Oral health-related quality of life in a birth cohort of 32-year olds
Identifieur interne : 005F34 ( Main/Exploration ); précédent : 005F33; suivant : 005F35Oral health-related quality of life in a birth cohort of 32-year olds
Auteurs : Herenia P. Lawrence [Canada] ; W. Murray Thomson ; Jonathan M. Broadbent ; Richie Poulton [Nouvelle-Zélande]Source :
- Community dentistry and oral epidemiology [ 0301-5661 ] ; 2008.
Abstract
To describe oral health-related quality of life (OHRQoL) among New Zealand adults and assess the relationship between clinical measures of oral health status and a well-established OHRQoL measure, controlling for sex, socioeconomic status (SES) and use of dental services.
A birth cohort of 924 dentate adults (participants in the Dunedin Multidisciplinary Health and Development Study) was systematically examined for dental caries, tooth loss, and periodontal attachment loss (CAL) at age 32 years. OHRQoL was measured using the 14-item Oral Health Impact Profile questionnaire (OHIP-14). The questionnaire also collected data on each study member’s occupation, self-rated oral health and reasons for seeing a dental care provider. SES was determined from each individual’s occupation at age 32 years.
The mean total OHIP-14 score was 8.0 (SD 8.1); 23.4% of the cohort reported one or more OHIP problems ‘fairly often’ or ‘very often’. When the prevalence of impacts ‘fairly/very often’ was modeled using logistic regression, having untreated caries, two or more sites with CAL of 4+ mm and 1 or more teeth missing by age 32 years remained significantly associated with OHRQoL, after adjusting for sex and ‘episodic’ dental care. Multivariate analysis using Poisson regression determined that being in the low SES group was also associated with the mean number of impacts (extent) and the rated severity of impacts.
OHIP-14 scores were significantly associated with clinical oral health status indicators, independently of sex and socioeconomic inequalities in oral health. The prevalence of impacts (23.4%) in the cohort was significantly greater than age- and sex-standardized estimates from Australia (18.2%) and the UK (15.9%).
Url:
DOI: 10.1111/j.1600-0528.2007.00395.x
PubMed: 18650957
PubMed Central: 2288569
Affiliations:
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Murray" last="Thomson">W. Murray Thomson</name><affiliation><nlm:aff id="A2"> Department of Oral Sciences, School of Dentistry, University of Otago</nlm:aff><wicri:noCountry code="subfield">University of Otago</wicri:noCountry></affiliation></author><author><name sortKey="Broadbent, Jonathan M" sort="Broadbent, Jonathan M" uniqKey="Broadbent J" first="Jonathan M." last="Broadbent">Jonathan M. Broadbent</name><affiliation><nlm:aff id="A2"> Department of Oral Sciences, School of Dentistry, University of Otago</nlm:aff><wicri:noCountry code="subfield">University of Otago</wicri:noCountry></affiliation></author><author><name sortKey="Poulton, Richie" sort="Poulton, Richie" uniqKey="Poulton R" first="Richie" last="Poulton">Richie Poulton</name><affiliation wicri:level="1"><nlm:aff id="A3"> Department of Preventive and Social Medicine, School of Medicine, University of Otago, Dunedin, New Zealand</nlm:aff><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea> Department of Preventive and Social Medicine, School of Medicine, University of Otago, Dunedin</wicri:regionArea><wicri:noRegion>Dunedin</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18650957</idno><idno type="pmc">2288569</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2288569</idno><idno type="RBID">PMC:2288569</idno><idno type="doi">10.1111/j.1600-0528.2007.00395.x</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">002085</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002085</idno><idno type="wicri:Area/Pmc/Curation">002085</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002085</idno><idno type="wicri:Area/Pmc/Checkpoint">002617</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002617</idno><idno type="wicri:Area/Ncbi/Merge">002284</idno><idno type="wicri:Area/Ncbi/Curation">002284</idno><idno type="wicri:Area/Ncbi/Checkpoint">002284</idno><idno type="wicri:doubleKey">0301-5661:2008:Lawrence H:oral:health:related</idno><idno type="wicri:Area/Main/Merge">006006</idno><idno type="wicri:Area/Main/Curation">005F34</idno><idno type="wicri:Area/Main/Exploration">005F34</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Oral health-related quality of life in a birth cohort of 32-year olds</title><author><name sortKey="Lawrence, Herenia P" sort="Lawrence, Herenia P" uniqKey="Lawrence H" first="Herenia P." last="Lawrence">Herenia P. Lawrence</name><affiliation