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丹麦哥本哈根社会弱势群体的口腔健康相关生活质量

Oral health-related quality of life in socially endangered persons in Copenhagen, Denmark.

作者信息

Øzhayat Esben Boeskov, Østergaard Peter, Gotfredsen Klaus

机构信息

a Section of Oral Rehabilitation, Department of Odontology, Faculty of Health and Medical Sciences , University of Copenhagen , Copenhagen , Denmark.

b Homeless Dental Clinic in Humanitarian Organization Kofoeds Skole , Copenhagen , Denmark.

出版信息

Acta Odontol Scand. 2016 Nov;74(8):620-625. doi: 10.1080/00016357.2016.1229022. Epub 2016 Sep 7.

Abstract

OBJECTIVE

The aims of this study were to investigate and describe the Oral Health Related Quality of Life (OHRQoL) in a socially endangered group of people and to compare the OHRQoL to other patient groups.

MATERIAL AND METHODS

About 294 socially endangered persons attending a volunteer clinic in Copenhagen Denmark filled in the OHIP-14 questionnaire. The group was compared in mean score and reported problems to a group of patients with tooth loss and about to have a removable dental prosthesis (RDP), a group with tooth loss about to have a fixed dental prosthesis (FDP) and a control group without tooth loss.

RESULTS

Significantly higher OHIP-14 score was seen in the socially endangered group (15.5 (SD 12.6)) compared with the control (1.9 (SD 2.7)) and the FDP group (9.4 (SD 8.2)) but not the RDP group (13.1 (SD 10.5)). This difference was not changed after stratifying in age groups. Problems related to psychological disability, social disability, and handicap were more frequent in the social endangered group than for the other groups. The items pain, tense, diet, relax, life, and function stand out as problems in the socially endangered group compared to the other groups.

CONCLUSION

The OHRQoL is highly impaired in the socially endangered persons and at least to the level of persons with great tooth loss about to have an RDP. The problems seem to be more handicapping in the socially endangered compared with other patient groups known to have high impairment.

摘要

目的

本研究旨在调查和描述社会弱势群体的口腔健康相关生活质量(OHRQoL),并将其与其他患者群体进行比较。

材料与方法

约294名在丹麦哥本哈根一家志愿诊所就诊的社会弱势群体填写了OHIP-14问卷。将该群体的平均得分和报告的问题与一组牙齿缺失且即将佩戴可摘局部义齿(RDP)的患者、一组牙齿缺失且即将佩戴固定义齿(FDP)的患者以及一组无牙齿缺失的对照组进行比较。

结果

与对照组(1.9(标准差2.7))和FDP组(9.4(标准差8.2))相比,社会弱势群体的OHIP-14得分显著更高(15.5(标准差12.6)),但与RDP组(13.1(标准差10.5))相比无显著差异。按年龄组分层后,这种差异没有改变。与心理残疾、社会残疾和残障相关的问题在社会弱势群体中比在其他群体中更为常见。与其他群体相比,疼痛、紧张、饮食、放松、生活和功能等项目在社会弱势群体中是突出问题。

结论

社会弱势群体的OHRQoL严重受损,至少达到牙齿大量缺失且即将佩戴RDP的人群的水平。与其他已知受损程度较高的患者群体相比,社会弱势群体的问题似乎更具致残性。

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