Robinson Peter G, Nalweyiso Nora, Busingye June, Whitworth Jimmy
School of Clinical Dentistry, University of Sheffield, UK.
Community Dent Health. 2005 Dec;22(4):231-6.
Describe the oral health related quality of life among a group of children in rural Uganda and compare impacts on oral health related quality of life associated with dental caries and fluorosis.
Cross-sectional clinical and questionnaire analytical study.
Proportional sample of 174 12 year olds attending primary schools in a rural sub-county of Uganda.
Clinical assessments using WHO basic methods and the Thylstrup and Fejerskov index of Fluorosis (TFI). Child Oral Health Related Quality of Life data collected with self-administered child perception questionnaire (CPQ11-14).
Two thirds of children reported a dental impact 'often' or 'everyday'. The mean number of impacts per child at this threshold was 2.6 and the mean total CPQ11-14 score was 25.8 (sd 21.1). Mean DMFT was 0.68. No children had fillings. Forty-one children had dental fluorosis with 10 having scores greater than 2. CPQ11-14 showed acceptable criterion validity and reliability. The number of sites with gingivitis or the presence of calculus or trauma were not associated with summary measures of CPQ11-14 whereas having any dental caries or treatment experience was associated with higher total scores and more impacts. Socially noticeable fluorosis (TFI >2) was associated with more impacts but not with higher total scores.
Despite low levels of oral disease these children experience appreciable impacts on oral health related quality of life. The greatest burden was associated with dental caries and to a lesser extent, fluorosis.
描述乌干达农村地区一组儿童的口腔健康相关生活质量，并比较龋齿和氟斑牙对口腔健康相关生活质量的影响。
横断面临床和问卷调查分析研究。
从乌干达一个农村次县的小学中按比例抽取174名12岁儿童作为样本。
采用世界卫生组织基本方法进行临床评估，并使用蒂尔斯楚普和费耶斯科夫氟斑牙指数（TFI）。通过儿童自填式感知问卷（CPQ11 - 14）收集儿童口腔健康相关生活质量数据。
三分之二的儿童报告“经常”或“每天”受到牙齿问题的影响。在此阈值下，每个儿童的平均影响次数为2.6次，CPQ11 - 14的平均总得分是25.8（标准差21.1）。平均龋失补牙面数（DMFT）为0.68。没有儿童有补牙情况。41名儿童有氟斑牙，其中10名得分大于2分。CPQ11 - 14显示出可接受的标准效度和信度。牙龈炎部位数量、牙结石或外伤的存在与CPQ11 - 14的综合测量指标无关，而有任何龋齿或治疗经历与更高的总分及更多影响相关。社会上明显可见的氟斑牙（TFI>2）与更多影响相关，但与更高总分无关。
尽管口腔疾病水平较低，但这些儿童的口腔健康相关生活质量仍受到明显影响。最大的负担与龋齿相关，氟斑牙的影响程度较小。
