Assessing oral health-related quality of life among older people in home-based care - survey results of the InSEMaP study in Germany
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Assessing oral health-related quality of life among older people in home-based care - survey results of the InSEMaP study in Germany. / Koenig, Alena; Porzelt, Sarah; Behrens-Potratz, Anja; Stratmeyer, Peter; Schellhammer, Stefanie; Schmage, Petra; Konnopka, Claudia; Scherer, Martin; Konnopka, Alexander; Zimmermann, Thomas.
in: BMC ORAL HEALTH, Jahrgang 24, 26.06.2024, S. 734.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Assessing oral health-related quality of life among older people in home-based care - survey results of the InSEMaP study in Germany
AU - Koenig, Alena
AU - Porzelt, Sarah
AU - Behrens-Potratz, Anja
AU - Stratmeyer, Peter
AU - Schellhammer, Stefanie
AU - Schmage, Petra
AU - Konnopka, Claudia
AU - Scherer, Martin
AU - Konnopka, Alexander
AU - Zimmermann, Thomas
N1 - © 2024. The Author(s).
PY - 2024/6/26
Y1 - 2024/6/26
N2 - BACKGROUND: Older people receiving home-based care (HBC) often face barriers to access preventive oral health care (OHC) and dental treatments. Leading to deterioration of their oral healthcare. It is further deteriorated by factors such as increasing burden of systemic diseases, medicinal side effects, limited mobility, financial constraints and lack of professional OHC at home. Older people also struggle to maintain necessary daily oral hygiene, leading to malnutrition, weight loss, and a risk of a further health degradation. This cross-sectional survey aimed to investigate the oral health-related quality of life (OHRQoL) and their associated factors in HBC recipients.METHODS: 5,280 older people (≥ 60 years) living in Hamburg, who were in need of care and insured with statutory health insurance DAK-Gesundheit received the questionnaire, which included the German version of the Oral Health Impact Profile (OHIP G-14) and, the EQ-5D health-related quality of life (HRQoL) measure as well as further questions regarding the extent of informal social support, subjective oral health status, oral health behaviour, subjective cognitive status, and socio-demographic variables.RESULTS: The participants (n = 1,622) had a median age of 83.2 years, with 72.0% of the sample being female. Nearly two thirds of the sample reported that their independence or abilities were significantly impaired (care level 2). Regarding oral health impacts, 40.0% of the participants reported experiencing at least one of the fourteen possible prevalent impacts of the OHIP-G14 fairly often or very often. A multivariate regression model on the severity of oral health impacts revealed, that a better HRQoL, a positive perception of one's own dental status, fewer visits to dental practices, and no need for support in OHC were associated with better OHRQoL. Conversely, respondents with a negative perception of their oral health status, more frequent visits to a dental practice, a need for support in OHC, and subjective memory impairment showed poorer OHRQoL.CONCLUSIONS: The results highlight the risk for poor oral health among older people in HBC. We conclude that there is an urgent need to prioritise oral health, especially as poor oral health can further compromise the systemic wellbeing of these already care dependent population.
AB - BACKGROUND: Older people receiving home-based care (HBC) often face barriers to access preventive oral health care (OHC) and dental treatments. Leading to deterioration of their oral healthcare. It is further deteriorated by factors such as increasing burden of systemic diseases, medicinal side effects, limited mobility, financial constraints and lack of professional OHC at home. Older people also struggle to maintain necessary daily oral hygiene, leading to malnutrition, weight loss, and a risk of a further health degradation. This cross-sectional survey aimed to investigate the oral health-related quality of life (OHRQoL) and their associated factors in HBC recipients.METHODS: 5,280 older people (≥ 60 years) living in Hamburg, who were in need of care and insured with statutory health insurance DAK-Gesundheit received the questionnaire, which included the German version of the Oral Health Impact Profile (OHIP G-14) and, the EQ-5D health-related quality of life (HRQoL) measure as well as further questions regarding the extent of informal social support, subjective oral health status, oral health behaviour, subjective cognitive status, and socio-demographic variables.RESULTS: The participants (n = 1,622) had a median age of 83.2 years, with 72.0% of the sample being female. Nearly two thirds of the sample reported that their independence or abilities were significantly impaired (care level 2). Regarding oral health impacts, 40.0% of the participants reported experiencing at least one of the fourteen possible prevalent impacts of the OHIP-G14 fairly often or very often. A multivariate regression model on the severity of oral health impacts revealed, that a better HRQoL, a positive perception of one's own dental status, fewer visits to dental practices, and no need for support in OHC were associated with better OHRQoL. Conversely, respondents with a negative perception of their oral health status, more frequent visits to a dental practice, a need for support in OHC, and subjective memory impairment showed poorer OHRQoL.CONCLUSIONS: The results highlight the risk for poor oral health among older people in HBC. We conclude that there is an urgent need to prioritise oral health, especially as poor oral health can further compromise the systemic wellbeing of these already care dependent population.
KW - Humans
KW - Quality of Life
KW - Germany
KW - Female
KW - Aged
KW - Male
KW - Oral Health
KW - Cross-Sectional Studies
KW - Home Care Services
KW - Middle Aged
KW - Aged, 80 and over
KW - Social Support
KW - Health Status
KW - Health Behavior
KW - Oral Hygiene
KW - Health Services Accessibility
KW - Surveys and Questionnaires
U2 - 10.1186/s12903-024-04500-6
DO - 10.1186/s12903-024-04500-6
M3 - SCORING: Journal article
C2 - 38926675
VL - 24
SP - 734
JO - BMC ORAL HEALTH
JF - BMC ORAL HEALTH
SN - 1472-6831
ER -