Impact of Oral Health on Quality of Life and Subjective Well-Being in Community-Dwelling Older Adults in Mexico

Abstract Objective: Associate the impact of oral health with quality of life and subjective well-being in the community-dwelling older adults in Mexico. Methods: Non-random sample; 326 subjects: age collected (60-69 / ≥ 70); gender (male / female); marital status (couple / no partner); schooling (0-6 years / ≥7); income for basic needs (yes / no); no depression (GDS-15), no cognitive impairment (MMSE) and comorbidity (no disease / ≥ 1 disease) to control biases. Oral conditions; Caries index (ICPOD) WHO criteria: Very low-Low; Moderate and High. Need for dental prostheses (WHO Manual): No prostheses needed (27-28 natural teeth or fixed / removable / total combination; Need prosthesis: 2-28 tooth without replacement. Xerostomia (Thomson Inventory); moderate to severe xerostomia > 17 points. Dependent variables: Quality of Life Related to Oral Health (GOHAI); 57-60 points: High perception. Subjective well-being: Moral Scale of the Geriatric Center of Philadelphia (PGCMS): Low score (0-11). Results: Age: 71.84 ± 7,278; female / male (70.9 / 29.1%). Controlling confounding factors, multiple logistic regression showed that the need for multi-unit or total prostheses; high CPOD index; severe xerostomia; and low perception of well-being subjective, were associated with low GOHAI scores: P = 0.000; P = 0.004; P = 0.003; P = 0.02 respectively. Subjective well-being only was associated with severe xerostomia and low CVRSO perception: P = 0.0 1; P = 0.02 respectively. Conclusion: Taking into account various confounding factors, the Quality of Life related to Oral Health was the most affected by the deterioration of oral health.

the binary dependent variable.Employment status in 2016 was the binary independent variable and gender was the moderating variable.Age, education level, marital status, annual income, household type, type of medical security, disability, self-rated health, the number of chronic diseases, and stress level in 2016 were also in the analytic model based on the Andersen's health behavioral model.The percentages of middle-aged people experiencing unmet health care needs were 18% for working men, 11% for non-working men, 13% for working women, and 16% for non-working women.The result showed there was significant moderating effect of gender (B= .72, p< .05).Specifically, working men were less likely to experience unmet health care needs than non-working men.On the contrary, there was not the significant difference in experiencing unmet health care needs between working and non-working women.It indicates that it is necessary to supplement medical services for especially for middle-aged men who are not employed because they might experience considerable amounts of unmet health care needs.

HEALTH BEHAVIORS AND EHEALTH LITERACY AMONG OLDER ADULTS, HINTS 2019
Ruth Sanchez, Hannah Kay, Pooja Srikanth, Lyndsey Sandow, and Michelle Zhang, University of Texas at Austin Dell Medical School, Austin, Texas, United States With rapid shifts in how health information is reported and consumed, providers and patients must consider their electronic or "eHealth" literacy.The purpose of this study was to analyze how older adults (age 60+) seek health information in the context of online and offline resources and how eHealth literacy correlates with health behaviors.We performed a cross-sectional analysis of a nationally representative sample of 2,587 U.S. older adults drawn from the Health Information National Trends Survey (HINTS) Iteration 5 Cycle 3. Weighted descriptive analyses were conducted to examine the association between CDC-recommended health behavior guidelines on produce consumption and exercise, eHealth literacy, and sociodemographics.Weighted logistic regression analyses were conducted with STATA 16.0 to assess the relationship between healthy behaviors and eHealth literacy controlling for sociodemographics.The weighted sample reported the following demographic characteristics: average age 71 years (range 60-98), 53.6% female, 73.8% White, 9.7% Black and 8.6% Hispanic.Of older adults, 26.7% performed 2 or more health behaviors regularly.Among older adults, those who have looked up medical information using electronics are 1.79 (95% confidence interval: 1.24, 2.58) times more likely to meet 2 or more CDC-recommended health behavior guidelines as compared to those that have not, after controlling for survey group, education, race/ethnicity and gender.Access and utilization of online resources among older adults may influence their health behaviors and health outcomes.Providers should consider the eHealth literacy of their older adult patients and direct them to appropriate and reliable online resources.

IMPACT OF ORAL HEALTH ON QUALITY OF LIFE AND SUBJECTIVE WELL-BEING IN COMMUNITY-DWELLING OLDER ADULTS IN MEXICO
Irma Díaz, 1 Neyda Ma.Mendoza-Ruvalcaba, 2 Elva Dolores Arias, 3 and Julio Diaz, 4 1.University of Guadalajara, Guadalajara, Mexico, 2. University of Guadalajara CUTONALA, Guadalajara, Jalisco, Mexico, 3. University of Guadalajara,Guadalajara,Mexico,4. Hospital Civil Fray Antonio Alcalde,Guadalajara,Mexico Objective: Associate the impact of oral health with quality of life and subjective well-being in the community-dwelling older adults in Mexico.Methods: Non-random sample; 326 subjects: age collected (60-69 / ≥ 70); gender (male / female); marital status (couple / no partner); schooling (0-6 years / ≥7); income for basic needs (yes / no); no depression (GDS-15), no cognitive impairment (MMSE) and comorbidity (no disease / ≥ 1 disease) to control biases.Oral conditions; Caries index (ICPOD) WHO criteria: Very low-Low; Moderate and High.Need for dental prostheses (WHO Manual): No prostheses needed (27-28 natural teeth or fixed / removable / total combination; Need prosthesis: 2-28 tooth without replacement.Xerostomia (Thomson Inventory); moderate to severe xerostomia > 17 points.Dependent variables: Quality of Life Related to Oral Health (GOHAI); 57-60 points: High perception.Subjective well-being: Moral Scale of the Geriatric Center of Philadelphia (PGCMS): Low score (0-11).Results: Age: 71.84 ± 7,278; female / male (70.9 / 29.1%).Controlling confounding factors, multiple logistic regression showed that the need for multi-unit or total prostheses; high CPOD index; severe xerostomia; and low perception of well-being subjective, were associated with low GOHAI scores: P = 0.000; P = 0.004; P = 0.003; P = 0.02 respectively.Subjective well-being only was associated with severe xerostomia and low CVRSO perception: P = 0.0 1; P = 0.02 respectively.Conclusion: Taking into account various confounding factors, the Quality of Life related to Oral Health was the most affected by the deterioration of oral health.

