International Journal of Epidemiology, Vol 24, S85-S89, Copyright © 1995 by International Epidemiological Association
D Locker
While there is a substantial body of data on patterns of dental disease in
both adult and child populations, there is relatively little information
concerning the consequences of oral disorders for well- being and the
quality of life. In addition, dentistry lacks measures of health outcomes
for use in dental health surveys and clinical trials. However, interest in
this area is growing and a number of oral- condition specific health status
measures have been developed over the last 10 years. The most sophisticated
is the Oral Health Impact Profile (OHIP) which is being developed and
tested by research teams in Australia, Canada and the US. This consists of
49 items organized into seven sub-scales which address the way in which
oral conditions compromise functioning and social and psychological
well-being. A study of older adults in Canada which used OHIP found that it
had good measurement properties. Nevertheless, there was only a weak
association between scores on this measure and clinical indicators of oral
disease. Further analysis revealed that social factors were as important as
clinical factors in explaining the health outcome of oral disorders. This
finding is consistent with contemporary concepts of health and provides
some evidence to support the view that the social context in which we live
is important in shaping responses to disease and the experience of health
and illness.
ARTICLES
Health outcomes of oral disorders
Department of Community Dentistry, Faculty of Dentistry, University of Toronto, Ontario, Canada.
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