Amarasena Najith, Kapellas Kostas, Brown Alex, Skilton Michael R, Maple-Brown Louise J, Bartold Mark P, O'Dea Kerin, Celermajer David, Slade Gary Douglas, Jamieson Lisa
Australian Research Centre for Population Oral Health, School of Dentistry, The University of Adelaide, Adelaide, South Australia, Australia.
School of Dentistry, University of Adelaide, Adelaide, South Australia, Australia.
J Public Health Dent. 2015 Spring;75(2):126-33. doi: 10.1111/jphd.12080. Epub 2014 Dec 11.
This study sought to: a) estimate the frequency of poor self-rated oral health as assessed by a summary measure; b) compare frequency according to sociodemographic, behavioral, and psychological distress factors; and (3) determine if psychological distress was associated with poor self-rated oral health after adjusting for confounding.
Data were from a convenience sample of Indigenous Australian adults (n = 289) residing in Australia's Northern Territory. Poor self-rated oral health was defined as reported experience of toothache, poor dental appearance or food avoidance in the last 12 months. A logistic regression model was used to evaluate socio-demographic, behavioral, and psychological distress associations with poor self-rated oral health (SROH). Effects were quantified as odds ratios (OR).
The frequency of poor SROH was 73.7 percent. High psychological distress, measured by a Kessler-6 score ≥8, was experienced by 33.9 percent of participants. Poor SROH was associated with high levels of psychological distress, being older, being female, and usually visiting a dentist because of a problem. In the multivariable model, factors that were significantly associated with poor SROH after adjustment for other covariates included having a high level of psychological distress (OR 2.74, 95% CI 1.25-6.00), being female (OR 2.22, 95% CI 1.03-4.78), and usually visiting a dentist because of a problem (OR 3.57, 95% CI 1.89-6.76).
Poor self-rated oral health and high levels of psychological distress were both highly frequent among this vulnerable population. Psychological distress was significantly associated with poor self-rated oral health after adjustment for confounding.
本研究旨在：a）通过一项综合指标评估自我评定口腔健康状况较差的频率；b）根据社会人口统计学、行为和心理困扰因素比较频率；以及（3）在调整混杂因素后确定心理困扰是否与自我评定口腔健康状况较差相关。
数据来自居住在澳大利亚北领地的澳大利亚原住民成年人的便利样本（n = 289）。自我评定口腔健康状况较差定义为在过去12个月内有牙痛、牙齿外观不佳或避免进食的经历。采用逻辑回归模型评估社会人口统计学、行为和心理困扰与自我评定口腔健康状况较差（SROH）之间的关联。效应以比值比（OR）进行量化。
自我评定口腔健康状况较差的频率为73.7%。33.9%的参与者经历了高心理困扰，通过凯斯勒6项量表评分≥8来衡量。自我评定口腔健康状况较差与高水平心理困扰、年龄较大、女性以及通常因问题就诊牙医有关。在多变量模型中，在调整其他协变量后与自我评定口腔健康状况较差显著相关的因素包括高水平心理困扰（OR 2.74，95% CI 1.25 - 6.00）、女性（OR 2.22，95% CI 1.03 - 4.78）以及通常因问题就诊牙医（OR 3.57，95% CI 1.89 - 6.76）。
在这一弱势群体中，自我评定口腔健康状况较差和高水平心理困扰都很常见。在调整混杂因素后，心理困扰与自我评定口腔健康状况较差显著相关。
