与斯里兰卡青少年口腔健康相关生活质量相关的主要因素：一项横断面研究。
Key factors associated with oral health-related quality of life in Sri Lankan adolescents: a cross sectional study.
机构信息
Ministry of Health, No. 385, Rev. Baddegama Wimalawansa Thero Mawatha, Colombo 10, Sri Lanka.
Austrailan Centre for Health Services Innovation, School of Public Health and Social Work, Queensland University of Technology, Brisbane, QLD, Australia.
出版信息
BMC Oral Health. 2021 Apr 29;21(1):218. doi: 10.1186/s12903-021-01569-1.
BACKGROUND
Oral Health Related Quality of Life (OHRQoL) measures have emerged as an important oral health outcome that is able to reveal the subjective burden of illness due to oral diseases. The association between sociodemographic and socioeconomic factors, clinical dental conditions and OHRQoL indicators has been investigated in adolescent populations across the world. The purpose of this study was to investigate key factors associated with oral health-related quality of life of Sri Lankan adolescents.
METHODS
A cross sectional study was conducted in a sample of 15-19 year-old secondary school students in the Gampaha district of Sri Lanka. The data was collected using two self-administered questionnaires. A modified Sinhalese version of the Oral Impact on Daily Performance (OIDP) questionnaire that has been validated for Sri Lankan adolescents was administered. A second questionnaire collected information on socioeconomic characteristics, oral health care seeking and oral health behaviours. A clinical oral examination was performed on each participant. Oral health related quality of life was measured using OIDP domains and total OIDP scores. Poisson regression was used to investigate the key factors associated with the OIDP additive score.
RESULTS
A total of 1332 adolescents participated in the study. Negative quality of life impacts were more prevalent in the social and psychological domains of OIDP as compared with the functional domain. Total OIDP scores ranged from 0 to 36 with a mean of 3.16 (SD = 4.71). The multivariable analysis revealed that increasing age, low income, brushing teeth only once per day, and increased number of decayed teeth were found to be associated with poor overall OHRQoL, while male gender, frequent oral healthcare seeking patterns and absent dento-facial anomalies were associated with good OHRQoL.
CONCLUSION
This study identified modifiable behavioural and oral health related factors which are associated with OHRQoL in Sri Lankan adolescents. Oral health interventions should target these modifiable factors to improve the OHRQoL in these populations.
背景
口腔健康相关生活质量（OHRQoL）测量已成为一个重要的口腔健康结果，可以揭示因口腔疾病而导致的疾病主观负担。全世界的青少年人群都已经研究了社会人口学和社会经济学因素、临床牙科状况与 OHRQoL 指标之间的关系。本研究的目的是调查与斯里兰卡青少年口腔健康相关生活质量相关的关键因素。
方法
在斯里兰卡甘帕哈区的 15-19 岁中学生样本中进行了横断面研究。使用两个自我管理问卷收集数据。使用已针对斯里兰卡青少年进行验证的改良僧伽罗语版口腔影响日常表现（OIDP）问卷进行管理。第二个问卷收集了有关社会经济特征、口腔保健寻求和口腔健康行为的信息。对每个参与者进行临床口腔检查。使用 OIDP 领域和 OIDP 总分来衡量口腔健康相关生活质量。使用泊松回归来研究与 OIDP 附加分数相关的关键因素。
结果
共有 1332 名青少年参加了这项研究。与功能领域相比，OIDP 的社会和心理领域中负面的生活质量影响更为普遍。OIDP 总分范围为 0 至 36，平均值为 3.16（标准差=4.71）。多变量分析显示，年龄增长、低收入、每天仅刷牙一次以及龋齿数量增加与整体 OHRQoL 较差相关，而男性、经常寻求口腔保健和无牙颌面异常与良好的 OHRQoL 相关。
结论
本研究确定了与斯里兰卡青少年 OHRQoL 相关的可改变的行为和口腔健康相关因素。口腔健康干预措施应针对这些可改变的因素，以改善这些人群的 OHRQoL。
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