Quality of life measured by OHIP-14 and GOHAI in elderly people from Bialystok, north-east Poland

BMC Oral Health

Jacek Jamiołkowski³  Joanna Bagińska¹  Karolina Mierzyńska²  Ewa Rodakowska⁴ 

[1] Department of Dentistry Propaedeutics, Medical University of Bialystok, Bialystok, Poland;NZOZ Przychodnia Stomatologiczna Lucyna Mierzyńska-Ładny dentine Stomatologia, Bialystok, Poland;Department of Public Health, Medical University of Bialystok, Bialystok, Poland;Department of Restorative Dentistry, Medical University of Bialystok, Bialystok, Poland

关键词: “Fatigue effect”;    Poland;    Elderly;    Quality of life;    GOHAI;    OHIP-14;    Oral health-related quality of life;   

Others  :  1092059
DOI  :  10.1186/1472-6831-14-106

 received in 2014-03-27, accepted in 2014-08-15,  发布年份 2014

【 摘 要 】

Background

The Oral Health Impact Profile-14 (OHIP-14) and the Geriatric/General Oral Health Assessment Index (GOHAI) have never been compared for a group of the same subjects in the Polish population. The aim of the study was to compare the OHIP-14 and GOHAI measures.

Methods

178 independently living people over the age of 55 were included in the study. The GOHAI and OHIP-14 measures were used. Other variables included age, gender, self-ratings of oral general health, education, number of missing teeth, chewing problems and dry mouth.

Results

The mean age of respondents was 70.8 years. The internal reliability (Cronbach’s alpha) showed a high internal consistency for both measures. Spearman’s rank correlation coefficient between the GOHAI and OHIP-14 scores was 0.81. Using the additive method of creating scores, 1.1% of respondents had the GOHAI score of zero, indicating no impact from oral conditions, while 13.5% of them had an OHIP-14 score of zero. Dental status, partial dentures, chewing problems, dry mouth and self-rated oral health were significantly associated with the results of the GOHAI and the OHIP-14 (Kruskal–Wallis test, Mann–Whitney U test). The numbers of preserved and missing teeth significantly correlated with the GOHAI and the OHIP-14, while DMF was significantly associated with the GOHAI only. 6 individuals with discrepant results were revealed. After the exclusion of the abovementioned patients, the internal reliability (Cronbach’s alpha) still showed a high internal consistency, and the correlation between the GOHAI and OHIP-14 scores using Spearman’s rank-correlation coefficient increased to 0.87. This phenomenon was identified as a “fatigue effect”.

Conclusions

There was a strong correlation between the GOHAI and the OHIP-14. Both instruments demonstrated good discriminant properties and helped capture the respondents’ oral health problems. The questionnaires should be randomly distributed to avoid the influence of “fatigue effect” on the results of a comparison of different measures.

【 授权许可】

   
2014 Rodakowska et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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