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首页> 外文期刊>Journal of public health dentistry >Perceived dental care need and actual oral health status in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)
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Perceived dental care need and actual oral health status in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL)

机译：在西班牙裔社区卫生学习/拉丁美洲人的研究中感知牙科护理需求和实际口腔健康状况（HCHS / SOL）

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Objectives To evaluate the performance of subjective self-assessment of dental care need with objective oral disease status in a sample of Hispanics/Latinos. Methods Data from 13,561 participants of the 2008-2011 Hispanic Community Health Study/Study of Latinos were analyzed using complex survey procedure in SAS 9.4. Subjective self-reports of types of dental care needed (check-up or cleaning, teeth filled, teeth pulled, gum treatment, denture repair) were validated against objectively determined oral disease status [dental decay, periodontitis, bleeding on probing (BOP) and count of missing teeth]. Results Individuals who reported needing a cleaning/checkup were twice as likely to present with BOP upon oral examination (POR = 2.01, 95% CI: 1.54, 2.63). Similarly, individuals who reported needing gum treatment were more likely to present with periodontitis (POR = 1.96, 95% CI: 1.71, 2.24) and BOP (POR = 2.70, 95% CI: 2.37, 3.07) upon oral examination. In multivariable prediction modeling, demographic factors and subjective dental care measures were associated with the respective oral disease states. Moreover, the sensitivity, specificity, and area under the ROC curve for the count of missing teeth were, respectively, 77 percent, 57 percent, and 0.84, while the positive predictive value (PPV) was 26 percent. Conclusions In bivariate analysis, self-reported type of dental care needed appear indicative of actual oral disease state and may be of value for the surveillance of oral diseases when clinical measures are unattainable. In multivariable prediction modeling, these subjective measures had low PPVs thus limiting the generalizability of our findings. Nonetheless, validation and refinement of these constructs in other populations is warranted.
机译：目的评估在拉美裔/拉丁裔样本中，主观自我评估口腔护理需求与客观口腔疾病状况的表现。方法采用SAS 9.4中的复杂调查程序，对2008-2011年拉美裔社区健康研究/拉美裔研究的13561名参与者的数据进行分析。根据客观确定的口腔疾病状态[龋齿、牙周炎、探诊出血（BOP）和缺牙计数]，对所需牙科护理类型（检查或清洁、补牙、拔牙、牙龈治疗、义齿修复）的主观自我报告进行验证。结果报告需要清洁/检查的个体在口腔检查时出现BOP的可能性是对照组的两倍（POR=2.01，95%CI:1.54，2.63）。同样，报告需要牙龈治疗的个体在口腔检查时更容易出现牙周炎（POR=1.96，95%可信区间：1.71,2.24）和BOP（POR=2.70，95%可信区间：2.37,3.07）。在多变量预测模型中，人口统计学因素和主观牙科护理措施与各自的口腔疾病状态相关。此外，ROC曲线下缺失牙齿计数的敏感性、特异性和面积分别为77%、57%和0.84，而阳性预测值（PPV）为26%。结论在双变量分析中，自我报告的所需牙科护理类型似乎表明了实际的口腔疾病状态，在无法获得临床措施时，可能对口腔疾病的监测有价值。在多变量预测模型中，这些主观指标的PPV较低，因此限制了我们研究结果的普遍性。尽管如此，在其他人群中验证和完善这些结构是有必要的。

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