Oral Health-Related Quality of Life among a large national cohort of 87,134 Thai adults

Health and Quality of Life Outcomes

The Thai Cohort Study Team²  Adrian C Sleigh²  Sam-ang Seubsman¹  Tewarit Somkotra³  Vasoontara Yiengprugsawan² 

[1] School of Human Ecology, Sukhothai Thammathirat Open University, Nonthaburi, Thailand;National Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australia;Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand

关键词: Thailand;    cohort study;    tooth loss;    oral health;    Oral Health-Related Quality of Life;   

Others  :  826654
DOI  :  10.1186/1477-7525-9-42

 received in 2011-02-21, accepted in 2011-06-13,  发布年份 2011

【 摘 要 】

Background

Oral health has been of interest in many low and middle income countries due to its impact on general health and quality of life. But there are very few population-based reports of adult Oral Health Related Quality of Life (OHRQoL) in developing countries. To address this knowledge gap for Thailand, we report oral health findings from a national cohort of 87,134 Thai adults aged between 15 and 87 years and residing all over the country.

Methods

In 2005, a comprehensive health questionnaire was returned by distance learning cohort members recruited through Sukhothai Thammathirat Open University. OHRQoL dimensions included were discomfort speaking, swallowing, chewing, social interaction and pain. We calculated multivariate (adjusted) associations between OHRQoL outcomes, and sociodemographic, health behaviour and dental status.

Results

Overall, discomfort chewing (15.8%), social interaction (12.5%), and pain (10.6%) were the most commonly reported problems. Females were worse off for chewing, social interaction and pain. Smokers had worse OHRQoL in all dimensions with Odds Ratios (OR) ranging from 1.32 to 1.51. Having less than 20 teeth was strongly associated with difficulty speaking (OR = 6.43), difficulty swallowing (OR = 6.27), and difficulty chewing (OR = 3.26).

Conclusions

Self-reported adverse oral health correlates with individual function and quality of life. Outcomes are generally worse among females, the poor, smokers, drinkers and those who have less than 20 teeth. Further longitudinal study of the cohort analysed here will permit assessment of causal determinants of poor oral health and the efficacy of preventive programs in Thailand.

