Atchison K A, Matthias R E, Dolan T A, Lubben J E, De Jong F, Schweitzer S O, Mayer-Oakes S A
School of Dentistry, UCLA 90024-1668.
J Public Health Dent. 1993 Fall;53(4):223-30. doi: 10.1111/j.1752-7325.1993.tb02708.x.
Previous studies suggest a discrepancy between the way dentists and patients measure oral health. The purpose of this study was to determine the relationship between a dentist's rating of an older dentate person's oral health and the patient self-rating using a single-item indicator, and to compare the clinical (i.e., number of teeth, caries, etc.) and subjective (problems with function, pain, etc.) factors that influence the rating. The study sample consisted of 776 older dentate people. Results showed that dentists judged subjects' oral health significantly more positively than the self-ratings. Approximately 30 percent of the elders rated their oral health identically to the dentist and half rated their oral health lower than the dentist. Bivariate comparisons showed that similar clinical and subjective variables were associated with the dentist and patient ratings. Multiple regression findings, however, highlighted differences in the factors that influenced the ratings. In addition, the proportion of variance accounted for by the clinical factors as opposed to the subjective factors was greater for the dentist rating (R2 = .28 of .33) than the subject self-rating (R2 = .18 of .43).
以往研究表明，牙医和患者衡量口腔健康的方式存在差异。本研究的目的是确定牙医对老年有牙者口腔健康的评分与患者使用单一指标进行的自我评分之间的关系，并比较影响评分的临床因素（即牙齿数量、龋齿等）和主观因素（功能问题、疼痛等）。研究样本包括776名老年有牙者。结果显示，牙医对受试者口腔健康的评价明显比自我评分更为积极。约30%的老年人对自己口腔健康的评分与牙医相同，另有一半的老年人对自己口腔健康的评分低于牙医。双变量比较显示，类似的临床和主观变量与牙医和患者的评分相关。然而，多元回归结果突出了影响评分的因素存在差异。此外，与主观因素相比，临床因素在牙医评分中所占的方差比例（R² = 0.33中的0.28）大于受试者自我评分（R² = 0.43中的0.18）。
