Association between self-reported oral health and cognitive function among the community-dwelling elderly in Jinan, China: the mediating effect of life satisfaction
BackgroundDeterioration of self-reported oral health and decline in cognitive function are two main adverse health outcomes experienced by the older adults. Little evidence was found on the psychosocial mechanism between self-reported oral health and cognitive function. This study explores the assoc...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1116325/full |
| _version_ | 1827941517315014656 |
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| author | Guangwen Liu Guangwen Liu Zhongqian Lu Zhongqian Lu Ying Shan Ying Shan Jieru Wang Jieru Wang Xinfei Shi Xinfei Shi Di Zong Di Zong Shixue Li Shixue Li Fanlei Kong Fanlei Kong |
| author_facet | Guangwen Liu Guangwen Liu Zhongqian Lu Zhongqian Lu Ying Shan Ying Shan Jieru Wang Jieru Wang Xinfei Shi Xinfei Shi Di Zong Di Zong Shixue Li Shixue Li Fanlei Kong Fanlei Kong |
| author_sort | Guangwen Liu |
| collection | DOAJ |
| description | BackgroundDeterioration of self-reported oral health and decline in cognitive function are two main adverse health outcomes experienced by the older adults. Little evidence was found on the psychosocial mechanism between self-reported oral health and cognitive function. This study explores the association between self-reported oral health and cognitive function and examines the mediating effect of life satisfaction among the community-dwelling elderly in Jinan, China.MethodsA total of 512 older individuals (60+) were included in the study. Cognitive function was assessed using the Chinese version of the Mini-Mental State Examination scale (MMSE), and self-reported oral health was measured using the Chinese version of the Geriatric Oral Health Assessment Index (GOHAI). Pearson correlation analysis was used to determine the relationship between self-reported oral health, life satisfaction, and cognitive function. Multivariate linear regression analysis was conducted to explore the possible effect of covariates. Structural equation modelling and Bootstrap analyses were conducted to verify the mediating role of life satisfaction.ResultsThe mean MMSE score was 25.65 ± 4.42. Better self-reported oral health was significantly associated with a higher level of life satisfaction, and those with higher life satisfaction experienced better cognitive function. Age, educational level and source of living expenses were found to be cofounding variables. Life satisfaction partially mediated the effect of self-reported oral health on cognitive function (95% confidence interval [CI]: 0.010 to 0.075). The mediating effect of life satisfaction accounted for 24% of the total effect.ConclusionThe level of cognitive function was relatively high. Self-reported oral health was positively associated with cognitive function, and the mediating effect of life satisfaction was proven to exist in the community-dwelling older individuals. Early screening for oral diseases and a greater focus on life satisfaction are recommended. |
| first_indexed | 2024-03-13T09:39:29Z |
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| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-03-13T09:39:29Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychology |
| spelling | doaj.art-62b91f5e7ede49d59f889f03fc91a4122023-05-25T04:53:34ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-05-011410.3389/fpsyg.2023.11163251116325Association between self-reported oral health and cognitive function among the community-dwelling elderly in Jinan, China: the mediating effect of life satisfactionGuangwen Liu0Guangwen Liu1Zhongqian Lu2Zhongqian Lu3Ying Shan4Ying Shan5Jieru Wang6Jieru Wang7Xinfei Shi8Xinfei Shi9Di Zong10Di Zong11Shixue Li12Shixue Li13Fanlei Kong14Fanlei Kong15Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, ChinaNHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, ChinaBackgroundDeterioration of self-reported oral health and decline in cognitive function are two main adverse health outcomes experienced by the older adults. Little evidence was found on the psychosocial mechanism between self-reported oral health and cognitive function. This study explores the association between self-reported oral health and cognitive function and examines the mediating effect of life satisfaction among the community-dwelling elderly in Jinan, China.MethodsA total of 512 older individuals (60+) were included in the study. Cognitive function was assessed using the Chinese version of the Mini-Mental State Examination scale (MMSE), and self-reported oral health was measured using the Chinese version of the Geriatric Oral Health Assessment Index (GOHAI). Pearson correlation analysis was used to determine the relationship between self-reported oral health, life satisfaction, and cognitive function. Multivariate linear regression analysis was conducted to explore the possible effect of covariates. Structural equation modelling and Bootstrap analyses were conducted to verify the mediating role of life satisfaction.ResultsThe mean MMSE score was 25.65 ± 4.42. Better self-reported oral health was significantly associated with a higher level of life satisfaction, and those with higher life satisfaction experienced better cognitive function. Age, educational level and source of living expenses were found to be cofounding variables. Life satisfaction partially mediated the effect of self-reported oral health on cognitive function (95% confidence interval [CI]: 0.010 to 0.075). The mediating effect of life satisfaction accounted for 24% of the total effect.ConclusionThe level of cognitive function was relatively high. Self-reported oral health was positively associated with cognitive function, and the mediating effect of life satisfaction was proven to exist in the community-dwelling older individuals. Early screening for oral diseases and a greater focus on life satisfaction are recommended.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1116325/fulllife satisfactioncognitive functioncommunity-dwelling elderlymediating effectself-reported oral health |
| spellingShingle | Guangwen Liu Guangwen Liu Zhongqian Lu Zhongqian Lu Ying Shan Ying Shan Jieru Wang Jieru Wang Xinfei Shi Xinfei Shi Di Zong Di Zong Shixue Li Shixue Li Fanlei Kong Fanlei Kong Association between self-reported oral health and cognitive function among the community-dwelling elderly in Jinan, China: the mediating effect of life satisfaction Frontiers in Psychology life satisfaction cognitive function community-dwelling elderly mediating effect self-reported oral health |
| title | Association between self-reported oral health and cognitive function among the community-dwelling elderly in Jinan, China: the mediating effect of life satisfaction |
| title_full | Association between self-reported oral health and cognitive function among the community-dwelling elderly in Jinan, China: the mediating effect of life satisfaction |
| title_fullStr | Association between self-reported oral health and cognitive function among the community-dwelling elderly in Jinan, China: the mediating effect of life satisfaction |
| title_full_unstemmed | Association between self-reported oral health and cognitive function among the community-dwelling elderly in Jinan, China: the mediating effect of life satisfaction |
| title_short | Association between self-reported oral health and cognitive function among the community-dwelling elderly in Jinan, China: the mediating effect of life satisfaction |
| title_sort | association between self reported oral health and cognitive function among the community dwelling elderly in jinan china the mediating effect of life satisfaction |
| topic | life satisfaction cognitive function community-dwelling elderly mediating effect self-reported oral health |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1116325/full |
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