Dolan T A, Peek C W, Stuck A E, Beck J C
Division of Public Health Services and Research, University of Florida College of Dentistry, Gainesville 32610-0405, USA.
Community Dent Oral Epidemiol. 1998 Feb;26(1):62-9.
The single item global rating is an economical way of summarizing the state of a person's oral health, and thus is a potentially valuable oral health outcome measure. This research describes the nature, magnitude, and direction of changes in oral health as measured by the global rating with the goal of furthering our understanding of older adults' oral health perceptions over time. Data from a randomized trial of a comprehensive geriatric assessment and prevention program in community-dwelling adults aged 75+ years living in Santa Monica, California, collected between 1988 and 1993 were analyzed. Descriptive techniques as well as a transition matrix were used to examine changes in the global rating and compare these changes to variation, over time, in two relevant measures: the Geriatric Oral Health Assessment Index (GOHAI) and self-reported need for dental treatment. The global rating varied over time and the changes were consistent with those measured by the GOHAI and self-reported treatment need. Whether the change in oral health as measured by the global rating is clinically meaningful, and what specific dental conditions account for these changes remain important topics for future investigation. However, the changes that occur in oral health ratings at the individual level are much more pronounced than the distribution of global rating at each point in time would suggest.
单项总体评分是总结个人口腔健康状况的一种经济有效的方式，因此是一种潜在有价值的口腔健康结果指标。本研究描述了通过总体评分衡量的口腔健康变化的性质、程度和方向，目的是加深我们对老年人随时间推移的口腔健康认知的理解。对1988年至1993年间在加利福尼亚州圣莫尼卡收集的75岁及以上社区居住成年人的一项综合老年评估与预防项目随机试验的数据进行了分析。使用描述性技术以及转换矩阵来检查总体评分的变化，并将这些变化与两个相关指标随时间的变化进行比较：老年口腔健康评估指数（GOHAI）和自我报告的牙科治疗需求。总体评分随时间变化，且这些变化与GOHAI和自我报告的治疗需求所衡量的变化一致。通过总体评分衡量的口腔健康变化在临床上是否有意义，以及哪些具体的牙齿状况导致了这些变化，仍然是未来研究的重要课题。然而，个体层面口腔健康评分的变化比每个时间点总体评分的分布所显示的要明显得多。
