Volume 22, Issue 6 (2-2024)
TB 2024, 22(6): 15-29 |
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heidarpoor P, Tajari M. Evaluating Oral and Dental Health and the RelatedFactors regarding the Elderly in Aliabad City of Golestan Province in 2022. TB 2024; 22 (6) :15-29
URL: http://tbj.ssu.ac.ir/article-1-3513-en.html
URL: http://tbj.ssu.ac.ir/article-1-3513-en.html
Assistant Professor, virtual school of medical education and management, ShahidBeheshti University of Medical Sciences, Tehran, Iran , peigham.heidarpoor@yahoo.com
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Evaluating Oral and Dental Health and the RelatedFactors regarding the Elderly in Aliabad City of Golestan Province in 2022
Peigham Heidarpoor(Ph.D.)1, Mandegar Tajary (MS.c.)2
1.Corresponding Author: Assistant professor, Department of Community based education of Health Sciences, virtual school of medical education and management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Email: peigham.heidarpoor@yahoo.com Tel: 09177392918
2.MSc of Community based education of Health Sciences, virtual school of medical education and management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract
Introduction: Considering the increasing growth of the elderly population, the importance of their life quality e, and the impact of oral and dental health on their quality of life, this study was conducted with the aim of evaluating oral and dental health and the factors affecting it in the elderly of Aliabad city, Golestan province, in 1400.
Methods: This was a descriptive and analytical cross-sectional study. The research population consisted of 216 elderly of over 60 living in Aliabad city of Golestan province in 2022; they were selected through cluster random sampling method. 128 people (59/3 percent) were women and 88 people (40/ 7 percent) were men. This study was conducted from May to September 2022. To collect data, demographic information questionnaire and Geriatric Oral Health Assessment Index (GOHAI) were used, whose Persian version was valid and reliable. In addition, the last dental visit, the number of times the mouth was washed, the need for dental treatment, and personal assessment of the individual's oral and dental health status were among the items that were collected and recorded in the form of dental information regarding the elderly. After completing the questionnaires, data were entered into SPSS version 20 software and the analysis was done through descriptive statistics (frequency distribution calculation and central and dispersion indices), one way ANOVA, and t-test.
Results: In the present study, the score of oral and dental health questionnaire regarding the elderly was 49/51±8/67, which was considered satisfactory. This variable had a statistically significant relationship with the number of mouth washes (p=0/02) , personal evaluation of mouth condition (p=0/01), and the number of teeth (p<0/001). While there was no significant relationship regarding education level (p=0/26), place of residence (p=0/072), gender (p=0/56), employment status (p=0/63), income level (p=0/062), smoking (p=0/23) and the last dental visit (p=0/28),and the presence or absence of dentures (p=0/62) did not show a significant difference.
Conclusion: Although the quality of life score related to the oral health of the elderly in Aliabad city was satisfactory, there is still roome to improve this score. Prevention strategies for chronic diseases and high blood pressure, re-emphasizing oral and dental hygiene, and improving related health behaviors should be considered as the most important future programs in this city. Integrating oral and dental health program in the country's public health program and creating a team to promote oral and dental health at primary care level are considered effective and low-cost solutions.
Keywords: Oral Health, Elderly, Quality of Life
1-Tolou AF, Jadidfard MP, Ghasemi H & et al. Influential Factors on Oral Health Status of the Elderly Iranians: A Path Analysis. Journal of Contemporary Medical Sciences. 2022;8 (3).
2-Tahani B, Zahrani ZK. Oral health status and oral health related quality of life among independent elderly attending municipal public centers. Journal of Dental Medicine. 2022;35:1-12.
3-Khanagar SB, Al-Ehaideb A, Shivanna MM & et al. Age-related oral changes and their impact on oral health-related quality of life among frail elderly population: A review. The journal of contemporary dental practice. 2021;21(11):1298-303.
4-Papi S, Izadi M, Behboodi L & et al. Oral health status in the Iranian elderly: The role of nutrition status and health literacy. Journal of Holistic Nursing and Midwifery. 2021;31(4):263-70.
5-Kosari M, Hoseini Z, Golrizi F. The investigation of oral and dental status and its related factors in the elderly in Torbat Heydariyeh in 2015. Journal of Torbat Heydariyeh University of Medical Sciences. 2016;4(2):39-44.
6-Khosrozadeh H, Alavi NM, Gilasi H & et al. Oral health-related quality of life in older people in Kashan/Iran 2015. Nursing and Midwifery Studies. 2017;6(4):182-8.
