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      Correlation between oral health and quality of life among the elderly in Southwest China from 2013 to 2015

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          Abstract

          The aim of this study was to evaluate the oral health among the elderly in Southwest China and to analyze the correlation between common oral diseases and quality of life (QOL) in the same population, thus providing recommendations to improve their oral health and life quality.

          Elderly people (>60 years’ old) were randomly recruited into our study, and we performed oral health examinations and diagnoses, using the Community Periodontal Index (CPI) to assess the periodontal condition, and Oral Health Impact Profile-14 (OHIP-14) to score life quality associated with oral health. Then we analyzed correlations between oral health and QOL as well as body mass index (BMI).

          A total of 687 subjects participated in our study and 212 (30.9%) were diagnosed with gingivitis or subgingival calculus, 291 (42.4%) with moderate chronic periodontitis, 136 (19.8%) with severe chronic periodontitis, 514 (74.8%) with dental caries, and 648 (94.3%) with dentition defects. A total of 653 (95.1%) qualified OHIP-14 scores were collected, with a median score of 13. The scores of the severe and moderate periodontitis were similar to the dentition defects, but higher than the scores for gingivitis and subgingival calculus. Considering the most common side effect, 11% of the subjects with severe chronic periodontitis were reported to be “unsatisfied with eating,” and 48.4% of the participants with dentition defects complained about “troubles with pronunciation.” A logistic regression analysis revealed that underweight (BMI <20) correlated with dental caries (odds ratio [OR]: 0.167, P = .040) and dentition defects (OR: 0.119, P = .016).

          The general oral health condition was poor among the elderly in Southwest China. Periodontitis and dentition defects have considerable negative effects on the QOL among this population.

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          Most cited references13

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          Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN).

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            Assessment of oral health related quality of life

            In Dentistry, as in other branches of Medicine, it has been recognised that objective measures of disease provide little insight into the impact of oral disorders on daily living and quality of life. A significant body of development work has been undertaken to provide health status measures for use as outcome measures in dentistry. In descriptive population studies, poor oral health related quality of life is associated with tooth loss. There is a less extensive literature of longitudinal clinical trials, and measurement of change and interpretation of change scores continues to pose a challenge. This paper reviews the literature regarding the development and use of these oral health related QoL measures and includes an appraisal of future research needs in this area.
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              Elderly people's definitions of quality of life.

              The subject of this paper is the definition and measurement of the concept of quality of life, and questions the operationalization of quality of life simply in terms of health status measures and scales of functional ability. It is based on a review of the literature, and the initial analyses of the first stage of a study designed to identify individual's views of the quality of their lives and to test the relevance of various scales used to measure quality of life. The study focuses on older people living at home in two contrasting areas of south east England, and demonstrates not only that older people can talk about, and do think about, quality of life, but also highlights how quality of life varies for different age groups of the elderly population living at home, in different geographical areas. In addition, early conclusions also indicate that there is more to quality of life than health; indeed, social contacts appear to be as valued components of a good quality of life as health status. This study deals with issues high on the agenda of the current debate on quality of life and its measurement; it has implications for those involved in both quality of life research and in health and social service policy for older people.
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                Author and article information

                Journal
                Medicine (Baltimore)
                Medicine (Baltimore)
                MEDI
                Medicine
                Wolters Kluwer Health
                0025-7974
                1536-5964
                May 2018
                25 May 2018
                : 97
                : 21
                : e10777
                Affiliations
                [a ]Department of Stomatology, The Affiliated Stomatological Hospital of Kunming Medical University
                [b ]Department of Community Health, Kunming Medical University School of Public Health
                [c ]Department of Ophthalmology, First Affiliated Hospital of Kunming Medical University, Kunming, China.
                Author notes
                []Correspondence: Hua Zhong, Department of Ophthalmology, First Affiliated Hospital of Kunming Medical University, No 295 Xichang Road, Kunming 650032, China (e-mail: Zhonghua021516@ 123456163.com ).
                Article
                MD-D-16-06281 10777
                10.1097/MD.0000000000010777
                6392902
                29794757
                37e8867c-0b46-4ab7-bf0c-75355005a583
                Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc.

                This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0

                History
                : 17 October 2016
                : 24 April 2018
                Categories
                5900
                Research Article
                Observational Study
                Custom metadata
                TRUE

                dental caries,dentition,gingivitis,life quality,periodontitis

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