Evaluation and use of an index of oral health status.
Evaluation and use of an index of oral health status.
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口腔健康状况指数的评估和使用。
DOI：
10.1111/j.1752-7325.1997.tb02980.x
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发表时间：
1997
影响因子：
2.3
通讯作者：
Nyquist,LV
中科院分区：
文献类型：
--
作者：
Lang,WP;Borgnakke,WS;Taylor,GW;Woolfolk,MW;Ronis,DL;Nyquist,LV
目的：本次调查的目的是（1）评估口腔健康状况指数与成年人口人口特征、社会经济状况和预防行为的关系； (2) 了解与综合指数相比，各个指数成分作为口腔健康状况指标的表现如何。方法：口腔健康状况指数 (OHSI) 用于生活在底特律三县地区的 18-93 岁成年人的概率样本。通过家庭牙科检查收集了 509 名受试者的数据。使用双变量和多变量分析来比较 OHSI 及其组成部分，包括腐烂、缺失和更换的牙齿、游离端以及中度和重度牙周疾病测量。结果：受试者的平均 OHSI 评分为 77.3 (se=1.83)，范围为 ‐8.0 至 100.0。在回归分析中，OHSI 评分与受试者的教育水平、自评口腔健康评分和牙科检查频率呈正相关，与年龄、非白人种族和吸烟呈负相关。在指标成分中，缺失牙齿作为口腔健康状况的指标表现良好。牙齿缺失与年龄、非白人种族和吸烟呈正相关，与教育水平、自评口腔健康和医疗补助的使用呈负相关。大约 53% 的 OHSI 评分方差可以由多变量模型解释，而缺失牙齿的方差为 46%。结论：口腔健康状况指标的选择可能取决于所研究人群的特征。作为口腔健康状况的综合衡量指标，OHSI 的表现尚可；然而，缺失的牙齿（一个索引组件）也效果很好。有必要对 OHSI 进行持续评估。
Objectives:The goals of this investigation were (1) to evaluate the Oral Health Status Index in relation to demographic characteristics, socioeconomic status, and preventive behaviors of an adult population; and (2) to understand how individual index components performed as indicators of oral health status compared to the composite index.Methods: The Oral Health Status Index (OHSI) was used on a probability sample of adults, aged 18–93 years, living in the Detroit tricounty area. Data were collected on 509 subjects via in‐home dental examinations. Bivariate and multivariate analyses were used to compare the OHSI and its components, including decayed, missing, and replaced teeth, free ends, and moderate and severe periodontal disease measures.Results: The mean OHSI score for subjects was 77.3 (se=1.83) with a range of ‐8.0 to 100.0. In regression analyses, OHSI scores were positively correlated with subjects' education level, self‐rated oral health scores, and frequency of dental checkups and negatively correlated with age, nonwhite race, and smoking. Of the index components, missing teeth performed well as an indicator of oral health status. Missing teeth were positively correlated with age, nonwhite race, and smoking and negatively correlated with education level, self‐rated oral health, and use of Medicaid. About 53 percent of variance in OHSI scores was explained by the multivariate models, compared to 46 percent for missing teeth.Conclusions: Choosing an indicator of oral health status likely will depend upon the characteristics of the population to be studied. As a composite measure of oral health status, the OHSI performed acceptably; however, missing teeth, an index component, also worked well. Continued evaluation of the OHSI is warranted.