Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

Predictors of Chewing Discomfort among Community-dwelling Elderly

지역사회 노인에서의 저작불편감 예측요인

  • Received : 2017.06.14
  • Accepted : 2017.08.24
  • Published : 2017.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify associated factors of chewing discomfort among community-dwelling elderly. Methods: The study was cross-sectional design and secondary data analysis using the 6th Korea National Health and Nutrition Examination Survey. Among the total of 7,550 participants, data was analyzed with 1,126 adults aged 65 years and over. Chewing discomfort was assessed by the perceived chewing discomfort. Multivariate logistic regression analysis was used to find the associated factors of chewing discomfort. Results: Along with 61.7% of the participants reported having chewing discomfort, 85.2% reported to perceive poor oral health and 35.0% had oral pain. In multivariate logistic regression, perceived oral health (OR 3.22, 95% CI 2.24~4.63), oral pain (OR 2.46, 95% CI 1.76~3.43), activity limitation (OR 1.71, 95% CI 1.05~2.80), teeth requiring treatment (OR 1.61, 95% CI 1.14~2.26), number of remaining teeth (OR 1.60, 95% CI 1.22~2.10) and educational level (OR 1.56, 95% CI 1.15~2.12) were the significant predictors of chewing discomfort. Conclusion: The prevalence in chewing discomfort was high in elderly Koreans and various factors were associated with chewing discomfort. To improve chewing ability, it is suggested that the national level of policies offer strategical oral health programs in this population.