MENOPAUSE SYMPTOM EXPERIENCE AND PERCEIVED WELL-BEING AMONG HIV POSITIVE AND NEGATIVE OLDER WOMEN IN IBADAN, NIGERIA
Olubukola Omobowale, 1 and Olubukola Adesina, 2 1.University of Ibadan, Nigeria, Ibadan, Oyo, Nigeria, 2. University of Ibadan, Ibadan, Oyo, Nigeria Globally, people are living longer with the Human Immunodeficiency Virus (HIV) and older individuals are becoming infected.Menopause symptoms affect women's health and are associated with perceived declines in wellbeing.This study assessed and compared the menopause symptom experience and perceived wellbeing among HIV positive and negative older women in Ibadan Nigeria Focus group discussions were conducted among menopausal women attending the ARV and GOP clinics at the University College Hospital Ibadan.Opinions of discussants on knowledge and experience of menopausal symptoms, perceptions about the menopause and perceived health status were explored.A total of 90 HIV positive and 92 HIV negative women aged between 40 to 60 years were sampled.Knowledge of the cause of menopause was poor, with more HIV positive women opining that sexual promiscuity causes menopause.The majority of the discussants had adequate knowledge of menopausal symptoms with most of them reporting vasomotor and musculoskeletal symptoms.In both groups, perceptions about the menopause were generally positive as most of them opined that the menopause means freedom from sexual activity and child birth.More HIV negative women perceived themselves to be in good health compared to HIV positive women.Menopause induces many of the same metabolic changes that are being observed with HIV infection, and this may affect the health and quality of life of aging women with HIV infection.There's a need for health education and health promoting interventions that will help these women in coping with the double burden of HIV infection and menopause.

POSTMENOPAUSAL BILATERAL OOPHORECTOMY IS ASSOCIATED WITH AN INCREASED RISK OF RESTLESS LEG SYNDROME
Nan Huo, Carin Smith, Liliana Gazzuola Rocca, Michelle Mielke, and Walter A Rocca, Mayo Clinic, Rochester, Minnesota, United States Restless legs syndrome (RLS), a common neurologic disorder, is more prevalent in women than in men.Evidence indicates the potential role of female hormones in the pathophysiology of RLS.However, few studies have examined the relationship between premenopausal bilateral oophorectomy (BSO) and the risk of RLS.The Mayo Clinic Cohort Study of Oophorectomy and Aging-2 (MOA-2) includes all women residents of Olmsted County, Minnesota, who underwent premenopausal BSO before the age of 50 years for a noncancer reason between 1988 and 2007 (n=1,653).In addition, 1,653 age-matched (± 1 year) referent women who did not undergo BSO prior to index-date were included.Survival analyses were used to examine the association between BSO and risk of RLS (defined by DSM-IV criteria) after adjustments using inverse probability weighting.The median (IQR) age at index-date was 40.0 (40.0-47.0)years for the BSO and 40.0 (40.0-47.0)for the non-BSO cohorts.Women who underwent BSO before menopause had a higher risk of RLS (HR, 1.47; 95% CI, 1.08-2.01).In addition, women who underwent BSO before 46 years (HR: 1.53, 95% CI, 1.03-2.28)or received BSO without benign ovarian indications (e.g., cysts, endometriosis, HR: 1.69, 95% CI, 1.11-2.56)were at greater risk of RLS.Estrogen use after BSO did not affect the risk of RLS.Premenopausal women who underwent BSO had an increased risk of RLS, especially those younger than 46 years and without benign medical indication.Women considering BSO for ovarian cancer prevention should be informed of the increased risk of neurological disorder including RLS.

PREDICTING PERCEIVED HEALTH OF OLDER ADULTS: THE ROLE OF HEALTH, PERSONALITY, AND RESILIENCE
Rotem Arieli, Joseph Kim, and Peter Martin, Iowa State University, Ames, Iowa, United States Past research has not addressed how domain-specific "health" personality traits are associated with resilience and well-being.The purpose of this study was to determine pathways from health personality to perceived health, mediated by resilience.Data included 3,907 participants, 65 and older, collected by a large provider of Medicare Supplemental Health Insurance.The Health Personality Assessment (health neuroticism, health extraversion, health openness, health agreeableness, and health conscientiousness), Brief Resilience Scale, and perceived health were