in source: GERODONTOLOGY
Journal acronym: GERODONTOLOGY
Number of pages: 8
ISSN: 0734-0664
DOI: http://dx.doi.org/10.1111/ger.12659
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/176897539
Abstract
Objectives The aim was to compare oral health-related quality of life (OHRQoL) between home-dwelling older people with and without domiciliary care when adjusted for gender, education, use of dental services and removable dental prostheses. Background OHRQoL of home-dwelling older people with and without domiciliary care is a neglected area of research, with few studies having been conducted. Materials and Methods A secondary analysis was conducted on the Finnish Health 2011 interview data. Home-dwelling participants (age >= 70) with or without domiciliary care were included (n = 758). OHRQoL was measured with the Oral Health Impact Profile questionnaire (OHIP-14) calculating three outcomes: prevalence of at least one impact reported: "occasionally," "fairly often" or "very often" (OFoVo), severity as mean sum score and mean of the seven OHIP-14 dimensions. These were evaluated by use of domiciliary care using logistic and negative binomial regression analyses. Results Domiciliary care clients tended to have poorer OHRQoL than non-clients (severity mean 4.33 vs 4.11, P = .057), especially men (6.71 vs 4.15, P = .027), and reported more psychological discomfort than non-clients (mean 1.10 vs 0.82, P = .039). The use of removable dental prostheses was the strongest predictor (OR 2.84, P < .001) of poor OHRQoL. Conclusion Domiciliary care clients tended to report poorer OHRQoL, especially with regard to psychological discomfort dimension than non-clients. Thus, support of oral hygiene and regular utilisation of oral health services should be part of domiciliary care among older people to enhance OHRQoL.
Objectives The aim was to compare oral health-related quality of life (OHRQoL) between home-dwelling older people with and without domiciliary care when adjusted for gender, education, use of dental services and removable dental prostheses. Background OHRQoL of home-dwelling older people with and without domiciliary care is a neglected area of research, with few studies having been conducted. Materials and Methods A secondary analysis was conducted on the Finnish Health 2011 interview data. Home-dwelling participants (age >= 70) with or without domiciliary care were included (n = 758). OHRQoL was measured with the Oral Health Impact Profile questionnaire (OHIP-14) calculating three outcomes: prevalence of at least one impact reported: "occasionally," "fairly often" or "very often" (OFoVo), severity as mean sum score and mean of the seven OHIP-14 dimensions. These were evaluated by use of domiciliary care using logistic and negative binomial regression analyses. Results Domiciliary care clients tended to have poorer OHRQoL than non-clients (severity mean 4.33 vs 4.11, P = .057), especially men (6.71 vs 4.15, P = .027), and reported more psychological discomfort than non-clients (mean 1.10 vs 0.82, P = .039). The use of removable dental prostheses was the strongest predictor (OR 2.84, P < .001) of poor OHRQoL. Conclusion Domiciliary care clients tended to report poorer OHRQoL, especially with regard to psychological discomfort dimension than non-clients. Thus, support of oral hygiene and regular utilisation of oral health services should be part of domiciliary care among older people to enhance OHRQoL.
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