journal article·2024-08-19Open access

Prevalence of Medical Conditions and Medication Usage: Implications for Oral Health among Older Adults in Rural Victoria

Rodrigo Mariño, Kristen Glenister, Lisa Bourke, David Simmons

Applied Sciences· Volume 14· Issue 16

Abstract

(1) Background: A study was undertaken to provide a comprehensive profile of the prevalence and distribution, by selected socio-demographic characteristics, of chronic diseases and health conditions including those that impact the oral health and oral health self-care of independently living older adults in rural areas of the state of Victoria; (2) Methods: The study analyzed data from the Crossroads-II project, with a total of 1407 participants aged 55 years and older. Participants responded to questionnaires about their medical health history, health service use, and socio-demographics. In total, 572 attended a 2-h health screening that included an assessment of prescribed medications; (3) Results: Most participants were female (55.3%), with a mean age of 69.1 (SD = 9.2) years. Participants had a high prevalence of medical conditions; the most common were high blood pressure, arthritis, high lipids, hearing loss, and chronic pain. Almost all participants reported taking medications, with an average of 4.3 medications per person. Among those who attended the health screening, 78.1% were taking medications that could cause xerostomia (dry mouth); (4) Conclusions: This study provides initial information on the prevalence of medical conditions, medication usage, and the potential impact on the oral health of older adults living in rural Victoria. This information would be valuable for healthcare and dental workforce planning, policy development, and improving the overall well-being of this population.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Dental Health and Care Utilization · Oral microbiology and periodontitis research · HIV/AIDS oral health manifestations

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Melbourne Dental School, The University of Melbourne, Parkville, VIC 3010, Australia

Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Faculty of Dentistry, Universidad de La Frontera, Temuco 4811230, Chile

Department of Rural Health, Department of Rural Health, The University of Melbourne, Shepparton, VIC 3630, Australia

Macarthur Clinical School, Western Sydney University, Sydney, NSW 2060, Australia

Funding

National Health and Medical Research Council (NHMRC) · Goulburn Valley Health · Primary Care Connect · Benalla Health · Cobram District Health · Seymour Health · Moira Shire · Goulburn Valley Primary Care Partnerships · Shepparton Access · City of Greater Shepparton · Alfred Health · Department of Rural Health, The University of Melbourne

References (42)

