title: Oral Health-Related Quality of Life in  institutionalized elderly in Barcelona (Spain).
abstract: OBJECTIVE
  The objective of this study is to describe the oral health status and the factors associated with oral health-related quality of life (OHRQoL) in people aged 65 and older institutionalized in Barcelona in 2009.
  
  
  METHODS
  [corrected] Cross sectional study in 194 elderly. The dependent variable was poor OHRQoL, according to the Geriatric Oral Health Assessment Index (GOHAI). The independent variables were socio-demographic data, last dental visit, subjective and objective oral health status. Robust Poisson regression analysis was used to determine the factors associated with OHRQoL as well as the strengths of association (Prevalence Ratios with respective confidence intervals at 95%).
  
  
  RESULTS
  According to GOHAI, 94 women (68.1%) and 36 men (64.3%) had poor OHRQoL. The average DMFT index (number of decayed, missing and filled teeth) was 22.8, with mean 10.2 remaining teeth. According to the Community Periodontal Index only 1.9% were healthy. 33.8% of the sample (35.5% of women and 30.4% of men) presented edentulism, 54.2% needed upper dental prostheses (51.1% of women and 60.7% of men) and 64.7% needed lower ones (61.6% of women and 71.4% of men). Only 7.2% had visited a dentist in the past year (8.8% of women and 3.6% of men). After fitting several multivariate adjusted robust Poisson regression models, poor OHRQoL was found to be associated to self-reporting problems with teeth or gums, self-reporting poor opinion about teeth/gums/denture and also associated to functional edentulism, needing upper denture, but not to socio-demographic factors or time since last dental visit.
  
  
  CONCLUSIONS
  The study population has poor objective oral health. A high percentage has poor OHRQoL associated to subjective and objective oral health conditions. Dental care is required and these services should be included in the Spanish National Health System.
authors: Public Health, Faculty of Dentistry, University of Chile. mcornejo@aspb.cat
authors: Marco
authors: M
authors: Cornejo
authors: Glòria
authors: G
authors: Pérez
authors: Kenio-Costa
authors: KC
authors: de Lima
authors: Elías
authors: E
authors: Casals-Peidro
authors: Carme
authors: C
authors: Borrell
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007326:Institutionalization; D008297:Male; D009909:Oral Health; D011788:Quality of Life; D013030:Spain
references: J Public Health Dent. 2010 Fall;70(4):300-7
references: 20663049
references: J Dent Res. 1998 Jul;77(7):1529-38
references: 9663438
references: Cad Saude Publica. 2011 Jan;27(1):173-82
references: 21340116
references: J Dent Res. 2000 Apr;79(4):970-5
references: 10831100
references: Spec Care Dentist. 1993 Mar-Apr;13(2):53-60
references: 8272984
references: J Public Health Dent. 2008 Spring;68(2):88-93
references: 18248335
references: Eur J Oral Sci. 2003 Aug;111(4):297-304
references: 12887394
references: Soc Sci Med. 2004 Sep;59(5):1109-16
references: 15186909
references: J Public Health Dent. 1997 Fall;57(4):224-32
references: 9558626
references: J Dent Educ. 2005 Sep;69(9):975-86
references: 16141083
references: Community Dent Oral Epidemiol. 2008 Feb;36(1):34-42
references: 18205638
references: Gerodontology. 1994 Dec;11(2):108-14
references: 7750964
references: Cad Saude Publica. 2009 Feb;25(2):421-35
references: 19219250
references: J Can Dent Assoc. 2006 Jun;72(5):421-5
references: 16772066
references: Gac Sanit. 2011 Sep-Oct;25(5):391-6
references: 21703730
references: Int Dent J. 2009 Apr;59(2):78-82; quiz 62
references: 19489286
references: J Dent Educ. 2005 Sep;69(9):961-74
references: 16141082
references: Gerodontology. 2012 Jun;29(2):e667-73
references: 21883423
references: Med Oral Patol Oral Cir Bucal. 2009 Jan 01;14(1):E44-50
references: 19114956
references: Gerodontology. 2008 Mar;25(1):49-56
references: 18194333
references: Int Dent J. 2010 Jun;60(3):143-55
references: 20684439
references: Int Dent J. 2001 Jun;51(3 Suppl):228-34
references: 11561883
references: J Dent Res. 2011 Jun;90(6):717-23
references: 21508432
references: J Oral Rehabil. 2003 Jan;30(1):46-54
references: 12485383