【 授权许可】

   
2011 Yiengprugsawan et al; licensee BioMed Central Ltd.

【 参考文献 】

• [1]WHO: The World Oral Health Report: Continuous improvement of oral health in the 21st century - the approach of the WHO Global Oral Health Programme. Geneva: World Health Organization; 2003.
• [2]Kwan S, Petersen PE: Oral health: equity and social determinants. In Equity, social determinants and public health programmes. Edited by Blas E, Kurup AS. Geneva: World Health Organization; 2010:159-176.
• [3]Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C: The global burden of oral diseases and risks to oral health. Bull World Health Organ 2005, 83:661-669.
• [4]Allen PF: Assessment of oral health related quality of life. Health Qual Life Outcomes 2003, 1:40. BioMed Central Full Text
• [5]Brennan DS, Spencer AJ: Dimensions of oral health related quality of life measured by EQ-5D+ and OHIP-14. Health Qual Life Outcomes 2004, 2:35. BioMed Central Full Text
• [6]Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH: Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes 2010, 8:126. BioMed Central Full Text
• [7]Locker D, Slade G: Association between clinical and subjective indicators of oral health status in an older adult population. Gerodontology 1994, 11:108-114.
• [8]Tsakos G, Steele JG, Marcenes W, Walls AW, Sheiham A: Clinical correlates of oral health-related quality of life: evidence from a national sample of British older people. Eur J Oral Sci 2006, 114:391-395.
• [9]Nguyen TC, Witter DJ, Bronkhorst EM, Truong NB, Creugers NH: Oral health status of adults in Southern Vietnam - a cross-sectional epidemiological study. BMC Oral Health 2010, 10:2. BioMed Central Full Text
• [10]Pallegedara C, Ekanayake L: Effect of tooth loss and denture status on oral health-related quality of life of older individuals from Sri Lanka. Community Dent Health 2008, 25:196-200.
• [11]Wong MC, McMillan AS: Tooth loss, denture wearing and oral health-related quality of life in elderly Chinese people. Community Dent Health 2005, 22:156-161.
• [12]Somkotra T, Vachirarojpisan T: Inequality in dental care utilisation among Thai children: evidence from Thailand where universal coverage has been achieved. Int Dent J 2009, 59:349-357.
• [13]Gherunpong S, Sheiham A, Tsakos G: A sociodental approach to assessing children's oral health needs: integrating an oral health-related quality of life (OHRQoL) measure into oral health service planning. Bull World Health Organ 2006, 84:36-42.
• [14]Krisdapong S, Sheiham A, Tsakos G: Oral health-related quality of life of 12- and 15-year-old Thai children: findings from a national survey. Community Dent Oral Epidemiol 2009, 37:509-517.
• [15]Somkotra T: Socioeconomic inequality in self-reported oral health status: The experience of Thailand afte implementaton of the Universal Coverage policy. Community Dent Health 2011.
• [16]Adulyanon S, Vourapukjaru J, Sheiham A: Oral impacts affecting daily performance in a low dental disease Thai population. Community Dent Oral Epidemiol 1996, 24:385-389.
• [17]Sleigh AC, Seubsman SA, Bain C: Cohort profile: The Thai Cohort of 87,134 Open University students. Int J Epidemiol 2008, 37:266-272.
• [18]Locker D: Measuring oral health: a conceptual framework. Community Dent Health 1988, 5:3-18.
• [19]WHO: International Classification of Impairments, Disabilities and Handicaps. Geneva: World Health Organization; 1980.
• [20]Sheiham A, Tsakos G: Oral health needs assessments. In Community Oral Health. Edited by Pine C, Harris R. Surrey, UK: Quintessence Publishing Co. Ltd; 2007.
• [21]Atchison KA, Dolan TA: Development of the Geriatric Oral Health Assessment Index. J Dent Educ 1990, 54:680-687.
• [22]Slade GD, Spencer AJ: Development and evaluation of the Oral Health Impact Profile. Community Dent Health 1994, 11:3-11.
• [23]Bernabe E, de Oliveira CM, Sheiham A, Tsakos G: Assessing levels of agreement between two commonly used oral health-related quality of life measures. J Public Health Dent 2009, 69:143-148.
• [24]Robinson PG, Gibson B, Khan FA, Birnbaum W: A comparison of OHIP 14 and OIDP as interviews and questionnaires. Community Dent Health 2001, 18:144-149.
• [25]Elias AC, Sheiham A: The relationship between satisfaction with mouth and number, position and condition of teeth: studies in Brazilian adults. J Oral Rehabil 1999, 26:53-71.
• [26]Acharya S: Oral health-related quality of life and its associated factors in an Indian adult population. Oral Health Prev Dent 2008, 6:175-184.
• [27]Mason J, Pearce MS, Walls AW, Parker L, Steele JG: How do factors at different stages of the lifecourse contribute to oral-health-related quality of life in middle age for men and women? J Dent Res 2006, 85:257-261.
• [28]Pearce MS, Steele JG, Mason J, Walls AW, Parker L: Do circumstances in early life contribute to tooth retention in middle age? J Dent Res 2004, 83:562-566.
• [29]Inukai M, John MT, Igarashi Y, Baba K: Association between perceived chewing ability and oral health-related quality of life in partially dentate patients. Health Qual Life Outcomes 2010, 8:118. BioMed Central Full Text
• [30]Zeng X, Sheiham A, Tsakos G: Relationship between clinical dental status and eating difficulty in an old Chinese population. J Oral Rehabil 2008, 35:37-44.
• [31]Sheiham A, Steele J: Does the condition of the mouth and teeth affect the ability to eat certain foods, nutrient and dietary intake and nutritional status amongst older people? Public Health Nutr 2001, 4:797-803.
• [32]Walls AW, Steele JG, Sheiham A, Marcenes W, Moynihan PJ: Oral health and nutrition in older people. J Public Health Dent 2000, 60:304-307.
• [33]Srisilapanan P, Malikaew P, Sheiham A: Number of teeth and nutritional status in Thai older people. Community Dent Health 2002, 19:230-236.
• [34]Srisilapanan P, Sheiham A: The prevalence of dental impacts on daily performances in older people in Northern Thailand. Gerodontology 2001, 18:102-108.
• [35]Chen MS: Oral health status and its inequality among education groups: comparing seven international study sites. Int J Health Serv 2002, 32:139-161.
• [36]Lee IC, Shieh TY, Yang YH, Tsai CC, Wang KH: Individuals' perception of oral health and its impact on the health-related quality of life. J Oral Rehabil 2007, 34:79-87.
• [37]Allison P, Locker D, Jokovic A, Slade G: A cross-cultural study of oral health values. J Dent Res 1999, 78:643-649.