Boeskov Øzhayat Esben, Elmongy Ashraf, Tanderup Lene, Bordorff Sine Lykke, Thiesen Henrik
Section of Community Dentistry, Department of Odontology, University of Copenhagen, Copenhagen, Denmark.
HealthTeam for the Homeless, Copenhagen, Center for Marginalized Adults and Families, Copenhagen City Social Services, Copenhagen, Denmark.
Acta Odontol Scand. 2024 Mar 22;83:7-12. doi: 10.1080/00016357.2023.2282648.
The aim of this cross-sectional study was to investigate the oral-health-related quality-of-life (OHRQoL) and oral health-care habits in a population of marginalized persons in Copenhagen.
Patients attending a dental clinic for marginalized persons filled in the 14-item version of the oral-health-impact profile (OHIP-14) regarding their OHRQoLand a questionnaire on their oral health-care habits. Age, gender, smoking habits, need for general and oral health-care, and living conditions were further registered.
Of the 212 participants, 72% had not visited a dental clinic within the past two years and in 68% of the cases, the last dental visit was related to dental treatment. Tooth brushing at least once a day was reported by 93%. The mean OHIP-14 score in the participants was 24.9 (SD: 13.6). The most frequent problems were pain, chewing difficulties, being self-conscious, tense, and embarrassed as well as affected life. The mean OHIP-14 score was significantly higher in participants in need of general health-care (29.5, SD: 12.2) than in participants not in need of general health-care (22.8, SD: 13.9). The same applied to participants referred for dental treatment (26.1, SD: 12.7) compared to participants not being referred (20.2, SD: 15.9).
The OHRQoLis poor in the population with pain, chewing difficulties and aesthetic issues as the most prominent problems. The participants had low and treatment-oriented use of the dental care system. This indicates a high need for dental care in the population with a focus on including them in the dental care system.
本横断面研究旨在调查哥本哈根边缘化人群的口腔健康相关生活质量（OHRQoL）及口腔保健习惯。
前往一家为边缘化人群服务的牙科诊所就诊的患者填写了14项版本的口腔健康影响程度量表（OHIP - 14）以评估其OHRQoL，并填写了一份关于其口腔保健习惯的问卷。进一步记录了年龄、性别、吸烟习惯、一般及口腔保健需求以及生活状况。
在212名参与者中，72%的人在过去两年内未去过牙科诊所，68%的病例中，上次看牙与牙科治疗有关。报告每天至少刷牙一次的比例为93%。参与者的平均OHIP - 14评分为24.9（标准差：13.6）。最常见的问题是疼痛、咀嚼困难、自觉难为情、紧张、尴尬以及生活受影响。需要一般医疗保健的参与者的平均OHIP - 14评分（29.5，标准差：12.2）显著高于不需要一般医疗保健的参与者（22.8，标准差：13.9）。与未被转诊的参与者（20.2，标准差：15.9）相比，被转诊接受牙科治疗的参与者（26.1，标准差：12.7）也是如此。
OHRQoL在该人群中较差，疼痛、咀嚼困难和美观问题是最突出的问题。参与者对牙科护理系统的利用率低且以治疗为导向。这表明该人群对牙科护理有很高需求，重点是将他们纳入牙科护理系统。
