{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:06:24Z","timestamp":1784696784981,"version":"3.55.0"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to assess the current status of oral health\u2013related quality of life (OHRQoL) and to identify associated factors among older adults receiving maintenance hemodialysis (MHD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between September 2024 and September 2025, a total of 107 older adults receiving MHD were recruited from a Grade A tertiary hospital in Guangdong Province using a convenience sampling method. Data were collected using a general information questionnaire, the Oral Health Impact Profile-14 (OHIP-14), and the Self-Efficacy Scale for Oral Self-care (SESS). Univariate analyses and stepwise multiple linear regression were performed to determine factors associated with OHRQoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean OHIP-14 score was 18.97\u202f\u00b1\u202f8.00, and the mean SESS score was 43.52\u202f\u00b1\u202f12.98. A statistically significant negative correlation was observed between OHIP-14 and SESS scores (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f\u22120.736,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.01). Multivariate analysis identified dialysis frequency, dialysis duration, tooth brushing frequency, tooth brushing duration, pre-dialysis blood urea nitrogen, pre-dialysis serum creatinine, SESS score, and comorbid diabetes mellitus as independent factors associated with OHRQoL (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Older adults receiving MHD demonstrated relatively low levels of both OHRQoL and oral self-efficacy. Enhanced clinical attention and the development of targeted interventions addressing the identified influencing factors may contribute to improvements in OHRQoL in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1845708","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T04:42:32Z","timestamp":1784695352000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Determinants of oral health\u2013related quality of life in older adults receiving maintenance hemodialysis"],"prefix":"10.3389","volume":"14","author":[{"given":"Pan","family":"Wang","sequence":"first","affiliation":[{"name":"Blood Purification Centre, The Second Affiliated Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shan-Shan","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Panyu Branch, The Second Affiliated Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi-Yun","family":"Lu","sequence":"additional","affiliation":[{"name":"Blood Purification Centre, The Second Affiliated Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Wang","sequence":"additional","affiliation":[{"name":"Blood Purification Centre, The Second Affiliated Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan-Yu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Emergency, Panyu Branch, The Second Affiliated Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiu-Li","family":"Feng","sequence":"additional","affiliation":[{"name":"Management Committee, Panyu Branch, The Second Affiliated Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Hua","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Panyu Branch, The Second Affiliated Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie-Li","family":"Chen","sequence":"additional","affiliation":[{"name":"Blood Purification Centre, The Second Affiliated Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Panyu Branch, The Second Affiliated Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Feng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Panyu Branch, The Second Affiliated Hospital, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e419","DOI":"10.4317\/jced.54633","article-title":"Evaluation of salivary parameters and dental status in adult hemodialysis patients in an indian population","volume":"10","author":"Shetty","year":"2018","journal-title":"J Clin Exp Dent"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"326","DOI":"10.3969\/j.issn.1671-4091.2017.05.011","article-title":"Research progress on thirst sensation and its influencing factors in maintenance hemodialysis 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