歯周病女性の自尊心と口腔保健関連QOL-横断的研究

Self-esteem and oral health-related quality of life of women with periodontal disease - A cross-sectional study.

抄録

目的:

本研究の目的は、女性の歯周病が自尊心および口腔保健関連 QOL（OHRQoL）に及ぼす影響を評価することである。

Aim: The aim of this study is to assess the effect of periodontal disease on self-esteem and oral health-related quality of life (OHRQoL) in women.

材料および方法:

女性 522 名（平均年齢 - 38.92 ± 14.3 歳）を対象に横断研究を実施した。口腔衛生状態、歯垢レベル、歯肉の炎症、プロービングデプス、歯周病の状態を評価した。自尊心は Rosenberg Self-esteem Scale を用いて評価し、OHRQoL は 14 項目の Oral Health Impact Profile (OHIP-14) 質問票を用いて測定した。

Materials and Methods: A cross-sectional study was conducted among 522 women (mean age - 38.92 ± 14.3 years). Oral hygiene status, plaque level, gingival inflammation, probing depth, and periodontal status were assessed. The self-esteem was assessed using a Rosenberg Self-esteem Scale, and the OHRQoL was measured using a 14-item oral health impact profile (OHIP-14) questionnaire.

結果:

高収入の若年就業女性は、OHRQoLと自尊心が有意に良好であった。歯周組織が健康な女性は OHRQoL が良好であった。自尊心の低い女性では，Probing depth と Community Periodontal Index の得点が，ほとんどのサブスケール項目および OHIP-14 の総得点と有意な正の相関を示した．OHRQoL が良好で自尊心が正常な女性は，有意に良好な口腔衛生状態を維持していた．自尊心の低い女性では、このような統計的有意差は認められなかった。OHIP-14 スコアの予測に関する重回帰分析では、プロービングデプスを唯一の統計的に有意な予測因子とするモデルが最も優れていた（= 0.002）。

Results: Younger, employed women with higher income had significantly better OHRQoL and self-esteem. Women with healthy periodontium had better OHRQoL. Probing depth and community periodontal index scores were found to have a significant positive correlation with most of the sub-scale items and total OHIP-14 score in women with low self-esteem. Women with good OHRQoL and normal self-esteem were seen to be maintaining significantly better oral hygiene. No such statistically significant difference was observed in women with low self-esteem. Multiple regression analysis for the prediction of OHIP-14 score indicated that the best model included probing depth as the only statistically significant predictor ( = 0.002).

結論:

歯周病は女性の自尊心および OHRQoL に大きな影響を与える．

Conclusion: Periodontal disease has a significant negative impact on self-esteem and OHRQoL in women.