ORAL HEALTH RELATED QUALITY OF LIFE OF HOMEBOUND ELDERLY IN CHIANGKHONG DISTRICT, CHIANGRAI PROVINCE

Abstract

ABTRACT

BACKGROUND  

Oral health problems including dental caries, periodontal diseases and tooth loss are high prevalence in elderly. These can affect quality of life, especially in homebound elderly group who have limitations of mobility and socializing.

OBJECTIVES

            1.To assess  the prevalence of oral health impact on the daily performance of  homebound elderly.

            2.To determine the relationship between oral health status and oral health related  quality of life of

Homebound elderly.                 

METHODS                 

This cross-sectional analytical study was conducted among homebound elderly in Chiangkhong district, Chiangrai Province.The whole homebound elderly  were 158 persons. Oral impacts on daily performances index (OIDP) was used to assess the impacts of oral health status on quality of life. Data collections were performed via general questionnaire, OIDP form and oral health examination from December 2017 to January 2018. Data were analyzed with descriptive statistics and multiple logistic regression analysis.

RESULTS

The prevalence of oral impacts on daily performances (OIDP>0)  was 75.9 % .The most common performances affected in eating, cleansing teeth or denture and smiling were 75.3, 25.9 and 24.6%, respectively. The oral health related quality of life of homebound elderly was associated significantly with  having  less than 4  posterior occluding pairs ( Adjusted odds ratio: AOR=10.94,  95%CI=3.32-35.96) and having periodontal pocket 4 mm or more (AOR=2.84,  95%CI=1.01-7.95).

CONCLUSIONS AND DISCUSSIONS

Home visit by dental personnel with multidisciplinary professions at least 1 time per year should be provided for homebound elderly to examine oral health and advice oral health care. Increase access to dental services especially periodontics and prosthodontics treatment need to be fulfilled in sub-district health promotion hospital. These interventions may improve quality of life of homebound elderly.