Comparison of the OHIP-14 and GOHAI as measures of oral health among elderly in Lebanon
Identifieur interne : 003379 ( Main/Exploration ); précédent : 003378; suivant : 003380Comparison of the OHIP-14 and GOHAI as measures of oral health among elderly in Lebanon
Auteurs : Nada El Osta [Liban, France] ; Stephanie Tubert-Jeannin [France] ; Martine Hennequin [France] ; Nada Bou Abboud Naaman [Liban] ; Lana El Osta [Liban] ; Negib Geahchan [Liban]Source :
- Health and Quality of Life Outcomes [ 1477-7525 ] ; 2012.
Abstract
The respective abilities of the GOHAI and OHIP-14 to discriminate between aged patients with different levels of oral diseases have rarely been studied in developing countries. The aim of this study was to compare the discriminative abilities of the OHIP-14 and the GOHAI in an elderly Lebanese population, and particularly to identify persons with different masticatory function.
A sample of elderly, aged 65 years or more, living independently was recruited in two primary care offices in Beirut, Lebanon. Data were collected by means of personal interview and clinical examination. The Arabic OHIP-14 and GOHAI questionnaires were used after cultural adaptation for use in Lebanon. The internal consistency, reproducibility and concurrent validity were verified. To test their discriminative abilities, the ADD (GOHAI and OHIP) and SC (GOHAI and OHIP) scores were dichotomized according to the 25th and 75th percentile respectively and logistic regressions were conducted using socio-demographic, clinical and subjective explanatory variables.
Two hundred and six participants were included; mean age was 72 years and 60% were women. Good psychometric properties were observed for both questionnaires for internal consistency (Cronbach’s alpha>0.88), reproducibility (ICC>0.86) and concurrent validity. Strong correlations were found between GOHAI and OHIP-14 scores but a high prevalence of subjects with no impact was observed using the OHIP-14. Both questionnaires were able to discriminate between participants according to age, perception of temporomandibular joint (TMJ) pain or functional status as represented by the number of dental Functional Units (FU). GOHAI was more discriminant since it identified participants with high dental care needs: high numbers of decayed teeth, low numbers of teeth and socially deprived status.
Lebanese elderly with high dental care needs and impaired oral health were identified more easily with the GOHAI. These results may guide the choice of dental indicators to use in a national geriatric survey.
Url:
DOI: 10.1186/1477-7525-10-131
PubMed: 23110518
PubMed Central: 3495839
Affiliations:
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first="Nada" last="Bou Abboud Naaman">Nada Bou Abboud Naaman</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Periodontology, School of Dentistry, Saint-Joseph University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Periodontology, School of Dentistry, Saint-Joseph University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="El Osta, Lana" sort="El Osta, Lana" uniqKey="El Osta L" first="Lana" last="El Osta">Lana El Osta</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Public Health, School of Medicine, Saint-Joseph University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Public Health, School of Medicine, Saint-Joseph University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="Geahchan, Negib" sort="Geahchan, Negib" uniqKey="Geahchan N" first="Negib" last="Geahchan">Negib Geahchan</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Public Health, School of Medicine, Saint-Joseph University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Public Health, School of Medicine, Saint-Joseph University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23110518</idno><idno type="pmc">3495839</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3495839</idno><idno type="RBID">PMC:3495839</idno><idno type="doi">10.1186/1477-7525-10-131</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002214</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002214</idno><idno type="wicri:Area/Pmc/Curation">002214</idno><idno type="wicri:explorRef" wicri:stream="Pmc" 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xml:lang="fr">Liban</country><wicri:regionArea>Department of Prosthetic Dentistry, School of Dentistry, Saint-Joseph University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">Department of Public Health, School of Medicine, Saint-Joseph University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Public Health, School