Korean J Health Promot.  2019 Dec;19(4):229-236. 10.15384/kjhp.2019.19.4.229.

Relationship among Oral Hygiene Management, Halitosis, Interpersonal Relationships and Oral Health-Related Quality of Life in Community-Dwelling Elderly

• Chae YR
• Kang SY
• Nam ES
• Hyun HJ
• Park SY
• Lee SH
• Lee JY
• Kim DM

• KMID: 2469170
• DOI: http://doi.org/10.15384/kjhp.2019.19.4.229

Abstract

BACKGROUND
The purpose of this study was to determine the degree of oral care, perceived halitosis, halitosis, interpersonal relationships and oral health-related quality of life and to examine the relationships among these variables.
METHODS
The participants were 94 elderly people. The questionnaire included questions on oral care, perceived halitosis, interpersonal relationships, and oral health-related quality of life. Halitosis was measured using odor breath tester.
RESULTS
A total of 63.8% of the elderly did not receive regular oral care. The halitosis score was 1.59, thus indicating moderate halitosis. The current perceived halitosis figure was 1.54, participants responded that they feel slight. There was no significant correlation between halitosis and perceived halitosis. Furthermore, there was no significant difference in halitosis and perceived halitosis according to the oral care. Perceived halitosis was negatively correlated with oral health-related quality of life. Interpersonal relationships were correlated with oral health-related quality of life.
CONCLUSIONS
It is necessary to actively promote the need for oral care among the elderly. Moreover, older people need regular oral care to prevent halitosis and improve their oral health-related quality of life.

Keyword

Aged; Oral care; Halitosis; Interpersonal relationships; Oral health-related quality of life

MeSH Terms

Aged*
Breath Tests
Halitosis*
Humans
Odors
Oral Hygiene*
Quality of Life*

Reference

1. Ministry of Health and Welfare. OECD Health statistics. Sejong: Ministry of Health and Welfare;2019.

2. Ministry of Health and Welfare. Korea Health Statistics. Korea National Health and Nutrition Examination Survey (KNHANES V-3). Sejong: Ministry of Health & Welfare;2017.

3. Noh EM, Jeon ES, Ko SY. Relationship of oral health behavior to self-efficacy among the elderly. J Korean Soc Dent Hyg. 2014; 14(2):167–176.

4. World Health Organization (WHO). The definition of oral health [Internet]. Geneva: WHO;2004. Accessed Feb 24, 2004. Available from: https://www.who.int/mediacentre/news/releases/2004/pr15/en/.

5. Kim HJ, Kim JH. A study of the halitosis at urban area in Dae-Gu city. J Korean Soc Dent Hyg. 2008; 8(4):387–393.

6. Jung SJ, Lee MR. A study on halitosis by oral care behavior and the oral environment. J Korea Acad Industr Coop Soc. 2016; 17(1):629–637.

7. Kim YJ, Park KM. Effects on salivation, xerostomia and halitosis in elders after oral function improvement exercises. J Korean Acad Nurs. 2012; 42(6):898–906.

8. Shin KH. Analysis of halitosis components following by sub jective cognition of halitosis and oral state. J Korean Soc Dent Hyg. 2011; 11(2):263–275.

9. Lee YO, Hong JP, Lee TY. Halitosis and related factors among rural residents. J Oral Med Pain. 2007; 32(5):157–175.

10. Eldarrat J, Alkhabuli , Malik A. The prevalence of self-reported halitosis and oral hygiene practices among libyan students and office workers. Libyan J Med. 2008; 3(4):170–176.

11. McKeown L. Social relations and breath odour. Int J Dent Hyg. 2003; 1(4):213–217.

12. Han JS, Hong JH, Choi JS. Factors associated with self-assessment of halitosis in adult. J Korea Contents Assoc. 2011; 11(12):347–356.

13. Park KA, Choi-Kwon S, Park MS. The effects of oral health care education for nursing staff on halitosis and nutrient intake of the elderly in a long-term care facility. J Korean Diet Assoc. 2011; 17(3):243–258.

14. Cho ES. Effect of self awareness of halitosis on the quality of life related to oral health in patients with chronic renal failure. J Digit Policy Manag. 2013; 11(12):607–614.

15. Lee YS, Park WS, Jung JO. The subjective recognition of halitosis in the elderly in some areas. J Korean Soc Dent Hyg. 2014; 14(5):747–755.

16. Heo HY, Shin SC, Cho JW, Park KS. A study about the relationship between worker’s mouth-odor survey and factor analysis. J Korean Acad Dent Health. 2005; 29(3):368–384.

17. Lee HS, Kim C. Effects of oral health impact profile (OHIP) on depression and quality of life among community-dwelling Korean elderly persons. J Korean Acad Community Health Nurs. 2012; 23(3):338–346.

18. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009; 41(4):1149–1160.

19. Shin SC, Lee KS. An epidemiological study on malodor status in Korean people. J Korean Acad Dent Health. 1999; 23(4):343–359.

20. Schlein SP. Training dating couples in empathic and open communication: an experiment of a potential mental health program [unpublished dissertation]. University Park: The Pennsylvania state University;1971. English.

21. Guerney BG. Relationship enhancement: skill training programs for therapy, program prevention, and enrichment. San Francisco: Jossey-Bass;1991.

22. Hwang IO. A study on a strategy for strengthening the social adaptation of the dementia aged through [unpublished dissertation]. Busan: Busan National University;2002. Korean.

23. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dental Health. 1994; 11(1):3–11.

24. Robinson PG, Gibson B, Khan FA, Birnbaum W. A comparison of OHIP14 and OIDP as interviewers and questionnaires. Community Dental Health. 2001; 18(3):144–149.

25. Wong MC, Lo EC, McMillan AS. Validity of a Chinese version of the oral health impact profile (OHIP). Community Dent Oral Epidemiol. 2002; 30(6):423–430.

26. Kim JO, Kim NC. Effects of 4% hypertonic saline solution mouthwash on oral health of elders in long term care facilities. J Korean Acad Nurs. 2014; 44(1):13–20.

27. Lee MR, Choi JS. Self-reported halitosis and the associated factors in adults. J Korean Soc Dent Hyg. 2013; 3(2):142–150.

28. Kim EH, Park MK, Ku IY, Moon SJ, Kim SH. The impact of oral health impact profile (OHIP-14) of subjectively reported oral status in the elderly. J Korea Acad Industr Coop Soc. 2013; 14(9):4349–4358.