Effect of Morbidities, Depression, Anxiety, and Stress on Oral Health-Related Quality of Life among Migrant Elderly Following Children in Weifang, China

Abstract

This study explored the relationship between depression, anxiety, stress, morbidity, and oral health-related quality of life (OHRQoL) in the migrant elderly following children (MEFC) in Weifang, China. A total of 613 MEFC were selected using multistage cluster random sampling. The GOHAI scale was used to evaluate oral health-related quality of life. The DASS-21 scale was used to assess levels of depression, anxiety, and stress. Univariate analysis and binary logistic regression were used to analyze the correlation between these indicators and oral health-related quality of life, of which 43.9% were classified as having poor oral health. Logistic regression analysis showed that the MEFC who were of older age (OR = 0.965, p = 0.039), with hypertension (OR = 0.567, p = 0.004), with gastroenteropathy (OR = 0.263, p = 0.007), had received an outpatient service in the past year (OR = 0.669, p = 0.048), were depressed (OR = 0.338, p = 0.012), and anxious (OR = 0.414, p = 0.026) were less likely to report good oral health status. On the other hand, the MEFC with a high school education or above (OR = 1.872, p = 0.020) were more likely to report good oral health than those with primary school education and below. In conclusion, with regard to depression, anxiety, and stress: the results indicated that the fewer morbidities, the lower the level of depression and anxiety and the better the OHRQoL of MEFC. Targeted measures for government, communities, and family members were given to improve the OHRQoL of MEFC.

Healthy aging and oral health

“…Установлено, что пациенты с депрессией реже посещали стоматолога, чем пациенты без депрессии (р < 0,001), взрослым с депрессией и тревогой чаще удаляли зубы, по крайней мере один зуб (р < 0,001). В статье [25], посвященной изучению здоровья полости рта пожилых китайских мигрантов, показано, что существовала ассоциация с плохим состоянием полости рта у пациентов с депрессией (p = 0,012), тревогой (p = 0,026), артериальной гипертензией (p = 0,004), заболеваниями желудочно-кишечного тракта (p = 0,007) и недостаточным (начальным) уровнем образования. В другом исследовании с 500 участников старше 65 лет [26] продемонстрировано, что тяжесть депрессии ассоциирована с увеличением количества отсутствующих зубов, количеством зубов, пораженных кариесом и сухостью во рту.…”

The Effect of Chronic Disease and Mental Health on Sleep Quality among Migrant Elderly Following Children in Weifang City, China

“…The sum scores of 0-9 for depression, 0-7 for anxiety, and 0-14 for stress were considered normal, while the sum score of 10-42 for depression, 8-42 for anxiety, and 15-42 for stress were considered as depressed, anxious, and stressed [40]. DASS-21 has been proven to be a reliable and effective measure for assessing the mental health of the Chinese population [41,42].…”

Perceived stress and life satisfaction among elderly migrants in China: A moderated mediation model

“…Migration is an extremely stressful phenomenon that produces significant levels of anxiety and depressive symptoms ( Bhugra, 2004 ; Levecque et al, 2007 ; Familiar et al, 2011 ). Previous studies in China have identified a significant increase in the prevalence of anxiety and depression among elderly migrants, which has become an important issue affecting their quality of life ( Yu and Liu, 2018 ; Li and Kong, 2022 ). Compared with the local elderly, elderly migrants face low levels of social interaction ( Lin et al, 2020 ), and lack of contact with friends.…”