Dolan T A
University of Florida College of Dentistry, Gainesville 32610-0405, USA.
J Dent Educ. 1997 Jan;61(1):37-46.
The sensitivity of the Geriatric Oral Health Assessment Index (GOHAI) to dental treatment was evaluated using data from a community-based oral health promotion project. Ninety-six subjects completed baseline and twenty-four-month follow-up interviews that included the GOHAI as well as other self-reported measures of oral health. Subjects were predominantly white, female, not currently married, with less than a high school education, and had average age of seventy-six years at baseline. Through the health promotion project, participants were offered low cost diagnostic and preventive services on a sliding fee basis. At twenty-four months, subjects' records were abstracted regarding the receipt of dental hygiene, transportation, emergency, diagnostic, restorative, and prosthodontic services. Subjects were also asked about dental expenditures in the previous year and the type of dental care received, regardless of the source of care. The mean change in GOHAI scores from baseline to the twenty-four-month interview was 2.2 (std. dev. 6.6) and ranged from -15 to 30. Findings suggest that the GOHAI is sensitive to the provision of dental care, although additional research is needed to understand the impact of various dental services on the individual items of the GOHAI, as well as the overall index score. The potential applications of self-reported oral health outcome measures such as the GOHAI in dental education are discussed.
利用一项基于社区的口腔健康促进项目的数据，对老年口腔健康评估指数（GOHAI）对牙科治疗的敏感性进行了评估。96名受试者完成了基线和24个月随访访谈，其中包括GOHAI以及其他自我报告的口腔健康指标。受试者主要为白人、女性、未婚、高中以下学历，基线时平均年龄为76岁。通过健康促进项目，为参与者提供了按比例收费的低成本诊断和预防服务。在24个月时，提取了受试者关于接受牙齿清洁、交通、急诊、诊断、修复和假牙修复服务的记录。还询问了受试者上一年的牙科支出以及接受的牙科护理类型，无论护理来源如何。从基线到24个月访谈时，GOHAI评分的平均变化为2.2（标准差6.6），范围为-15至30。研究结果表明，GOHAI对牙科护理的提供较为敏感，不过还需要进一步研究，以了解各种牙科服务对GOHAI各个项目以及总体指数评分的影响。文中还讨论了诸如GOHAI这类自我报告的口腔健康结果指标在牙科教育中的潜在应用。
