| description |
TIIVISTELMÄ
¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬
Psyykenlääkkeiden käytön yhteys koettuun suun terveyteen yli 64-vuotiailla henkilöillä
Maarit Raja-Aho
Pro gradu – tutkielma
Gerontologia ja kansanterveystiede
Jyväskylä yliopisto, liikuntatieteellinen tiedekunta, terveystieteiden laitos
Kevät 2013, 43 sivua
¬¬¬¬¬¬¬¬¬¬¬¬¬Ikääntyneet henkilöt käyttävät paljon lääkkeitä ja ikääntymismuutosten vuoksi he ovat alttiimpia lääkkeiden haittavaikutuksille. Psyykenlääkkeiden käyttö saattaa heikentää ikääntyneiden ihmisten koettua suun terveydentilaa. Psyykenlääkkeitä ovat psykoosi-, neuroosi-, uni- ja masennuslääkkeet sekä psyykenlääkkeiden yhdistelmävalmisteet. Tämän tutkimuksen tarkoituksena oli selvittää ikääntyneiden henkilöiden psyykenlääkkeiden käytön yhteyttä koettuun suun terveydentilaan.
Tutkimusaineistona käytettiin osaa Terveys 2000 -tutkimuksen aineistosta. Tutkimuskohteena tässä työssä olivat yli 64-vuotiaat jotka osallistuivat haastatteluun ja vastasivat kysymyksiin. Kaikkiaan heitä oli 1833 henkilöä (648 miestä ja 1185 naista), jotka osallistuivat haastatteluun ja vastasivat kysymyksiin. Psyykenlääkkeiden käytön yhteyttä selvitettiin logistisen regressioanalyysin avulla koettuun suun terveydentilaan sekä selvitettiin keskeisten sekoittavien tekijöiden vaikutusta tuloksiin.
Miehistä 18 % koki tutkimushetkellä suun terveydentilansa huonoksi ja naisista 17 %. Tästä ryhmästä psyykenlääkkeitä käytti miehistä 34 % ja naisista 43 %. Naiset käyttivät enemmän kaikkien eri psyykenlääkeryhmien lääkkeitä. Eniten käytettyjä psyykenlääkkeitä sekä miesten että naisten keskuudessa olivat unilääkkeet (miehet 15 % ja naiset 20 %) ja masennuslääkkeet (miehet 6 % ja naiset 11 %).
Kun käytti mitä tahansa psyykenlääkettä, riski huonoon koettuun suun terveydentilaan kasvoi 51 % (OR 1,51, 95 % Cl 1,17 - 1,95). Jokainen käytössä oleva psyykenlääke lisäsi huonon koetun suun terveydentilan riskiä 34 % (OR 1,34, 95 % Cl 1,18 - 1,51). Eri psyykenlääkeryhmien lääkkeistä neuroosi- (OR 1,99, 95 % Cl 1,40 - 2,86) ja psykoosilääkkeet (OR 1,87, 95 % Cl 1,23 - 2,85) lisäsivät riskiä huonoon koettuun suun terveydentilaan lähes kaksinkertaiseksi. Unilääkkeet lisäsivät riskiä 41 % (OR 1,41, 95 % Cl 1,05 -1,90) ja masennuslääkkeet 52 % (OR 1,52, 95 % Cl 1,03 - 2,22). Kun analyyseissä vakioitiin iän ja sukupuolen vaikutus, yhteydet pysyivät tilastollisesti merkitsevänä psykoosilääkkeiden (OR 1,69, 95 % Cl 1,10 - 2,59) ja neuroosilääkkeiden (OR 1,91, 95 % 1,33 - 2,75) osalta.
Suunhoidon ammattilaisten sekä muiden terveydenhuollon ammattilaisten tulisi kiinnittää erityistä huomiota psyykenlääkettä käyttävien ikääntyneiden suun terveyteen. Koettu suun terveydentila on tärkeä osa elämänlaatua ja suun terveydellä on vaikutusta koko terveydentilaan.
