Abstract
Objectives
The purpose of this study was to use the components of the European Quality of Life-5 dimension (EQ-5D) scale to investigate the oral health status and health-related quality of life of adults in order to collect basic data on how to improve quality of life.
Methods
This study was conducted in 2014. Data from the 6th Korean National Health and Nutrition Examination Survey (sixth term; 2 years) were analyzed by utilizing the raw information from the disease management headquarters. The 2,805 subjects were 19 to 59-year-old adults who were not missing values of the main missing value of oral health status in variables and the EQ-5D. Statistical analysis was performed by frequency analysis and chi-squared (χ2) and t-tests. Analysis of variance was performed using multiple regression analysis. The significance level was determined to be 0.05.
Results
Dental pain and mobility (P<0.005), pain and discomfort (P<0.005), chewing problems and speaking discomfort, anxiety and depression (P<0.05), subjective oral health awareness, mobility (P<0.001), self-care (P<0.05), usual activities (P<0.05), pain and discomfort (P<0.005) were significantly related. In the effect on the components of the EQ-5D by logistic regression analysis, gender, age, education level, household income, chewing problems, and periodontal disease prevalence were significant variables in the quality of health-related life.
Conclusions
The results showed that oral health status significantly influenced the quality of life in adults. Through the recognition of the impact of oral health on health-related quality of life, we expect that the data from this study will help promote the development of oral health and oral health education programs for the maintenance and promotion of adult health.
References
1. Budtz-Jorgensen E, Chung JP, Rapin CH. Nutrition and oral health. Best Prac. Res Clin Gastroenterol. 2001; 15(6):885–896.
2. Hirano H, Ishiyama N, Watanabe I, Nasu I. Masticatory ability in relation to oral status and general health on aging. J Nutr Health Aging. 1999; 3(1):48–52.
3. Watt RG. Strategies and approaches in oral disease prevention and health promotion. Bulletin of the World Health Organization. 2005; 83(9):711–718.
4. Ministry of Health and Welfare. Disease Management Division, Public health nutrition research Raw materials Use guidelines. 2000.
5. Albandar JM, Brunelle JA, Kingman A. Destructive periodontal disease in adults 30 years of age and older in the United States, 1988-1994. J Periodontol. 1999; 70(1):13–29.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
6. Locker D, Slade G. Association between clinical and subjective indicators of oral health status in an older adult population. Gerodontology. 1994; 11(2):108–114.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
7. Cushing AM, Sheiham A, Maizels J. Developing sociodental indicators the social impact of dental disease. Community Dent Health. 1986; 3(1):3–17.
9. Albandar JM, Brunelle JA, Kingman A. Destructive periodontal disease in adults 30 years of age and older in the United States, 1988-1994. J Periodontol. 1999; 70(1):13–29.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
10. Locker D. Measuring oral health: a conceptual framework. Community Dent Health. 1988; 5(1):3–18.
11. EuroQol Group. EuroQol-a new facility for the measurement of health-related quality of life. Health Policy. 1990; 16(3):199–208.
12. Moon BA, Jeong SR, Jang JY, Kim KY. Health related quality of life by oral health behavior and oral health status for the Middle-aged people. J Korean Soc Dent Hyg. 2015; 15(2):197–204.
13. Shin HS, Kim HD. Association between the number of existing permanent teeth and health-related quality of life (EuroQol-5 Dimension) among adults: findings from the fifth Korea National Health and Nutrition Examination Surveys, 2012. J Korean Acad Oral Health. 2015; 39(4):303–310.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
14. Breeze E, Jones DA, Wilkinson P, Latif AM, Bulpitt CJ, Fletcher AE. Association of quality of life in old age in Britain with socioeconomic position: baseline data from a randomised controlled trial. J Epidemiol Community Health. 2004; 58:667–673.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
15. Kim SY, Sohn SY. Factors related to health related quality of life in rural elderly women. J Korean Gerontol Nurs. 2012; 14(2):91–98.
16. Han MA, Ryu SY, Park J, Kang MG, Park JK, Kim KS. Health-related quality of life assessment by the EuroQol-5D in some rural adults. J Prev Med Public Health. 2008; 41:173–180.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
17. Reisine ST, Fertig J, Weber J, Leder S. Impact of dental conditions on patients’ quality of life. Community Dent Oral Epidemiol. 1989; 17(1):7–10.
18. Lobbezoo F, Visscher CM, Naeije M. Impaired health status, sleep disorders, and pain in the craniomandibular and cervical spinal regions. Euro J Pain. 8:2004; 23–30.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
19. Choi ES, Lyu JY, Kim HY. Association between Oral Health Status and Health Related Quality of Life (EuroQoL-5 Dimension). J Dent Hyg Sci. 2015; 15(4):480–487.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
20. Leao A, Sheiham A. Relation between Clinical Dental Status and Subjective Impacts on Daily Living. J Dent Res. 1995; 74(7):1408–13.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
21. Kim JH, Kang SH, Jeong MA. Assessment on quality of life: based on oral health conditions. KAIS. 2010; 11(12):4873–4880.
![crossref](/image/icon/bnr_ref_cross.gif)
![crossref](/image/icon/bnr_ref_cross.gif)
22. Yoon MH. Association between oral health and health-related quality of life in adults[master’s thesis]. Daegu: Korea University;2008. [Korean].
23. Song KH. A study on the evaluation of health and oral health related quality of life in korean adults[Doctoral dissertation]. Seoul: Hanyang University;2007. [Korean].
Table 1.
Characteristics of the study subjects
Table 2.
Distribution of EQ-5D levels according to demographic and socioeconomic status
Table 3.
Bivariate association between oral health status and health related quality of life
Table 4.
The oral health status and health-related quality of life according to demographic and socioeconomic status