Community Dental Health Services Research Unit, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
Community Dent Oral Epidemiol. 2011 Feb;39(1):3-11. doi: 10.1111/j.1600-0528.2010.00597.x. Epub 2010 Nov 29.
Most measures of 'oral health-related quality of life' assess the presence and frequency of functional and psychosocial impacts rather than explicitly documenting their impact on the quality of life. The aim of this study was to evaluate Prutkin and Feinstein's suggestion for addressing the issue of quality of life in health outcome research by the use of global ratings.
Data were collected from a national sample of Canadian adults by means of a telephone interview survey based on random digit dialing. Participants completed the OHIP-14. Those reporting one or more impacts in the previous year were asked three questions concerning the extent to which these impacts bothered them, affected their life as a whole, and affected their quality of life. These items were scored on a scale ranging from 'Not at all' to 'A great deal'. All participants were asked to rate the quality of their life using a six-point scale ranging from 'Very poor' to 'Excellent'.
Interviews were completed with 2027 participants, and 2019 were included in the analysis. Overall, 19.5% reported one or more impacts 'fairly often' or 'very often'. Of these, 48.3% reported being bothered by these impacts, 40.3% that their life overall was affected, and 36.0% that their quality of life was affected. These individuals represent 9.4%, 7.8%, and 6.9% of the sample as a whole. Among those reporting impacts, there was a significant association between OHIP-14 extent and severity scores and the three ratings. Those with impacts that bothered them, that affected their life overall or affected their quality of life, rated their overall quality of life less favorably than those with impacts that did not. Analysis by household income indicated that low-income participants were more likely to be OHIP-14 'cases'. Moreover, among the 'cases', low-income participants were more likely to report an impact on the quality of life.
The addition of global ratings of oral health-related quality of life and quality of life provides information of use in understanding the negative consequences of oral disorders.
大多数“口腔健康相关生活质量”的测量方法评估的是功能和心理社会影响的存在和频率，而不是明确记录它们对生活质量的影响。本研究的目的是通过使用总体评估来评估 Prutkin 和 Feinstein 提出的解决健康结果研究中生活质量问题的建议。
通过基于随机数字拨号的电话访谈调查，从加拿大成年人的全国样本中收集数据。参与者完成了 OHIP-14 量表。在过去一年中报告有一个或多个影响的人被问到三个问题，这些问题涉及这些影响对他们的困扰程度、对他们生活的整体影响以及对他们生活质量的影响。这些项目的评分范围从“一点也不”到“非常多”。所有参与者都被要求使用从“非常差”到“非常好”的六点量表来评估他们的生活质量。
对 2027 名参与者进行了访谈，其中 2019 名参与者纳入了分析。总体而言，19.5%的人报告有一个或多个影响“相当频繁”或“非常频繁”。其中，48.3%的人表示这些影响困扰他们，40.3%的人表示他们的生活受到影响，36.0%的人表示他们的生活质量受到影响。这些人分别占整个样本的 9.4%、7.8%和 6.9%。在报告有影响的人群中，OHIP-14 程度和严重程度评分与这三个评分之间存在显著关联。那些感到困扰、影响整体生活或影响生活质量的人，对整体生活质量的评价不如那些没有影响的人。按家庭收入进行的分析表明，低收入参与者更有可能成为 OHIP-14“病例”。此外，在“病例”中，低收入参与者更有可能报告对生活质量的影响。
添加口腔健康相关生活质量和生活质量的总体评分可提供有助于了解口腔疾病负面后果的信息。
