Using an oral health-related quality of life measure in three cultural settings
Using an oral health-related quality of life measure in three cultural settings
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DOI：
10.1922/idj_2328hobdell08
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发表时间：
2009-12-01
影响因子：
3.3
通讯作者：
Lalloo, Ratilal
中科院分区：
文献类型：
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作者：
Hobdell, Martin;Tsakos, Georgios;Lalloo, Ratilal
目的：评估口腔对日常表现的影响（OIDP）指数在三种不同语言和文化环境中的应用;目标：开发一个西班牙语和南非荷兰语版本的OIDP，用于美国和南非，并评估其在三个国家的可靠性和有效性：英国，美国和南非。设计图：在这三个国家使用OIDP问卷和世卫组织标准进行的临床检查进行的协调试点研究，使用儿童的横断面便利样本。设定值：每个国家有两个人口群体：40岁以上、15-16岁和11-12岁三个年龄组的相对富裕和社会处境较为不利。结果：525名志愿者参加了这项研究; 154人在德克萨斯州，177人在布里斯托，194人在开普敦，大多数是女性。口腔影响日常表现的患病率在三个地点之间各不相同，布里斯托的样本显示出较低的患病率，28.8%的人报告在过去六个月内至少有一次口腔影响。进食困难是所有三个地点的共同影响，德克萨斯州样本的22.7%，布里斯托样本的18.6%和开普敦样本的33.0%。标准和结构效度：OIDP在所有三个网站中表现一致。两个较低年龄组（12岁和16岁）的合并龋齿状况因地点而异：德克萨斯州的总体平均DMFT最高，为4.31，然后是布里斯托，为3.07，开普敦最低，为2.89。结论：OIDP指数在开普敦和得克萨斯州样本中具有优异的心理测量特性，在布里斯托样本中具有整体良好的表现。该指数可用于口腔健康需求评估和规划服务。使用更大样本的进一步研究可能会提供与修改现有口腔保健系统相关的信息。
Aim: To assess the application of the Oral Impacts on Daily Performances (OIDP) index for use in three different language and cultural settings; Objectives: To develop a Spanish and Afrikaans version of the OIDP for use in the USA and South Africa and to assess its reliability and validity in three counties: UK, USA and South Africa. Design: Co-ordinated pilot studies using the OIDP questionnaire and clinical examination using WHO criteria in the three countries using cross-sectional convenience samples of children. Settings: Two populations in each country: relatively well-off and more socially disadvantaged in three age groups 40 years+, 15-16 and 11-12 year-olds. Results: 525 volunteers participated in the study; 154 in Texas, 177 in Bristol and 194 in Cape Town, the majority being females. The prevalence of oral impacts on daily performances varied between the three sites, with the sample in Bristol showing lower prevalence of 28.8% reporting at least one oral impact in the past six months. Difficulty eating was a common impact in all three sites, reported by 22.7% of the Texas sample, 18.6% of the Bristol sample and 33.0% of the Cape Town sample. Criterion and construct validity: the OIDP performed consistently well in all three sites. The combined dental caries status of the two lower age groups (12- and 16-year-olds) varied by site: Texas had the highest overall mean DMFT of 4.31, then Bristol with 3.07 and Cape Town the lowest at 2.89. Conclusions: The OIDP index had excellent psychometric properties in the Cape Town and Texas samples and had an overall good performance in the Bristol sample. Potentially the index can be used for oral health needs assessment and planning services. Further studies using larger samples might provide information relevant to the revision of existing oral health care systems.