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印度部落人群中牙科对日常生活影响问卷的验证

Validation of dental impact on daily living questionnaire among tribal population of India.

作者信息

Deepan Kumar C V, Mohamed Shamaz, Janakiram Chandrashekar, Joseph Joe

机构信息

Department of Public Health Dentistry, Amrita School of Dentistry, AIMS, Ponekkara P. O., Kochi, Kerala, India.

出版信息

Contemp Clin Dent. 2015 Sep;6(Suppl 1):S235-41. doi: 10.4103/0976-237X.166841.

Abstract

BACKGROUND

Oral conditions are known to affect various aspects of quality of life. Similarly, the social consequence of the quality of life in the day to day living is also equally important. Several studies have quantified the social consequences of diseases through activity limitations in people's daily living. The instruments which cover a broad spectrum of life are proposed to be compared with the clinical oral hygiene status of people from different social classes.

AIM

To assess the validity of dental impact on daily living (DIDL) questionnaire measuring subjective dental problems and their impact in the day to day life among tribes of Wayanad.

STUDY DESIGN

Cross-sectional.

MATERIALS AND METHODS

DIDL questionnaire developed by Leao and Sheiham was used. We recorded the clinical oral health status using decayed, missing, filled, simplified oral hygiene index, and community periodontal index indices, to correlate the subjective findings of dental impact tribe to obtain construct validity of the questionnaire.

ANALYSIS

Descriptive statistics and Spearman's correlation using IBM SPSS software version 20.

RESULTS

In the study population of 250 participants, the majority of the participants were from the age group between 36 and 50 years (40%) and females were in the majority (64%). The clinical status of the participants was poor in the majority while their perceived impact in their day to day living was found to be relatively satisfied. The study results show the DIDL tool had weak validity in relation to the clinical status with relevance to the social status of Indian tribal population.

CONCLUSION

The study result shows that there was insignificant and weak validity between the DIDL tool and the oral health status among these tribes who were from a low social class. This might be because their priority in life which is different from what a person from high social class. So the dental problem is ignored at the level of individual depending on his/her priority and at the community level by the policy makers.

摘要

背景

口腔状况会影响生活质量的各个方面。同样,日常生活中生活质量的社会影响也同样重要。多项研究通过人们日常生活中的活动受限情况对疾病的社会影响进行了量化。本研究拟将涵盖广泛生活领域的工具与不同社会阶层人群的临床口腔卫生状况进行比较。

目的

评估日常生活中牙齿影响(DIDL)问卷在测量韦亚纳德部落人群主观牙齿问题及其对日常生活影响方面的有效性。

研究设计

横断面研究。

材料与方法

采用Leao和Sheiham编制的DIDL问卷。我们使用龋失补牙数、简化口腔卫生指数和社区牙周指数记录临床口腔健康状况,以关联牙齿对部落影响的主观调查结果,从而获得问卷的结构效度。

分析

使用IBM SPSS 20版软件进行描述性统计和Spearman相关性分析。

结果

在250名研究参与者中,大多数参与者年龄在36至50岁之间(40%),女性占多数(64%)。大多数参与者的临床状况较差,但他们对日常生活的感知影响相对满意。研究结果表明,DIDL工具与印度部落人群社会地位相关的临床状况之间的效度较弱。

结论

研究结果表明,DIDL工具与这些来自低社会阶层部落人群的口腔健康状况之间的效度不显著且较弱。这可能是因为他们的生活优先事项与高社会阶层的人不同。因此,个人层面会根据自身优先事项而忽视牙齿问题,政策制定者在社区层面也会如此。

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