Truong Arthur, Higgs Peter, Cogger Shelley, Jamieson Lisa, Burns Lucinda, Dietze Paul
Centre for Population Health, Burnet Institute, Melbourne, VIC, Australia.
Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, VIC, Australia.
J Public Health Dent. 2015 Summer;75(3):218-24. doi: 10.1111/jphd.12092. Epub 2015 Mar 10.
People who inject drugs (PWID) have poor oral health. However, their oral health-related quality of life (OHRQoL) is unknown. Our study was designed to measure the OHRQoL of PWID.
The Oral Health Impact Profile-14 (OHIP-14) was administered to 794 PWID recruited in Australian capital cities as part of the 2013 Illicit Drug Reporting System (IDRS). Three OHIP-14 summary indicators were examined: "Prevalence" (proportion reporting ≥1 item at least "fairly often"), "severity" (mean total OHIP-14 score), and "extent" (number of impacts reported at least "fairly often"). Associations between "prevalence" and "extent" and variables drawn from the health, drug use, and social domains were investigated.
All OHIP-14 summary indicators among IDRS participants were significantly higher than in the general Australian population. In multivariate analysis, the "prevalence" indicator was significantly and positively associated with female gender [adjusted odds ratio (AOR) = 1.75, 95% CI 1.27-2.38], those born in Australia (AOR = 2, 95% CI 1.25-3.23), not completing Year 10 compared with those who had completed Year 12 or a higher qualification (AOR = 1.59, 95% CI 1.03-2.44), and methadone treatment (AOR = 1.61, 95% CI 1.14-2.29). The "extent" indicator was significantly and positively associated with female gender [adjusted incidence rate ratio (AIRR) = 1.56, 95% CI 1.19-2.08], unemployment (AIRR = 1.59, 95% CI 1.01-2.44), and having an injecting career of 10-20 years (AIRR = 1.76, 95% CI 1.03-3.01).
PWID have poorer OHRQoL than the Australian general population. Poor OHRQoL was particularly common in female PWID and those with longer injecting careers. Interventions to improve the oral health of PWID may improve their OHRQoL.
注射毒品者（PWID）口腔健康状况较差。然而，他们与口腔健康相关的生活质量（OHRQoL）尚不清楚。我们的研究旨在测量PWID的OHRQoL。
作为2013年非法药物报告系统（IDRS）的一部分，对在澳大利亚首都城市招募的794名PWID进行了口腔健康影响概况-14（OHIP-14）调查。研究了OHIP-14的三个汇总指标：“患病率”（报告至少“相当频繁”出现≥1项的比例）、“严重程度”（OHIP-14总分均值）和“影响范围”（报告至少“相当频繁”出现的影响项数）。调查了“患病率”和“影响范围”与来自健康、药物使用和社会领域的变量之间的关联。
IDRS参与者的所有OHIP-14汇总指标均显著高于澳大利亚普通人群。在多变量分析中，“患病率”指标与女性性别显著正相关[调整后的优势比（AOR）=1.75，95%置信区间1.27-2.38]、在澳大利亚出生的人（AOR=2，95%置信区间1.25-3.23）、未完成10年级学业者与完成12年级或更高学历者相比（AOR=1.59，95%置信区间1.03-2.44）以及接受美沙酮治疗者（AOR=1.61，95%置信区间1.14-2.29）显著正相关。“影响范围”指标与女性性别显著正相关[调整后的发病率比（AIRR）=1.56，95%置信区间1.19-2.08]、失业（AIRR=1.59，95%置信区间1.01-2.44）以及有10至20年注射史者（AIRR=1.76，95%置信区间1.03-3.01）显著正相关。
PWID的OHRQoL比澳大利亚普通人群更差。OHRQoL差在女性PWID和注射史较长者中尤为常见。改善PWID口腔健康的干预措施可能会改善他们的OHRQoL。
