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瑞典和挪威 65 岁老人的口腔健康:全球性问题与世界卫生组织最新概念模型 ICF。

Oral health of 65-year olds in Sweden and Norway: a global question and ICF, the latest conceptual model from WHO.

机构信息

Department of Dentistry, Örebro County Council, Örebro, Sweden.

出版信息

Acta Odontol Scand. 2012 Jul;70(4):279-88. doi: 10.3109/00016357.2011.647069. Epub 2012 Jan 16.

Abstract

OBJECTIVE

The aims of this study were to identify explanatory factors of satisfaction with oral health among Norwegian and Swedish 65 year olds in terms of items from four different domains of ICF and to compare the strengths of the various ICF domains in explaining satisfaction with oral health. Further it was to assess whether the explanatory factors of ICF domains vary between Norway and Sweden.

MATERIALS AND METHODS

In 2007, standardized questionnaires were mailed to all the residents in certain counties of Sweden and Norway who were born in 1942. Response rates were 73.1% (n = 6078) in Sweden and 56.0% (n = 4062) in Norway.

RESULTS

In total, 33 questions based on four different ICF domains were chosen to explain satisfaction with oral health. Logistic regression showed that four different ICF domains in terms of body function, body structure, activity/participation and environmental factors explained, respectively, 53%, 31%, 12% and 34% of the explanatory variance in the satisfaction with oral health. In the final analysis, only nine items were statistically significant (p < 0.05).

CONCLUSION

This study indicates that ICF as a conceptual model could cover a broad spectrum of factors embedded in OHRQoL measured by a global question in Sweden and Norway. Nine items, representing four ICF domains, were important in the final model for explaining satisfaction with oral health.

摘要

目的

本研究旨在从 ICF 的四个不同领域的项目中确定挪威和瑞典 65 岁老年人对口腔健康满意度的解释因素,并比较 ICF 各领域在解释口腔健康满意度方面的优势。此外,还评估 ICF 领域的解释因素在挪威和瑞典之间是否存在差异。

材料和方法

2007 年,向瑞典和挪威某些县的所有出生于 1942 年的居民邮寄了标准化问卷。瑞典的回复率为 73.1%(n=6078),挪威的回复率为 56.0%(n=4062)。

结果

共选择了基于四个不同 ICF 领域的 33 个问题来解释对口腔健康的满意度。逻辑回归显示,身体功能、身体结构、活动/参与和环境因素这四个不同的 ICF 领域分别解释了口腔健康满意度的 53%、31%、12%和 34%的解释方差。在最终分析中,只有 9 个项目具有统计学意义(p<0.05)。

结论

本研究表明,ICF 作为一个概念模型,可以涵盖瑞典和挪威通过一个全球性问题测量的 OHRQoL 中嵌入的广泛因素。9 个项目,代表了四个 ICF 领域,在最终的模型中对解释口腔健康满意度很重要。

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