HEALTH OUTCOMES OF ORAL DISORDERS
HEALTH OUTCOMES OF ORAL DISORDERS
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DOI：
10.1093/ije/24.supplement_1.s85
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发表时间：
1995-01-01
影响因子：
7.7
通讯作者：
LOCKER, D
中科院分区：
文献类型：
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作者：
LOCKER, D
虽然有大量关于成人和儿童牙科疾病模式的数据，但有关口腔疾病对福祉和生活质量的影响的信息相对较少。此外，牙科缺乏用于牙齿健康调查和临床试验的健康结果衡量标准。然而，人们对这一领域的兴趣与日俱增，并且在过去 10 年中已经制定了许多针对口腔疾病的健康状况测量方法。最复杂的是口腔健康影响概况 (OHIP)，它正在由澳大利亚、加拿大和美国的研究团队开发和测试。该量表由 49 个项目组成，分为七个子量表，涉及口腔状况损害功能以及社会和心理健康的方式。一项针对加拿大老年人的研究发现，使用 OHIP 具有良好的测量特性。然而，这项测量的得分与口腔疾病的临床指标之间只有微弱的关联。进一步的分析表明，在解释口腔疾病的健康结果时，社会因素与临床因素一样重要。这一发现与当代的健康概念相一致，并提供了一些证据来支持这样的观点，即我们生活的社会背景对于塑造对疾病的反应以及健康和疾病的体验非常重要。
While there is a substantial body of data on patterns of dental disease in both adult and child populations, there is relatively little information concerning the consequences of oral disorders for well-being and the quality of life. In addition, dentistry lacks measures of health outcomes for use in dental health surveys and clinical trials. However, interest in this area is growing and a number of oral-condition specific health status measures have been developed over the last 10 years. The most sophisticated is the Oral Health Impact Profile (OHIP) which is being developed and tested by research teams in Australia, Canada and the US. This consists of 49 items organized into seven sub-scales which address the way in which oral conditions compromise functioning and social and psychological well-being. A study of older adults in Canada which used OHIP found that it had good measurement properties. Nevertheless, there was only a weak association between scores on this measure and clinical indicators of oral disease. Further analysis revealed that social factors were as important as clinical factors in explaining the health outcome of oral disorders. This finding is consistent with contemporary concepts of health and provides some evidence to support the view that the social context in which we live is important in shaping responses to disease and the experience of health and illness.