Variation in subjective oral health indicators of 65-year-olds in Norway and Sweden
Source: Acta Odontologica Scandinavica, Volume 67, Number 4, July 2009 , pp. 222-232(11)
Publisher: Informa Healthcare
Abstract:Objective. Guided by the conceptual framework of Gilbert and co-workers, this study assesses satisfaction with oral health as reported by 65-year-olds in Sweden and Norway, the relationship of socio-demographic factors, clinical and subjective oral health indicators with satisfaction of oral health, and the consistency of those relationships across countries. Material and methods. In 2007, standardized questionnaires were mailed to all the residents in two counties in Sweden and three in Norway who were born in 1942. Response rates were 73.1% (n=6078) in Sweden and 56.0% (n=4062) in Norway. Results. Totals of 76.8% of the Swedish and 76.5% of the Norwegian participants reported satisfaction with oral health. Corresponding figures for toothache were 48.1% (Sweden) versus 51.5% (Norway), and for temporomandibular joint symptoms, 10.9% (Sweden) versus 15.1% (Norway). Multiple logistic regression analysis revealed that subjects who perceived they had bad health, smoked daily, had missing teeth, experienced toothache, had problems with chewing, bad breath, and oral impacts were less likely than their counterparts in the opposite groups to be satisfied with their oral health status. The corresponding odds ratios (ORs) ranged from 0.08 (problems chewing) to 0.2 (oral impact). No statistically significant two-way interactions occurred and the model explained 46% of the variance in satisfaction with oral health across the two countries (45% in Sweden and 47% in Norway). Conclusions. The oral condition of 65-year-olds in Norway and Sweden produced impacts in oral symptoms, functional limitations, and problems with daily activities that varied to some extent. Satisfaction with oral health varied by socio-demographic factors and subjective oral health indicators. A full understanding of the oral health and treatment needs of 65-year-olds cannot be captured by clinical measures alone.
Document Type: Research Article
Affiliations: 1: Department of Dentistry, Orebro County Council, Orebro, Sweden,Institute of Clinical Dentistry-Community Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Norway 2: Institute of Clinical Dentistry-Community Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Norway 3: Dental Commissioning Unit Ostergotland County Council, Sweden,Department of Oral Public Health, Malmo University, Malmo, Sweden 4: Department of Oral Public Health, Malmo University, Malmo, Sweden,Post-Graduate Dental Education Centre, Orebro County Council, Orebro, Sweden
Publication date: 2009-07-01