Oral Health-Related Quality of Life Determinants in the Elderly from a Costa Rican Day Center: Findings of a Pilot Study
DOI:
https://doi.org/10.15517/ijds.2020.41983Keywords:
Oral health related quality of life; Determinants; GOHAI; Elderly; Costa RicaAbstract
The change in the demographic distribution of Costa Rica establishes the elderly as a public health priority. Oral health is a multidimensional indicator, which includes biological, social, and psychological dimensions. Besides using measures of morbidity and mortality, different indicators seek to approximate other subjective dimensions. There is an increasing interest in analyzing the role of quality of life on health. This study aims to identify the main determinants of Oral Health-Related Quality of Life (OHRQL) in the elderly attending a day center in the city of Desamparados (San José, Costa Rica). This is a descriptive cross-sectional study ran between 2018 and 2019. OHRQL was measured via the General / Geriatric Oral Health Assessment Index (GOHAI). As independent variables, sociodemographic, socioeconomic, morbidity, health behaviors, and drug consumption were included. Bivariate analyzes were performed using the Wilcoxon, Kruskall-Wallis, and Spearman non-parametric tests, using STATA 14. This study revealed differences in GOHAI scores according to demographic, socioeconomic, morbidity, medication, and health behaviors. Those over 80 years old, women, with higher levels of education, high income, without edentulism, with low levels of xerostomia, people without diseases, who do not take medication, who do not smoke, play sports, do not snack and who consume moderately sugars, are those that report a better OHRQL compared to their counterparts.
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Brenes G., Araya O., Jinesta K., Mora S., Fuentes E., González M.E., et al. Estimaciones y Proyecciones de Población por sexo y edad 1950-2050. San José, Costa Rica; 2013.
Cesare M. Di. El perfil epidemiológico de América Latina y el Caribe: desafíos , límites y acciones. Santiago de Chile; 2011.
Barboza Solis C., Fantin R., Kelly-Irving M., Delpierre C. Physiological wear-and-tear and later subjective health in mid-life: Findings from the 1958 British birth cohort. Psychoneuroendocrinology. 2016; 74: 24-33. DOI: https://doi.org/10.1016/j.psyneuen.2016.08.018
Gallo V., Mackenbach J.P., Ezzati M., Menvielle G., Kunst A.E., Rohrmann S., et al. Social inequalities and mortality in europe - results from a large multi-national cohort. PLoS One. 2012; 7 (7): 1-11. DOI: https://doi.org/10.1371/journal.pone.0039013
Engel G.L. The need for a new medical model: a challenge for biomedicine. Science. 1977;196 (4286):129-36. DOI: https://doi.org/10.1126/science.847460
Ageing H. Joint Report on Operational Definition of Healthy Ageing. 2015; 6 (633666).
Degrandi V., Bentancourt M., Fabruccini A., Fuentes F. Assessment of the Impact on Quality of Life in Adult Patients Treated With New Complete Removable Dentures. Odontoestomatologia. 2017; 19 (29). DOI: https://doi.org/10.22592/ode2017n29p64
Díaz-Cárdenas S., Meisser-Vidal M.A., Tirado-Amador L.R., Fortich-Mesa N., Tapias-Torrado L., González-Martínez F.D. Impacto de Salud Oral sobre Calidad de Vida en Adultos. Int J Odontostomatol. 2017; 11: 5-11. DOI: https://doi.org/10.4067/S0718-381X2017000100001
Watt R.G., Listl S., Peres M., Heilmann A. Social inequalities in oral health: from evidence to action. London: University College London; 2015.
Organización Mundial de la Salud. Determinantes Sociales de la Salud [Internet]. Available from: https://www.who.int/topics/social_determinants/es/. (Accessed in March 2019).
Kwan S., Petersen P.E. Equity, social determinant and public health programmes. Blas E., Kurup A.S., editors. Geneva; 2010. 293 p.
