BK21 PLUS Program in Embodiment: Health-Society Interaction, Department of Public Health Sciences,Graduate School, Korea University1
Department of Social and Humanity in Dentistry, School of Dentistry, Wonkwang University2
This study was conducted to identify the rates of perceived stress of elderly people over 65 years old and to confirm the influence of stress on general health and oral health status. Using data from the National Health and Nutrition Survey for 2014, 1,472 people over 65 years of age were selected as final subjects. Stress was used as an independent variable and dependent variables were included physical health (perceived health status), mental health (depression), and oral health (perceived oral health status). The following confounding variables were adjusted for the current study: demographic characteristics (gender, age, education level, house income) and health - related characteristics (drinking, smoking, exercise, frequency of tooth brushing, using oral care product, dental exam, comorbidity, restrict activity). Complex sampling analysis was applied and logistic regression was performed to determine the effects of stress on physical health, mental health and oral health status. Odds ratio (OR) and 95% confidence interval (95% Confidence Interval, 95% CI) were calculated. Logistic regression indicated that stress was significantly associated with low physical health (OR=2.18, 95%CI: 1.49-3.20), low mental health (OR=8.68, 95%CI: 4.98-15.11), low oral health (OR=1.53, 95%CI: 1.06-2.21) after adjusting for confounding variables. The perceived stress of the elderly was found to be related to the general health and oral health status. Therefore, it is necessary to evaluate stress as a predictor of health risk for the health promotion of the elderly on multidisciplinary assessment and continuous evaluation. In addition, health support policies should be provided to achieve good health status for elderly.
1. Ministry of the Interior and Safety. At the end of August 2017, the number of residents 5,175 ten thousand people[Internet]. Ministry of the Interior and Safety; 2017.[cited 2017 Sep 28]. Available from: http://www.mois.go.kr/frt/bbs/type010/commonSelectBoardArticle.do?bbsId= BBSMSTR_000000000008&nttId=59453
2. Schneiderman N, Ironson G, Siegel SD. Stress and health: psychological, behavioral, and biological determinants. Annu Rev Clin Psychol 2005;1:607-28. https://doi.org/10.1146/annurev. clinpsy.1.102803.144141
3. Marin MF, Lord C, Andrews J, Juster RP, Sindi S, Arsenault-Lapierre G, et al. Chronic stress, cognitive functioning and mental health. Neurobiol Learn Mem 2011;96(4):583-95. https:// doi.org/10.1016/j.nlm.2011.02.016
4. Cho B, Ou S, Lee E, Seo S, Yoo TY, Huh BY. Factors related with amount of stress in the elderly. J Korean Geriatr Soc 1998;2(1):72-81.
5. Mroczek DK, Almeida DM. The effect of daily stress, personality, and age on daily negative affect. J Pers 2004;72(2):355-78. https://doi.org/10.1111/j.0022-3506.2004.00265.x
6. Aldwin C, Yancura L. Effects of stress on health and aging: Two paradoxes. Calif Agric 2010; 64(4):183-8. https://doi.org/10.3733/ca.v064n04p183
7. de Frias CM, Whyne E. Stress on health-related quality of life in older adults: The protective nature of mindfulness. Aging Ment Health 2015;19(3):201-6. https://doi.org/10.1080/13607863. 2014.924090
8. Brown GW, Bifulco A, Harris T, Bridge L. Life stress, chronic subclinical symptoms and vulnerability to clinical depression. J Affect Disord 1986;11(1):1-19.
9. Rosania AE, Low KG, McCormick CM, Rosania DA. Stress, depression, cortisol, and periodontal disease. J Periodontol 2009;80(2):260-6. https://doi.org/10.1902/jop.2009.080334
10. Wimmer G, Janda M, Wieselmann-Penkner K, Jakse N, Polansky R, Pertl C. Coping with stress: its influence on periodontal disease. J Periodontol 2002;73(11):1343-51. https://doi.org/ 10.1902/jop.2002.73.11.1343
11. Thoits PA. Stress and health: Major findings and policy implications. J Health Soc Behav 2010; 51(suppl):S41-S53. https://doi.org/10.1177/0022146510383499
12. Government of the Republic of Korea. Plan for ageing society and population:2016-2020. Ministry of Health and Welfare. 2016: 1-207.