Asiasanat: ikääntyneet ihmiset, koettu suun terveydentila, psyykenlääkkeet
ABSTRACT
The use of psychotrophic drugs in connection with self-perceived oral health with people over 64 years of age
Maarit Raja-Aho
Master's thesis
Gerontology and Public Health
University of Jyväskylä, Faculty of Sport and Health Sciences, Department of Health Sciences
Spring 2013, 43 pages
Older people use multitude of medication and age changes makes them more vulnerable to the adverse effects of drugs. The use of psychotrophic drugs may be associated with self-perceived oral health among older people. Psychiatric medications are neuroleptics, anxiolytics, sleeping drugs, antidepressants and psychotrophic drugs in combination.
The aim of this study was to examine the use of medication and its relation to the self-perceived oral health of older people. The study is part of the health examination survey, Health 2000. The sample in this study includes those people over 65 years who answered the questions and took part in the interviews, in total 1833 people (648 men and 1185 women). The logistic regression analysis was used to examine the association between the use of psychotrophics and the self-perceived oral health. Also relevant background variables were used to find out their effects on the results.
According to the study, 18 % of men and 17% of women evaluated their oral health was poor. Out of that group, 34 % of men and 43 % of women were using psychotrophics. Women used more of all the different groups of psychotrophics. The most commonly used psychiatric drugs among both men and women were sleeping drugs (men 15 % and women 20%) and antidepressants (men 6 % and women 11%).
Any use of the psychotropic increased the risk for the self-perceived poor oral health by 51 % (OR 1,51, 95% CI 1,17 - 1,95) Each type of psychotrophic increased the risk of poor oral health by 34 % (OR 1,34, 95% CI 1,18 - 1,51). There was a significant association found between the use of neuroleptics, anxiolytics, antidepressants and sleeping drugs with the self-perceived poor oral health. The use of anxiolytics (OR 1,99, 95 % Cl 1,40 - 2,86) and neuroleptics (OR 1,87, 95 % Cl 1,23 - 2,85) almost doubled the occurrence of feeling for the poor self- perceived oral health. Use of sleeping drugs increased the risk for the poor self-perceived oral health by 41 % (OR 1,41, 95 % Cl 1,05-1,90) and antidepressants 52 % (OR 1,52, 95 % Cl 1,03 - 2,22). After adjusting the impact of age, gender and education in the analysis, the connection was decreasing but was still statistically valid with the use of anxiolytics (OR 1,91, 95 % Cl 1,33 - 2,75) and neuroleptics (OR 1,69, 95 % CI 1,10 - 2,59).
In conclusion, more special attention should be paid to older people who use psychotrophics. Dental specialists and other health care professionals should take that fact into account. Oral health is broader than just dental health and is related to systemic diseases. Oral health is one of the domains of health that can affect the health as a whole.
Keywords: psychotrophics, older people, self-perceived oral health
|
| fullrecord |
[{"key": "dc.contributor.author", "value": "Raja-Aho, Maarit", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-05-21T09:12:19Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-05-21T09:12:19Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2013", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1261482", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/41510", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "TIIVISTELM\u00c4\n\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\nPsyykenl\u00e4\u00e4kkeiden k\u00e4yt\u00f6n yhteys koettuun suun terveyteen yli 64-vuotiailla henkil\u00f6ill\u00e4\n\n\nMaarit Raja-Aho\nPro gradu \u2013 tutkielma\nGerontologia ja kansanterveystiede\nJyv\u00e4skyl\u00e4 yliopisto, liikuntatieteellinen tiedekunta, terveystieteiden laitos\nKev\u00e4t 2013, 43 sivua\n\n\n\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00ac\u00acIk\u00e4\u00e4ntyneet henkil\u00f6t k\u00e4ytt\u00e4v\u00e4t paljon l\u00e4\u00e4kkeit\u00e4 ja ik\u00e4\u00e4ntymismuutosten vuoksi he ovat alttiimpia l\u00e4\u00e4kkeiden