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Oszlánszky J, Gulácsi L, Péntek M, Hermann P, Zrubka Z. Psychometric Properties of General Oral Health Assessment Index Across Ages: COSMIN Systematic Review. VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2024; 27:805-814. [PMID: 38492926 DOI: 10.1016/j.jval.2024.02.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Revised: 02/15/2024] [Accepted: 02/29/2024] [Indexed: 03/18/2024]
Abstract
OBJECTIVES To systematically review the psychometric properties of the Geriatric Oral Health Assessment Index (GOHAI) across age groups using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology. METHODS Data: English peer-reviewed articles reporting studies of the development, translation, or validation of GOHAI. SOURCES PubMed, Web of Science, and EMBASE from Jan 1990 until December 31, 2023. Methodological evaluation: based on COSMIN methodology. The results are presented overall and for 4 age groups (≥60 years, all ages, <60 years, ≤45 years). Structural validity was summarized qualitatively. Internal consistency and reliability were synthesized via random-effects meta-analysis of T-transformed Cronbach α values, and Fisher's Z transformed correlation coefficients. Construct validity and responsiveness were assessed using effect sizes. RESULTS Four hundred ninety-seven records were identified, 72 underwent full-text assessment, resulting in 60 included reports. Structural validity was inconsistent across all age groups and overall. Internal consistency was sufficient with overall α = 0.81, and high evidence quality. Test-retest reliability was consistently sufficient across age groups with overall r = 0.84. For construct validity 361 hypotheses were assessed (37.4% for convergent-, 62.6% for known-groups validity). The percentage of confirmed hypotheses in ≥60-years, all ages, <60-years and ≤45-years were 75.5%, 66.7%, 78.9%, and 88.9%, respectively. Responsiveness was not assessed in the <60-years and ≤45-years age groups, leading to indeterminate overall rating with very low evidence quality. CONCLUSIONS This review affirms that GOHAI has sufficient psychometric properties as an oral health-related quality of life instrument in various age groups, but its responsiveness is scarcely researched and its utility for individual-level follow-up is limited. The measurement properties of oral health-related quality of life tools must be scrutinized in the changing demands of personalized and value-based dental care. (PROSPERO registration: CRD42022384132).
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Affiliation(s)
- Judit Oszlánszky
- Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary.
| | - László Gulácsi
- Health Economics Research Center, University Research and Innovation Center, University of Óbuda, Budapest, Hungary
| | - Márta Péntek
- Health Economics Research Center, University Research and Innovation Center, University of Óbuda, Budapest, Hungary
| | - Péter Hermann
- Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Budapest, Hungary
| | - Zsombor Zrubka
- Health Economics Research Center, University Research and Innovation Center, University of Óbuda, Budapest, Hungary
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Chaffee O, McGillivray A, Duizer L, Ross CF. Identifying elements of a ready-to-eat meal desired by older adults. Food Res Int 2022; 157:111353. [DOI: 10.1016/j.foodres.2022.111353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 04/20/2022] [Accepted: 05/06/2022] [Indexed: 11/16/2022]
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Storrer CLM, Costa EE, Scariot R, Pivetta Petinati MF, Winckler C, Deliberador TM, Küchler EC, Brancher JA. Bruxism and type of breathing as factors associated with oral herpes lesion in Brazilian para-athletes. SPECIAL CARE IN DENTISTRY 2021; 41:700-706. [PMID: 34131935 DOI: 10.1111/scd.12616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 04/16/2021] [Accepted: 05/04/2021] [Indexed: 11/29/2022]
Abstract
AIMS The present study investigated if recurrent manifestation of oral herpes lesions is associated with other factors and impacts the oral health-related quality of life in para-athletes. METHODS AND RESULTS The studied population was composed of a convenience sample of 370 Brazilian para-athletes. All included individuals answered questionnaires and were submitted to an oral examination. A self-reported questionnaire addressed demographic and oral health data, including the recurrent manifestation of oral herpes lesions. The Oral Health Impact Profile was also applied in its reduced version with 14 questions (OHIP-14). The population was categorized according to results from previous competitions into a high-performance level, medium-performance level, and regional-performance level. Chi-square or Fisher's exact tests, odds ratio calculation, logistic regression analysis, and t-tests were performed (α = 5%). Sixty (16.2%) para-athletes reported recurrent manifestations of oral herpes lesions. Para-athletes with sleep bruxism (p = .007) and awake bruxism (p = .048) had a higher chance of reporting oral herpes lesions. Type of breathing was also associated with oral herpes lesions (p = .031). The OHIP-14 mean distribution among the groups was not statistically significant (p > .05). CONCLUSION Bruxism and type of breathing were associated with self-reported oral herpes lesions in Brazilian para-athletes.
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Affiliation(s)
| | | | | | | | - Ciro Winckler
- Sport Science Department, Brazilian Paralympic Committee, l, São Paulo, BraziL
| | | | - Erika Calvano Küchler
- Human Movement Sciences Department, Universidade Federal de São Paulo, Santos, Brazil.,Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil
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Aguirre-Bustamante J, Barón-López FJ, Carmona-González FJ, Pérez-Farinós N, Wärnberg J. Validation of a modified version of the Spanish Geriatric Oral Health Assessment Index (GOHAI-SP) for adults and elder people. BMC Oral Health 2020; 20:61. [PMID: 32075623 PMCID: PMC7031997 DOI: 10.1186/s12903-020-1047-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 02/12/2020] [Indexed: 12/13/2022] Open
Abstract
Background The Geriatric Oral Health Assessment Index (GOHAI) was developed and validated in 1990 and translated into Spanish in 1999. Since then, the original version has been used in numerous studies, but it has not been re-evaluated in terms of language in the new generations of older adults. The purpose of this study is to confirm the validity of the Spanish version of the Geriatric Oral Health Assessment Index (GOHAI-SP) after three decades to be used as part of an ongoing field trial. Methods The GOHAI-SP was pilot tested in a focus group to confirm linguistic comprehension. A version with minor language changes was administered to individuals with metabolic syndrome aged 55–75 years from one health care district in southern Spain as part of an ongoing field trial (PREDIMED-Plus). Clinical evaluation included assessment of dental and periodontal status. The psychometric properties of the GOHAI-SP were evaluated through stability and internal consistency measures, and concurrent and discriminant validity were assessed. Results The new version of the GOHAI-SP was administered to 100 individuals. The application time was reduced by 7 min. The alpha value for reliability was 0.87. The item-scale correlation coefficients ranged from 0.54 to 0.75, and the test–re-test correlation for the total score was 0.75. There were inverse correlations between GOHAI-SP scores and the number of lost teeth and the decayed-missing-filled teeth index (p < 0.001). Conclusions The GOHAI-SP questionnaire remains a valid and useful tool to assess oral health-related quality of life in primary health care settings. A linguistic update of the questionnaire brought improvements to the instrument application. Trial registration The PREDIMED-Plus trial is registered in the ISRCTN registry with reference number ISRCTN89898870. Registration date: 4th July 2014.
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Affiliation(s)
- Javiera Aguirre-Bustamante
- Facultad de Odontología, Universidad San Sebastián, Lientur 1457, Concepción, 4080871, Chile.,Department of Nursing, School of Health Sciences, University of Málaga - Instituto de Investigación Biomédica de Málaga (IBIMA), Arquitecto Francisco Peñalosa, 3, Málaga, 29071, Spain
| | - Francisco Javier Barón-López
- Department of Public Health, School of Medicine, University of Málaga - Instituto de Investigación Biomédica de Málaga (IBIMA), Boulevard Louis Pasteur s/n, 29071, Málaga, Spain
| | - Francisco Jesús Carmona-González
- Unidad de Gestión Clínica Torrequebrada, Distrito de Atención Primaria Costa del Sol. Servicio Andaluz de Salud, Benalmádena, 29630, Málaga, Spain
| | - Napoleón Pérez-Farinós
- Department of Public Health, School of Medicine, University of Málaga - Instituto de Investigación Biomédica de Málaga (IBIMA), Boulevard Louis Pasteur s/n, 29071, Málaga, Spain. .,Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain.
| | - Julia Wärnberg
- Department of Nursing, School of Health Sciences, University of Málaga - Instituto de Investigación Biomédica de Málaga (IBIMA), Arquitecto Francisco Peñalosa, 3, Málaga, 29071, Spain.,Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, Madrid, Spain
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Assessment of the Effect of Oral Health on Quality of Life and Oral-Health Indicators among ESRD Patients in Southwest Florida: A Pilot Study. Int J Dent 2019; 2019:1608329. [PMID: 31662758 PMCID: PMC6778863 DOI: 10.1155/2019/1608329] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Revised: 08/07/2019] [Accepted: 08/25/2019] [Indexed: 11/18/2022] Open
Abstract
Purpose To determine and compare OHRQoL (oral-health-related quality of life) using the Geriatric Oral Health Assessment Index (GOHAI-12) and Oral Health Impact Profile (OHIP-14) among patients receiving hemodialysis (HD). Methods Face-to-face interviews and intraoral examinations were conducted among 70 patients. Mann-Whitney U test and Kruskal-Wallis test were used to compare each item score with demographics and dental and overall health status. Results The mean number of years on dialysis was 4.7 ± 7.5 yrs; the mean number of teeth present was 19.7 ± 11.04; median values of OHRQoL using GOHAI-12 and OHIP-14 were 52 and 64. Within GOHAI-12, limiting food (p 0.043), uncomfortable eating in front of people (p 0.045), limiting contact with people (p 0.046), and eating without discomfort (p 0.011) were significantly associated with females. Being worried (p 0.040) and self-conscious (p 0.048) were significant for age groups ≤65 years. Prevented from speaking was associated with >20 teeth (p 0.016). Being worried about oral health was associated with number of years on dialysis (p 0.042). Within OHIP-14, speech was associated with number of teeth present (p 0.024). Total inability to function was significantly associated with race (p 0.018), number of teeth (p 0.028), and edentulousness (p 0.031). Conclusions GOHAI-12 was more effective than OHIP-14 in assessing OHRQoL. However, most subjective experiences did not correlate with clinical findings. Systemic health issue like end-stage renal disease affecting QoL might have taken precedence over dental problems. Clinical assessments should be inherent in oral-health evaluation and there should be cooperation between nephrologists and dentists in promoting oral health and treating systemic conditions among HD patients.