of Medicine, Saint-Joseph University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I3">Clermont University, University of Auvergne, Centre de Recherche en Odontologie Clinique-EA4847, BP-10448, F-63000 Clermont-Ferrand, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Clermont University, University of Auvergne, Centre de Recherche en Odontologie Clinique-EA4847, BP-10448, F-63000 Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000 Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000 Clermont-Ferrand</wicri:noRegion></affiliation></author><author><name sortKey="Tubert Jeannin, Stephanie" sort="Tubert Jeannin, Stephanie" uniqKey="Tubert Jeannin S" first="Stephanie" last="Tubert-Jeannin">Stephanie Tubert-Jeannin</name><affiliation wicri:level="1"><nlm:aff id="I3">Clermont University, University of Auvergne, Centre de Recherche en Odontologie Clinique-EA4847, BP-10448, F-63000 Clermont-Ferrand, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Clermont University, University of Auvergne, Centre de Recherche en Odontologie Clinique-EA4847, BP-10448, F-63000 Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000 Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000 Clermont-Ferrand</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">CHU of Clermont-Ferrand, Department of odontology, Hôtel-Dieu, F-63000 Clermont-Ferrand, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHU of Clermont-Ferrand, Department of odontology, Hôtel-Dieu, F-63000 Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000 Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000 Clermont-Ferrand</wicri:noRegion></affiliation></author><author><name sortKey="Hennequin, Martine" sort="Hennequin, Martine" uniqKey="Hennequin M" first="Martine" last="Hennequin">Martine Hennequin</name><affiliation wicri:level="1"><nlm:aff id="I3">Clermont University, University of Auvergne, Centre de Recherche en Odontologie Clinique-EA4847, BP-10448, F-63000 Clermont-Ferrand, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Clermont University, University of Auvergne, Centre de Recherche en Odontologie Clinique-EA4847, BP-10448, F-63000 Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000 Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000 Clermont-Ferrand</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I4">CHU of Clermont-Ferrand, Department of odontology, Hôtel-Dieu, F-63000 Clermont-Ferrand, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHU of Clermont-Ferrand, Department of odontology, Hôtel-Dieu, F-63000 Clermont-Ferrand</wicri:regionArea><wicri:noRegion>63000 Clermont-Ferrand</wicri:noRegion><wicri:noRegion>63000 Clermont-Ferrand</wicri:noRegion></affiliation></author><author><name sortKey="Bou Abboud Naaman, Nada" sort="Bou Abboud Naaman, Nada" uniqKey="Bou Abboud Naaman N" first="Nada" last="Bou Abboud Naaman">Nada Bou Abboud Naaman</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Periodontology, School of Dentistry, Saint-Joseph University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Periodontology, School of Dentistry, Saint-Joseph University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="El Osta, Lana" sort="El Osta, Lana" uniqKey="El Osta L" first="Lana" last="El Osta">Lana El Osta</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Public Health, School of Medicine, Saint-Joseph University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Public Health, School of Medicine, Saint-Joseph University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author><author><name sortKey="Geahchan, Negib" sort="Geahchan, Negib" uniqKey="Geahchan N" first="Negib" last="Geahchan">Negib Geahchan</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Public Health, School of Medicine, Saint-Joseph University, Beirut, Lebanon</nlm:aff><country xml:lang="fr">Liban</country><wicri:regionArea>Department of Public Health, School of Medicine, Saint-Joseph University, Beirut</wicri:regionArea><wicri:noRegion>Beirut</wicri:noRegion></affiliation></author></analytic><series><title level="j">Health and Quality of Life Outcomes</title><idno type="eISSN">1477-7525</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The respective abilities of the GOHAI and OHIP-14 to discriminate between aged patients with different levels of oral diseases have rarely been studied in developing countries. The aim of this study was to compare the discriminative abilities of the OHIP-14 and the GOHAI in an elderly Lebanese population, and particularly to identify persons with different masticatory function.