Impact of Functional Disability on Self-Perceived Oral Problems and Oral Care Behaviors among Stroke Survivors: A Cross-Sectional Study
Abstract Background:Stroke is a major cause of functional disability, which is in turn correlated with poor oral health.There is a dearth of studies that have investigated self-reported oral health, a measure of how individuals perceive their oral health and unmet treatment needs, in elders after stroke. Therefore, the purpose of this study was to compare self-perceived oral problems and oral care behaviors between stroke survivors with and without functional disability.Methods:Two-hundred and seven stroke survivors were recruited,comprised of 104 participants without functional disability, and 103 with functional disability, based on the modified Rankin Scale. Interviews were conducted to collect data regarding self-perceived oral problems, oral care behaviors, and dental attendance behaviors. Multivariate logistic regression analysis was performed to compare the data between the two groups.Results: After adjusting for sociodemographic variables, the functional disability group was significantly less likely to brush their teeth twice a day (odds ratio [OR], 0.388;95%confidence interval [CI], 0.200-0.751), and both more likely to have a change in teeth cleaning after stroke (OR, 0.155; 95%CI,0.030-0.804), and to need help when cleaning their teeth (OR, 2.701; 95%CI,1.018-7.163). There were no significant differences in self-perceived oral problems or dental attendance behaviors between the two groups.Conclusion: Stroke survivors with functional disability had worse oral care behaviors compared with those without functional disability.