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Lee KH, Lee JY, Boltz M, McConnell ES. Emotional Expression of Persons with Dementia: An Integrative Review with Implications for Evidence-Based Practice. Worldviews Evid Based Nurs 2019; 16:344-351. [PMID: 31397542 DOI: 10.1111/wvn.12395] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/24/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND The ability to express emotion typically is preserved longer than language and cognitive function in persons living with dementia. Emotional expression may be an important indicator of underlying individual needs and feelings and may therefore facilitate person-centered care. AIMS This review aimed to examine how emotional expression has been described, measured, and utilized in empirical studies. METHODS The design of this study was an integrative literature review. A systematic search was conducted through electronic databases using defined search terms. Articles published up to March 2018 were included. The method proposed by Whittemore and Knafl was used for data synthesis and review integration. Quality appraisal of the selected articles was evaluated by the Mixed Methods Assessment Tool. RESULTS Most of the articles used feeling-related terms without specific definitions. Less frequently, terms such as affect, emotion, and mood were defined. Although these terms were used interchangeably in the articles, affect, which was defined as expressed emotion in general, was a comprehensive term to encompass other terms. Measurement of emotional expression was performed using observational methods, with direct observation or video recording using a hand-held camera. In both cases, observed emotion was coded with diverse methods or tools. In studies, the emotional expression was utilized as (a) an outcome to demonstrate the effect of interventions, (b) a factor to show relationship with other variables, or (c) an observed value itself. LINKING EVIDENCE TO ACTION This review provides insights about measurement options for emotional expressions among persons with dementia in long-term care. Long-term care staff should pay attention to emotional expression of persons with dementia to understand underlying unmet needs. Development of adequate measurement of emotional expression could facilitate development of emotion-oriented intervention program to improve psychological well-being and the behavioral and functional health of persons living with dementia.
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Affiliation(s)
- Kyung Hee Lee
- Yonsei University College of Nursing, Seoul, Korea.,Mo-Im Nursing Research Institute, Seoul, Korea
| | - Ji Yeon Lee
- Yonsei University College of Nursing, Seoul, Korea
| | - Marie Boltz
- College of Nursing, The Pennsylvania State University, University Park, PA, USA
| | - Eleanor S McConnell
- School of Nursing, Duke University, Durham, NC, USA.,Geriatric Research, Education and Clinical Center (GRECC), Department of Veterans Affairs (VA) Medical Center, Durham, NC, USA
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León S, Rivera M, Payero S, Correa-Beltrán G, Hugo FN, Giacaman RA. Assessment of oral health-related quality of life as a function of non-invasive treatment with high-fluoride toothpastes for root caries lesions in community-dwelling elderly. Int Dent J 2018; 69:58-66. [PMID: 30028021 DOI: 10.1111/idj.12415] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
PURPOSE Non-invasive treatment of root caries lesions (RCLs) may impact oral health-related quality of life (OHRQoL), but no evidence is available. The purpose of the study was to assess changes in OHRQoL among patients exposed to non-invasive treatment of RCLs with conventional or high-fluoride dentifrices. METHODS To be eligible, subjects had to be ≥60 years of age, independently living, with at least five teeth and one RCL. The 14-item Oral Health Impact Profile for adults in Spanish (OHIP-14Sp), oral examination and sociodemographic data were documented at the beginning of the study (T0). The presence and activity of RCLs were detected and diagnosed. Subjects were randomly assigned to either the control (1,450 ppm fluoride) or the experimental (5,000 ppm fluoride) treatment group. A new set of measurements was obtained at 12 months (T1). Mean comparisons were carried out using the Student's t-test for total OHIP-14Sp scores. To determine whether T1 OHRQoL scores were different regarding sex, age, educational level and socio-economic status, mean OHIP-14Sp scores were obtained and compared with those variables at 12 months. RESULTS An overall improvement in OHRQoL after the non-invasive treatment of RCLs was verified when T1 was compared with T0 (P < 0.0001). Regarding treatment type, no significant differences were detected between groups (P = 0.114). Subjects with higher income and more years of formal education had better OHRQoL than those with a lower salary (P < 0.0001) and with fewer years of education (P = 0.0006). CONCLUSIONS Non-invasive treatment for RCLs in community-dwelling elders appears to cause a positive impact on OHRQoL. Better OHRQoL was associated with higher socio-economic status and educational level. No significant differences were detected regarding the fluoride concentration in the dentifrices.
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Affiliation(s)
- Soraya León
- Gerodontology Research Group (GIOG), Department of Oral Rehabilitation, University of Talca, Talca, Chile.,Interdisciplinary Excellence Research Program on Healthy Aging (PIEI-ES), University of Talca, Talca, Chile
| | - Miguel Rivera
- Gerodontology Research Group (GIOG), Department of Oral Rehabilitation, University of Talca, Talca, Chile
| | - Sebastián Payero
- Gerodontology Research Group (GIOG), Department of Oral Rehabilitation, University of Talca, Talca, Chile
| | - Gloria Correa-Beltrán
- Interdisciplinary Excellence Research Program on Healthy Aging (PIEI-ES), University of Talca, Talca, Chile.,Institute of Mathematics and Physics, University of Talca, Talca, Chile
| | - Fernando N Hugo
- Department of Preventive and Social Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Rodrigo A Giacaman
- Gerodontology Research Group (GIOG), Department of Oral Rehabilitation, University of Talca, Talca, Chile.,Interdisciplinary Excellence Research Program on Healthy Aging (PIEI-ES), University of Talca, Talca, Chile
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Azogui-Lévy S, Dray-Spira R, Attal S, Hartemann A, Anagnostou F, Azerad J. Factors associated with oral health-related quality of life in patients with diabetes. Aust Dent J 2018; 63:163-169. [DOI: 10.1111/adj.12577] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/04/2017] [Indexed: 01/01/2023]
Affiliation(s)
- S Azogui-Lévy
- Department of Oral Public Health; Denis-Diderot University - Paris 07; Paris France
- Department of Odontology; Assistance Publique-Hôpitaux de Paris (AP-HP); Pitié-Salpêtrière Hospital; Paris France
| | - R Dray-Spira
- Pierre Louis Institut - Epidemiology and Public Health (IPLESP); Inserm-Pierre et Marie Curie University - Paris 06; Paris France
| | - S Attal
- Department of Oral Public Health; Denis-Diderot University - Paris 07; Paris France
- Department of Odontology; Assistance Publique-Hôpitaux de Paris (AP-HP); Pitié-Salpêtrière Hospital; Paris France
| | - A Hartemann
- Endocrinology, Nutrition and Diabetes Department; Assistance Publique-Hôpitaux de Paris (AP-HP); Pitié-Salpêtrière Hospital; Paris France
- Pierre et Marie Curie University - Paris 06; Paris France
- Institute of Cardiometabolism and Nutrition; Paris France
| | - F Anagnostou
- Department of Odontology; Assistance Publique-Hôpitaux de Paris (AP-HP); Pitié-Salpêtrière Hospital; Paris France
- Department of Periodontology; Denis-Diderot University - Paris 07; Paris France
| | - J Azerad
- Department of Odontology; Assistance Publique-Hôpitaux de Paris (AP-HP); Pitié-Salpêtrière Hospital; Paris France
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Denis F, Hamad M, Trojak B, Tubert-Jeannin S, Rat C, Pelletier JF, Rude N. Psychometric characteristics of the "General Oral Health Assessment Index (GOHAI) » in a French representative sample of patients with schizophrenia. BMC Oral Health 2017; 17:75. [PMID: 28399850 PMCID: PMC5387256 DOI: 10.1186/s12903-017-0368-3] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2016] [Accepted: 04/04/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The "General Oral Health Assessment Index" (GOHAI) was widely used in clinical or epidemiological studies worldwide, as it was available for use in different languages. Therefore, the aim of this study was to evaluate the psychometric characteristics of the GOHAI in a representative sample of patients with schizophrenia. METHODS A total of 90 schizophrenic patients (in-patients and out-patients) were recruited from the participants of the "buccodor study" (NCT02167724) between March and September 2015. They were selected using a random stratified sampling method according to their age, sex, or residential area (urban/rural area). GOHAI validity (construct, predictive, concurrent and known group validity) and internal consistency (reliability) were tested. Test-retest reliability was evaluated in 32 subjects. RESULTS The mean age was 47.34 (SD = 12.17). Internal consistency indicated excellent agreement, with a Cronbach's α value of 0.82 and average inter-item correlation of 0.65. Intraclass correlation coefficients for test-retest reliability with 95% confidence intervals were not significantly different (p > 0.05). Construct validity was supported by three factor that accounted for 60.94% of the variance observed. Predictive validity was corroborated as statistically significant differences were observed between a high GOHAI score, which was associated with self-perceived satisfaction with oral health, lower age and high frequency of toothbrushing. Concurrent validity was corroborated as statistically significant relationships were observed between the GOHAI scores and most objective measures of dental status. For known group validity, they was no significant difference of the mean GOHAI score between out or in-patients (p > 0.05). CONCLUSION Acceptable psychometric characteristics of the GOHAI could help caregivers to develop ways to improve the Oral Health related Quality Of Life of schizophrenic patients. TRIAL REGISTRATION Clinical Trials Gov NCT02167724 . Date registered 17 June, 2014.
