Relationships between stroke prevalence, health literacy, and oral health-related quality of life in middle-aged and older adults: a national survey study
Abstract Background Stroke may cause debilitating neurological deficiencies that result in motor, sensory, and cognitive deficits and poorer psychosocial functioning. Prior studies have provided some initial evidence for the significant roles of health literacy and poor oral health for old people. H...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-03927-w |
| _version_ | 1797840882699862016 |
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| author | Li-Chung Pien Wan-Ju Cheng Wen-Pei Chang Su-Ru Chen Kuei-Ru Chou Chia-Hui Wang |
| author_facet | Li-Chung Pien Wan-Ju Cheng Wen-Pei Chang Su-Ru Chen Kuei-Ru Chou Chia-Hui Wang |
| author_sort | Li-Chung Pien |
| collection | DOAJ |
| description | Abstract Background Stroke may cause debilitating neurological deficiencies that result in motor, sensory, and cognitive deficits and poorer psychosocial functioning. Prior studies have provided some initial evidence for the significant roles of health literacy and poor oral health for old people. However, few studies have focused on the health literacy of individuals who had a stroke; therefore, the relationships between the health literacy and oral health-related quality of life (OHRQoL) among middle-aged and older adults who had a stroke are unknown. We aimed to assess the relationships between stroke prevalence, health literacy status, and OHRQoL in middle-aged and older adults. Methods We retrieved the data from The Taiwan Longitudinal Study on Aging, a population-based survey. For each eligible subject, we gathered data in 2015 on age, sex, level of education, marital status, health literacy, the activity daily living (ADL), stroke history and OHRQoL. We evaluated the respondents’ health literacy by using a nine-item health literacy scale and categorized their health literacy level as low, medium, or high. OHRQoL was identified based on the Taiwan version of the Oral Health Impact Profile (OHIP-7T). Results The final study contained 7702 community-based dwelling elderly people (3630 male and 4072 female) were analysis in our study. Stroke history was reported in 4.3% of participants, 25.3% reported low health literacy, and 41.9% had at least one ADL disability. Furthermore, 11.3% of participants had depression, 8.3% had cognitive impairment, and 3.4% had poor OHRQoL. Age, health literacy, ADL disability, stroke history, and depression status were significantly associated with poor OHRQoL after sex and marital status was adjusted. Medium (odds ratio [OR] = 1.784, 95% confidence interval [CI] = 1.177, 2.702) to low health literacy (OR = 2.496, 95% CI = 1.628, 3.828) was significantly associated with poor OHRQoL. Conclusions Base our study results, people with stroke history had poor OHRQoL. Lower health literacy and ADL disability were associated with worse QHRQoL. Further studies are necessary to define practical strategies for reducing the risk of stroke and oral health with constantly lower health literacy, thereby improving the quality of life and providing health care of older people. |
| first_indexed | 2024-04-09T16:21:59Z |
| format | Article |
| id | doaj.art-ce10198ad75c4123b32a7ff3692daa3a |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-09T16:21:59Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-ce10198ad75c4123b32a7ff3692daa3a2023-04-23T11:27:26ZengBMCBMC Geriatrics1471-23182023-04-012311810.1186/s12877-023-03927-wRelationships between stroke prevalence, health literacy, and oral health-related quality of life in middle-aged and older adults: a national survey studyLi-Chung Pien0Wan-Ju Cheng1Wen-Pei Chang2Su-Ru Chen3Kuei-Ru Chou4Chia-Hui Wang5College of Nursing, Post-Baccalaureate Program in Nursing, Taipei Medical UniversityNational Center for Geriatrics and Welfare Research, National Health Research InstitutesDepartment of Nursing, Shuang Ho Hospital, Taipei Medical UniversityCollege of Nursing, Post-Baccalaureate Program in Nursing, Taipei Medical UniversityDepartment of Nursing, Shuang Ho Hospital, Taipei Medical UniversitySchool of Nursing, College of Nursing, Taipei Medical UniversityAbstract Background Stroke may cause debilitating neurological deficiencies that result in motor, sensory, and cognitive deficits and poorer psychosocial functioning. Prior studies have provided some initial evidence for the significant roles of health literacy and poor oral health for old people. However, few studies have focused on the health literacy of individuals who had a stroke; therefore, the relationships between the health literacy and oral health-related quality of life (OHRQoL) among middle-aged and older adults who had a stroke are unknown. We aimed to assess the relationships between stroke prevalence, health literacy status, and OHRQoL in middle-aged and older adults. Methods We retrieved the data from The Taiwan Longitudinal Study on Aging, a population-based survey. For each eligible subject, we gathered data in 2015 on age, sex, level of education, marital status, health literacy, the activity daily living (ADL), stroke history and OHRQoL. We evaluated the respondents’ health literacy by using a nine-item health literacy scale and categorized their health literacy level as low, medium, or high. OHRQoL was identified based on the Taiwan version of the Oral Health Impact Profile (OHIP-7T). Results The final study contained 7702 community-based dwelling elderly people (3630 male and 4072 female) were analysis in our study. Stroke history was reported in 4.3% of participants, 25.3% reported low health literacy, and 41.9% had at least one ADL disability. Furthermore, 11.3% of participants had depression, 8.3% had cognitive impairment, and 3.4% had poor OHRQoL. Age, health literacy, ADL disability, stroke history, and depression status were significantly associated with poor OHRQoL after sex and marital status was adjusted. Medium (odds ratio [OR] = 1.784, 95% confidence interval [CI] = 1.177, 2.702) to low health literacy (OR = 2.496, 95% CI = 1.628, 3.828) was significantly associated with poor OHRQoL. Conclusions Base our study results, people with stroke history had poor OHRQoL. Lower health literacy and ADL disability were associated with worse QHRQoL. Further studies are necessary to define practical strategies for reducing the risk of stroke and oral health with constantly lower health literacy, thereby improving the quality of life and providing health care of older people.https://doi.org/10.1186/s12877-023-03927-wStrokeHealth literacyOral health related quality of lifeOlder adultsNational survey |
| spellingShingle | Li-Chung Pien Wan-Ju Cheng Wen-Pei Chang Su-Ru Chen Kuei-Ru Chou Chia-Hui Wang Relationships between stroke prevalence, health literacy, and oral health-related quality of life in middle-aged and older adults: a national survey study BMC Geriatrics Stroke Health literacy Oral health related quality of life Older adults National survey |
| title | Relationships between stroke prevalence, health literacy, and oral health-related quality of life in middle-aged and older adults: a national survey study |
| title_full | Relationships between stroke prevalence, health literacy, and oral health-related quality of life in middle-aged and older adults: a national survey study |
| title_fullStr | Relationships between stroke prevalence, health literacy, and oral health-related quality of life in middle-aged and older adults: a national survey study |
| title_full_unstemmed | Relationships between stroke prevalence, health literacy, and oral health-related quality of life in middle-aged and older adults: a national survey study |
| title_short | Relationships between stroke prevalence, health literacy, and oral health-related quality of life in middle-aged and older adults: a national survey study |
| title_sort | relationships between stroke prevalence health literacy and oral health related quality of life in middle aged and older adults a national survey study |
| topic | Stroke Health literacy Oral health related quality of life Older adults National survey |
| url | https://doi.org/10.1186/s12877-023-03927-w |
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