7-Morowatisharifabad MA, Ravaei J, Haerian A & et al. Self-reported oral health and quality of life in the elderly. Elderly Health Journal. 2016;2(2):56-61.
8-Shoaee S, Sharifi F, Parsa PG,et al. Dental caries among the elderly in Iran: a meta-analysis. medRxiv. 2020:2020.07. 24.20161299.
9-Azami-Aghdash S, Pournaghi-Azar F & et al. Oral health and related quality of life in older people: a systematic review and meta-analysis. Iranian journal of public health. 2021;50(4):689.
10-Jahangiry L, Bagheri R, Darabi F & et al. Oral health status and associated lifestyle behaviors in a sample of Iranian adults: an exploratory household survey. BMC Oral Health. 2020;20:1-9.
11-Ahmadi A, Sahaf R, Rashedi V & et al. Relationship between oral health and demographic characteristics in retired elderly people in Iran. Iranian Journal of Ageing. 2019;13(4):452-63.
12-Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. Journal of dental education. 1990;54(11):680-7.
13-Navabi N, Salahi S. Assessment of oral health assessment index (GOHAI) validity in Iranian elderly population. Res Dent Sci. 2012;9(3):161-9.
14-Motallebnejad M, Mottaghi K, Mehdizadeh S & et al. Reliability and validity of the Persian version of the general oral health assessment index (GOHAI). Caspian Journal of Dental Research. 2013;2(1):8-17.
15-Rezaei M, Rashedi V, Khedmati Morasae E. A Persian version of geriatric oral health assessment index. Gerodontology. 2016;33(3):335-41.
16-Rabiei M, Pakkhesal M, Sobhi P & et al. Geriatric Oral Health-Related Quality of Life in the Retired Elderly Population. Health Education and Health Promotion. 2022;10(3):609-15.
17-Shamsi S, Momeni Z. Assessment of oral health related quality of life among elderly people in nursing homes in Karaj in 2020. Journal of Shahid Sadoughi University of Medical Sciences. 2021.
18-Ghasemian Gorji F, Ghadimi R, Hosseini SR & et al. Frequency of fruit and vegetable consumption and oral health-related quality of life among the elderly in Amirkola (Babol, Iran). Caspian Journal of Dental Research. 2023;12(1):8-19.
19-Shao R, Hu T, Zhong Y-S & et al. Socio-demographic factors, dental status and health-related behaviors associated with geriatric oral health-related quality of life in Southwestern China. Health and quality of life outcomes. 2018;16(1):1-9.
20-Colaço J, Muniz FWMG, Peron D & et al. Oral health-related quality of life and associated factors in the elderly: a population-based cross-sectional study. Ciencia & saude coletiva. 2020;25:3901-12.
21-Roma M, Sen M, Mala K & et al. Critical Assessment on Unmet Oral Health Needs and Oral Health-related Quality of Life Among Old Age Home Inhabitants in Karnataka, India. Clinical, cosmetic and investigational dentistry. 2021;13:181.
22-Chaudhary FA, Siddiqui YD, Yaqoob MA & et al. Psychometric properties of the Urdu version of the Geriatric Oral Health Assessment Index (GOHAI) and oral health‐related quality of life in the elder Pakistani population. Gerodontology. 2021;38(4):366-72.
23-Bianco A, Mazzea S, Fortunato L & et al. Oral health status and the impact on oral health-related quality of life among the institutionalized elderly population: A cross-sectional study in an area of southern italy. International Journal of Environmental Research and Public Health. 2021;18(4):2175.
24-Agrawal SK, Shrestha A, Bhagat T. Translation and validation of the Nepalese version of the Geriatric Oral Health Assessment Index. Gerodontology. 2019;36(1):30-5.
25-Mendes MS, Chester LN, Fernandes dos Santos JF. Self‐perceived oral health among institutionalized older adults in Taubate, Brazil. Special Care in Dentistry. 2020;40(1):49-54.
26-Pakize F, Mehryari M, Hajimirzamohammad M & et al. Evaluation of oral health-related quality of life in elderly people with type ii diabetes mellitus. Iranian Journal of Health Sciences. 2020.
27-de Sousa RV, Pinho RCM, Vajgel BdCF & et al. Evaluation of oral health-related quality of life in individuals with type 2 diabetes mellitus. Brazilian Journal of Oral Sciences. 2019;18:e191431-e.
28-Mohseni Homagarani Y, Adlparvar K, Teimuri S & et al. The effect of diabetes mellitus on oral health-related quality of life: A systematic review and meta-analysis study. Frontiers in Public Health. 2023;11:1112008.
