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浦那市男男性行为者和跨性别者的牙列状况、治疗需求及其与口腔健康相关生活质量的相关性:一项横断面研究。

Dentition status and treatment needs and its correlation with oral health-related quality of life among men having sex with men and transgenders in Pune city: A cross-sectional study.

作者信息

Muralidharan Shrikanth, Acharya Arunkumar, Koshy Ajit V, Koshy Judy Annie, Yogesh T L, Khire Bindumadhav

机构信息

Department of Public Health Dentistry, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India.

Department of Public Health Dentistry, Navodaya Dental College and Hospital, Raichur, Karnataka, India.

出版信息

J Oral Maxillofac Pathol. 2018 Sep-Dec;22(3):443. doi: 10.4103/jomfp.JOMFP_187_18.

DOI:10.4103/jomfp.JOMFP_187_18
PMID:30651698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6306584/
Abstract

INTRODUCTION

Dental diseases are universal in nature. Their presence and severity may vary from one individual to another and is also affected by multiple factors such as gender, knowledge, attitude and the affordability of dental/oral care. Gay, bisexual and transgender community is one among the socially disadvantaged community in our country. The present study was carried out in the city of Pune, India, to evaluate the prevalence of dentition status and the treatment needs among the men who have sex with men (MSMs) and transgenders (TGs) and its correlation with the oral health-related quality of life.

MATERIALS AND METHODS

The sample size was 270. Convenience sampling was followed. The WHO oral health assessment for 1997 was used to record dentition status and treatment needs. Oral Health Impact Profile-14 was used to record the oral health-related quality of life. SPSS 22.0 (Chicago, IL, USA) was used for statistical analysis. All < 0.05 were considered to be statistically significant.

RESULTS

There was no statistically significant difference seen across the various domains in the overall impact of the oral quality of life. There was a significant correlation between the decayed teeth, missing teeth and overall decayed, missing and filled teeth scores with respect to the seven domains. Problems arising due to past dental experience (dental caries), lost natural tooth structures replaced with restorative material and a cumulative impact significantly affected the outcome of the oral health-related quality of life of the participants.

CONCLUSION

There was an alteration in quality of life of the MSMs and TGS with respect to dental caries. This calls for an intervention that is tailor-made to meet the needs of this group.

摘要

引言

牙科疾病在本质上具有普遍性。其存在和严重程度因人而异,还受到多种因素的影响,如性别、知识、态度以及口腔护理的可承受性。男同性恋、双性恋和跨性别群体是我国社会弱势群体之一。本研究在印度浦那市开展,旨在评估男男性行为者(MSM)和跨性别者(TG)的牙列状况患病率、治疗需求及其与口腔健康相关生活质量的相关性。

材料与方法

样本量为270。采用便利抽样。使用1997年世界卫生组织口腔健康评估记录牙列状况和治疗需求。使用口腔健康影响程度量表-14记录口腔健康相关生活质量。使用SPSS 22.0(美国伊利诺伊州芝加哥)进行统计分析。所有P<0.05被认为具有统计学意义。

结果

在口腔生活质量的总体影响方面,各领域之间未观察到统计学上的显著差异。在七个领域中,龋齿、缺失牙以及总的龋失补牙得分之间存在显著相关性。过去的牙科经历(龋齿)、用修复材料替代缺失的天然牙结构以及累积影响所产生的问题,显著影响了参与者口腔健康相关生活质量的结果。

结论

MSM和TG在龋齿方面的生活质量有所改变。这需要一种量身定制的干预措施来满足该群体的需求。