Sabbah W., Tsakos G., Chandola T., Sheiham A., Watt R.G. Social gradients in oral and general health. J Dent Res. 2007; 86 (10): 992-6. DOI: https://doi.org/10.1177/154405910708601014
Alzate-Urrea S., Agudelo-Suárez A.A., López-Vergel F., López-Orozco C., Espinosa-Herrera É., Posada-López A., et al. Calidad de vida y salud bucal: Perspectiva de adultos mayores atendidos en la red hospitalaria pública de Medellín, Colombia. Rev Gerenc y Polit Salud. 2015; 14 (29): 83-96. DOI: https://doi.org/10.11144/Javeriana.rgyps14-29.cbsv
Barboza Solís C., Fantin R. The Role of Socioeconomic Position in Determining Tooth Loss in Elderly Costa Rican: Findings from the CRELES Cohort . Vol. 19, Odovtos International Journal of Dental Sciences . scielo; 2017. p. 79-94. DOI: https://doi.org/10.15517/ijds.v19i3.29851
Fantin R., Delpierre C., Kelly-Irving M., Barboza Solís C. Early socioeconomic conditions and severe tooth loss in middle-aged Costa Ricans. Community Dent Oral Epidemiol. 2018; 46 (2): 178-84. DOI: https://doi.org/10.1111/cdoe.12351
Atchison K.A., Dolan T.A. Development of the Geriatric Oral Health Assessment Index. J Dent Educ. 1990; 54 (11): 680-7. DOI: https://doi.org/10.1002/j.0022-0337.1990.54.11.tb02481.x
Salazar Díaz O.A. Validación en Chile del cuestionario GOHAI y Xerostomía Inventory (XI) en adultos mayores. Universidad de Chile; 2010.
Locker D., Allen F. What do measures of “oral health-related quality of life” measure? Community Dent Oral Epidemiol. 2007; 35 (6): 401-11. DOI: https://doi.org/10.1111/j.1600-0528.2007.00418.x
Locker D. Concepts of oral health, disease and the quality of life. In: Slade GD, editor. Measuring oral health and quality of life. Chapel Hill; 1996. p. 11-22.
Thomson W.M., Chalmers J.M., Spencer A.J., Williams S.M. The Xerostomia Inventory: a multi-item approach to measuring dry mouth. Community Dent Health. 1999;16 (1):12-7.
Serrano C., Farina M.P., Perez C., Fernandez M., Forman K., Carrasco M. Translation and validation of a Spanish version of the xerostomia inventory. Gerodontology. 2016; 33 (4): 506-12. DOI: https://doi.org/10.1111/ger.12196
De la Fuente J., Sumano O., Sifuentes M.C., Zelocuatecatl A. Impacto de la salud bucal en la calidad de vida de adultos mayores demandantes de atención dental. Univ Odontol. 2010; 29 (63): 83-92.
Jiménez Pérez J., Esquivel Hernández R.I., González-Celis Rangel A.L. La percepción de salud bucal como medida de la calidad de vida en ancianos. Rev ADM. 2003; 60 (1): 19-24.
Duque-Duque V.E., Tamayo-Castrillón J., Echeverri-Cadavid P.A., Gutiérrez-Osorio A.Y., Sepúlveda-Correa D., Giraldo-Ramírez O., et al. Oral health related quality of life in older adults assisting “IPS Universitaria” of Medellin and associated factors. CES Odontol. 2013; 26 (1): 10-23.
Olmedo M.M., Ramírez J., Sánchez M.A., Barrilao G, C. V. Envejecimiento y calidad de vida en una sociedad multicultural. Scientia. 2010; 15 (2): 135-52.
Hahnel S., Schwarz S., Zeman F., Schaefer L., Behr M. Prevalence of xerostomia and hyposalivation and their association with quality of life in elderly patients in dependence on dental status and prosthetic rehabilitation: A pilot study. J Dent. 2014; 42 (6): 664-70. DOI: https://doi.org/10.1016/j.jdent.2014.03.003
Rebelo M.A.B., Cardoso E.M., Robinson P.G., Vettore M.V. Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults. Qual Life Res. 2015; 25 (7): 1735-42. DOI: https://doi.org/10.1007/s11136-015-1209-y
Sreebny L.M., Schwartz S.S. A reference guide to drugs and dry mouth--2nd edition. Gerodontology. 1997;14 (1): 33-47. DOI: https://doi.org/10.1111/j.1741-2358.1997.00033.x
Díaz C. V., Pérez N.M., Ferreira M.I., Sanabria D.A., Torres C.D., Araujo A., et al. Autopercepción de la calidad de vida relacionada con salud oral en adultos mayores residentes en albergues estatales del área metropolitana, Paraguay. Rev Odontológica Latinoam. 2015; 7 (1): 23-31.
Acuña V. H. Historia económica del tabaco en Costa Rica: Época ColoniaI. San José, Costa Rica; 1976. 279-392 p.
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