Department of Oral Sciences, School of Dentistry, PO Box 647, Dunedin 9054, New Zealand.
Health Qual Life Outcomes. 2011 Jul 7;9:50. doi: 10.1186/1477-7525-9-50.
A parental/family history of poor oral health may influence the oral-health-related quality of life (OHRQOL) of adults.
To determine whether the oral health of mothers of young children can predict the OHRQOL of those same children when they reach adulthood.
Oral examination and interview data from the Dunedin Study's age-32 assessment, as well as maternal self-rated oral health data from the age-5 assessment were used. The main outcome measure was study members' short-form Oral Health Impact Profile (OHIP-14) at age 32. Analyses involved 827 individuals (81.5% of the surviving cohort) dentally examined at both ages, who also completed the OHIP-14 questionnaire at age 32, and whose mothers were interviewed at the age-5 assessment.
There was a consistent gradient of relative risk across the categories of maternal self-rated oral health status at the age-5 assessment for having one or more impacts in the overall OHIP-14 scale, whereby risk was greatest among the study members whose mothers rated their oral health as "poor/edentulous", and lowest among those with an "excellent/fairly good" rating. In addition, there was a gradient in the age-32 mean OHIP-14 score, and in the mean number of OHIP-14 impacts at age 32 across the categories of maternal self-rated oral health status. The higher risk of having one or more impacts in the psychological discomfort subscale, when mother rated her oral health as "poor/edentulous", was statistically significant.
These data suggest that maternal self-rated oral health when a child is young has a bearing on that child's OHRQOL almost three decades later. The adult offspring of mothers with poor self-rated oral health had poorer OHRQOL outcomes, particularly in the psychological discomfort subscale.
父母/家庭的口腔健康不良史可能会影响成年人的口腔健康相关生活质量（OHRQOL）。
确定幼儿母亲的口腔健康状况是否可以预测这些孩子在成年时的 OHRQOL。
使用了达尼丁研究 32 岁评估时的口腔检查和访谈数据，以及 5 岁评估时母亲的自我评估口腔健康数据。主要结局测量指标是研究对象在 32 岁时的短式口腔健康影响简表（OHIP-14）。分析涉及 827 名在两个年龄段都接受过牙科检查的个体（幸存队列的 81.5%），他们还在 32 岁时完成了 OHIP-14 问卷，并且其母亲在 5 岁评估时接受了访谈。
在母亲在 5 岁时自我评估的口腔健康状况的类别中，存在一个与 OHIP-14 总量表中存在一个或多个影响的相对风险的一致梯度，其中风险最大的是母亲自我评估口腔健康状况为“差/无牙”的研究对象，风险最低的是自我评估口腔健康状况为“优/尚可”的研究对象。此外，在 32 岁时的 OHIP-14 平均评分，以及在母亲自我评估口腔健康状况类别中，32 岁时 OHIP-14 影响的平均数量上都存在梯度。当母亲自我评估口腔健康状况为“差/无牙”时，在心理不适亚量表中存在一个或多个影响的风险更高，这具有统计学意义。
这些数据表明，儿童年幼时母亲的自我评估口腔健康状况对其近三十年后的 OHRQOL 有影响。母亲自我评估口腔健康状况较差的成年子女的 OHRQOL 结果较差，尤其是在心理不适亚量表中。
