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咀嚼能力满意度变化的预测因素:一项针对有牙成年人的24个月研究。

Predictors of change in satisfaction with chewing ability: a 24-month study of dentate adults.

作者信息

Meng X, Gilbert G H

机构信息

Department of Preventative and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.

出版信息

J Oral Rehabil. 2007 Oct;34(10):745-58. doi: 10.1111/j.1365-2842.2006.01701.x.

Abstract

People's satisfaction with chewing ability is not determined entirely by their mechanical chewing function. Instead, it is a complex measure that embraces broad physical, social and psychological components. Using data from the Florida Dental Care Study, a prospective longitudinal study of oral health and dental care, this current study aimed to identify the longitudinal relationships between changes in satisfaction with chewing ability and changes in other dimensions of oral health and oral health-related quality of life (OHRQoL). A multidimensional conceptual model of oral health and OHRQoL was applied to guide the analysis. Most dentate people were satisfied with their chewing ability. However, changes in satisfaction with chewing ability were common: nearly 11-22% of subjects experienced improved satisfaction, depending on the interval; while about 12-18% of subjects experienced deteriorated satisfaction by the end of the interval. Changes in satisfaction with chewing ability were significantly associated with changes in other aspects of oral health and OHRQoL. Onset of certain oral health problems/conditions or constantly having such problems was associated with a lower probability of reporting improvement in satisfaction and a higher probability of experiencing deterioration. In contrast, recovery from certain oral health problems/conditions or not having such problems was associated with a higher probability of improvement and a lower probability of deterioration.

摘要

人们对咀嚼能力的满意度并非完全由其机械咀嚼功能决定。相反,它是一项复杂的衡量指标,包含广泛的身体、社会和心理因素。本研究利用佛罗里达牙科护理研究的数据(一项关于口腔健康和牙科护理的前瞻性纵向研究),旨在确定咀嚼能力满意度变化与口腔健康其他维度及口腔健康相关生活质量(OHRQoL)变化之间的纵向关系。应用了一个口腔健康和OHRQoL的多维概念模型来指导分析。大多数有牙的人对自己的咀嚼能力感到满意。然而,咀嚼能力满意度的变化很常见:根据时间间隔不同,近11%-22%的受试者满意度有所提高;而到时间间隔结束时,约12%-18%的受试者满意度下降。咀嚼能力满意度的变化与口腔健康和OHRQoL的其他方面变化显著相关。某些口腔健康问题/状况的出现或持续存在与满意度提高的报告概率较低以及满意度下降的概率较高相关。相反,从某些口腔健康问题/状况中恢复或没有此类问题与提高的概率较高以及下降的概率较低相关。

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