Validity and limitations of self-reported periodontal health

Validity and limitations of self-reported periodontal health
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DOI:
10.1034/j.1600-0528.2002.00014.x
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发表时间:
2002-12-01
影响因子:
2.3
通讯作者:
Klinge, B
Klinge, B
中科院分区:
医学3区
文献类型:
--
作者:
Buhlin, K;Gustafsson, A;Klinge, B

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目的:研究成年人群(20-84岁)自我报告的牙齿状况与临床结果之间的一致性,从而评估问卷作为口腔健康流行病学研究工具的作用,特别是牙周健康。材料和方法:一份问卷被发送到900名随机选择的受试者的年龄组20 - 29,50 - 59和75 - 84岁。其中,723例受试者(81.0%)回答了问卷,其中20%接受了临床检查。结果如下:至于余下的牙齿,调查问卷所显示的数目与临床检查所得的数目平均相差1.4颗牙齿。这种差异在年龄较大的受试者中最为明显。9名戴可摘义齿的受试者中有8名在回答中报告他们戴有可摘义齿。牙周病变量我们发现更多的受试者与病理牙龈袋的那些谁说,他们有口袋比那些谁回答说,他们没有(P = 0.01;卡方独立检验)。牙龈出血在回答是的人中比在回答否的人中更常见。这一差异在三个年龄组中具有显著性(P = 0.05;卡方独立检验)。然而,有没有相关的问卷调查和临床检查有关牙齿松动。结论:关于口腔状况的调查问卷在剩余牙数和可摘义齿使用方面是有效的。它们对特定牙周变量的可靠性较低,但仍然可以成为牙周健康流行病学研究的有价值的工具。
Objectives: To study the agreement between self-reported dental conditions and clinical findings in an adult population (20-84 years of age), and thus evaluate questionnaires as a tool in epidemiological studies of oral health, in general, and periodontal health, in particular. Material and methods: A questionnaire was sent to 900 randomly selected subjects in the age groups 20 29, 50 59 and 75 84 years. Of these, 723 subjects ( 81.0%) answered the questionnaire and 20% of them underwent a clinical examination. Results: As regards the remaining teeth, there was a mean difference of 1.4 teeth between the number indicated in the questionnaire and that found on the clinical examination. This difference was most marked in the older subjects. Eight of the nine subjects with removable dentures reported in their answers that they had removable dentures. Periodontal variables we found significantly more subjects with pathological gingival pockets among those who stated that they had pockets than among those who answered that they did not (P = 0.01; chi-square independent test). Gingival bleeding was common in those who answered Yes than in those who answered No to the question concerning bleeding gums. This difference was significant (P = 0.05; chi-square independent test) in the three age groups. However, there was no correlation between the questionnaires and the clinical examination concerning tooth mobility. Conclusion: Questionnaires concerning oral status are valid concerning the number of remaining teeth and use of removable dentures. They are less reliable about specific periodontal variables, but can still become a valuable tool for epidemiological studies of periodontal health.