Ecological Model Factors Associated with the Presence of 20 Functional Permanent Teeth and 4 Functional Occluding Pairs among Older Adults in Bangrak Subdistrict, Mueang District, Trang Province
Article Sidebar
Main Article Content
Abstract
This cross-sectional descriptive study aimed to examine the presence of at least 20 functional permanent teeth and four functional posterior occluding pairs, as well as to assess the relationship between factors within an ecological model: intrapersonal factor, interpersonal factor, organizational factor, community and public policy factors, and the presence of at least 20 functional permanent teeth and four functional posterior occluding pairs in older adults in Bangrak Subdistrict, Mueang District, Trang Province. The sample consisted of 270 individuals, collected by proportion estimation with a known population and two stage random sampling method. Data were collected through oral health examinations and interviews in June 2024. Statistical analyses included descriptive statistics, including frequency, percentage, mean, standard deviation, minimum, and maximum values. Inferential statistics included binary logistic regression at a significance level of .05.
The results showed that 30.74% of participants had at least 20 functional permanent teeth and four functional posterior occluding pairs. Ecological model factors significantly associated with this outcome (p < .05) included individual-level factors such as age (p < .001), income (p = .02), and perceived oral health issues related to difficulties in eating or chewing (p < 0.001), as well as difficulties in speaking or pronunciation (p < .001). Organizational-level factors included the presence of public health volunteers providing dietary guidance to prevent dental caries (p = .04).
Therefore, it is recommended to promote oral health care for the population before they reach old age to reduce tooth loss and ensure that dental restoration, including prosthetic replacements for lost natural teeth, is accessible.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Department of Provincial Administration, Ministry of Interior. Thai elderly statistics [Internet]. Department of Older Persons; 2023 [cited 2024 January 23]. Available from: https://www.dop.go.th/th/know/side/1/1/2449. (in Thai).
Office of the National Economic and Social Development Council. Population projections for Thailand 2010-2040 (revised edition). Bangkok: Office of the National Economic and Social Development Council; 2019. (in Thai).
Trang Provincial Public Health Office. Health Data Center (HDC) [Internet]. [cited 2024 January 23]. Available from: https://trg.hdc.moph.go.th/hdc/main/index.php. (in Thai).
Razak PA, Richard KJ, Thankachan RP, Abdule Hafiz KA, Kumar KN, Sameer K. Geriatric oral health: a review article. J Int Oral Health 2014;6(6):110-6.
Lamubul A. Oral health problems in the elderly. [Internet]. [cited 2024 Jan 22]. Available from: https://www.samitivejhospitals.com/th/article/detail/geriatric-oral-health. (in Thai).
Bureau of Dental Health, Department of Health. The 8th Thailand national oral health survey report 2017. Bangkok: Samcharoen Panich; 2018. (in Thai).
Bureau of Dental Health, Department of Health. The 9th Thailand national oral health survey report 2023. Bangkok: Aksorn Graphic and Design; 2024. (in Thai).
Dental Public Health Division, Trang Provincial Public Health Office. Trang provincial oral health survey report 2022-2023. Trang: Provincial Public Health Office; 2023. (in Thai).
Roysakul M, Pitapornchaiyakul S, Thearmontree A. Oral health status and its relationship between oral hygiene care and natural teeth condition of homebound elderly. J Dent Assoc Thai 2019;69(1):19-28. (in Thai).
McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q 1988;15(4):351-77.
Bureau of Dental Health, Department of Health, Ministry of Public Health. Manual for oral health and risk factors survey (for oral health surveillance). [Internet]. [cited 2024 Jan 23]. Available from: https://dental.anamai.moph.go.th/th/handbook/download?id=97266&mid=35799&mkey=m_document&lang=th&did=29280. (in Thai).
Namontree O, Tiangthum T, Piromjit S, Chompootas S, Pholor N. Prevalence and factors associated with tooth loss among elderly in Nam Phong district, Khon Kaen province. TDNJ 2023;34(2):14-25. (in Thai).
Samanchat S. Oral health care behaviors and oral health status of elderly receiving dental services at Municipal Hospital, Saraburi Hospital Branch [Master’s Thesis, Faculty of Public Health]. Thammasat University; 2020. (in Thai).
Natun P, Suggaravetsiri P. Factors related to dental caries in type 2 diabetic patients in Muang district, Khon Kaen province. TDNJ 2012;23(2):6-19. (in Thai).
Posri K, Weteewutajarn K. Factors associated with tooth loss among elderly aged 60-74 years in municipal and non-municipal areas of Khon Kaen province. TDNJ 2015;26(2):73-86. (in Thai).
Singtha K, Reaunpunyo S, Pangsiri M, Rattanapunya S. Behaviors associated with tooth loss among elderly in Khuang Pao sub-district, Chom Thong district, Chiang Mai province. Lanna Public Health Journal 2020;16(1):46-56. (in Thai).
Kunawisrut S, Juankrachang C, Taweephol P. Oral health care behaviors and posterior occluding pairs among elderly in Don Chedi district, Suphan Buri province. Journal of Public Health and Innovation 2021;1(2):1-13. (in Thai).
Gururatana O, Vechavithee W, Ekpatcha N. Factors affecting oral health of Thai elderly. Health Sci J Thai 2022;4(1):86-97. (in Thai).
Kittiteeranun M. Factors associated with oral health care of bedridden elderly by caregivers in Watchaburee District, Roi Et Province. Journal of Research and Health Innovative Development 2021;2(2):69-79. (in Thai).
Chaosuansereechai KR, Kluabklai P, Prasert L. Factors Predicting Dental Health Care Behaviors among Elderly in Royal Denture Project, Trang province. Journal of Southern College of Nursing and Public Health Network 2018;5(3):152-68. (in Thai).
Daniel WW. Biostatistics: Basic concepts and methodology for the health sciences. New York: John Wiley & Sons; 2010.
Bloom BS. Taxonomy of education objective handbook. New York: David McKay Company; 1975.
Best JW. Research in education. New Jersey: Prentice-Hall; 1977.
Likert R. The method of constructing and attitude scale. In: Fishbeic M, editor. Attitude theory and measurement. New York: Wiley & Son; 1967. p. 90-5.
Leavy KM, Cisneros GJ, LeBlanc EM. Malocclusion and its relationship to speech sound production: redefining the effect of malocclusal traits on sound production. Am J Orthod Dentofacial Orthop 2016;150(1):116-23.
