Slade G D, Nuttall N, Sanders A E, Steele J G, Allen P F, Lahti S
Australian Research Centre for Population Oral Health, Dental School, The University of Adelaide, SA, Australia.
Br Dent J. 2005 Apr 23;198(8):489-93; discussion 483. doi: 10.1038/sj.bdj.4812252.
Surveys of oral health have not previously compared national adult populations using measures of subjective oral health.
To compare subjective oral health of adults in the UK and Australian populations.
Cross sectional studies were conducted of people aged 18+ years in the 1998 UK Adult Dental Health Survey and the 1999 Australian National Dental Telephone Interview Survey. Subjective oral health was measured using the 14-item Oral Health Impact Profile questionnaire (OHIP-14).
Among dentate people, the percentage reporting impacts 'fairly often' or 'very often' was marginally greater in Australia (18.2%, 95% confidence interval (CI) = 16.2-20.2) than the UK (15.9%, 95%CI = 14.4-17.4). There were larger regional variations in prevalence within populations, ranging from 14.8% to 22.3% among Australian states/ territories, and from 13.6% to 19.8% among countries within the UK. However, the mean number of impacts and rated severity of impacts was significantly greater in Australia than the UK.
While the percentage of adults reporting adverse impacts of oral health was similar, Australians reported a larger number of impacts and more severe impacts than dentate people in the UK. Differences in the number and severity of impacts between the two populations may be an artifact of different data collection methods or may reflect relatively subtle socio-cultural differences in subjective oral health between these populations.
以往的口腔健康调查未曾使用主观口腔健康指标对全国成年人口进行比较。
比较英国和澳大利亚成年人口的主观口腔健康状况。
在1998年英国成人牙齿健康调查和1999年澳大利亚全国牙齿电话访谈调查中，对18岁及以上人群进行了横断面研究。使用14项口腔健康影响程度量表问卷（OHIP - 14）来衡量主观口腔健康状况。
在有牙人群中，报告“相当频繁”或“非常频繁”受到影响的比例，澳大利亚（18.2%，95%置信区间（CI）= 16.2 - 20.2）略高于英国（15.9%，95%CI = 14.4 - 17.4）。人群内部患病率的地区差异更大，澳大利亚各州/领地的患病率在14.8%至22.3%之间，英国各地区的患病率在13.6%至19.8%之间。然而，澳大利亚受影响的平均次数和影响严重程度的评分显著高于英国。
虽然报告口腔健康产生不利影响的成年人比例相似，但澳大利亚人报告的影响次数更多，且比英国有牙人群的影响更严重。这两个人群在影响次数和严重程度上的差异可能是不同数据收集方法造成的假象，也可能反映了这些人群在主观口腔健康方面相对细微的社会文化差异。
