The influence of educational level on the correlation between oral health status and oral health-related quality of life (OHRQoL) in Indonesian elderly
Dewi Agustina )
Oral Medicine Department, Faculty of Dentistry, Gadjah Mada University, Yogyakarta, Indonesia
Aims : To study how much the influence of educational level on the correlation between oral health status and OHRQoL inIndonesian elderly.
Methods : Oral health status of 73 elders in Yogyakarta, Indonesia were determined by oral assessment, included number of oral mucosal lesion, oral hygiene (OH), DMFT index and periodontal tissue status. OHRQoL of elders were obtained using questionnaire of Modified Dental Impact on Daily Living. The subjects could be differentiated into low educated elderly (LEE, ≤ Senior High School, 53 subjects), and high educated elderly (HEE, > SHS, 20 subjects). The data then were analyzed statistically using Pearson Product Moment Correlation to know the correlation between oral health status and OHRQoL in elders.
Results : Only the number of oral mucosal lesion and OH in HEE had significant correlations with OHRQoL, with r were -0.554 and -0.649, respectively. Oral mucosal lesion, poor OH and healthy periodontal tissue were found in 92.5%, 20.8%, 9.4% of LEE subjects, respectively. In HEE subjects, those assessments were detected in 75%, 5% and 40%, respectively. Mean of DMFT Index in LEE was 18.11 and that in HEE was 13.75. Mean score of OHRQoL in LEE and HEE were 27.7 and 25.7, respectively and classified as satisfying. Although the oral health status of LEE was worse than that of HEE, however, LEE had higher score of OHRQoL than HEE.
Conclusions : Educational level influences the oral health status but it does not affect the OHRQoL.
Proportion of elderly (≥ 60 years) worldwide dramatically increased recently. The reasons for this is increasing of life expectancy because of quality of life improvement and development of health aspect. About 80% of elderly worldwide is found in developing countries 1. They at least have one chronic medical disturbance, so increasing elderly population might increase percentage of chronic diseases as well 2.
So far the quality of life assessment is mostly based on general health of people. In fact, oral health might play a significant role in determining the quality of life of someone. Quality of life itself can not be separated from the whole condition of human being that consists of