家庭居住者和养老院居民的认知功能与口腔健康之间的关系:HUNT 研究

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2024-10-14 DOI:10.1111/cdoe.13013
Ernest Obeng Asante, Rannveig Sakshaug Eldholm, Marit Kolberg, Håvard Kjesbu Skjellegrind, Geir Selbæk, Xiao-Mei Mai, Yue Chen, Yi-Qian Sun
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引用次数: 0

摘要

目的:评估挪威老年人群的认知功能和护理依赖与口腔健康之间的关系:评估挪威老年人口中认知功能和护理依赖与口腔健康的关系:这项横断面研究包括来自特伦德拉格健康研究第四波(HUNT4 70+)和特隆赫姆市(特隆赫姆 70+)的 2623 名 70 岁及以上的参与者。神经认知障碍(NCD)由临床专家根据 DSM-5 框架进行诊断。护理依赖性指的是疗养院居住情况。口腔健康采用《修订口腔评估指南-延雪平》(ROAG-J)进行评估。如果在 ROAG-J 九个项目中至少有一个项目的得分达到 2 分或 3 分,则被视为 "有口腔问题"。采用泊松回归法估算患病率比(PRs)和 95% 置信区间(CIs):结果:在调整了潜在的混杂因素后,患有非传染性疾病的参与者出现口腔问题的比例比认知功能正常的参与者高 19%(PR 1.19,95% 置信区间:1.09-1.29)。进一步分析表明,与认知功能正常的居家者相比,患有非传染性疾病的居家者(PR 1.23,95% CI:1.13-1.33)和疗养院居民(PR 1.32,95% CI:1.20-1.45)的口腔问题发生率更高:非传染性疾病与挪威老年人口腔问题患病率的增加有关。这项研究表明,有必要加强对患有非传染性疾病的居家老年人和养老院居民的口腔护理。
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The Association Between Cognitive Function and Oral Health in Home Dwellers and Nursing Home Residents: The HUNT Study.

Objectives: To evaluate the relationships of cognitive function and care dependency with oral health in a Norwegian older adult population.

Methods: This cross-sectional study included 2623 participants aged 70 and older from the fourth wave of the Trøndelag health study (HUNT4 70+) and the city of Trondheim (Trondheim 70+). Neurocognitive disorders (NCDs) were diagnosed by clinical experts according to the DSM-5 framework. Care dependency referred to nursing home residency. Oral health was assessed by using the Revised Oral Assessment Guide-Jönköping (ROAG-J). Individuals were considered as 'having oral problem' if the score was two or three in at least one of the nine ROAG-J items. Poisson regression was used to estimate prevalence ratios (PRs) and 95% confidence intervals (CIs).

Results: The prevalence of having oral problems was 19% higher in participants with NCDs than those with normal cognitive function after adjusting for potential confounders (PR 1.19, 95% CI: 1.09-1.29). Further analysis showed a higher prevalence of having oral problems for home dwellers with NCDs (PR 1.23, 95% CI: 1.13-1.33) and nursing home residents (PR 1.32, 95% CI: 1.20-1.45) compared to home dwellers with normal cognitive function.

Conclusions: NCDs were associated with an increased prevalence of oral problems in this Norwegian older adult population. The study suggests the need for increasing oral care for home dwellers with NCDs and nursing home residents.

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来源期刊
Community dentistry and oral epidemiology
Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.40
自引率
8.70%
发文量
82
审稿时长
6 months
期刊介绍: The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.
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