Engström Sevek, Holmlund Anders
Centre for Research and Development Uppsala University County Council of Gävleborg, Sweden.
Swed Dent J. 2011;35(4):169-75.
The aim was to investigate whether the self-estimation of oral and general health is correlated and related to clinical parameters for dental health. Furthermore, to investigate the influence of socioeconomic factors on the self-assessment of oral and general health. During 2007 a dental health survey was performed in the Community of Gävle located in central Sweden. 1, 224 subjects randomized from the general population of Gävle (adult population 75, 000) were invited to participate. Seven hundred and forty-eight individuals answered a questionnaire regarding their health and 373 of these subjects participated in a dental examination. Self-estimated oral and general health was correlated (p<0.0001, r=0.35) and individuals who perceived their oral health as bad had more decayed surfaces, surfaces with secondary caries, fewer teeth and more bleeding on probing than those with good estimated oral health (p<0.017 for all). In a logistic regression analysis with self-estimated oral health as the dependent variable was related to, the independent variables NT, DFT, self-estimated general health and age were related to self-estimated oral health, but not to income or educational level. However, subjects with low disposable income and low education level had significantly more clinical caries and fewer teeth than subjects with high income or a high educational level.
In the present study, self-estimation of oral and general health was correlated and related to some clinical oral parameters. Subjects in the low socioeconomic group had worse dental health and a tendency to underestimate their need of dental care.
目的是调查口腔健康和总体健康的自我评估是否相关以及与牙齿健康临床参数的关系。此外,调查社会经济因素对口腔健康和总体健康自我评估的影响。2007年期间,在瑞典中部的耶夫勒社区进行了一项牙齿健康调查。从耶夫勒总人口(成年人口75000)中随机抽取1224名受试者受邀参与。748人回答了关于他们健康状况的问卷,其中373名受试者参加了牙科检查。自我评估的口腔健康和总体健康是相关的(p<0.0001,r=0.35),与自我评估口腔健康良好的人相比,那些认为自己口腔健康差的人有更多的龋坏面、继发龋面、更少的牙齿,且探诊时出血更多(所有p<0.017)。在以自我评估口腔健康作为因变量的逻辑回归分析中,自变量NT、DFT、自我评估的总体健康和年龄与自我评估的口腔健康相关,但与收入或教育水平无关。然而,可支配收入低和教育水平低的受试者比高收入或高教育水平的受试者有更多的临床龋齿且牙齿更少。
在本研究中,口腔健康和总体健康的自我评估相关且与一些口腔临床参数有关。社会经济地位低的受试者牙齿健康状况较差,且有低估其牙科护理需求的倾向。