The Oral Health, Workforce & Education Group, Kings College London Dental Institute, London, UK.
Community Dent Oral Epidemiol. 2010 Apr;38(2):136-44. doi: 10.1111/j.1600-0528.2009.00516.x. Epub 2010 Jan 14.
The aim of this study was (i) to determine the oral health status and oral health care needs of this population, (ii) to assess oral health-related quality of life using OHIP-14 and (iii) to explore whether there is a relationship between oral health status and oral health-related quality of life.
A convenience sample was drawn from eight facilities catering for homeless people in south east London. Participants were invited to attend an outreach dental clinic and receive a clinical oral health and treatment needs assessment. The impact of oral disease was assessed using OHIP-14.
There were 102 people from a range of vulnerable housing situations invited to participate in the study. The mean age was 39.5 (SD +/- 12.3) and 92% (n = 92) were men. The mean DMFT of dentate participants (n = 94) was 15.5 (SD +/- 7.6), mean DT was 4.2 (SD +/- 5.2), mean MT was 6.8 (SD +/- 6.0) and mean FT was 4.6 (SD +/- 4.8). Normative needs were extensive with 76% having a restorative need, 80% having a need for oral hygiene measures and periodontal treatment and 38% having a prosthetic treatment need. Ninety one per cent of homeless people experienced at least one impact and the mean number of impacts (n = 90) was 5.9 (SD +/- 4.8).The most commonly experienced oral health-related quality of life impacts were in the dimension of pain, with aching in the mouth having a prevalence of 65% and discomfort while eating foods having a prevalence of 62%. Forty-four per cent felt handicapped by their oral condition. The experience of oral impact had only a slight relationship with clinical status and there were no differences in clinical status or oral impact by vulnerability of housing situation.
Oral health care needs were extensive and greater than that of the general population in the UK, although disease levels were similar. While homeless people experienced many more oral impacts (as measured with OHIP-14) compared with adults of the same age in the general population in the UK, there was only a slight relationship with clinical status and oral health-related quality of life.
本研究旨在：(i) 确定该人群的口腔健康状况和口腔保健需求，(ii) 使用 OHIP-14 评估口腔健康相关生活质量，以及 (iii) 探讨口腔健康状况与口腔健康相关生活质量之间是否存在关系。
从伦敦东南部为无家可归者提供服务的八家设施中抽取了一个方便样本。邀请参与者参加外展牙科诊所，并接受临床口腔健康和治疗需求评估。使用 OHIP-14 评估口腔疾病的影响。
从各种弱势住房情况下邀请了 102 人参加研究。平均年龄为 39.5（标准差 +/- 12.3），92%（n=92）为男性。有牙齿的参与者的平均 DMFT（n=94）为 15.5（标准差 +/- 7.6），平均 DT 为 4.2（标准差 +/- 5.2），平均 MT 为 6.8（标准差 +/- 6.0），平均 FT 为 4.6（标准差 +/- 4.8）。规范需求广泛，76%有修复需求，80%有口腔卫生措施和牙周治疗需求，38%有修复治疗需求。91%的无家可归者至少经历过一次影响，90 名参与者的平均影响数量为 5.9（标准差 +/- 4.8）。最常见的口腔健康相关生活质量影响发生在疼痛维度，口腔疼痛的患病率为 65%，进食不适的患病率为 62%。44%的人认为自己的口腔状况很不方便。口腔影响的经历与临床状况只有轻微的关系，而且住房情况的脆弱性对临床状况或口腔影响没有差异。
口腔保健需求广泛，超过了英国一般人群，尽管疾病水平相似。虽然无家可归者经历的口腔影响（如 OHIP-14 所衡量的）比英国同年龄的一般人群多，但与临床状况只有轻微的关系，与口腔健康相关生活质量的关系也很微弱。
