Calis Esmé M, Geels Lot M, Prahl-Andersen Birte, Zentner Andrej
Department of Orthodontics, Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands.
J Dent Child (Chic). 2009 May-Aug;76(2):130-5.
The purpose of this study was to examine the oral health-related quality of life (OHRQoL) of schoolchildren in Amsterdam, The Netherlands, and to assess the relationship between OHRQoL and self-reported dental esthetics.
The Child Oral Health Impact Profile (COHIP) was completed by 510 seventh and eighth graders of public primary schools. Subjects also assessed their own dentition with the Esthetic Component of the Index of Orthodontic Treatment Need (AC-IOTN). Gender differences on COHIP subscales and the AC-IOTN were examined using Mann-Whitney U tests. Correlations between the COHIP subscales and the AC-IOTN were assessed with Spearman's rank correlation coefficient.
Boys scored significantly lower on the subscales "oral symptoms" and "emotional well-being" than girls. Correlations between OHRQoL and the AC-IOTN were low but significant for boys for the domains "oral symptoms" (0.137) and "emotional well-being" (0.186) and for girls for the domains "functional well-being" (0.148), "emotional well-being" (0.195), and "peer interaction" (0.215).
Dutch schoolchildren in Amsterdam generally reported good oral health-related quality of life. Boys seemed to experience a slightly lower impact of oral symptoms and better emotional well-being than girls. Children's self-perceived dental esthetics did not seem to constitute a relevant variable to explain their level of OHRQoL.
本研究旨在调查荷兰阿姆斯特丹学童的口腔健康相关生活质量(OHRQoL),并评估OHRQoL与自我报告的牙齿美观之间的关系。
510名公立小学七、八年级学生完成了儿童口腔健康影响量表(COHIP)。受试者还使用正畸治疗需求指数的美观成分(AC-IOTN)对自己的牙列进行了评估。使用曼-惠特尼U检验检查COHIP分量表和AC-IOTN上的性别差异。用斯皮尔曼等级相关系数评估COHIP分量表与AC-IOTN之间的相关性。
男孩在“口腔症状”和“情绪健康”分量表上的得分显著低于女孩。OHRQoL与AC-IOTN之间的相关性较低,但在“口腔症状”(0.137)和“情绪健康”(0.186)领域,男孩的相关性显著;在“功能健康”(0.148)、“情绪健康”(0.195)和“同伴互动”(0.215)领域,女孩的相关性显著。
阿姆斯特丹的荷兰学童总体上报告了良好的口腔健康相关生活质量。男孩似乎比女孩经历的口腔症状影响略小,情绪健康状况更好。儿童自我感知的牙齿美观似乎不是解释其OHRQoL水平的相关变量。