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中国南方老年人的口腔健康状况与日常活动表现的关系。

Relationship between dental status and Oral Impacts on Daily Performances in older Southern Chinese people.

机构信息

Affiliated Stomatology Hospital, Guangxi Medical University, 12 ShuangYong Road, Nanning, Guangxi Province 530021, China.

出版信息

J Public Health Dent. 2010 Spring;70(2):101-7. doi: 10.1111/j.1752-7325.2009.00149.x.

Abstract

OBJECTIVE

The objective of this study was to assess the relationship between different clinical indicators of dental status and an Oral Health-Related Quality of Life (OHRQoL) measure, the Oral Impacts on Daily Performances (OIDP) index, using different scoring formats, among older Southern Chinese people.

METHODS

A total of 1,196 dentate people aged 55 years and older, attending routine annual health checkups at Guangxi Medical University Hospital Health Centre in Guangxi, China, participated in the study. They had a face-to-face structured interview and a clinical dental examination. The OIDP index was used to assess the impacts of oral conditions on quality of life. Spearman and Pearson as well as partial correlation coefficients were used to assess, respectively, the unadjusted and adjusted associations of 14 clinical indicators with the overall OIDP score, OIDP intensity, and OIDP extent.

RESULTS

All clinical indicators, except number of filled teeth, were significantly correlated with the OIDP index, after controlling for covariates. However, correlations were weak, ranging between 0.07 and 0.26. The strongest correlation was for the relationship between the number of natural plus replaced teeth and the OIDP index, irrespective of whether the overall OIDP score, OIDP intensity, or OIDP extent was used to measure OHRQoL.

CONCLUSIONS

Clinical dental status indicators were related to OIDP, regardless of the scoring format used to calculate the OIDP index. Clinical indicators that included natural plus replaced teeth were more strongly associated with the OIDP index than their corresponding indicators that included only natural teeth.

摘要

目的

本研究旨在评估不同临床牙科指标与口腔健康相关生活质量(OHRQoL)测量指标——口腔影响日常活动(OIDP)指数之间的关系,该研究纳入了中国广西的中老年南方人群,采用不同的评分格式。

方法

共有 1196 名年龄在 55 岁及以上、在广西医科大学医院健康中心进行常规年度健康检查的有牙人群参与了这项研究。他们接受了面对面的结构化访谈和临床牙科检查。OIDP 指数用于评估口腔状况对生活质量的影响。采用 Spearman 和 Pearson 以及偏相关系数分别评估 14 项临床指标与总体 OIDP 评分、OIDP 强度和 OIDP 程度之间的未调整和调整关联。

结果

在控制了协变量后,除了补牙数外,所有临床指标均与 OIDP 指数显著相关。然而,相关性较弱,范围在 0.07 到 0.26 之间。天然牙加修复牙的数量与 OIDP 指数之间的相关性最强,无论使用总体 OIDP 评分、OIDP 强度还是 OIDP 程度来衡量 OHRQoL。

结论

无论使用何种评分格式来计算 OIDP 指数,临床牙科状况指标均与 OIDP 相关。包含天然牙加修复牙的临床指标与 OIDP 指数的相关性强于仅包含天然牙的指标。

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