29-Langari SF, Hosseini SR, Bijani A & et al. Association between antihypertensive drugs and the elderly’s oral health-related quality of life: Results of Amirkola cohort study. Caspian Journal of Internal Medicine. 2022;13(3):582.
Peigham Heidarpoor(Ph.D.)1, Mandegar Tajary (MS.c.)2
1.Corresponding Author: Assistant professor, Department of Community based education of Health Sciences, virtual school of medical education and management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Email: peigham.heidarpoor@yahoo.com Tel: 09177392918
2.MSc of Community based education of Health Sciences, virtual school of medical education and management, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract
Introduction: Considering the increasing growth of the elderly population, the importance of their life quality e, and the impact of oral and dental health on their quality of life, this study was conducted with the aim of evaluating oral and dental health and the factors affecting it in the elderly of Aliabad city, Golestan province, in 1400.
Methods: This was a descriptive and analytical cross-sectional study. The research population consisted of 216 elderly of over 60 living in Aliabad city of Golestan province in 2022; they were selected through cluster random sampling method. 128 people (59/3 percent) were women and 88 people (40/ 7 percent) were men. This study was conducted from May to September 2022. To collect data, demographic information questionnaire and Geriatric Oral Health Assessment Index (GOHAI) were used, whose Persian version was valid and reliable. In addition, the last dental visit, the number of times the mouth was washed, the need for dental treatment, and personal assessment of the individual's oral and dental health status were among the items that were collected and recorded in the form of dental information regarding the elderly. After completing the questionnaires, data were entered into SPSS version 20 software and the analysis was done through descriptive statistics (frequency distribution calculation and central and dispersion indices), one way ANOVA, and t-test.
Results: In the present study, the score of oral and dental health questionnaire regarding the elderly was 49/51±8/67, which was considered satisfactory. This variable had a statistically significant relationship with the number of mouth washes (p=0/02) , personal evaluation of mouth condition (p=0/01), and the number of teeth (p<0/001). While there was no significant relationship regarding education level (p=0/26), place of residence (p=0/072), gender (p=0/56), employment status (p=0/63), income level (p=0/062), smoking (p=0/23) and the last dental visit (p=0/28),and the presence or absence of dentures (p=0/62) did not show a significant difference.
Conclusion: Although the quality of life score related to the oral health of the elderly in Aliabad city was satisfactory, there is still roome to improve this score. Prevention strategies for chronic diseases and high blood pressure, re-emphasizing oral and dental hygiene, and improving related health behaviors should be considered as the most important future programs in this city. Integrating oral and dental health program in the country's public health program and creating a team to promote oral and dental health at primary care level are considered effective and low-cost solutions.
Keywords: Oral Health, Elderly, Quality of Life
1-Tolou AF, Jadidfard MP, Ghasemi H & et al. Influential Factors on Oral Health Status of the Elderly Iranians: A Path Analysis. Journal of Contemporary Medical Sciences. 2022;8 (3).
2-Tahani B, Zahrani ZK. Oral health status and oral health related quality of life among independent elderly attending municipal public centers. Journal of Dental Medicine. 2022;35:1-12.
3-Khanagar SB, Al-Ehaideb A, Shivanna MM & et al. Age-related oral changes and their impact on oral health-related quality of life among frail elderly population: A review. The journal of contemporary dental practice. 2021;21(11):1298-303.
4-Papi S, Izadi M, Behboodi L & et al. Oral health status in the Iranian elderly: The role of nutrition status and health literacy. Journal of Holistic Nursing and Midwifery. 2021;31(4):263-70.
5-Kosari M, Hoseini Z, Golrizi F. The investigation of oral and dental status and its related factors in the elderly in Torbat Heydariyeh in 2015. Journal of Torbat Heydariyeh University of Medical Sciences. 2016;4(2):39-44.
6-Khosrozadeh H, Alavi NM, Gilasi H & et al. Oral health-related quality of life in older people in Kashan/Iran 2015. Nursing and Midwifery Studies. 2017;6(4):182-8.
7-Morowatisharifabad MA, Ravaei J, Haerian A & et al. Self-reported oral health and quality of life in the elderly. Elderly Health Journal. 2016;2(2):56-61.
8-Shoaee S, Sharifi F, Parsa PG,et al. Dental caries among the elderly in Iran: a meta-analysis. medRxiv. 2020:2020.07. 24.20161299.
9-Azami-Aghdash S, Pournaghi-Azar F & et al. Oral health and related quality of life in older people: a systematic review and meta-analysis. Iranian journal of public health. 2021;50(4):689.