Show source-provided references
1. Australian Institute of Health and Welfare (2024, June 07). Rural & Remote Health Australians, Available online: https://www.aihw.gov.au/reports/rural-remote-australians/rural-and-remote-health.
2. Interrogating the Contested Spaces of Rural Aging: Implications for Research, Policy, and Practice
3. World Health Organization (2022). Global Oral Health Status, Department of Noncommunicable Diseases, Universal Health Coverage/Communicable and Noncommunicable Diseases (UCN) World Health Organization (WHO).
4. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health10.1016/j.adaj.2016.10.001 ↗
5. World Dental Federation (2024, June 07). FDI Policy Statement. Noncommunicable Diseases. Available online: https://fdiworlddental.org/noncommunicable-diseases.
6. World Health Organization (2008). Oral Health in Ageing Societies: Integration of Oral Health and General Health, WHO.
7. U.S. Department of Health and Human Services (2013, April 13). Oral Health in America: A Report of the Surgeon General, Available online: https://www.nidcr.nih.gov/sites/default/files/2017-10/hck1ocv.%40www.surgeon.fullrpt.pdf.
8. Australian Institute of Health and Welfare (2024, June 07). Oral Health and Dental Care in Australia, Available online: https://www.aihw.gov.au/getmedia/54eca525-8a32-4ec4-96cb-f3c8aa551f8c/oral-health-and-dental-care-in-australia.pdf?inline=true.
9. Ministerio de Salud (2024, March 03). Estrategia Nacional de Salud para los Objetivos Sanitarios al 2030. Available online: https://www.minsal.cl/wp-content/uploads/2022/03/Estrategia-Nacional-de-Salud-2022-MINSAL-V8.pdf.
10. Assessing the relationship between dental disease and coronary heart disease in elderly U.S. veterans10.14219/jada.archive.1998.0204 ↗
11. Major long-term factors influencing dental education in the twenty-first century10.1002/j.0022-0337.2002.66.3.tb03516.x ↗
12. Oral health, general health, and quality of life in older people10.1111/j.1754-4505.2008.00045.x ↗
13. Genco, R., and Williams, R. (2010). Overview. Periodontal Disease and Overall Health: A Clinicians’ Guide, Professional Audience Communications, Inc.
14. Genco, R., and Williams, R. (2010). The role of the professional in education the public about the importance of oral health. Periodontal Disease and Overall Health: A Clinicians’ Guide, Professional Audience Communications, Inc.
15. Association of periodontitis and tooth loss with liver cancer: A systematic review10.1016/j.critrevonc.2021.103221 ↗
16. Current Knowledge on Correlations Between Highly Prevalent Dental Conditions and Chronic Diseases: An Umbrella Review10.5888/pcd16.180641 ↗
17. Periodontitis predicts elevated C-reactive protein levels in chronic kidney disease10.1177/0022034511423394 ↗
18. Periodontitis and coronary artery disease: A questioned association between periodontal and vascular plaques
19. Association between chronic dental infection and acute myocardial infarction10.1016/j.joen.2009.01.012 ↗
20. A Systematic Review of the Preventive Effect of Oral Hygiene on Pneumonia and Respiratory Tract Infection in Elderly People in Hospitals and Nursing Homes: Effect Estimates and Methodological Quality of Randomized Controlled Trials10.1111/j.1532-5415.2008.01926.x ↗
21. Factors associated with mucosal dryness in multiple regions and skin: A web-based study in women10.1111/jog.13290 ↗
22. Glenister, K.M., Bourke, L., Bolitho, L., Wright, S., Roberts, S., Kemp, W., Rhode, L., Bhat, R., Tremper, S., and Magliano, D.J. (2018). Longitudinal study of health, disease and access to care in rural Victoria: The Crossroads-II study: Methods. BMC Public Health, 18.10.1186/s12889-018-5511-9 ↗
23. Managing xerostomia and salivary gland hypofunction Executive summary of a report from the American Dental Association Council on Scientific Affairs
24. Australian Institute of Health and Welfare (2024, June 07). Older People’s Use of Alcohol, Tobacco, e-Cigarettes and Other Drugs, Available online: https://www.aihw.gov.au/reports/older-people/older-people-alcohol-drugs.
25. Greenhalgh, E.M., Scollo, M.M., and Winstanley, M.H. (2024). 2.3 Self-reported measures of tobacco consumption. Tobacco in Australia: Facts and Issues, Cancer Council Victoria. Available online: http://www.tobaccoinaustralia.org.au/chapter-2-consumption/2-3-self-reported-measures-of-tobacco-consumption.
26. Dental health in rural Victoria: The Crossroads Household Survey10.1111/j.1834-7819.2006.tb00417.x ↗
27. Australian Institute of Health and Welfare (2024, June 07). Older Australians, Available online: https://www.aihw.gov.au/reports/older-people/older-australians/contents/demographic-profile#Australia%E2%80%99s%20older%20population.
28. The impact of edentulism on oral and general health10.1155/2013/498305 ↗
29. Measuring oral health: A conceptual framework
30. Dietary fibre as an important constituent of the diet10.5604/17322693.1195842 ↗
31. Systematic disease and their treatment in the Elderly: Impact on oral health10.1111/j.1752-7325.2000.tb03337.x ↗
32. Queremel-Milani, D.A., and Davis, D.D. (2024, June 07). Pain Management Medications, StatPearls [Internet], Available online: https://www.ncbi.nlm.nih.gov/books/NBK560692/.
33. Mariño, R., Haresaku, S., McGrath, R., Bailey, D., McCullough, M., Musolino, R., Kim, B., Chinnasamy, A., and Morgan, M.V. (2017). Oral Cancer Screening Practices of Australian Oral Health Professionals. BMC Oral. Health, 17.10.1186/s12903-017-0439-5 ↗
34. (2024, February 12). World Health Organization: Ottawa Charter for Health Promotion 1986. Charter Adopted at an International Conference on Health Promotions. Available online: https://www.who.int/teams/health-promotion/enhanced-wellbeing/first-global-conference/emblem.
35. Oral health promotion programme for older migrant adults10.1111/j.1741-2358.2004.00035.x ↗
36. Periodontal-Systemic Disease: A Study on Medical Practitioners’ Knowledge and Practice10.1016/j.identj.2023.05.003 ↗
37. Oral Health in America: Advances and Challenges (2024, May 17). Section 1, Effect of Oral Health on the Community, Overall Well-Being, and the Economy, Available online: https://www.ncbi.nlm.nih.gov/books/NBK578297.
38. Chan, A.K.Y., Tsang, Y.C., Jiang, C.M., Leung, K.C.M., Lo, E.C.M., and Chu, C.H. (2023). Integration of Oral Health into General Health Services for Older Adults. Geriatrics, 8.10.3390/geriatrics8010020 ↗
39. Institute of Medicine and National Research Council (2011). Improving Access to Oral Health Care for Vulnerable and Underserved Populations, The National Academies Press. Available online: https://nap.nationalacademies.org/read/13116/chapter/1#ii.
40. Awareness and practices of general practitioners towards the oral-systemic disease relationship: A regionwide survey in France10.1111/jep.13343 ↗
41. Australian Institute of Health and Welfare (2024, June 07). Older Australians. Older Australians Living in Rural and Remote Communities. Cat. no: AGE 87, Available online: https://www.aihw.gov.au/getmedia/73a6a317-b508-4ecc-834a-cb0a54378b9d/older-australians.pdf?v=20240410145557&inline=true.
42. Acheson, D. (2024, June 07). Independent Inquiry into Inequalities in Health, Available online: https://assets.publishing.service.gov.uk/media/5a759e7c40f0b67b3d5c7e6f/ih.pdf.