Gaewkhiew Piyada, Bernabé Eduardo, Gallagher Jennifer E, Klass Charlotte, Delgado-Angulo Elsa K
Division of Population and Patient Health, King's College London Dental Institute at Guy's, King's College and St. Thomas' Hospitals, Denmark Hill Campus, Bessemer Road, London, SE5 9RS, UK.
Department of Community Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Health Qual Life Outcomes. 2017 Apr 26;15(1):82. doi: 10.1186/s12955-017-0663-3.
Dental care seeking behaviour is often driven by symptoms. The value of oral health related quality of life (OHRQoL) measures to predict utilisation of dental services is unknown. This study aims to explore the association between OHRQoL and problem-oriented dental attendance among adults.
We analysed cross-sectional data for 705 adults, aged 16 years and above, living in three boroughs of Inner South East London. Data were collected during structured interviews at home. The short form of the Oral Health Impact Profile (OHIP-14) was used to assess the frequency of oral impacts on daily life in the last year. Problem-oriented attendance was defined based on time elapsed since last visit (last 6 months) and reason for that visit (trouble with teeth). The association between OHIP-14 (total and domain) scores and problem-oriented attendance was tested in logistic regression models adjusting for participants' sociodemographic characteristics.
Problem-oriented attenders had a higher OHIP-14 total score than regular attenders (6.73 and 3.73, respectively). In regression models, there was a positive association between OHIP-14 total score and problem-oriented attendance. The odds of visiting the dentist for trouble with teeth were 1.07 greater (95% Confidence Interval: 1.04-1.10) per unit increase in the OHIP-14 total score, after adjustment for participants' sociodemographic characteristics. In subsequent analysis by OHIP-14 domains, greater scores in all domains but handicap were significantly associated with problem-oriented attendance.
This study shows that oral impacts on quality of life are associated with recent problem-oriented dental attendance among London adults. Six of the seven domains in the OHIP-14 questionnaire were also associated with dental visits for trouble with teeth.
寻求牙科护理的行为通常由症状驱动。口腔健康相关生活质量（OHRQoL）指标对预测牙科服务利用情况的价值尚不清楚。本研究旨在探讨成年人中OHRQoL与以问题为导向的牙科就诊之间的关联。
我们分析了居住在伦敦东南部内城区三个行政区的705名16岁及以上成年人的横断面数据。数据是在居家进行的结构化访谈期间收集的。使用口腔健康影响简表（OHIP-14）来评估过去一年中口腔问题对日常生活的影响频率。以问题为导向的就诊是根据自上次就诊以来的时间间隔（过去6个月）和就诊原因（牙齿问题）来定义的。在对参与者的社会人口学特征进行调整的逻辑回归模型中，检验了OHIP-14（总分和各领域得分）与以问题为导向的就诊之间的关联。
以问题为导向的就诊者的OHIP-14总分高于定期就诊者（分别为6.73和3.73）。在回归模型中，OHIP-14总分与以问题为导向的就诊之间存在正相关。在对参与者的社会人口学特征进行调整后，OHIP-14总分每增加一个单位，因牙齿问题就诊的几率就高1.07倍（95%置信区间：1.04-1.10）。在随后按OHIP-14各领域进行的分析中，除残障领域外，所有领域的得分较高均与以问题为导向的就诊显著相关。
本研究表明，口腔问题对生活质量的影响与伦敦成年人近期以问题为导向的牙科就诊有关。OHIP-14问卷的七个领域中有六个也与因牙齿问题就诊有关。
