Kida Irene A, Astrøm Anne N, Strand Gunhild V, Masalu Joyce R
Centre for International Health; Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania.
Eur J Oral Sci. 2007 Aug;115(4):265-74. doi: 10.1111/j.1600-0722.2007.00459.x.
This study assessed the prevalence and correlates of reported chewing problems and dissatisfaction with chewing ability. Discrepancy between reported chewing problems and satisfaction/dissatisfaction with chewing ability was examined. A household survey was conducted in Tanzania in 2004/2005. A total of 1,031 adults (mean age 62.9 yr) underwent clinical examination and a personal interview. Forty per cent [95% confidence interval (CI): 37-43] reported problems with chewing at least one food item, and 25% (95% CI: 22-28) were dissatisfied with their chewing ability. Adjusted odds ratios (OR) for reporting problems with chewing any food were 1.6, 1.2, and 4.2 if having intact anterior/reduced posterior, reduced anterior/intact posterior, and reduced anterior/posterior occluding units, respectively. Subjects dissatisfied with their chewing ability were less likely to be female (OR = 0.6) and more likely to have reduced anterior/posterior occluding units (OR = 3.4), to report dental pain (OR =2.5), chewing problems (OR = 4.7), and oral impacts on daily performances (OIDP) (OR = 3.2). The OIDP scores discriminated between satisfied and dissatisfied groups, irrespective of confirmed chewing problems. Chewing problems and dissatisfaction with chewing ability was prevalent among older Tanzanians. Clinical measures of dentition status, together with reported functional and psychosocial impact scores, determined the subjects' evaluation of their chewing ability and should be taken into account when estimating treatment needs.
本研究评估了所报告的咀嚼问题的患病率及其相关因素，以及对咀嚼能力的不满情况。对所报告的咀嚼问题与对咀嚼能力的满意/不满意之间的差异进行了检查。2004/2005年在坦桑尼亚进行了一项家庭调查。共有1031名成年人（平均年龄62.9岁）接受了临床检查和个人访谈。40%[95%置信区间（CI）：37 - 43]报告至少有一种食物咀嚼存在问题，25%（95%CI：22 - 28）对自己的咀嚼能力不满意。如果分别具有完整的前牙/后牙减少、前牙减少/后牙完整以及前牙/后牙均减少的咬合单位，则咀嚼任何食物存在问题的校正比值比（OR）分别为1.6、1.2和4.2。对咀嚼能力不满意的受试者女性可能性较小（OR = 0.6），而前牙/后牙咬合单位减少（OR = 3.4）、报告牙痛（OR = 2.5）、咀嚼问题（OR = 4.7）以及口腔对日常表现的影响（OIDP）（OR = 3.2）的可能性较大。无论是否存在确诊的咀嚼问题，OIDP评分都能区分满意组和不满意组。咀嚼问题和对咀嚼能力的不满在坦桑尼亚老年人中很普遍。牙列状况的临床测量结果，连同所报告的功能和心理社会影响评分，决定了受试者对其咀嚼能力的评估，在估计治疗需求时应予以考虑。