10-Jahangiry L, Bagheri R, Darabi F & et al. Oral health status and associated lifestyle behaviors in a sample of Iranian adults: an exploratory household survey. BMC Oral Health. 2020;20:1-9.
11-Ahmadi A, Sahaf R, Rashedi V & et al. Relationship between oral health and demographic characteristics in retired elderly people in Iran. Iranian Journal of Ageing. 2019;13(4):452-63.
12-Atchison KA, Dolan TA. Development of the geriatric oral health assessment index. Journal of dental education. 1990;54(11):680-7.
13-Navabi N, Salahi S. Assessment of oral health assessment index (GOHAI) validity in Iranian elderly population. Res Dent Sci. 2012;9(3):161-9.
14-Motallebnejad M, Mottaghi K, Mehdizadeh S & et al. Reliability and validity of the Persian version of the general oral health assessment index (GOHAI). Caspian Journal of Dental Research. 2013;2(1):8-17.
15-Rezaei M, Rashedi V, Khedmati Morasae E. A Persian version of geriatric oral health assessment index. Gerodontology. 2016;33(3):335-41.
16-Rabiei M, Pakkhesal M, Sobhi P & et al. Geriatric Oral Health-Related Quality of Life in the Retired Elderly Population. Health Education and Health Promotion. 2022;10(3):609-15.
17-Shamsi S, Momeni Z. Assessment of oral health related quality of life among elderly people in nursing homes in Karaj in 2020. Journal of Shahid Sadoughi University of Medical Sciences. 2021.
18-Ghasemian Gorji F, Ghadimi R, Hosseini SR & et al. Frequency of fruit and vegetable consumption and oral health-related quality of life among the elderly in Amirkola (Babol, Iran). Caspian Journal of Dental Research. 2023;12(1):8-19.
19-Shao R, Hu T, Zhong Y-S & et al. Socio-demographic factors, dental status and health-related behaviors associated with geriatric oral health-related quality of life in Southwestern China. Health and quality of life outcomes. 2018;16(1):1-9.
20-Colaço J, Muniz FWMG, Peron D & et al. Oral health-related quality of life and associated factors in the elderly: a population-based cross-sectional study. Ciencia & saude coletiva. 2020;25:3901-12.
21-Roma M, Sen M, Mala K & et al. Critical Assessment on Unmet Oral Health Needs and Oral Health-related Quality of Life Among Old Age Home Inhabitants in Karnataka, India. Clinical, cosmetic and investigational dentistry. 2021;13:181.
22-Chaudhary FA, Siddiqui YD, Yaqoob MA & et al. Psychometric properties of the Urdu version of the Geriatric Oral Health Assessment Index (GOHAI) and oral health‐related quality of life in the elder Pakistani population. Gerodontology. 2021;38(4):366-72.
23-Bianco A, Mazzea S, Fortunato L & et al. Oral health status and the impact on oral health-related quality of life among the institutionalized elderly population: A cross-sectional study in an area of southern italy. International Journal of Environmental Research and Public Health. 2021;18(4):2175.
24-Agrawal SK, Shrestha A, Bhagat T. Translation and validation of the Nepalese version of the Geriatric Oral Health Assessment Index. Gerodontology. 2019;36(1):30-5.
25-Mendes MS, Chester LN, Fernandes dos Santos JF. Self‐perceived oral health among institutionalized older adults in Taubate, Brazil. Special Care in Dentistry. 2020;40(1):49-54.
26-Pakize F, Mehryari M, Hajimirzamohammad M & et al. Evaluation of oral health-related quality of life in elderly people with type ii diabetes mellitus. Iranian Journal of Health Sciences. 2020.
27-de Sousa RV, Pinho RCM, Vajgel BdCF & et al. Evaluation of oral health-related quality of life in individuals with type 2 diabetes mellitus. Brazilian Journal of Oral Sciences. 2019;18:e191431-e.
28-Mohseni Homagarani Y, Adlparvar K, Teimuri S & et al. The effect of diabetes mellitus on oral health-related quality of life: A systematic review and meta-analysis study. Frontiers in Public Health. 2023;11:1112008.
29-Langari SF, Hosseini SR, Bijani A & et al. Association between antihypertensive drugs and the elderly’s oral health-related quality of life: Results of Amirkola cohort study. Caspian Journal of Internal Medicine. 2022;13(3):582.
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Received: 2023/05/3 | Accepted: 2024/01/2 | Published: 2024/03/16
Received: 2023/05/3 | Accepted: 2024/01/2 | Published: 2024/03/16
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