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Affiliation(s)
- Frederic Denis
- La Chartreuse Psychiatric Centre, 1, boulevard Chanoine Kir, BP 23314, 21033, Dijon, Cedex, France. .,EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, F-25000, Besançon, France. .,Department of Dentistry, University Hospital of Dijon, 21079, Dijon, France.
| | - Mohamad Hamad
- EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, F-25000, Besançon, France
| | - Benoit Trojak
- Department of Psychiatry and Addiction, University Hospital of Dijon, 21079, Dijon, France
| | - Stéphanie Tubert-Jeannin
- Université Clermont Auvergne, EA4847 CROC Centre for Clinical Research in Dentistry, BP10448, 63000, Clermont-Ferrand, France
| | - Corinne Rat
- La Chartreuse Psychiatric Centre, 1, boulevard Chanoine Kir, BP 23314, 21033, Dijon, Cedex, France
| | - Jean-François Pelletier
- Department of Psychiatry, Montreal University, Yale Program for Recovery & Community Health, Montreal, Canada
| | - Nathalie Rude
- EA 481 Integrative Neurosciences and Clinical, University Hospital of Besançon, F-25000, Besançon, France
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Campos CH, Ribeiro GR, Rodrigues Garcia RCM. Oral health-related quality of life in mild Alzheimer: patient versus caregiver perceptions. SPECIAL CARE IN DENTISTRY 2016; 36:271-6. [PMID: 27059177 DOI: 10.1111/scd.12178] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
PURPOSE To compare perceptions on oral health-related quality of life (OHRQoL) between Alzheimer disease (AD) patients and their caregivers by using the Geriatric Oral Health Assessment Index (GOHAI). Correlation between GOHAI and prostheses quality was also performed. METHODS GOHAI was applied to 16 AD elders and their caregivers. GOHAI index was compared to objective measures of AD patients' prostheses quality, rated by a researcher. Data were submitted to Wilcoxon signed rank and McNemar tests (α = 5%). Kappa correlations verified the concordance for GOHAI scores between AD patients and caregivers. Spearman's correlation was used to explore concordance between GOHAI scores and prostheses quality indices. RESULTS Total GOHAI scores from AD patients and caregivers were similar (P = 0.262). Overall Kappa was good (0.62). There were no correlations between GOHAI scores and prostheses quality. CONCLUSION AD patients assess and self-report their OHRQoL similarly to their main caregiver.
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Affiliation(s)
- Camila Heitor Campos
- Graduate Student, Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Brazil
| | - Giselle Rodrigues Ribeiro
- Graduate Student, Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, Brazil
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Rebelo MAB, Cardoso EM, Robinson PG, Vettore MV. Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults. Qual Life Res 2015; 25:1735-42. [PMID: 26708574 PMCID: PMC4893369 DOI: 10.1007/s11136-015-1209-y] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/07/2015] [Indexed: 11/26/2022]
Abstract
Purpose To identify demographic, socioeconomic and dental clinical predictors of oral health-related quality of life (OHRQoL) in elderly people. Methods Cross-sectional study involving 613 elderly people aged 65–74 years in Manaus, Brazil. Interviews and oral examinations were carried out to collect demographic characteristics (age and sex) and socioeconomic data (income and education), dental clinical measures (DMFT, need of upper and lower dentures) and OHRQoL (GOHAI questionnaire). Structural equation modelling was used to estimate direct and indirect pathways between the variables. Results Being older predicted lower schooling but higher income. Higher income was linked to better dental status, which was linked to better OHRQoL. There were also indirect pathways. Age and education were linked to OHRQoL, mediated by clinical dental status. Income was associated with dental clinical status via education, and income predicted OHRQoL via education and clinical measures. Conclusion Our findings elucidate the complex pathways between individual, environmental factors and clinical factors that may determine OHRQoL and support the application of public health approaches to improve oral health in older people.
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Affiliation(s)
- Maria Augusta Bessa Rebelo
- School of Dentistry, Federal University of Amazonas, Rua Rio Itannana, 111, Bairro Nossa Sra das Gracas, Manaus, AM, CEP: 69.053-040, Brazil
- Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX, UK
| | - Evangeline Maria Cardoso
- School of Health Sciences, State University of Amazonas, Av. Djalma Batista, 2470, Chapada, Manaus, AM, CEP: 69050-10, Brazil
| | - Peter G Robinson
- Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX, UK
| | - Mario Vianna Vettore
- Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX, UK.
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Becker W, Hujoel P, Becker BE, Wohrle P. Dental Implants in an Aged Population: Evaluation of Periodontal Health, Bone Loss, Implant Survival, and Quality of Life. Clin Implant Dent Relat Res 2015; 18:473-9. [DOI: 10.1111/cid.12340] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- William Becker
- Private Practice Limited to Periodontics and Dental Implants; Tucson AZ USA
- University of Southern California; Los Angeles CA USA
- Graduate Periodontics; University of Washington; Seattle WA USA
- Department of Graduate Periodontics; University of Washington; Seattle Washington USA
| | - Philippe Hujoel
- Department of Oral Health Sciences; School of Dentistry; University of Washington; Seattle WA USA
| | - Burton E. Becker
- Private Practice Limited to Periodontics and Dental Implants; Tucson AZ USA
| | - Peter Wohrle
- Private Practice Limited to Periodontics and Dental Implants; Newport Beach CA USA
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Hernández-Palacios RD, Ramírez-Amador V, Jarillo-Soto EC, Irigoyen-Camacho ME, Mendoza-Núñez VM. Relationship between gender, income and education and self-perceived oral health among elderly Mexicans. An exploratory study. CIENCIA & SAUDE COLETIVA 2015; 20:997-1004. [DOI: 10.1590/1413-81232015204.00702014] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2014] [Accepted: 10/01/2014] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to identify the relationship between sociodemographic factors and self-perceived oral health (SPOH) among the elderly. A cross-sectional, exploratory examination of 150 elderly subjects whose ages ranged from 60-86 was conducted. These subjects used the Geriatric Oral Health Assessment Index (GOHAI) to assess their SPOH. In addition, sociodemographic data were collected from study participants. Data were analyzed using Student's t-test, the examination of odds ratio (OR) of logistic regression analysis, the chi-square test, and analysis of variance (ANOVA). The mean decayed, missing, and filled teeth (DMFT) index for the study participants was 20.1 ± 5.8; 21.3% of subjects were edentulous, and 69.3% of subjects wore removable dentures. 62.7% of study participants had poor SPOH (defined as GOHAI score <44). Poor SPOH was significantly more frequent among males (OR = 2.72, 95% CI: 1.03-7.13, p < 0.05), low-income individuals (OR = 2.7, 95% CI: 1.3 -5.8, p < 0.01), and subjects with less education (OR = 2.26, 95% CI: 1.1-4.6, p < 0.05) than among the overall subject population. The findings suggest that gender (male), low income and low educational levels have a significant influence on the self-perceived oral health status of elderly individuals, irrespective of tooth loss.