Keywords

References

  1. Statistics Korea. 2016 statistics on the aged [Internet]. Seoul: Statistics Korea. 2016 [Cited 2016 September 29]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&bSeq=&aSeq=356426&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=%EA%B3%A0%EB%A0%B9%EC%9E%90%ED%86%B5%EA%B3%84
  2. Jeong KH, Oh HY, Kang EN, Kim, JH, Sunwoo D, Oh MA, et al. 2014 elderly survey. Policy Report.Seoul: Korea Institute for Health and Social Affairs; 2014 December. Report No.:11-1352000-001426-12.
  3. Ministry of Health and Welfare & Korea Health Promotion Institute. 2017 community integrated health promotion project guide: Oral health [Internet]. Sejong: Ministry of Health and Welfare. 2016 [Cited 2017 May 19]. Available from: http://www.g-health.kr/portal/bbs/selectBoardList.do?bbsId=U00243&cNttId=197&menuNo=200571
  4. Gil-Montoya JA, Ferreira de Mello AL, Barrios L, Gonzalez- Moles M, Bravo M. Oral health in the elderly patient and its impact on general well-being: A nonsystematic review. Clinical Interventions in Aging. 2015;10:461-467. https://doi.org/10.2147/CIA.S54630
  5. Laudisio A, Milaneschi Y, Bandinelli S, Gemma A, Ferrucci L, Incalzi RA. Chewing problems are associated with depression in the elderly: Results from the InCHIANTI study. International Journal of Geriatric Psychiatry. 2014;29(3):236-244. https://doi.org/10.1002/gps.3995
  6. Moriya S, Notani K, Murata A, Inoue N, Miura H. Analysis of moment structures for assessing relationships among perceived chewing ability, dentition status, muscle strength, and balance in community dwelling older adults. Gerodontology. 2012;31(4):281-287. https://doi.org/10.1111/ger.12036
  7. Nazliel HE, Hersek N, Ozbek M, Karaagaoglu E. Oral health status in a group of the elderly population residing at home. Gerodontology. 2012;29(2):e761-e767. https://doi.org/10.1111/j.1741-2358.2011.00556.x
  8. Ohara Y, Hirano H, Watanabe Y, Obuchi S, Yoshida H, Fujiwara Y, et al. Factors associated with self rated oral health among community dwelling older Japanese: A cross sectional study. Geriatrics & Gerontology International. 2015;15(6):755-761. https://doi.org/10.1111/ggi.12345
  9. Murakami M, Hirano H, Watanabe Y, Sakai K, Kim H, Katakura A. Relationship between chewing ability and sarcopenia in Japanese community dwelling older adults. Geriatrics & Gerontology International. 2015;15(8):1007-1012. https://doi.org/10.1111/ggi.12399
  10. Naka O, Anastassiadou V, Pissiotis A. Association between functional tooth units and chewing ability in older adults: A systematic review. Gerodontology. 2014;31(3):166-177. https://doi.org/10.1111/ger.12016
  11. Khalifa NF, Allen PH, Abu-bakr NE, Abdel-Rahman M. Chewing ability and associated factors in a Sudanese population. Journal of Oral Science. 2013;55(4):349-357. https://doi.org/10.2334/josnusd.55.349
  12. Singh KA, Brennan DS. Chewing disability in older adults attributable to tooth loss and other oral conditions. Gerodontology. 2012;29(2):106-110. https://doi.org/10.1111/j.1741-2358.2010.00412.x
  13. Yom YH, Han JH. Factors associated with oral health relatedquality of life in elderly persons: Applying Andersen's model. The Journal of Fundamentals of Nursing. 2014;21(1):18-28. https://doi.org/10.7739/jkafn.2014.21.1.18
  14. Gellacic AS, Teixeira DS, Antunes JLF, Narvai PC, Lebrao ML, Frazao P. Factors associated with deterioration of self rated chewing ability among adults aged 60 years and older over a 6 year period. Geriatrics & Gerontology International. 2016;16 (1):46-54. https://doi.org/10.1111/ggi.12435
  15. Shin BM, Jung SH. Socio-economic inequalities in tooth loss and chewing difficulty in the Korean elderly. Journal of Korean Academy of Oral Health. 2012;36(3):195-202.
  16. Leung DY, Leung AY, Chi I. Factors associated with chewing problems and oral dryness among older Chinese people in Hong Kong. Gerodontology. 2016;33(1):106-115. https://doi.org/10.1111/ger.12116
  17. Kimura Y, Ogawa H, Yoshihara A, Yamaga T, Takiguchi T, Wada T, et al. Evaluation of chewing ability and its relationship with activities of daily living, depression, cognitive status and food intake in the community dwelling elderly. Geriatrics & Gerontology International. 2013;13(3):718-725. https://doi.org/10.1111/ggi.12006
  18. Park K, Hong GRS. Predictors of chewing ability among community residing older adults in Korea. Geriatrics & Gerontology International. 2016;17(1):78-84. https://doi.org/10.1111/ggi.12677
  19. Kroenke K, Spitzer RL, Williams JB. The PHQ-9. Journal of General Internal Medicine. 2001;16(9):606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
  20. Han C, Jo SA, Kwak JH, Pae CU, Steffens D, Jo I, et al. Validation of the Patient Health Questionnaire-9 (PHQ-9) Korean version in the elderly population: The Ansan geriatric study. Comprehensive Psychiatry. 2008;49(2):218-223. https://doi.org/10.1016/j.comppsych.2007.08.006
  21. Lamers F, Jonkers CC, Bosma H, Penninx BW, Knottnerus JA, van Eijk JTM. Summed score of the patient health questionnaire- 9 was a reliable and valid method for depression screening in chronically ill elderly patients. Journal of Clinical Epidemiology. 2008;61(7):679-687. https://doi.org/10.1016/j.jclinepi.2007.07.018
  22. Korea Centers for Disease Control and Prevention (KCDC). Analysis guideline for the sixth Korean National Health and Nutrition Examination Survey (KNHANES VI-2) [Internet]. Cheongju: Ministry of Health and Welfare. 2015 [cited 2017 May 1]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do
  23. Kim KE, Han JH. The relationship between knowledge of oral health and actual condition on oral health care of diabetic patient. Journal of Dental Hygiene Science. 2009;9(3):345-351.
  24. Manski RJ, Moeller JF, Maas WR. Dental services. An analysis of utilization over 20 years. The Journal of the American Dental Association. 2001;132(5):655-664. https://doi.org/10.14219/jada.archive.2001.0243
  25. Baker SR. Applying Andersen's behavioural model to oral health: What are the contextual factors shaping perceived oral health outcomes? Community Dentistry and Oral Epidemiology. 2009;37(6):485-494. https://doi.org/10.1111/j.1600-0528.2009.00495.x
  26. Ministry of Health and Welfare & Korea Health Promotion Institute. 2016 community integrated health promotion project guide [Internet]. Sejong: Ministry of Health and Welfare. 2017 [Cited 2017 January 9]. Available form: http://www.khealth.or.kr/b/60?bi=9460
  27. Han YR, Park YR, Kim YH, Choi HC, Chung MJ. Task analysis of managers in the customized visiting health services. Journal of Korean Academy of Community Health Nursing. 2012;23(2): 165-178. https://doi.org/10.12799/jkachn.2012.23.2.165
  28. Gilbert GH, Duncan RP, Heft MW, Dolan TA, Vogel WB. Multidimensionality of oral health in dentate adults. Medical Care. 1998;36(7):988-1001. https://doi.org/10.1097/00005650-199807000-00006

Cited by

  1. Suggestions for the Work of Dental Hygienists and a Reflection of Health Insurance Charges according to Demographic Changes vol.20, pp.1, 2020, https://doi.org/10.17135/jdhs.2020.20.1.1
  2. Estimating Lifetime Dental Care Expenditure in South Korea: An Abridged Life Table Approach vol.17, pp.9, 2017, https://doi.org/10.3390/ijerph17093308
  3. Improvement in oral function after an oral exercise program including whole-body exercises vol.21, pp.1, 2017, https://doi.org/10.13065/jksdh.20210002