haittavaikutuksille. Psyykenl\u00e4\u00e4kkeiden k\u00e4ytt\u00f6 saattaa heikent\u00e4\u00e4 ik\u00e4\u00e4ntyneiden ihmisten koettua suun terveydentilaa. Psyykenl\u00e4\u00e4kkeit\u00e4 ovat psykoosi-, neuroosi-, uni- ja masennusl\u00e4\u00e4kkeet sek\u00e4 psyykenl\u00e4\u00e4kkeiden yhdistelm\u00e4valmisteet. T\u00e4m\u00e4n tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 ik\u00e4\u00e4ntyneiden henkil\u00f6iden psyykenl\u00e4\u00e4kkeiden k\u00e4yt\u00f6n yhteytt\u00e4 koettuun suun terveydentilaan. \n\nTutkimusaineistona k\u00e4ytettiin osaa Terveys 2000 -tutkimuksen aineistosta. Tutkimuskohteena t\u00e4ss\u00e4 ty\u00f6ss\u00e4 olivat yli 64-vuotiaat jotka osallistuivat haastatteluun ja vastasivat kysymyksiin. Kaikkiaan heit\u00e4 oli 1833 henkil\u00f6\u00e4 (648 miest\u00e4 ja 1185 naista), jotka osallistuivat haastatteluun ja vastasivat kysymyksiin. Psyykenl\u00e4\u00e4kkeiden k\u00e4yt\u00f6n yhteytt\u00e4 selvitettiin logistisen regressioanalyysin avulla koettuun suun terveydentilaan sek\u00e4 selvitettiin keskeisten sekoittavien tekij\u00f6iden vaikutusta tuloksiin.\n\nMiehist\u00e4 18 % koki tutkimushetkell\u00e4 suun terveydentilansa huonoksi ja naisista 17 %. T\u00e4st\u00e4 ryhm\u00e4st\u00e4 psyykenl\u00e4\u00e4kkeit\u00e4 k\u00e4ytti miehist\u00e4 34 % ja naisista 43 %. Naiset k\u00e4yttiv\u00e4t enemm\u00e4n kaikkien eri psyykenl\u00e4\u00e4keryhmien l\u00e4\u00e4kkeit\u00e4. Eniten k\u00e4ytettyj\u00e4 psyykenl\u00e4\u00e4kkeit\u00e4 sek\u00e4 miesten ett\u00e4 naisten keskuudessa olivat unil\u00e4\u00e4kkeet (miehet 15 % ja naiset 20 %) ja masennusl\u00e4\u00e4kkeet (miehet 6 % ja naiset 11 %). \n\nKun k\u00e4ytti mit\u00e4 tahansa psyykenl\u00e4\u00e4kett\u00e4, riski huonoon koettuun suun terveydentilaan kasvoi 51 % (OR 1,51, 95 % Cl 1,17 - 1,95). Jokainen k\u00e4yt\u00f6ss\u00e4 oleva psyykenl\u00e4\u00e4ke lis\u00e4si huonon koetun suun terveydentilan riski\u00e4 34 % (OR 1,34, 95 % Cl 1,18 - 1,51). Eri psyykenl\u00e4\u00e4keryhmien l\u00e4\u00e4kkeist\u00e4 neuroosi- (OR 1,99, 95 % Cl 1,40 - 2,86) ja psykoosil\u00e4\u00e4kkeet (OR 1,87, 95 % Cl 1,23 - 2,85) lis\u00e4siv\u00e4t riski\u00e4 huonoon koettuun suun terveydentilaan l\u00e4hes kaksinkertaiseksi. Unil\u00e4\u00e4kkeet lis\u00e4siv\u00e4t riski\u00e4 41 % (OR 1,41, 95 % Cl 1,05 -1,90) ja masennusl\u00e4\u00e4kkeet 52 % (OR 1,52, 95 % Cl 1,03 - 2,22). Kun analyyseiss\u00e4 vakioitiin i\u00e4n ja sukupuolen vaikutus, yhteydet pysyiv\u00e4t tilastollisesti merkitsev\u00e4n\u00e4 psykoosil\u00e4\u00e4kkeiden (OR 1,69, 95 % Cl 1,10 - 2,59) ja neuroosil\u00e4\u00e4kkeiden (OR 1,91, 95 % 1,33 - 2,75) osalta.\n\nSuunhoidon ammattilaisten sek\u00e4 muiden terveydenhuollon ammattilaisten tulisi kiinnitt\u00e4\u00e4 erityist\u00e4 huomiota psyykenl\u00e4\u00e4kett\u00e4 k\u00e4ytt\u00e4vien ik\u00e4\u00e4ntyneiden suun terveyteen. Koettu suun terveydentila on t\u00e4rke\u00e4 osa el\u00e4m\u00e4nlaatua ja suun terveydell\u00e4 on vaikutusta koko terveydentilaan.\n\nAsiasanat: ik\u00e4\u00e4ntyneet ihmiset, koettu suun terveydentila, psyykenl\u00e4\u00e4kkeet", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "ABSTRACT\n\nThe use of psychotrophic drugs in connection with self-perceived oral health with people over 64 years of age\n\n\nMaarit Raja-Aho\nMaster's thesis \nGerontology and Public Health \nUniversity of Jyv\u00e4skyl\u00e4, Faculty of Sport and Health Sciences, Department of Health Sciences \nSpring 2013, 43 pages\n\n\nOlder people use multitude of medication and age changes makes them more vulnerable to the adverse effects of drugs. The use of psychotrophic drugs may be associated with self-perceived oral health among older people. Psychiatric medications are neuroleptics, anxiolytics, sleeping drugs, antidepressants and psychotrophic drugs in combination.\n\nThe aim of this study was to examine the use of medication and its relation to the self-perceived oral health of older people. The study is part of the health examination survey, Health 2000. The sample in this study includes those people over 65 years who answered the questions and took part in the interviews, in total 1833 people (648 men and 1185 women). The logistic regression analysis was used to examine the association between the use of psychotrophics and the self-perceived oral health. Also relevant background variables were used to find out their effects on the results.