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İlhan B, Çal E, Dündar N, Güneri P, Dağhan Ş. Oral health-related quality of life among institutionalized patients after dental rehabilitation. Geriatr Gerontol Int 2014; 15:1151-7. [DOI: 10.1111/ggi.12413] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/09/2014] [Indexed: 12/19/2022]
Affiliation(s)
- Betül İlhan
- Department of Oral Diagnosis and Radiology; School of Dentistry; Ege University; Bornova-Izmir Turkey
| | - Ebru Çal
- Department of Prosthodontics; School of Dentistry; Ege University; Bornova-Izmir Turkey
| | - Nesrin Dündar
- Department of Oral Diagnosis and Radiology; School of Dentistry; Ege University; Bornova-Izmir Turkey
| | - Pelin Güneri
- Department of Oral Diagnosis and Radiology; School of Dentistry; Ege University; Bornova-Izmir Turkey
| | - Şafak Dağhan
- Department of Public Health Nursing; School of Nursing; Ege University; Bornova-Izmir Turkey
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Mathur VP, Jain V, Pillai RS, Kalra S. Translation and validation of Hindi version of Geriatric Oral Health Assessment Index. Gerodontology 2013; 33:89-96. [DOI: 10.1111/ger.12099] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2013] [Indexed: 11/30/2022]
Affiliation(s)
- Vijay Prakash Mathur
- Department of Pedodontics and Preventive dentistry; Centre for Dental Education & Research; All India Institute of Medical Sciences; New Delhi India
| | - Veena Jain
- Department of Prosthodontics; Centre for Dental Education & Research; All India Institute of Medical Sciences; New Delhi India
| | - Rajath Sasidharan Pillai
- Department of Prosthodontics; Centre for Dental Education & Research; All India Institute of Medical Sciences; New Delhi India
| | - Sandeep Kalra
- Department of Prosthodontics; Centre for Dental Education & Research; All India Institute of Medical Sciences; New Delhi India
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Lee KH, Wu B, Plassman BL. Cognitive function and oral health-related quality of life in older adults. J Am Geriatr Soc 2013; 61:1602-7. [PMID: 24028360 DOI: 10.1111/jgs.12402] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To examine the relationship between cognitive function and self-reported oral health-related quality of life (HRQoL) in community-dwelling older adults. DESIGN Cross-sectional. SETTING Community in West Virginia. PARTICIPANTS Two hundred twenty-six community-dwelling older adults. MEASUREMENTS Oral HRQoL was measured using the Geriatric Oral Health Assessment Index (GOHAI) (range 12-60), and cognitive function was assessed using a comprehensive neuropsychological test battery. Dental professionals performed oral health examinations. RESULTS Participants with normal cognitive function had higher GOHAI total scores (mean 55.1), indicating better oral HRQoL, than participants with cognitive impairment without dementia (CIND) (mean 52.3) and mild dementia (mean 51.0). The difference remained significant after controlling for sociodemographic, health status, comorbidity, and clinical dental status covariates. CONCLUSION Oral HRQoL, as measured using the GOHAI, was better in participants with normal cognitive function than in those with CIND of mild dementia in the population studied.
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Affiliation(s)
- Kyung Hee Lee
- School of Nursing, Duke University, Durham, North Carolina; Geriatric Research, Education and Clinical Center, Durham Veterans Affairs Medical Center, Durham, North Carolina
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Blaizot A, Monsarrat P, Constantin A, Vergnes JN, de Grado GF, Nabet C, Cantagrel A, Sixou M. Oral health-related quality of life among outpatients with rheumatoid arthritis. Int Dent J 2013; 63:145-53. [PMID: 23691959 DOI: 10.1111/idj.12023] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES The aims of the Oral Status And Rheumatoid Arthritis (OSARA) cross-sectional study were to study the oral health-related quality of life and to assess the associated factors in a population of outpatients with rheumatoid arthritis in France. METHODS The data were collected by five trained and standardised dentists who asked each subject the questions of a socio-demographic, behavioural and medical questionnaire, which was completed with the medical records, and performed the dental examination. Each subject filled out two self-assessment questionnaires: the Health Assessment Questionnaire and the General Oral Health Assessment Index. RESULTS Seventy-three subjects were included. The mean age of the participants was 60.2 ± 11.9 years and 75.3% were women. For 58.3% of the subjects, their self-perceived oral health-related quality of life was described as poor. The logistic regression analysis found that a small number of teeth and marked difficulties in dressing and grooming were associated with bad oral health-related quality of life [ORa = 10.5 (1.96-56.19) and ORa = 4.3 (1.15-15.77), respectively]. CONCLUSIONS More care should be given to the prevention of dental diseases in order to improve the oral health-related quality of life of patients with rheumatoid arthritis and their self-esteem, which will already be heavily affected.
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Affiliation(s)
- Alessandra Blaizot
- Department of Public Health, Lille Faculty of Dentistry, Lille 2 University, Lille, France.
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Cornejo M, Pérez G, de Lima KC, Casals-Peidro E, Borrell C. Oral Health-Related Quality of Life in institutionalized elderly in Barcelona (Spain). Med Oral Patol Oral Cir Bucal 2013; 18:e285-92. [PMID: 23385501 PMCID: PMC3613882 DOI: 10.4317/medoral.18280] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2012] [Accepted: 08/13/2012] [Indexed: 11/12/2022] Open
Abstract
Objective: The objective of this study is to describe the oral health status and the factors associated with oral health-related quality of life (OHRQoL) in people aged 65 and older institutionalized in Barcelona in 2009.
Study Design: Cross sectional study in 194 elderly. The dependent variable was poor OHRQoL, according to the Geriatric Oral Health Assessment Index (GOHAI). The independent variables were socio-demographic data, last dental visit, subjective and objective oral health status. Robust Poisson regression analysis was used to determine the factors associated with OHRQoL as well as the strengths of association (Prevalence Ratios with respective confidence intervals at 95%).
Results: According to GOHAI, 94 women (68.1%) and 36 men (64.3%) had poor OHRQoL. The average DMFT index (number of decayed, missing and filled teeth) was 22.8, with mean 10.2 remaining teeth. According to the Community Periodontal Index only 1.9% were healthy. 33.8% of the sample (35.5% of women and 30.4% of men) presented edentulism, 54.2% needed upper dental prostheses (51.1% of women and 60.7% of men) and 64.7% needed lower ones (61.6% of women and 71.4% of men). Only 7.2% had visited a dentist in the past year (8.8% of women and 3.6% of men). After fitting several multivariate adjusted robust Poisson regression models, poor OHRQoL was found to be associated to self-reporting problems with teeth or gums, self-reporting poor opinion about teeth/gums/denture and also associated to functional edentulism, needing upper denture, but not to socio-demographic factors or time since last dental visit.
Conclusions: The study population has poor objective oral health. A high percentage has poor OHRQoL associated to subjective and objective oral health conditions. Dental care is required and these services should be included in the Spanish National Health System.
Key words:Oral health, homes for the aged, elderly, self-assessment, quality of life, geriatric oral health assessment index (GOHAI).
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Affiliation(s)
- Marco Cornejo
- Public Health, Faculty of Dentistry, University of Chile.
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Vasconcelos LCAD, Prado Júnior RR, Teles JBM, Mendes RF. [Self-perceived oral health among elderly individuals in a medium-sized city in Northeast Brazil]. CAD SAUDE PUBLICA 2012; 28:1101-10. [PMID: 22666814 DOI: 10.1590/s0102-311x2012000600009] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2011] [Accepted: 02/13/2012] [Indexed: 11/21/2022] Open
Abstract
This study focused on self-perceived oral health of the elderly and associated variables. The sample consisted of 321 functionally independent individuals 60 years or older living in Parnaíba, Piauí State, Brazil. Oral examinations were performed and questionnaires were applied during home visits. The elderly presented poor oral health, with mean DMFT 29.41 (SD = 4.10). However, their self-perceived oral health was positive, with 52% showing high scores according to the Geriatric Oral Health Assessment Index (GOHAI). Multivariate analysis showed that predictors of self-perceived oral health included the need for upper prostheses, oral mucosal lesions, and self-rated oral health. The most important predictor was self-rated oral health, with a weight of 20% variation in self-perceived oral health. In conclusion, subjective measurement of oral health in the elderly is less associated with their actual clinical status and more with other subjective factors.
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Andrade FBD, Lebrão ML, Santos JLF, Duarte YADO, Teixeira DSDC. Factors related to poor self-perceived oral health among community-dwelling elderly individuals in São Paulo, Brazil. CAD SAUDE PUBLICA 2012; 28:1965-75. [DOI: 10.1590/s0102-311x2012001000014] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2012] [Accepted: 07/02/2012] [Indexed: 11/22/2022] Open
Abstract
The present study investigated the prevalence of poor self-perceived oral health and its association with oral health, general health and socioeconomic factors among elderly individuals from São Paulo, Brazil. The sample consisted of 871 elderly individuals enrolled in the Health, Wellbeing and Aging cohort study. Self-perceived oral health was measured by the question: "How would you rate your oral health?". Most subjects self-rated their oral health as good. Among dentate individuals, poor oral health was related to depression, poor self-rated health, dental treatment, dental checkups and the psychosocial subscale scores of the Geriatric Oral Health Assessment Index. Edentulous individuals were more likely to report poor oral health, whereas those with higher psychosocial scores were less likely to report poor self-rated oral health. Poor self-rated oral health is associated with general health factors and the psychosocial impact of oral health on quality of life, regardless of socioeconomic and clinical health measures.
