Okunseri Christopher, Chattopadhyay Amit, Lugo R Iván, McGrath Colman
Department of Clinical Sciences, School of Dentistry, Marquette University, PO Box 1881, Milwaukee, Wisconsin 53201, USA.
BMC Oral Health. 2005 Jul 25;5:7. doi: 10.1186/1472-6831-5-7.
Oral health studies conducted so far in Nigeria have documented prevalence and incidence of dental disease using traditional clinical measures. However none have investigated the use of an oral health-related quality of life (OHRQoL) instrument to document oral health outcomes. The aims of this study are: to describe how oral health affects and impacts quality of life (QoL) and to explore the association between these affects and the oral health care seeking behavior of adults in Benin City, Edo State, Nigeria.
A cross-sectional survey recruited 356 adults aged 18-64 years from two large hospital outpatient departments and from members of a university community. Closed-ended oral health questionnaire with "effect and impact" item-questions from OHQoL-UK instrument was administered by trained interviewers. Collected data included sociodemographic, dental visits, and effects and impact of oral health on QoL. Univariate and bivariable analyses were done and a chi-square test was used to test differences in proportions. Multivariable analyses using ANOVA examined the association between QoL factors and visits to a dentist.
Complete data was available for 83% of the participants. About 62% of participants perceived their oral health as affecting their QoL. Overall, 82%, 63%, and 77% of participants perceived that oral health has an effect on their eating or enjoyment of food, sleep or ability to relax, and smiling or laughing, respectively. Some 46%, 36%, and 25% of participants reported that oral health impact their daily activities, social activities, and talking to people, respectively. Dental visits within the last year was significantly associated with eating, speech, and finance (P < 0.05). The summary score for the oral health effects on QoL ranged from 33 to 80 with a median value of 61 (95% CI: 60, 62) and interquartile range of 52-70. Multivariable modeling suggested a model containing only education (F = 6.5, pr>F = 0.0111). The mean of effects sum score for those with secondary/tertiary education levels (mean = 61.8; 95% CI: 60.6, 62.9) was significantly higher than those with less than secondary level of education (mean = 57.2; 95% CI: 57.2, 60.6).
Most adults in the study reported that oral health affects their life quality, and have little/no impact on their quality of life. Dental visits within the last year were associated with eating, speech, and finance.
迄今为止在尼日利亚进行的口腔健康研究已使用传统临床测量方法记录了牙科疾病的患病率和发病率。然而，尚无研究调查使用与口腔健康相关的生活质量（OHRQoL）工具来记录口腔健康结果。本研究的目的是：描述口腔健康如何影响生活质量（QoL），并探讨这些影响与尼日利亚江户州贝宁城成年人的口腔保健寻求行为之间的关联。
一项横断面调查从两个大型医院门诊部和一个大学社区的成员中招募了356名年龄在18 - 64岁之间的成年人。由经过培训的访谈员发放包含来自OHQoL - UK工具的“影响”项目问题的封闭式口腔健康问卷。收集的数据包括社会人口统计学、牙科就诊情况以及口腔健康对生活质量的影响。进行了单变量和双变量分析，并使用卡方检验来检验比例差异。使用方差分析的多变量分析检查了生活质量因素与看牙医之间的关联。
83%的参与者有完整数据。约62%的参与者认为他们的口腔健康影响了他们的生活质量。总体而言，分别有82%、63%和77%的参与者认为口腔健康对他们进食或享受食物、睡眠或放松能力以及微笑或大笑有影响。约46%、36%和25%的参与者报告称口腔健康分别影响他们的日常活动、社交活动和与他人交谈。过去一年的牙科就诊与进食、言语和财务状况显著相关（P < 0.05）。口腔健康对生活质量影响的综合评分范围为33至80，中位数为61（95%置信区间：60, 62），四分位间距为52 - 70。多变量建模表明一个仅包含教育程度的模型（F = 6.5，pr>F = 0.0111）。中等/高等教育水平者的影响总分均值（均值 = 61.8；95%置信区间：60.6, 62.9）显著高于低于中等教育水平者（均值 = 57.2；95%置信区间：57.2, 60.6）。
研究中的大多数成年人报告称口腔健康影响他们的生活质量，且对他们的生活质量几乎没有/没有影响。过去一年的牙科就诊与进食、言语和财务状况相关。
