Brennan David S
Australian Research Centre for Population Oral Health, School of Dentistry, Adelaide, Australia.
Eur J Oral Sci. 2013 Jun;121(3 Pt 1):188-93. doi: 10.1111/eos.12035. Epub 2013 Mar 23.
Oral-specific measures are often preferred to examine outcomes of oral disorders. However, generic measures can add additional information, including health utility. The aim was to assess the Oral Health Impact Profile (OHIP), EuroQol (EQ-5D), and Assessment of Quality of Life (AQoL) instruments in relation to oral health in terms of their discriminative and convergent validities. Data were collected from adults, 30-61 yr of age, in Australia by mailed survey during 2009 and 2010, including the OHIP-14, the EQ-5D, and the AQoL, a range of self-reported oral health variables, and by self-rated oral and general health. Responses were collected from 1093 subjects (a response rate of 39.1%). The OHIP, the EQ-5D, and the AQoL were associated with oral health variables, with effect sizes ranging from 0.6 to 1.1 for the OHIP, from 0.3 to 0.5 for the EQ-5D, and from 0.4 to 0.6 for the AQoL. The OHIP tended to be more strongly correlated with self-rated oral health (rho = -0.5) than with general health (rho = -0.3), whilst the EQ-5D and the AQoL were less strongly correlated with oral health (rho = -0.3 and -0.3, respectively) than with general health (rho = -0.4 and -0.5, respectively). Whilst the OHIP was more sensitive to differences in oral health, the generic measures of EQ-5D and AQoL both exhibited discriminative validity and convergent validity in relation to oral health variables, supporting their use in oral health studies.
通常更倾向于采用针对口腔的特定测量方法来评估口腔疾病的结果。然而，通用测量方法可以提供额外信息，包括健康效用。本研究旨在评估口腔健康影响程度量表（OHIP）、欧洲生活质量量表（EQ - 5D）和生活质量评估量表（AQoL）在口腔健康方面的区分效度和收敛效度。2009年至2010年期间，通过邮寄调查问卷的方式从澳大利亚30 - 61岁的成年人中收集数据，包括OHIP - 14、EQ - 5D和AQoL、一系列自我报告的口腔健康变量以及自我评定的口腔和总体健康状况。共收集到1093名受试者的回复（回复率为39.1%）。OHIP、EQ - 5D和AQoL与口腔健康变量相关，OHIP的效应大小范围为0.6至1.1，EQ - 5D为0.3至0.5，AQoL为0.4至0.6。OHIP与自我评定的口腔健康（rho = - 0.5）的相关性往往比与总体健康（rho = - 0.3）更强，而EQ - 5D和AQoL与口腔健康（分别为rho = - 0.3和 - 0.3）的相关性比与总体健康（分别为rho = - 0.4和 - 0.5）更弱。虽然OHIP对口腔健康差异更敏感，但EQ - 5D和AQoL的通用测量方法在口腔健康变量方面均表现出区分效度和收敛效度，支持它们在口腔健康研究中的应用。