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Ikebe K, Hazeyama T, Enoki K, Murai S, Okada T, Kagawa R, Matsuda KI, Maeda Y. Comparison of GOHAI and OHIP-14 measures in relation to objective values of oral function in elderly Japanese. Community Dent Oral Epidemiol 2012; 40:406-14. [PMID: 22469135 DOI: 10.1111/j.1600-0528.2012.00683.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2011] [Revised: 12/20/2011] [Accepted: 02/10/2012] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The aims of this study were to assess the correlations between the Geriatric Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile-14 (OHIP-14) and to examine which survey is more sensitive to objectively measured oral function in the Japanese elderly. METHODS The subjects were 290 community-dwelling, cognitively healthy, and independently living people over the age of 60 years (mean: 66.3 years). Measures included the GOHAI and OHIP-14 questionnaires, as well as self-rating of general and oral health, dry mouth, number of residual teeth, and objective values of occlusal force, masticatory performance, and salivary flow rate. Bivariate and linear regression analyses were used to identify which of these variables predicted GOHAI and OHIP-14 scores. RESULTS Spearman's correlation coefficient between the GOHAI and OHIP-14 scores was 0.728 (P < 0.001), although the OHIP-14 showed a greater number of 0 scores, suggesting a greater floor effect. At the bivariate level, self-rating of general and oral health, dry mouth, number of residual teeth, occlusal force, and masticatory performance were associated with GOHAI and OHIP-14 scores. Multiple linear regression analyses showed that after controlling for the other significant variables, both the occlusal force (standardized regression coefficient [β] = -0.164, P = 0.004) and masticatory performance (β = -0.125, P = 0.019) had significant associations with the GOHAI score, whereas this association was not found with the OHIP score. CONCLUSIONS Although the GOHAI and OHIP-14 had a strong correlation, the GOHAI was more sensitive to the objective values of oral functions among independently living elderly persons in Japan.
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Affiliation(s)
- Kazunori Ikebe
- Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University, Graduate School of Dentistry, Osaka, Japan.
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Fuentes-García A, Lera L, Sánchez H, Albala C. Oral health-related quality of life of older people from three South American cities. Gerodontology 2012; 30:67-75. [DOI: 10.1111/j.1741-2358.2012.00649.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Abuzar MA, Kahwagi E, Yamakawa T. Investigating oral health-related quality of life and self-perceived satisfaction with partial dentures. ACTA ACUST UNITED AC 2012; 3:109-17. [DOI: 10.1111/j.2041-1626.2012.00111.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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A-Dan W, Jun-Qi L. Factors associated with the oral health-related quality of life in elderly persons in dental clinic: validation of a Mandarin Chinese version of GOHAI. Gerodontology 2011; 28:184-91. [DOI: 10.1111/j.1741-2358.2009.00360.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Miranda LDP, Silveira MF, Miranda LDP, Bonan PRF. Autopercepção das condições bucais em uma população de idosos da cidade de Montes Claros, Minas Gerais, Brasil. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2011. [DOI: 10.1590/s1809-98232011000200007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
O objetivo deste trabalho foi investigar a autopercepção das condições bucais em uma população de idosos não-institucionalizados da cidade de Montes Claros. A pesquisa objetivou ainda verificar a associação existente entre a autopercepção e as características sociodemográficas, necessidades odontológicas, condições sistêmicas e uso de medicações nos indivíduos pesquisados. Trata-se de um estudo descritivo transversal com uma amostra do tipo aleatória simples (n=204). A autopercepção foi avaliada através do Índice de Determinação da Saúde Bucal Geriátrica (GOHAI). De acordo com os resultados obtidos, 53,9% dos idosos eram do gênero feminino; 53,9% não eram casados; 57,8% possuíam idade entre 60 e 69 anos; 84,9% não eram brancos; 69,1% eram analfabetos; 56,4% tinham renda per capita > ½ salário mínimo; 59,8% foram ao dentista há três anos ou mais; 52,9% realizaram a última consulta no serviço público; 63,7% eram edêntulos; 67,2% usavam algum tipo de prótese; 77% necessitavam de prótese e 81,4% não possuíam alteração de tecido mole. Destes, 31,9% apresentavam doença periodontal; o CPO-D médio foi 29,39; 91,2% apresentavam alguma doença sistêmica; 78,4% usavam medicação e a maior parte (36,3%) autopercebeu a condição bucal como regular. Na análise multivariada, foi verificado que os idosos que necessitavam de algum tipo de prótese dentária e não possuíam cônjuge apresentaram maiores chances de ter uma baixa autopercepção das condições bucais. De maneira geral, percebeu-se que a maioria dos idosos possuía uma condição socioeconômica satisfatória; apresentava necessidades odontológicas normativas; tinha alguma doença sistêmica; usava medicação e autopercebeu a saúde bucal como regular ou ruim, condizente com a avaliação profissional.
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Piuvezam G, de Lima KC. Self-perceived oral health status in institutionalized elderly in Brazil. Arch Gerontol Geriatr 2011; 55:5-11. [PMID: 21621283 DOI: 10.1016/j.archger.2011.04.017] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2010] [Revised: 04/17/2011] [Accepted: 04/18/2011] [Indexed: 10/18/2022]
Abstract
This study aims to identify self-perceived oral health status in institutionalized elderly in Brazil, using the Geriatric Oral Health Assessment Index (GOHAI) and to seek associations with objective and subjective conditions and behavior related to oral health, individual traits, and environmental factors. A cross-sectional study using census with institutionalized elderly in Brazil. A total of 1192 individuals were evaluated, and 587 (49.2%) responded to the GOHAI. A questionnaire and an epidemiological survey were applied. The Mann-Whitney, Kruskal-Wallis, Fisher's exact, chi-square, and multiple logistic regression tests were performed. Mean age was 74.98 ± 9.5 years, 51.4% (302) were male. The mean DMFT-index (DMFT=decayed, missing, filled teeth) was 28.8 ± 5.5 and 54.5% (320) of the elderly were toothless. Categorized GOHAI showed that 75% (440) of the individuals had positive self-perception of oral health status. Multiple logistic regression demonstrated that the last visit to the dentist (adjusted prevalence ratio=PR=4.058; confidence interval=CI=1.526-10.789), presence of gingival problems (adjusted PR=5.703; CI=1.754-18.544), and self-rating of teeth, gums, or prosthesis (adjusted PR=19.514; CI=5.075-75.041) remained significant in the model. Predominance of positive self-perception of oral health status was observed despite poor oral conditions. Thus, for the institutionalized population, the present study recommends epidemiological and self-perception surveys to ensure adequate planning of oral health strategies.
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Affiliation(s)
- Grasiela Piuvezam
- Federal University of Rio Grande do Norte (UFRN), Department of Collective Health (DSC), Postgraduate Health Sciences Program (PPGCSA-UFRN), Rua General Gustavo Cordeiro de Farias, S/N, Petrópolis, Natal, RN 59012-570, Brazil.
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de Carvalho RWF, Santos CNA, Oliveira CCDC, Gonçalves SRJ, Novais SMA, Pereira MADS. [Psychosocial aspects of teenager in Aracaju, Sergipe State, related to oral health perception]. CIENCIA & SAUDE COLETIVA 2011; 16 Suppl 1:1621-8. [PMID: 21503514 DOI: 10.1590/s1413-81232011000700098] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2008] [Accepted: 11/11/2008] [Indexed: 11/22/2022] Open
Abstract
The objective of this article is to investigate the autoperception of teenagers, age range of 12 to 19 years old in Aracaju, Sergipe State, about their health and relate it with psychosocial aspects. The present work is a quali-quantitative study of transversal cut, carried through with 247 adolescents registered institutions of education, private or public, of the urban zone of the city of Aracaju. Most of the adolescents (85%) consider themselves healthful, while 9% have shame of the oral conditions. Seventy-one percent of the students referred to pain, however it wasn't the main cause to search dentistry services. The subjective pointers of this research may be used to guide programs directed toward education in health.
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Martins AMEDBL, Barreto SM, Silveira MFD, Santa-Rosa TTDA, Pereira RD. Autopercepção da saúde bucal entre idosos brasileiros. Rev Saude Publica 2010; 44:912-22. [DOI: 10.1590/s0034-89102010005000028] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2009] [Accepted: 04/06/2010] [Indexed: 11/22/2022] Open
Abstract
OBJETIVO: Identificar os fatores associados à autopercepção da saúde bucal entre idosos brasileiros. MÉTODOS: Utilizaram-se dados do Projeto SB Brasil, realizado em 20022003. Foi examinada e entrevistada amostra probabilística de 5.349 idosos de 65 a 74 anos agrupados em dentados e edentados. A variável dependente foi autopercepção da condição de saúde bucal e as independentes foram: local de moradia, características individuais, comportamentos relacionados à saúde, condições objetivas de saúde e condições subjetivas relacionadas à saúde. Foram conduzidas análises descritivas e análises de regressão linear múltipla hierárquica. RESULTADOS: Nos dois grupos a autopercepção da saúde bucal foi considerada positiva, apesar das precárias condições de saúde bucal entre os idosos. No modelo final, o local de moradia e as características individuais pouco contribuíram para explicar a variabilidade da autopercepção. Entre dentados, o uso de serviços odontológicos esteve associado ao desfecho, e as condições objetivas e subjetivas se mostraram associadas nos dois grupos. Entre dentados e edentados, o R² para o ambiente externo foi de 0,00; com o acréscimo das características individuais, respectivamente, 0,05 e 0,02; incluindo o comportamento relacionado à saúde, 0,06 e 0,03; acrescentando as condições objetivas de saúde, 0,11 e 0,04; adicionando as condições subjetivas relacionadas à saúde foram 0,50 e 0,43. Foi possível explicar 50% da variabilidade da autopercepção entre dentados e 43% entre edentados. CONCLUSÕES: Os principais fatores associados à autopercepção da saúde bucal como positiva nos dois grupos foram a autopercepção da aparência como ótima seguida pela autopercepção da mastigação como positiva. O terceiro fator associado, entre dentados, foi o relato de nenhuma necessidade de tratamento odontológico e, entre edentados, a autopercepção da fala.