13. Um IS. Study on the effect of the elderly's living stress and social support on depression. Journal of Public Welfare Administration 2013;22(1):73-90.
14. Jeon HS, Dunkle RE. Stress and depression among the oldest-old:A longitudinal analysis. Res Aging 2009;31(6):661-87. https://doi.org/10.1177/0164027509343541
15. Gupta A, Epstein JB, Sroussi H. Hyposalivation in elderly patients. J Can Dent Assoc 2006; 72(9):841-6.
16. Sanders AE, Slade GD, Turrell G, Spencer AJ, Marcenes W. Does psychological stress mediate social deprivation in tooth loss?. J Dent Res 2007;86(12):1166-70. https://doi.org/ 10.1177/154405910708601205
17. Jung SH, Ryu JI, Jung DB. Association of total tooth loss with socio‐behavioural health indicators in Korean elderly. J Oral Rehabil 2011;38(7):517-24. https://doi.org/10.1111/ j.1365-2842.2010.02178.x
18. Kim M, Bae SH. Factors influencing health-related quality of life in older adults with osteoarthritis: based on the 2010-2011 Korean national health and nutrition examination survey. J Muscle Joint Health 2014;21(3):195-205. https://doi.org/10.5953/JMJH.2014. 21.3.195
19. Mo SH, Lee JY. A study on the stress and the coping behavior of the elderly. J Korean Gerontol Soc 2002;22(1):65-80.
20. Kim HK, Suh KH. The Roles of stresses and self-disclosures in physical health and subjective happiness among the Elderly. Korean J Health Psychol 2014;19(1):353-70.
21. Johnson JE, Waldo M, Johnson RG. Research considerations: Stress and perceived health status in the rural elderly. J Gerontol Nurs 1993;19(10):24-9.
22. Kim DG, Jung JS. Relationship among daily stress, perceived health and successful aging of older people participating in physical activity. Journal of Sport and Leisure Studies 2013; 54(1):913-24.
23. Seo HM, Yu SJ, Hah YS. A study on the verification of the profile of seo’s elderly stress scale (SESS). J Korean Acad Nurs 2001;31(1):94-106.
24. Jeon YJ. The effect of the elderly’s stress on depression-focused on mediating effect of resilience and moderating effect of social activity. Korean J Hum Ecol 2015;24(2):219-36. https://doi.org/10.5934/kjhe.2015.24.2.219
25. Kant GL, D'zurilla TJ, Maydeu-Olivares A. Social problem solving as a mediator of stress- related depression and anxiety in middle-aged and elderly community residents. Cognit Ther Res 1997;21(1):73-96.
26. Alexopoulos GS. Depression in the elderly. lancet 2005;365(9475):1961-70. https://doi.org/ 10.1016/S0140-6736(05)66665-2
27. Lee PS, Lee YM, Lim JY, Hwang RI, Park EY. The relationship of stress, social support and depression in the elderly. J Korean Acad Nurs 2004; 34(3):477-84. https://doi.org/10.4040/ jkan.2004.34.3.477
28. Lee MA. The effects of elderly’s stress on suicidal ideation - focusing on depression as a mediator, and social support and stress coping strategy as moderators. Korean Academy of Practical Human Welfare 2010;5:170-92.
29. Choi JS. The realtionship between stress perception and oral health status. J Korean Soc Dent Hyg 2014;14(4):555-61. https://doi.org/10.13065/jksdh.2014.14.04.555
30. Won YS, Kim JH. The relationship between psychological health and self-rated oral health on convergence study. J Digit Converg 2015;13(7):239-48. https://doi.org/10.14400/JDC.2015. 13.7.239