The Effects of Health and Unmet Dental Care Needs on the Health-Related Quality of Life in Korea Older Adults: A Nationwide Study
Abstract
Background: The purpose of this cross-sectional study was to assess the relationship between oral health, unmet dental needs and health-related quality of life in South Korea older adults.
Methods: The present study used raw data from the 2019~2020 Korea National Health and Nutrition Examination Survey, and analyzed 4956 participants aged over 65 yr. Hierarchical multiple regression analysis was used for associations between oral health, unmet dental needs, and HRQoL.
Results: The EQ-5D index differed according to tooth pain, chewing difficulty, speaking problem, subjective oral health status, oral examination, and unmet dental care needs (P<0.001). In the model 2, male, under 75 yr of age, high school graduate or higher, employed, living with a spouse, no stress, good subjective health status, no speaking problem, and no unmet dental care needs were associated with higher EQ-5D index (Adj R2 = 27.6%, P<0.001).
Conclusion: To improve the HRQoL of older adults in South Korea, oral health problems need to be minimized through oral disease prevention and oral health education programs.
1. World Health Organization (2023). Oral health. Available from: https://www.who.int/news-room/fact-sheets/detail/oral-health
2. Flores-Orozco EI, Tiznado-Orozco GE, Osuna-González OD, et al (2016). Lack of relationship between masticatory performance and nutritional status in adults with natural dentition. Arch Oral Biol, 71: 117-21.
3. Liang, Y.H., Chou C, Chen YJ, et al (2020). Impact of periodontal disease and chewing ability on the quality of life of the elderly in an affluent community. J Formos Med Assoc, 119 (11): 1693-701.
4. Carramolino-Cuéllar E., Tomás I, Jiménez-Soriano Y (2014). Relationship between the oral cavity and cardiovascular diseases and metabolic syndrome. Med Oral Patol Oral Cir Bucal, 19 (3): e289-94.
5. Righolt A, Jevdjevic M, Marcenes W, et al (2018). Global-, regional-, and country-level economic impacts of dental diseases in 2015. J Dent Res, 97 (5): 501-507.
6. Peres MA, Macpherson LM, Weyant RJ, et al (2019). Oral diseases: a global public health challenge. Lancet, 394 (10194): 249-60.
7. Hoeksema A, Spoorenberg S, Peters LL, et al (2017). Elderly with remaining teeth report less frailty and better quality of life than edentulous elderly: a cross‐sectional study. Oral Dis, 23 (4): 526-36.
8. Jeong HJ, Kim YH, Yun JW, et al (2020). The effect of general health status, oral health behavior and status on quality of life in Korea adults. J Korean Acad Oral Health, 44 (3): 158-65.
9. Shin Y, Hong J, Kim Y, et al (2017). Effect of social support and self-esteem on the oral health behaviors of Korean elderly people. J Korean Acad Oral Health, 41 (4): 282-9.
10. Duvernay E, Srinivasan M, Legrand L, et al (2014). Dental appearance and personality trait judgment of elderly persons. Int J Prosthodont, 27: 348-354.
11. Fontanive V, Abegg C, Tsakos G, et al (2013). The association between clinical oral health and general quality of life: a population‐based study of individuals aged 50–74 in S outhern Brazil. Community Dent Oral Epidemiol, 41 (2): 154-62.
12. Ahn E, Shin H (2018). Comparison of EQ-5D and OHIP-14 sub-dimensions for measuring oral health-related quality of life. J Korean Acad Oral Health, 42 (3): 77-83.
13. Choi ES, Lyu JY, Kim HY (2015). Associa-tion between oral health status and health related quality of life (EuroQoL-5 Dimension). J Dent Hyg Sci, 15 (4): 480-487.
14. Donabedian A (1973). Aspects of medical care administration: specifying requirements for health care. Harvard University Press, USA, pp.: 58-207
15. McDonough J, Eliott J, Neuhaus S, et al (2019). Health‐related quality of life, psychosocial functioning, and unmet health needs in patients with sarcoma: a systematic review. Psychooncology, 28 (4): 653-64.
16. Ahn E, Shin MS (2016). Factors related to the unmet dental care needs of adults with dental pain. J Dent Hyg Sci, 16 (5): 355-60.
17. Müller F, Shimazaki Y, Kahabuka F, et al (2017). Oral health for an ageing population: the importance of a natural dentition in older adults. Int Dent J, 67 Suppl 2(Suppl 2):7-13.
18. Burr JA, Lee HJ (2013). Social relationships and dental care service utilization among older adults. J Aging Health, 25 (2): 191-220.
19. Herr M, Arvieu JJ, Aegerter P, et al (2014). Unmet health care needs of older people: prevalence and predictors in a French cross-sectional survey. Eur J Public Health, 24 (5): 808-13.
20. Ástvaldsdóttir Á, Boström AM, Davidson T, et al (2018). Oral health and dental care of older persons-A systematic map of systematic reviews. Gerodontology, 35 (4): 290-304.