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Martins AMEDBL, Barreto SM, Pordeus IA. Auto-avaliação de saúde bucal em idosos: análise com base em modelo multidimensional. CAD SAUDE PUBLICA 2009; 25:421-35. [DOI: 10.1590/s0102-311x2009000200021] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2008] [Accepted: 08/05/2008] [Indexed: 11/21/2022] Open
Abstract
Propôs-se investigar fatores associados à auto-avaliação negativa da saúde bucal. Idosos, participantes do inquérito de saúde bucal do Ministério da Saúde, 2002-2003, que auto-avaliaram sua saúde bucal como ruim/péssima foram comparados aos que a auto-avaliaram como ótima/boa/regular usando-se razões de prevalências (RP) com base na regressão de Poisson. A minoria (870 - 17%) auto-avaliou sua saúde bucal negativamente. A auto-avaliação negativa foi menor entre aqueles com 1-9 dentes e edentados, maior entre pardos/negros/índios, que nunca usaram serviços, que apresentavam alterações de tecidos moles, que relataram pouca e média/muita dor, que auto-avaliaram sua aparência e mastigação como regular ou ruim/péssima, entre os que relataram seus relacionamentos sociais pouco ou muito afetados pelas condições bucais e entre os que avaliavam necessitar de tratamento bucal. Apesar das precárias condições bucais, a maioria auto-avaliou positivamente sua saúde bucal. Condições subjetivas estiveram mais fortemente associadas do que as objetivas. Os resultados sugerem iniqüidade e permitem orientar políticas públicas que objetivem saúde bucal e qualidade de vida.
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Ergül S, Akar GC. Reliability and Validity of The Geriatric Oral Health Assessment Index in Turkey. J Gerontol Nurs 2008; 34:33-9. [DOI: 10.3928/00989134-20080901-05] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Hebling E, Pereira AC. Oral health-related quality of life: a critical appraisalof assessment tools used in elderly people. Gerodontology 2007; 24:151-61. [PMID: 17696892 DOI: 10.1111/j.1741-2358.2007.00178.x] [Citation(s) in RCA: 72] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The purpose of this study was to undertake a critical appraisal of oral health-related quality of life (OHRQoL) measurements used for research in the elderly. BACKGROUND A variety of OHRQoL measurements have been developed in the past 20 years as a result of increased concern about the impact of oral conditions on a person's quality of life. There is need for an assessment aimed at prioritising the recommended measurements to be used for different purposes in the elderly. MATERIALS AND METHODS Original English language papers using measurements to assess OHRQoL in the elderly were identified from Web of Science, EMBASE, PubMed, Medline and Lilacs databases. The search included all papers published from 1985 to February 2007. The criteria of assessment were: (i) measurement criteria (number of items and domains, and classification of the results found for each measurement); (ii) quantitative-qualitative criteria (frequency, acceptability, reproducibility, reliability, sensitivity and capability of being reproduced in other language versions). RESULTS In a total of 152 papers selected, 20 measurements were identified. However, only seven fulfilled all the measurement and quantitative-qualitative criteria. CONCLUSION Geriatric Oral Health Assessment Index, Subjective Oral Health Status Indicators, Oral Health Impact Profile-49, Dental Impact on Daily Living, Oral Health Impact Profile-14, Oral Impact on Daily Performances and German Version of the Oral Heath Impact Profile were considered as instruments of choice to assess OHRQoL in the elderly. The other 13 instruments identified require further research aimed at a validation process and the use of a language other than English.
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Affiliation(s)
- Eduardo Hebling
- Department of Community Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, Sao Paulo, Brazil.
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Othman WNW, Muttalib KA, Bakri R, Doss JG, Jaafar N, Salleh NC, Chen S. Validation of the Geriatric Oral Health Assessment Index (GOHAI) in the Malay Language. J Public Health Dent 2006; 66:199-204. [PMID: 16913247 DOI: 10.1111/j.1752-7325.2006.tb02580.x] [Citation(s) in RCA: 45] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To translate and validate the Geriatric Oral Health Assessment Index (GOHAI into the Malay language for use in Malaysia. METHODOLOGY The 6-Likert scale GOHAI was translated into the Malay language and self-administered on 189 subjects aged 60+. All subjects underwent oral status assessment. The measure was assessed for construct and discriminant validity, for test-retest reliability and principal component factor. FINDINGS Mean GOHAI score was 46.2 (SD 9.7, range 17-60). The Cronbach's alpha was 0.79. Mean GOHAI scores increased with more positive self-rated oral health and general health. The elderly with no perceived dental treatment need had higher mean GOHAI scores than those with perceived needs. There were slightly stronger inverse correlations between GOHAI scores and caries experience, number of teeth present, and number of pathologically mobile teeth. The measure demonstrated strong test-retest reliability. Eight of the 12 items had Spearman's r3 0.7. Only one principal factor was found at eigenvalue > 1. Using ANCOVA, self-rated perception of oral health and perceived need for dental treatment had the most significant impact on the GOHAI score. CONCLUSION AND RECOMMENDATIONS The Malay language version of the GOHAI demonstrated acceptable validity and reliability and will be an important instrument to measure oral health-related quality of life among Malay-speaking Malaysians. Use of the Malay language version GOHAI should also be pursued among diverse adult age groups.
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Jones JA, Kressin NR, Kazis LE, Miller DR, Spiro A, Lee A, Garcia RI. Oral conditions and quality of life. J Ambul Care Manage 2006; 29:167-81. [PMID: 16552326 DOI: 10.1097/00004479-200604000-00010] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Oral conditions can have serious, disabling effects. The purposes of this study are 2-fold: first to estimate the prevalence and severity of self-reported oral problems in male veterans who use Department of Veterans Affairs (VA) outpatient medical (but not dental) care and, second, we examine to what extent the impact of oral conditions is associated with measures of general health and well-being. Male veteran users of outpatient VA medical care from the Veterans Health Study (N = 2425) were surveyed using questionnaires, which included sociodemographic information, the SF-36, the Geriatric Oral Health Assessment Index (GOHAI), and the Oral Health and Quality of Life (OHQOL) measure. Only 28% of these users of VA outpatient care rated their oral health as excellent or very good, 32% as good, and nearly 40% as fair or poor. Furthermore, only one half of respondents could always eat without discomfort, were pleased with the looks of their teeth, and had no worries about their teeth. Factor analysis of the SF-36, GOHAI, and OHQOL items confirmed that both the GOHAI and the OHQOL are separate and independent of the 8 scales of the SF-36. Regression analyses showed that the GOHAI but not the OHQOL is significantly associated with the mental and physical component summary scales of the SF-36 when both sociodemographics and disease burden are controlled for in the models. Oral problems, as measured by the GOHAI and the OHQOL, are significant burdens on the health and function of veterans who use VA outpatient care. Oral health, as measured by the GOHAI, contributes in an important way to the functional well-being of users of VA healthcare.
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Affiliation(s)
- Judith A Jones
- Center for Health Quality, Outcomes and Economic Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Mass. 02118, USA.
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Silva SRCD, Rosell FL, Valsecki Júnior A. Percepção das condições de saúde bucal por gestantes atendidas em uma unidade de saúde no município de Araraquara, São Paulo, Brasil. REVISTA BRASILEIRA DE SAÚDE MATERNO INFANTIL 2006. [DOI: 10.1590/s1519-38292006000400007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJETIVOS: avaliar a percepção das condições de saúde bucal de um grupo de gestantes, através da aplicação do índice General Oral Health Assessment Index (GOHAI). MÉTODOS: participaram do estudo 53 gestantes que freqüentavam uma Unidade Básica de Saúde em Araraquara, São Paulo. Foi aplicado um questionário contendo questões do índice GOHAI, questões sobre a autopercepção das condições bucais e sobre as características sócio-demográficas. Por meio dos testes não-paramétricos Mann-Whitney e Kruskall-Wallis, foram determinados a associação das variáveis sociais e de autopercepção com o índice GOHAI. RESULTADOS: a percepção das condições bucais, medida pelo índice GOHAI, foi positiva e apresentou um valor médio de 31,6. Os dados subjetivos mostram que apenas 12,0% das gestantes classificaram sua condição bucal como "ruim", a maioria declarou nenhum problema dentário, embora 58,7% tenha relatado distúrbios gengivais. As questões como dor e/ou desconforto foram as mais percebidas pelas gestantes. CONCLUSÕES: as gestantes fizeram uma avaliação positiva de sua condição bucal, estando o índice GOHAI associado a variáveis relacionadas à autopercepção. Tal índice pode ser aplicado em grupos populacionais como as gestantes, possibilitando medidas educativas e/ou preventivas direcionadas às suas reais necessidades.