\n\nAccording to the study, 18 % of men and 17% of women evaluated their oral health was poor. Out of that group, 34 % of men and 43 % of women were using psychotrophics. Women used more of all the different groups of psychotrophics. The most commonly used psychiatric drugs among both men and women were sleeping drugs (men 15 % and women 20%) and antidepressants (men 6 % and women 11%).\n\nAny use of the psychotropic increased the risk for the self-perceived poor oral health by 51 % (OR 1,51, 95% CI 1,17 - 1,95) Each type of psychotrophic increased the risk of poor oral health by 34 % (OR 1,34, 95% CI 1,18 - 1,51). There was a significant association found between the use of neuroleptics, anxiolytics, antidepressants and sleeping drugs with the self-perceived poor oral health. The use of anxiolytics (OR 1,99, 95 % Cl 1,40 - 2,86) and neuroleptics (OR 1,87, 95 % Cl 1,23 - 2,85) almost doubled the occurrence of feeling for the poor self- perceived oral health. Use of sleeping drugs increased the risk for the poor self-perceived oral health by 41 % (OR 1,41, 95 % Cl 1,05-1,90) and antidepressants 52 % (OR 1,52, 95 % Cl 1,03 - 2,22). After adjusting the impact of age, gender and education in the analysis, the connection was decreasing but was still statistically valid with the use of anxiolytics (OR 1,91, 95 % Cl 1,33 - 2,75) and neuroleptics (OR 1,69, 95 % CI 1,10 - 2,59).\n\nIn conclusion, more special attention should be paid to older people who use psychotrophics. Dental specialists and other health care professionals should take that fact into account. Oral health is broader than just dental health and is related to systemic diseases. Oral health is one of the domains of health that can affect the health as a whole.\n\nKeywords: psychotrophics, older people, self-perceived oral health", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Maarit Raja-Aho (masahara) on 2013-05-21 09:12:15.610287. Form: Pro gradu -lomake (1 tekij\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-1-tekijae). JyX data:", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2013-05-21T09:12:18Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201305211727.pdf: 422306 bytes, checksum: e97875624b943d2af16f5779aaa611c5 (MD5)\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2013-05-21T09:12:19Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201305211727.pdf: 422306 bytes, checksum: e97875624b943d2af16f5779aaa611c5 (MD5)\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)\n Previous issue date: 2013", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "43 sivua", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "ik\u00e4\u00e4ntyneet ihmiset", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "koettu suun terveydentila", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "psyykenl\u00e4\u00e4kkeet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Psyykenl\u00e4\u00e4kkeiden k\u00e4yt\u00f6n yhteys koettuun suun terveyteen yli 64-vuotiailla henkil\u00f6ill\u00e4", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201305211727", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.dcmitype", "value": "Text", "language": "en", "element": "type", "qualifier": "dcmitype", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Terveystieteiden laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontologia ja kansanterveys", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Gerontology and Public Health", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2013-05-21T09:12:19Z", "language": null, "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": "fi", "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50423", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ik\u00e4\u00e4ntyneet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "psyykenl\u00e4\u00e4kkeet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "koettu terveys", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "suun terveys", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
|