21. Kweon S., Kim Y, Jang MJ, et al (2014). Data resource profile: the Korea national health and nutrition examination survey (KNHANES). Int J Epidemiol, 43 (1): 69-77.
22. Korea Disease Control and Prevention Agency (2023). Korea National Health & Nutrition Examination Survey. Available from: https://knhanes.kdca.go.kr/knhanes/eng/index.do
23. Korea Disease Control and Prevention Agency (2023). Guidelines for the use of raw data from the Korea National Health and Nutrition Examination Survey. Available from: https://knhanes.kdca.go.kr/knhanes/sub03/sub03_06_02.do
24. EQ-5D (2023). EUROQOL INSTRUMENTS: About EQ-5D. Available from: https://euroqol.org/information-and-support/euroqol-instruments/eq-5d-5l/
25. The EuroQol Group. (1990). EuroQol-a new facility for the measurement of health-related quality of life. Health Policy, 16 (3): 199-208
26. EQ-5D (2023). EQ-5D-5L User Guide. Available from: https://euroqol.org/information-and-support/documentation /user-guides/
27. Yao Q, Liu C, Zhang Y, et al (2019). Changes in health-related quality of life of Chinese populations measured by the EQ-5D-3 L: a comparison of the 2008 and 2013 National Health Services Surveys. Health Qual Life Outcomes, 17:43.
28. Axon DR, Chien J (2021). Predictors of mental health status among older United States adults with pain. Behav Sci (Basel), 11 (2): 23.
29. Song J, Lee E (2021). Health-related quality of life of elderly women with fall experiences. Int J Environ Res Public Health, 18 (15): 7804.
30. Sun X, Lucas H, Meng Q, et al (2011). Associations between living arrangements and health-related quality of life of urban elderly people: a study from China. Qual Life Res, 20 (3): 359-69.
31. Moon S (2017). Gender differences in the impact of socioeconomic, health-related, and health behavioral factors on the health-related quality of life of the Korean elderly. J Digit Converg, 15 (6): 259-71.
32. Janssen M, Szende A, Cabases J, et al (2019). Population norms for the EQ-5D-3L: a cross-country analysis of population surveys for 20 countries. Eur J Health Econ, 20 (2): 205-16.
33. Kim KH, Lee SG (2020). Effects of health status and health behaviors on health-related quality of life in Korean adults. Korean J Health Serv Manag, 14 (1): 161-76.
34. Gim HG (2017). The effects of the stress of elderly people living alone in urban ar-eas on the quality of life: with a focus on the mediating effect of social support. Journal of the Korea Academia-Industrial coop-eration Society, 18 (12): 443-51.
35. DeSalvo KB, Bloser N, Reynolds K, et al (2006). Mortality prediction with a single general self-rated health question. J Gen Intern Med, 21 (3): 267-75.
36. Kim JH, Kim SY, Jo KH, et al (2021). Fac-tors of unmet dental care needs among elderly living alone. J Korean Acad Oral Health, 45 (2): 77-81.
2. Flores-Orozco EI, Tiznado-Orozco GE, Osuna-González OD, et al (2016). Lack of relationship between masticatory performance and nutritional status in adults with natural dentition. Arch Oral Biol, 71: 117-21.
3. Liang, Y.H., Chou C, Chen YJ, et al (2020). Impact of periodontal disease and chewing ability on the quality of life of the elderly in an affluent community. J Formos Med Assoc, 119 (11): 1693-701.
4. Carramolino-Cuéllar E., Tomás I, Jiménez-Soriano Y (2014). Relationship between the oral cavity and cardiovascular diseases and metabolic syndrome. Med Oral Patol Oral Cir Bucal, 19 (3): e289-94.
5. Righolt A, Jevdjevic M, Marcenes W, et al (2018). Global-, regional-, and country-level economic impacts of dental diseases in 2015. J Dent Res, 97 (5): 501-507.
6. Peres MA, Macpherson LM, Weyant RJ, et al (2019). Oral diseases: a global public health challenge. Lancet, 394 (10194): 249-60.
7. Hoeksema A, Spoorenberg S, Peters LL, et al (2017). Elderly with remaining teeth report less frailty and better quality of life than edentulous elderly: a cross‐sectional study. Oral Dis, 23 (4): 526-36.
8. Jeong HJ, Kim YH, Yun JW, et al (2020). The effect of general health status, oral health behavior and status on quality of life in Korea adults. J Korean Acad Oral Health, 44 (3): 158-65.
9. Shin Y, Hong J, Kim Y, et al (2017). Effect of social support and self-esteem on the oral health behaviors of Korean elderly people. J Korean Acad Oral Health, 41 (4): 282-9.
10. Duvernay E, Srinivasan M, Legrand L, et al (2014). Dental appearance and personality trait judgment of elderly persons. Int J Prosthodont, 27: 348-354.
11. Fontanive V, Abegg C, Tsakos G, et al (2013). The association between clinical oral health and general quality of life: a population‐based study of individuals aged 50–74 in S outhern Brazil. Community Dent Oral Epidemiol, 41 (2): 154-62.