</p></sec><sec><title>Methods</title><p>A sample of elderly, aged 65 years or more, living independently was recruited in two primary care offices in Beirut, Lebanon. Data were collected by means of personal interview and clinical examination. The Arabic OHIP-14 and GOHAI questionnaires were used after cultural adaptation for use in Lebanon. The internal consistency, reproducibility and concurrent validity were verified. To test their discriminative abilities, the ADD (GOHAI and OHIP) and SC (GOHAI and OHIP) scores were dichotomized according to the 25<sup>th</sup> and 75<sup>th</sup> percentile respectively and logistic regressions were conducted using socio-demographic, clinical and subjective explanatory variables.</p></sec><sec><title>Results</title><p>Two hundred and six participants were included; mean age was 72 years and 60% were women. Good psychometric properties were observed for both questionnaires for internal consistency (Cronbach’s alpha>0.88), reproducibility (ICC>0.86) and concurrent validity. Strong correlations were found between GOHAI and OHIP-14 scores but a high prevalence of subjects with no impact was observed using the OHIP-14. Both questionnaires were able to discriminate between participants according to age, perception of temporomandibular joint (TMJ) pain or functional status as represented by the number of dental Functional Units (FU). GOHAI was more discriminant since it identified participants with high dental care needs: high numbers of decayed teeth, low numbers of teeth and socially deprived status.</p></sec><sec><title>Conclusions</title><p>Lebanese elderly with high dental care needs and impaired oral health were identified more easily with the GOHAI. These results may guide the choice of dental indicators to use in a national geriatric survey.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="El Osta, N" uniqKey="El Osta N">N El Osta</name></author><author><name sortKey="Tubert Jeannin, S" uniqKey="Tubert Jeannin S">S Tubert-Jeannin</name></author><author><name sortKey="Bou Abboud Naaman, N" uniqKey="Bou Abboud Naaman N">N Bou Abboud Naaman</name></author><author><name sortKey="Hennequin, M" uniqKey="Hennequin M">M Hennequin</name></author><author><name sortKey="El Osta, L" uniqKey="El Osta L">L El Osta</name></author><author><name sortKey="Geahchan, N" uniqKey="Geahchan N">N Geahchan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="El Osta, N" uniqKey="El Osta N">N El Osta</name></author><author><name sortKey="Tubert Jeannin, S" uniqKey="Tubert Jeannin S">S Tubert-Jeannin</name></author><author><name sortKey="Bou Abboud Naaman, N" uniqKey="Bou Abboud Naaman N">N Bou Abboud Naaman</name></author><author><name sortKey="Hennequin, M" uniqKey="Hennequin M">M Hennequin</name></author><author><name sortKey="El Osta, L" uniqKey="El Osta L">L El Osta</name></author><author><name sortKey="Geahchan, N" uniqKey="Geahchan N">N Geahchan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Sischo, L" uniqKey="Sischo L">L Sischo</name></author><author><name sortKey="Broder, Hl" uniqKey="Broder H">HL Broder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Allen, Fp" uniqKey="Allen F">FP Allen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guyatt, Gh" uniqKey="Guyatt G">GH Guyatt</name></author><author><name sortKey="Feeny, Dh" uniqKey="Feeny D">DH Feeny</name></author><author><name sortKey="Patrick, Dl" uniqKey="Patrick D">DL 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Harari</name></author><author><name sortKey="Swift, Cg" uniqKey="Swift C">CG Swift</name></author><author><name sortKey="Gillman, G" uniqKey="Gillman G">G Gillman</name></author><author><name sortKey="Stuck, Ae" uniqKey="Stuck A">AE Stuck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Locker, D" uniqKey="Locker D">D Locker</name></author><author><name sortKey="Slade, G" uniqKey="Slade G">G Slade</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li><li>Liban</li></country></list><tree><country name="Liban"><noRegion><name sortKey="El Osta, Nada" sort="El Osta, Nada" uniqKey="El Osta N" first="Nada" last="El Osta">Nada El Osta</name></noRegion><name sortKey="Bou Abboud Naaman, Nada" sort="Bou Abboud Naaman, Nada" uniqKey="Bou Abboud Naaman N" first="Nada" last="Bou Abboud Naaman">Nada Bou Abboud Naaman</name><name sortKey="El Osta, Lana" sort="El Osta, Lana" uniqKey="El Osta L" first="Lana" 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Jeannin S" first="Stephanie" last="Tubert-Jeannin">Stephanie Tubert-Jeannin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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