Department of Community Dentistry, Faculty of Dental Medicine, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
Ethn Health. 2009 Dec;14(6):643-52. doi: 10.1080/13557850903248647.
To examine the association between psychological distress (PD) and perception of oral health status among a group of Ethiopian immigrants compared to the 'gold standard' of clinical diagnosis.
Three hundred and forty Ethiopian immigrants, aged 18 years or more, were interviewed using a version of the Self-Reporting Questionnaire (World Health Organization) for the assessment of psychological status and perceived dental and periodontal health status. Clinical data for dental and periodontal health status were used as the 'gold standard' against the self-perceived assessment scores among the PD and no psychological distress (NPD) groups. These were compared for sensitivity and specificity.
One hundred and thirty-five subjects (40%) presented PD. Seventy-eight percent of the PD subjects reported a negative dental health status, as compared to 42% of the NPD subjects. Seventy-three percent of the PD subjects reported a negative periodontal health status, as compared to 44% of the NPD subjects (p<0.001). The sensitivity for self-perceived dental health status among the PD subjects was found to be 0.78 and the specificity was found to be 0.40, as compared to 0.59 and 0.69, respectively, among the NPD subjects (p<0.001). The sensitivity for self-perceived periodontal health status among the PD subjects was found to be 0.78 and the specificity was found to be 0.40, as compared to 0.59 and 0.58, respectively, among the NPD subjects (p<0.001).
Results demonstrate that PD may modify self-perception of health status. Self-perceived health and disease should be an integral element in the continuum of professional clinical health assessment and subsequent health care planning. The relevance of PD is evident in this immigrant ethnic group and should be considered and further studied in other at-risk minority communities.
与临床诊断的“金标准”相比，检查一组埃塞俄比亚移民中心理困扰 (PD) 与口腔健康状况认知之间的关联。
对 340 名年龄在 18 岁及以上的埃塞俄比亚移民进行访谈，使用自我报告问卷 (世界卫生组织) 的一个版本评估心理状态和感知的牙齿和牙周健康状况。将牙科和牙周健康状况的临床数据用作 PD 和无心理困扰 (NPD) 组自我感知评估得分的“金标准”。比较这些数据的敏感性和特异性。
135 名受试者 (40%) 出现 PD。78%的 PD 受试者报告了负面的牙齿健康状况，而 NPD 受试者则为 42%。73%的 PD 受试者报告了负面的牙周健康状况，而 NPD 受试者则为 44%（p<0.001）。PD 受试者自我感知的牙齿健康状况的敏感性为 0.78，特异性为 0.40，而 NPD 受试者的敏感性分别为 0.59 和 0.69，特异性分别为 0.40 和 0.58（p<0.001）。PD 受试者自我感知的牙周健康状况的敏感性为 0.78，特异性为 0.40，而 NPD 受试者的敏感性分别为 0.59 和 0.58，特异性分别为 0.58 和 0.58（p<0.001）。
结果表明 PD 可能会改变对健康状况的自我认知。自我感知的健康和疾病应该是专业临床健康评估和随后的医疗保健计划连续体的一个组成部分。在这个移民群体中，PD 的相关性显而易见，应该在其他处于危险中的少数民族社区中进行考虑和进一步研究。