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Gerdin EW, Einarson S, Jonsson M, Aronsson K, Johansson I. Impact of dry mouth conditions on oral health-related quality of life in older people. Gerodontology 2005; 22:219-26. [PMID: 16329230 DOI: 10.1111/j.1741-2358.2005.00087.x] [Citation(s) in RCA: 106] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE The aim of the present study was to evaluate the impact of dry mouth conditions on oral health-related quality of life in frail old people, residents at community care centers. Further, reliability and validity of a visual analogue scale (VAS) for dry mouth symptoms were determined within the study cohort. BACKGROUND In old people functional, social and psychological impacts of oral conditions are associated with an overall sense of well being and general health. Subjective dry mouth and reduced saliva flow are common disorders in old people caused by disease and medication. Thus, dry mouth conditions may be determinants for compromised oral health-related quality of life in old people. METHOD In total, 50 old people living at service homes for the old people were asked to answer questionnaires on subjective dry mouth (VAS) and Oral Health Impact Profile (OHIP14) for oral health-related quality of life. Saliva flow was estimated by absorbing saliva into a pre-weighed cotton roll. RESULTS The final study cohort comprised 41 old people (aged 83-91 years). Significant associations were identified between both objective and subjective dry mouth and overall or specific aspects of oral health-related quality of life. CONCLUSION Dry mouth (objective and subjective) is significantly associated with oral health-related quality of life strengthening the value of monitoring dry mouth conditions in the care of frail old people.
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Silva DDD, de Sousa MDLR, Wada RS. Autopercepção e condições de saúde bucal em uma população de idosos. CAD SAUDE PUBLICA 2005; 21:1251-9. [PMID: 16021263 DOI: 10.1590/s0102-311x2005000400028] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Este estudo avaliou as condições de saúde bucal clinicamente e através da autopercepção. A amostra foi de 112 indivíduos com mais de 60 anos, residentes em Rio Claro, São Paulo, Brasil, dividida em G1 - sem acesso a tratamento odontológico conveniado (n = 55) e G2 - com acesso a tratamento odontológico conveniado (n = 57). Os exames clínicos seguiram critérios da Organização Mundial da Saúde. A autopercepção foi avaliada usando o índice GOHAI (Geriatric Oral Health Assessment Index). O CPO-D foi de 29,13, maior no G1 (p = 0,0091). A média de dentes presentes foi de 7,63, maior no G2 (p = 0,0131). As condições periodontais avaliadas apresentaram uma grande porcentagem de sextantes nulos (70,3%), sendo que o CPI apontou o cálculo como a maior prevalência, e o PIP, as bolsas até 3mm. A porcentagem de indivíduos edêntulos foi de 45,5%, maior no G1 (p = 0,0142). Dentre os edêntulos, 69,6% usavam próteses totais superiores, e 42,9%, inferiores. A média do GOHAI foi de 33,61, qualificando como positiva a percepção da saúde bucal e houve diferença apenas na dimensão física, com o maior valor no G2 (p = 0,0154). A autopercepção da saúde bucal foi satisfatória, o que não pôde ser confirmado com os dados clínicos obtidos nos grupos.
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Affiliation(s)
- Débora Dias da Silva
- Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, Brasil
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Veyrune JL, Tubert-Jeannin S, Dutheil C, Riordan PJ. Impact of new prostheses on the oral health related quality of life of edentulous patients. Gerodontology 2005; 22:3-9. [PMID: 15747892 DOI: 10.1111/j.1741-2358.2004.00048.x] [Citation(s) in RCA: 69] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE A study was conducted to evaluate the impact of the placement of complete dentures by using the Global Oral Health Assessment Index (GOHAI). BACKGROUND Oral health quality of life indicators can be used to evaluate the effects of dental treatments. MATERIAL AND METHODS The 26 participants were treated in a French University Clinic during 2002. They were randomly divided into two groups. Each group received new prostheses, but evaluation of the quality of life was made at different periods [baseline, denture placement (group 1), 6 and 12 weeks (group 2) after placement]. A questionnaire was used to collect information on patient's satisfaction with the previous and new prostheses. Nonparametric tests were used to test the relationships between patients' satisfaction or baseline data and GOHAI variations with time as well as to compare mean values of GOHAI within each group. RESULTS At baseline, the impact of oral health problems was apparent; the mean GOHAI-Add score was 45.8 (10.2). Six weeks after placement of the new denture, there was no difference in GOHAI scores compared with the initial assessment. An improvement in GOHAI score was observed 12 weeks after the participants received their new dentures (p < 0.05). Change in GOHAI-Add scores was negatively correlated with the initial GOHAI-Add score. Patients who preferred the new prosthesis enjoyed a positive change in GOHAI scores (p < 0.001). There was a relationship between participants' satisfaction with the new dentures and change in GOHAI scores (p < 0.05). CONCLUSION The GOHAI can be used to evaluate needs for and effect of the making of new complete dentures.
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Affiliation(s)
- J L Veyrune
- Group for the study of populations with oral health disadvantages (GEDIDO), Dental school, University of Clermont-Ferrand, Clermont-Ferrand, France.
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Ikebe K, Watkins CA, Ettinger RL, Sajima H, Nokubi T. Application of short-form oral health impact profile on elderly Japanese. Gerodontology 2004; 21:167-76. [PMID: 15369020 DOI: 10.1111/j.1741-2358.2004.00028.x] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVES The purpose of this study was to use the oral health impact profile (OHIP-14) to evaluate the impact of oral disease on the quality of life of a group of independently-living elderly persons in an urban area of Japan. SUBJECTS A total of 1244 participants of the Senior Citizen's College, who attended the lectures once a week. They were community-dwelling, independently-living people over 60 years of age. MEASUREMENTS Japanese version of the short-form OHIP-14. RESULTS Internal reliability for the 14 items overall was very high (Cronbach's alpha = 0.95). Report of 'painful aching' and 'uncomfortable to eat' were the two most highly scored items using the mean sum OHIP-14 score. A multiple logistic regression analysis indicated that the sum OHIP-14 score had significant associations with self-assessment of general health, dental status, and a perceived need for dental treatment. However, age, gender, dissatisfaction with financial status or education level was not significantly associated with the sum OHIP-14. Compared with that of other countries, the items were ranked similarly, whereas the perceived magnitudes of the problems were quite different from other population. CONCLUSIONS The OHIP-14 in Japanese had a high internal reliability, was significantly associated with dental status and comparable ranking for items when compared with studies from other countries.
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Affiliation(s)
- Kazunori Ikebe
- Department of Removable Prosthodontics, Graduate School of Dentistry, Osaka University, Osaka, Japan.
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McGrath C, Bedi R. Measuring the impact of oral health on quality of life in Britain using OHQoL-UK(W). J Public Health Dent 2003; 63:73-7. [PMID: 12816136 DOI: 10.1111/j.1752-7325.2003.tb03478.x] [Citation(s) in RCA: 58] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES This study assessed the impact of oral health on quality of life (OHQoL) in Britain and identified disparities in OHQoL among subgroups of the population. METHODS A national survey involved a random probability sample of 2,667 households. Participants were interviewed about their oral health status and sociodemographic information was collected. The impact of oral health on life quality was measured utilizing the OHQoL-UK(W). RESULTS The response rate was 68 percent. Most people in Britain (73%) claimed their oral health did affect their life quality, most frequently through physical influences rather than social or psychological. Disparities in perceived influences of oral health on life quality among subgroups of the population were apparent by age, sex, and social class; OHQoL also was influenced by oral health status (self-reported). CONCLUSION Most Britons claim their oral health affects their life quality and OHQoL was associated with sociodemographic and oral health factors.
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Affiliation(s)
- Colman McGrath
- Periodontology and Public Health, Faculty of Dentistry, Prince Philip Dental Hospital, University of Hong Kong, Hospital Road, Hong Kong.
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Jones JA, Boehmer U, Berlowitz DR, Christiansen CL, Pitman A, Kressin NR. Tooth retention as an indicator of quality dental care: development of a risk adjustment model. Med Care 2003; 41:937-49. [PMID: 12886173 DOI: 10.1097/00005650-200308000-00007] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Retaining teeth improves oral health and quality of life. Thus, receipt of a root canal (vs. a tooth extraction) is a useful indicator of the quality of dental care. However, use of this quality measure without adjusting for the severity of oral disease could lead to spurious conclusions. OBJECTIVES This paper describes the development of a dental severity adjustment methodology. RESEARCH DESIGN Retrospective study. SUBJECTS 54,423 users of Department of Veterans Affairs (VA) dental care who had either root canal therapy or a tooth extraction at a VA facility in Fiscal year 1998. MEASURES International Classification of Disease Clinical Modification codes for dental diagnoses and comorbid medical conditions. We modeled the effects of dental disease severity in logistic regression models of the probability of receiving a root canal, using both conceptual and Modified Delphi-Panel derived models, adjusting for age, and medical comorbidities. RESULTS Conceptual and Modified Delphi models performed similarly. The dental disease severity adjustments increased the fit in models of the probability of receiving a root canal (C-statistic = 0.822 for the conceptual model and 0.804 for the Modified Delphi Panel model) compared with the model including comorbid medical conditions alone (C-statistic = 0.561). CONCLUSIONS Risk adjustment for dental disease severity improves the fit of models of the probability of receiving a root canal. Studies of the quality of dental care should consider employing risk-adjusted models.