12. Ahn E, Shin H (2018). Comparison of EQ-5D and OHIP-14 sub-dimensions for measuring oral health-related quality of life. J Korean Acad Oral Health, 42 (3): 77-83.
13. Choi ES, Lyu JY, Kim HY (2015). Associa-tion between oral health status and health related quality of life (EuroQoL-5 Dimension). J Dent Hyg Sci, 15 (4): 480-487.
14. Donabedian A (1973). Aspects of medical care administration: specifying requirements for health care. Harvard University Press, USA, pp.: 58-207
15. McDonough J, Eliott J, Neuhaus S, et al (2019). Health‐related quality of life, psychosocial functioning, and unmet health needs in patients with sarcoma: a systematic review. Psychooncology, 28 (4): 653-64.
16. Ahn E, Shin MS (2016). Factors related to the unmet dental care needs of adults with dental pain. J Dent Hyg Sci, 16 (5): 355-60.
17. Müller F, Shimazaki Y, Kahabuka F, et al (2017). Oral health for an ageing population: the importance of a natural dentition in older adults. Int Dent J, 67 Suppl 2(Suppl 2):7-13.
18. Burr JA, Lee HJ (2013). Social relationships and dental care service utilization among older adults. J Aging Health, 25 (2): 191-220.
19. Herr M, Arvieu JJ, Aegerter P, et al (2014). Unmet health care needs of older people: prevalence and predictors in a French cross-sectional survey. Eur J Public Health, 24 (5): 808-13.
20. Ástvaldsdóttir Á, Boström AM, Davidson T, et al (2018). Oral health and dental care of older persons-A systematic map of systematic reviews. Gerodontology, 35 (4): 290-304.
21. Kweon S., Kim Y, Jang MJ, et al (2014). Data resource profile: the Korea national health and nutrition examination survey (KNHANES). Int J Epidemiol, 43 (1): 69-77.
22. Korea Disease Control and Prevention Agency (2023). Korea National Health & Nutrition Examination Survey. Available from: https://knhanes.kdca.go.kr/knhanes/eng/index.do
23. Korea Disease Control and Prevention Agency (2023). Guidelines for the use of raw data from the Korea National Health and Nutrition Examination Survey. Available from: https://knhanes.kdca.go.kr/knhanes/sub03/sub03_06_02.do
24. EQ-5D (2023). EUROQOL INSTRUMENTS: About EQ-5D. Available from: https://euroqol.org/information-and-support/euroqol-instruments/eq-5d-5l/
25. The EuroQol Group. (1990). EuroQol-a new facility for the measurement of health-related quality of life. Health Policy, 16 (3): 199-208
26. EQ-5D (2023). EQ-5D-5L User Guide. Available from: https://euroqol.org/information-and-support/documentation /user-guides/
27. Yao Q, Liu C, Zhang Y, et al (2019). Changes in health-related quality of life of Chinese populations measured by the EQ-5D-3 L: a comparison of the 2008 and 2013 National Health Services Surveys. Health Qual Life Outcomes, 17:43.
28. Axon DR, Chien J (2021). Predictors of mental health status among older United States adults with pain. Behav Sci (Basel), 11 (2): 23.
29. Song J, Lee E (2021). Health-related quality of life of elderly women with fall experiences. Int J Environ Res Public Health, 18 (15): 7804.
30. Sun X, Lucas H, Meng Q, et al (2011). Associations between living arrangements and health-related quality of life of urban elderly people: a study from China. Qual Life Res, 20 (3): 359-69.
31. Moon S (2017). Gender differences in the impact of socioeconomic, health-related, and health behavioral factors on the health-related quality of life of the Korean elderly. J Digit Converg, 15 (6): 259-71.
32. Janssen M, Szende A, Cabases J, et al (2019). Population norms for the EQ-5D-3L: a cross-country analysis of population surveys for 20 countries. Eur J Health Econ, 20 (2): 205-16.
33. Kim KH, Lee SG (2020). Effects of health status and health behaviors on health-related quality of life in Korean adults. Korean J Health Serv Manag, 14 (1): 161-76.
34. Gim HG (2017). The effects of the stress of elderly people living alone in urban ar-eas on the quality of life: with a focus on the mediating effect of social support. Journal of the Korea Academia-Industrial coop-eration Society, 18 (12): 443-51.
35. DeSalvo KB, Bloser N, Reynolds K, et al (2006). Mortality prediction with a single general self-rated health question. J Gen Intern Med, 21 (3): 267-75.
36. Kim JH, Kim SY, Jo KH, et al (2021). Fac-tors of unmet dental care needs among elderly living alone. J Korean Acad Oral Health, 45 (2): 77-81.
| Files | ||
| Issue | Vol 53 No 6 (2024) | |
| Section | Original Article(s) | |
| Keywords | ||
| Oral health Unmet dental care needs Health-related quality of life | ||
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How to Cite
1.
Jung J, Yu J, Kim N-J, Kwak Y. The Effects of Health and Unmet Dental Care Needs on the Health-Related Quality of Life in Korea Older Adults: A Nationwide Study. Iran J Public Health. 2024;53(6):1304-1312.
