Matthias R E, Atchison K A, Schweitzer S O, Lubben J E, Mayer-Oakes A, De Jong F
University of California, Los Angeles, School of Public Health.
Spec Care Dentist. 1993 Mar-Apr;13(2):53-60. doi: 10.1111/j.1754-4505.1993.tb01455.x.
Little is known about dental appearance in terms of the elderly population. The purpose of this paper is to compare self-reported dental appearance with dentist-rated appearance for individuals over 65. The subjects (N = 550) were participants in the Los Angeles based Medicare Screening and Health Promotion Trial. Most were female (57.3%), white (89.0%), and married (62.0%), with a mean age of 74.5 years. About one-third had incomes greater than $25,000. Results are based on a 45 minute telephone interview and onsite dental screening. Findings show that 40% of the self-ratings on a five point scale were higher than the dentist ratings, and 22% were lower. Bivariate analyses showed that both sets of ratings were related to dental status variables, self-reported health, and education. High self-ratings were also associated with being white and having a positive mental health status, while high dentist ratings were associated with patients who were younger, married, and who had higher income and social network scores. Comparison of results from two multiple regressions showed unique predictors for the self-ratings (marital status and GOHAI scores) and for the dentist ratings (sex and income). These discrepancies can raise barriers to effective treatment planning in the elderly, which could affect utilization and satisfaction.
关于老年人群的牙齿外观情况，我们所知甚少。本文的目的是比较65岁以上人群自我报告的牙齿外观与牙医评定的外观。研究对象（N = 550）是参与洛杉矶医疗保险筛查与健康促进试验的参与者。大多数为女性（57.3%）、白人（89.0%）且已婚（62.0%），平均年龄为74.5岁。约三分之一的人收入超过25,000美元。研究结果基于45分钟的电话访谈和现场牙齿筛查。研究结果显示，在五分制量表上，40%的自我评定高于牙医评定，22%的自我评定低于牙医评定。双变量分析表明，两组评定均与牙齿状况变量、自我报告的健康状况和教育程度有关。自我评定较高还与白人身份和积极的心理健康状况相关，而牙医评定较高则与年龄较小、已婚、收入较高且社交网络得分较高的患者相关。对两个多元回归结果的比较显示，自我评定（婚姻状况和GOHAI得分）和牙医评定（性别和收入）有各自独特的预测因素。这些差异可能会给老年人有效的治疗计划带来障碍，进而影响医疗服务的利用和满意度。
