McGrath Colman, Broder Hillary, Wilson-Genderson Maureen
Periodontology & Public Health, Faculty of Dentistry, University of Hong Kong, Hong Kong SAR, China.
Community Dent Oral Epidemiol. 2004 Apr;32(2):81-5. doi: 10.1111/j.1600-0528.2004.00149.x.
Traditionally, child oral health has been assessed using clinical parameters of disease and deformity. However, there is a growing interest in the psychosocial impact of oral health among children. This commentary outlines the value and need for assessing child oral health-related quality of life (COHQoL). COHQoL has implications for oral health needs assessment (at an individual and population level) and for evaluating outcomes from specific treatments, initiatives and dental services overall. In addition, it could prove to be a useful adjunct tool for evidence-based dentistry research and practice. Theoretical and practical considerations in assessing the complex psychosocial construct of oral health among children are discussed: the use of general versus oral health-specific measures, the development of tools for children, the use of generic versus condition-specific measures, and the measurement of 'positive' oral health. Recommendations for research and practice are presented.
传统上,儿童口腔健康是通过疾病和畸形的临床参数来评估的。然而,人们越来越关注口腔健康对儿童心理社会的影响。本评论概述了评估儿童口腔健康相关生活质量(COHQoL)的价值和必要性。COHQoL对口腔健康需求评估(个体和群体层面)以及评估特定治疗、举措和整体牙科服务的结果具有重要意义。此外,它可能被证明是循证牙科研究和实践的有用辅助工具。本文讨论了评估儿童口腔健康这一复杂心理社会概念时的理论和实际考虑因素:通用测量方法与口腔健康特定测量方法的使用、针对儿童的工具开发、通用测量方法与特定疾病测量方法的使用,以及“积极”口腔健康的测量。并提出了研究和实践建议。