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Predictors for oral and general health outcomes and quality of life among older people attending general practice clinics in South Australia

机译:南澳大利亚州全科诊所就诊的老年人口腔和一般健康结果以及生活质量的预测因子

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Abstract Background As the proportion and number of older people in Australia continue to grow, innovative means to tackle primary care and prevention are necessary to combat the individual, social and economic challenges of non‐communicable diseases. Objective To assess risk factors (or predictors) for oral and general health outcomes and quality of life of older people (75+ years.) attending general practice (GP) clinics in South Australia. Methods Data were collected from older people attending 48 GP clinics in metropolitan South Australia. Age, sex, education, living arrangement, material standards, chronic conditions and nutrition were assessed as risk factors. Global self‐rated oral and general health and quality of life (OHIP Severity and EQ‐5D Utility) were included as outcome measures. Results A total of 459 participants completed the study; response rate was 78. In the adjusted models, high satisfaction with material standards and good nutritional health were positively associated with all four oral and general health measures. Sex (β?=??0.08), age (β?=??0.09) and number of chronic conditions (β?=??0.12) were negatively associated with EQ‐5D, while living arrangement (β?=?0.07) was positively associated. Further, having four or more chronic conditions (RR:1.47) was significantly associated with self‐rated general health. Conclusion Satisfaction with material standards and nutritional risk were consistent predictors for oral and general health outcomes and quality of life of older people visiting GP clinics.
机译:摘要 背景 随着澳大利亚老年人的比例和人数不断增长,解决初级保健和预防问题的创新手段对于应对非传染性疾病的个人、社会和经济挑战是必要的。目的 评估在南澳大利亚州全科诊所就诊的老年人(75+岁)口腔和一般健康结局以及生活质量的风险因素(或预测因素)。方法 收集南澳大利亚州大都市48家全科医生诊所就诊的老年人数据。年龄、性别、教育程度、生活安排、物质标准、慢性病和营养被评估为危险因素。全球自评口腔和一般健康与生活质量(OHIP 严重程度和 EQ-5D 效用)被纳入结局指标。结果 共有459名受试者完成研究;回应率为78%。在调整后的模型中,对材料标准的高满意度和良好的营养健康与所有四种口腔和一般健康指标呈正相关。性别 (β?=??0.08)、年龄(β?=??0.09)和慢性病数量(β?=??0.12)与EQ-5D呈负相关,而生活安排(β?=?0.07)呈正相关。此外,患有四种或更多慢性病(RR:1.47)与自评的一般健康状况显着相关。结论 对材料标准和营养风险的满意度是就诊老年人口腔和一般健康结局以及生活质量的一致预测因子。

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