wicri:level="4"><nlm:aff id="A1"> Community Dentistry Discipline, Department of Biological and Diagnostic Sciences, Faculty of Dentistry, University of Toronto, Toronto, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea> Community Dentistry Discipline, Department of Biological and Diagnostic Sciences, Faculty of Dentistry, University of Toronto, Toronto</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Thomson, W Murray" sort="Thomson, W Murray" uniqKey="Thomson W" first="W. Murray" last="Thomson">W. Murray Thomson</name><affiliation><nlm:aff id="A2"> Department of Oral Sciences, School of Dentistry, University of Otago</nlm:aff><wicri:noCountry code="subfield">University of Otago</wicri:noCountry></affiliation></author><author><name sortKey="Broadbent, Jonathan M" sort="Broadbent, Jonathan M" uniqKey="Broadbent J" first="Jonathan M." last="Broadbent">Jonathan M. Broadbent</name><affiliation><nlm:aff id="A2"> Department of Oral Sciences, School of Dentistry, University of Otago</nlm:aff><wicri:noCountry code="subfield">University of Otago</wicri:noCountry></affiliation></author><author><name sortKey="Poulton, Richie" sort="Poulton, Richie" uniqKey="Poulton R" first="Richie" last="Poulton">Richie Poulton</name><affiliation wicri:level="1"><nlm:aff id="A3"> Department of Preventive and Social Medicine, School of Medicine, University of Otago, Dunedin, New Zealand</nlm:aff><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea> Department of Preventive and Social Medicine, School of Medicine, University of Otago, Dunedin</wicri:regionArea><wicri:noRegion>Dunedin</wicri:noRegion></affiliation></author></analytic><series><title level="j">Community dentistry and oral epidemiology</title><idno type="ISSN">0301-5661</idno><idno type="eISSN">1600-0528</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title><p id="P1">To describe oral health-related quality of life (OHRQoL) among New Zealand adults and assess the relationship between clinical measures of oral health status and a well-established OHRQoL measure, controlling for sex, socioeconomic status (SES) and use of dental services.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">A birth cohort of 924 dentate adults (participants in the Dunedin Multidisciplinary Health and Development Study) was systematically examined for dental caries, tooth loss, and periodontal attachment loss (CAL) at age 32 years. OHRQoL was measured using the 14-item Oral Health Impact Profile questionnaire (OHIP-14). The questionnaire also collected data on each study member’s occupation, self-rated oral health and reasons for seeing a dental care provider. SES was determined from each individual’s occupation at age 32 years.</p></sec><sec id="S3"><title>Results</title><p id="P3">The mean total OHIP-14 score was 8.0 (SD 8.1); 23.4% of the cohort reported one or more OHIP problems ‘fairly often’ or ‘very often’. When the prevalence of impacts ‘fairly/very often’ was modeled using logistic regression, having untreated caries, two or more sites with CAL of 4+ mm and 1 or more teeth missing by age 32 years remained significantly associated with OHRQoL, after adjusting for sex and ‘episodic’ dental care. Multivariate analysis using Poisson regression determined that being in the low SES group was also associated with the mean number of impacts (extent) and the rated severity of impacts.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">OHIP-14 scores were significantly associated with clinical oral health status indicators, independently of sex and socioeconomic inequalities in oral health. The prevalence of impacts (23.4%) in the cohort was significantly greater than age- and sex-standardized estimates from Australia (18.2%) and the UK (15.9%).</p></sec></div></front></TEI><affiliations><list><country><li>Canada</li><li>Nouvelle-Zélande</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><noCountry><name sortKey="Broadbent, Jonathan M" sort="Broadbent, Jonathan M" uniqKey="Broadbent J" first="Jonathan M." last="Broadbent">Jonathan M. Broadbent</name><name sortKey="Thomson, W Murray" sort="Thomson, W Murray" uniqKey="Thomson W" first="W. Murray" last="Thomson">W. Murray Thomson</name></noCountry><country name="Canada"><region name="Ontario"><name sortKey="Lawrence, Herenia P" sort="Lawrence, Herenia P" uniqKey="Lawrence H" first="Herenia P." last="Lawrence">Herenia P. Lawrence</name></region></country><country name="Nouvelle-Zélande"><noRegion><name sortKey="Poulton, Richie" sort="Poulton, Richie" uniqKey="Poulton R" first="Richie" last="Poulton">Richie Poulton</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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