Vieillissement de la population Libanaise : démographie, évaluation sanitaire, et impact en santé bucco-dentaire

International Arab Journal of Dentistry 04/2011; 2(1):5-12.


This research was performed with national organizations to
gather socio-demographic and sanitary information regarding
aging population in Lebanon. It was also accomplished through
investigators concerned in health care in Lebanon. Demographic
trends, life expectancy, variations in population aging within the
country were illustrated. We also appraised general and dental
status, health service and policy, in addition to social security
anticipated for elderly.

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    • "Accessibility to the elderly population is difficult especially in Lebanon where there is no social security or national health system covering the entire population. Patients were thus recruited in the area of Beirut that concentrates the highest percentage of Lebanese elderly (13.6%) compared to other region in Lebanon [1,29]. Furthermore, two different health facilities were chosen in order to allow the recruitment of patients with varied socio-demographic profiles. "
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    ABSTRACT: Background The respective abilities of the GOHAI and OHIP-14 to discriminate between aged patients with different levels of oral diseases have rarely been studied in developing countries. The aim of this study was to compare the discriminative abilities of the OHIP-14 and the GOHAI in an elderly Lebanese population, and particularly to identify persons with different masticatory function.MethodsA sample of elderly, aged 65 years or more, living independently was recruited in two primary care offices in Beirut, Lebanon. Data were collected by means of personal interview and clinical examination. The Arabic OHIP-14 and GOHAI questionnaires were used after cultural adaptation for use in Lebanon. The internal consistency, reproducibility and concurrent validity were verified. To test their discriminative abilities, the ADD (GOHAI and OHIP) and SC (GOHAI and OHIP) scores were dichotomized according to the 25th and 75th percentile respectively and logistic regressions were conducted using socio-demographic, clinical and subjective explanatory variables.ResultsTwo hundred and six participants were included; mean age was 72 years and 60% were women. Good psychometric properties were observed for both questionnaires for internal consistency (Cronbach's alpha>0.88), reproducibility (ICC>0.86) and concurrent validity. Strong correlations were found between GOHAI and OHIP-14 scores but a high prevalence of subjects with no impact was observed using the OHIP-14. Both questionnaires were able to discriminate between participants according to age, perception of temporomandibular joint (TMJ) pain or functional status as represented by the number of dental Functional Units (FU). GOHAI was more discriminant since it identified participants with high dental care needs: high numbers of decayed teeth, low numbers of teeth and socially deprived status.Conclusions Lebanese elderly with high dental care needs and impaired oral health were identified more easily with the GOHAI. These results may guide the choice of dental indicators to use in a national geriatric survey.
    Full-text · Article · Oct 2012 · Health and Quality of Life Outcomes
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    ABSTRACT: Selon l'Organisation Mondiale de la Santé (OMS), l'état oral est un indicateur de l'état général physique et psychique, notamment chez les personnes âgées. Plusieurs études épidémiologiques ont décrit la santé orale des personnes âgées. Au Liban, un manque de publications sur le sujet nous a incités à réaliser une étude pilote d'évaluation du statut bucco-dentaire au sein d'une population gériatrique libanaise de niveau socio-économique médiocre. L'étude a été menée dans l'un des « Resto du cœur » de Beyrouth, par le service de dentisterie pédiatrique et communautaire en collaboration avec le service de prothèse amovible de la Faculté de Médecine Dentaire de l'Université Saint-Joseph, Liban. L'état bucco-dentaire de 51 sujets de 60 ans et plus a été évalué et une promotion de la santé orale a été effectuée. L'examen buccal chez les participants a montré un taux élevé d'édentement, une mauvaise hygiène orale ainsi que des problèmes parodontaux et dentaires multiples.
    Full-text · Article · Dec 2011
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    ABSTRACT: Various factors are taken into account in assessing objectively the dental status and the quality of life related to oral health, particularly in elderly. Basic socio-demographic characteristics and oral hygiene habits must be identified and screened, respectively. General health can be evaluated using indicators such as the ASA score or by determining the person’s level of autonomy. Cognitive ability of older people must be checked prior to use oral health questionnaires. This competence can be assessed by the Mini Mental State score (MMS). The use of Mini Nutritional Assessment (MNA) evaluates the nutritional status of patients. The aim of the article is to identify the most relevant indicators that can be used in epidemiological studies to assess the oral health of Lebanese elderly.
    Full-text · Article · Jun 2012 · International Arab Journal of Information Technology
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