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Affiliation(s)
- Judith A Jones
- VA Center for Health Quality, Outcomes and Economic Research, Edith Nourse Rogers Memorial Veterans Hospital-Bedford, and Department of General Dentistry, Boston University School of Dental Medicine, Massachusetts, USA.
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Tubert-Jeannin S, Riordan PJ, Morel-Papernot A, Porcheray S, Saby-Collet S. Validation of an oral health quality of life index (GOHAI) in France. Community Dent Oral Epidemiol 2003; 31:275-84. [PMID: 12846850 DOI: 10.1034/j.1600-0528.2003.t01-1-00006.x] [Citation(s) in RCA: 137] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
UNLABELLED Oral health has traditionally been defined in terms of disease. Today, health is seen in a wider context: taking into account its impact on everyday living. Several indices attempt to capture this dimension. The Geriatric Oral Health Assessment Index (GOHAI) has been adapted for general use and tested on adult samples, mainly in North America. Language, cultural norms and the health care system in France are different and this raises the need to validate the GOHAI in France before it receives widespread use. OBJECTIVES The purpose of this study was to test the validity of a French version of the GOHAI. METHODS The GOHAI is based on responses to a 12-item self-administered questionnaire. The items were translated into French, back-translated and compared with the original. After pilot testing and minor modifications, the French version was administered to a group of low-income persons benefiting from the national health insurance system (n = 260, 18-45 years). Measures for stability and internal consistency were calculated. Concurrent and discriminant validity were assessed. RESULTS Cronbach's alpha (0.86) showed a high internal consistency and homogeneity between items. Item-scale correlations varied between 0.40 and 0.78. Repeat administration of the GOHAI to 32 participants gave weighted kappa coefficients from 0.51 to 0.87 and a Pearson's correlation coefficient of 0.87. Low GOHAI scores were associated with perceptions of poor oral and general health, low satisfaction with oral health and a perceived need for dental care. There were significant relationships between the GOHAI score and most objective measures of dental status except FT. Younger, well-educated and higher income respondents were more likely to have a high GOHAI score. CONCLUSION The French version of the GOHAI exhibits satisfactory psychometric properties but two items (one about swallowing, the other with complex sentence structure) had poor stability.
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Affiliation(s)
- S Tubert-Jeannin
- Department of Public Health, School of Dentistry, University of Auvergne, Clermont Ferrand, France.
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Abstract
OBJECTIVE To translate and validate the Chinese version of General Oral Health Assessment Index (GOHAI) for elderly in Hong Kong and to investigate factors that possibly may influence the GOHAI scores. METHODS The English version of GOHAI was translated into Chinese. Persons aged 60-80 years were interviewed by two trained interviewers and clinically examined by a dentist. Information on subjects' demographic background and oral health conditions was collected. RESULTS Altogether 1,023 elderly were interviewed and clinically examined. The mean GOHAI score was 48.9 (SD = 7.2). Cronbach's alpha of the translated GOHAI was 0.81; item-scale correlation ranged from 0.28-0.61. It was found that the mean GOHAI scores were lower for subjects with poorer perceived oral health (rs = 0.57, P < .001). Elderly who had perceived dental treatment need had a lower mean GOHAI score than those who did not (P < .001). It was also found that elderly who lived in elderly homes, those who received social welfare assistance, those who had recent dental visits, and those with higher DMFT scores had higher mean GOHAI scores. CONCLUSION The translated Chinese version of GOHAI demonstrated acceptable reliability and validity. It is available for use by researchers in oral health-related quality of life studies on Chinese elderly population.
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Affiliation(s)
- May C M Wong
- Faculty of Dentistry, University of Hong Kong, 3/F, Prince Philip Dental Hospital, 34 Hospital Road, Hong Kong.
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Kressin NR, Spiro A, Atchison KA, Kazis L, Jones JA. Is Depressive Symptomatology Associated with Worse Oral Functioning and Well-being Among Older Adults? J Public Health Dent 2002; 62:5-12. [PMID: 14700083 DOI: 10.1111/j.1752-7325.2002.tb03414.x] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Although depression negatively affects individuals' physical functioning and well-being, its association with oral functioning and well-being has not been examined previously. The objective of this study was to examine the association between depressive symptomatology and oral quality of life. METHODS We utilized data from two samples of older adults: community-dwelling participants who used community primary care physicians in Los Angeles (n=1,653) and individuals who sought ambulatory care through four Department of Veterans Affairs facilities in the Boston metropolitan area (n=212). Depressive symptomatology was measured with the CES-D scale; Oral Quality of Life was measured with the Geriatric Oral Health Assessment Instrument and the Oral Health-related Quality of Life measure. We conducted hierarchical regression analyses to examine the effects of depression on oral quality of life, controlling for self-reported oral health, age, education, income, and marital status. RESULTS Individuals with more depressive symptoms reported worse oral quality of life, controlling for sociodemographic factors and self-reported oral health. This finding persisted across multiple samples and both sexes, and using two measures of oral quality of life. CONCLUSION These findings further emphasize the importance of treating depression among older adults, and suggest that both dentists and physicians have a role in recognizing and referring patients for such treatment.
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Affiliation(s)
- Nancy R Kressin
- Center for Health Quality, Outcomes and Economic Research, VAMC, 200 Springs Road, Building 70 (152), Bedford, MA 01730, USA.
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Jones JA, Kressin NR, Spiro A, Randall CW, Miller DR, Hayes C, Kazis L, Garcia RI. Self-reported and clinical oral health in users of VA health care. J Gerontol A Biol Sci Med Sci 2001; 56:M55-62. [PMID: 11193235 DOI: 10.1093/gerona/56.1.m55] [Citation(s) in RCA: 67] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND This article describes the oral health of users of Veterans Administration (VA) health care using both clinical and self-report measures, and models relationships between these measures and self-perceived oral health. METHODS We conducted a cross-sectional study of 538 male users of VA outpatient care in the Boston area. Questionnaires assessed self-reported oral health, oral-specific health-related quality of life, health behaviors, and sociodemographic information. Clinical data were collected on oral mucosa status, number of teeth and root tips, dental caries, and periodontal treatment need. We report clinical and self-reported oral health status by age group (era of military service). We regressed models of self-perceived oral health on clinical indices and self-reported measures of the impact of oral health on daily life, adjusting for sociodemographic characteristics and health behavior. RESULTS Among those participants aged 65 to 91 years old, 2.8%, 18.7%, and 41.5% rated their oral health as excellent, very good, or good, respectively. Among 50- to 64-year-old men, the corresponding values were 1.4%, 18.5%, and 40.4%, while among those aged 22 to 49 years old, the values were 2.3%, 17%, and 34.1%. Tooth loss was common among users of VA care; 34% of those aged 65-90 years, 28% of those aged 50-64 years, and 8% of those aged 25-49 years had no teeth. Periodontal treatment needs were uniformly high among persons with teeth; mild mucosal change was common, and 10% had root tips. Regression models showed self-perceived oral health was better in persons with more teeth and recent dental treatment, and worse with tooth mobility, coronal decay, and more medical problems. Measures of the impact of oral conditions on daily life added significantly to the amount of explained variance in self-perceived oral health. CONCLUSIONS Clinical conditions and the impact of oral health on daily life are important determinants of self-perceived oral health.
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Affiliation(s)
- J A Jones
- The Center for Health Quality, Outcomes, and Economic Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, Massachusetts 01730, USA.
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Atchison KA, Der-Martirosian C, Gift HC. Components of self-reported oral health and general health in racial and ethnic groups. J Public Health Dent 1999; 58:301-8. [PMID: 10390713 DOI: 10.1111/j.1752-7325.1998.tb03013.x] [Citation(s) in RCA: 62] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The objective of this study is to investigate the validity of the General Oral Health Assessment Index (GOHAI), a self-reported oral health measure, when used in an all-age adult sample of Hispanics and African-Americans. METHODS The study groups were 506 disadvantaged Hispanic and African-American adults who were recruited at low-cost medical and dental clinics. To explore the validity of the GOHAI in an all-age, ethnically diverse sample, principal component and principal factor analyses were conducted on the 12 items of the GOHAI and the 14 items constituting the MOS physical/social and mental health components. RESULTS Four factors accounted for 40 percent of the total variance of health as measured by the MOS and GOHAI items: general health, physical/worry oral health, mental health, and social oral health. An association between socioeconomic variables and each subscale was found to be significant except for the physical/worry oral health subscale. CONCLUSIONS This study confirms that the GOHAI is valid when used in younger and ethnically diverse samples. The findings also emphasize that oral health is distinct from general health and that the use of generic self-reported measures of health may miss important aspects of oral health that are valuable for dental health professionals.
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Rozier RG. Methods in dental public health research and practice: a new feature for the JPHD. J Public Health Dent 1998; 57:195-6. [PMID: 9558622 DOI: 10.1111/j.1752-7325.1997.tb02975.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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