{"title":"青少年自我报告和临床明显的牙龈出血及其对口腔健康相关生活质量的影响:一项比较研究","authors":"Folake B Lawal, Elizabeth B Dosumu","doi":"10.4314/mmj.v33i2.7","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Very little is known about how self-reported gingival bleeding affects the oral health-related quality of life in adolescents compared with clinically evident bleeding. This study aimed to compare the impact of self-reported gingival bleeding and clinically evident gingival bleeding on the oral health-related quality of life in young adolescents.</p><p><strong>Methods: </strong>This was a cross-sectional study involving 976 students (aged 10-14 years) in randomly selected primary schools in Ibadan. Data were obtained by oral examination and completion of the Child Oral Impact on Daily Performance Questionnaire. Data were analysed with SPSS version 24. The Mann Whitney <i>U</i> test was used to determine the association between gingival bleeding and the quality of life.</p><p><strong>Results: </strong>The mean age of the participants was 11.4±1.3 years. Almost half (48.3%) of the participants reported gingival bleeding during tooth cleaning while the gingiva of 534 (54.7%) participants bled on examination. Pupils with self-reported bleeding suffered a significantly greater impact on their overall quality of life than those without self-reported bleeding (mean ranks: 528.1 vs. 451.6, <i>P</i><0.001). For pupils with self-reported bleeding, there were higher impacts on all domains relating to quality of life than those who did not report bleeding (eating: mean ranks=521.0 vs. 458.2; speaking: 502.2 vs. 475.8; teeth cleaning: 522.7 vs. 456.7; sleeping: 497.7 vs. 456.7; showing teeth/smiling: 503.4 vs. 474.6; emotional stability: 501.1 vs. 476.8; school work: 492.4 vs. 484.9, and enjoying contact with other children: 494.0 vs. 483.4). There was no statistically significant association between clinically evident bleeding and impacts on the quality of life (<i>P</i>=0.272).</p><p><strong>Conclusion: </strong>Almost half of the students reported gingival bleeding while cleaning their teeth and over 50% experienced gingival bleeding on probing. Those with self-reporting of gingival bleeding had greater impacts on oral health-related quality of life compared with those with clinically evident bleeding.</p>","PeriodicalId":18185,"journal":{"name":"Malawi Medical Journal","volume":"33 2","pages":"121-126"},"PeriodicalIF":1.2000,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/e8/MMJ3302-0121.PMC8560349.pdf","citationCount":"1","resultStr":"{\"title\":\"Self-reported and clinically evident gingival bleeding and impact on oral health-related quality of life in young adolescents: a comparative study.\",\"authors\":\"Folake B Lawal, Elizabeth B Dosumu\",\"doi\":\"10.4314/mmj.v33i2.7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Very little is known about how self-reported gingival bleeding affects the oral health-related quality of life in adolescents compared with clinically evident bleeding. This study aimed to compare the impact of self-reported gingival bleeding and clinically evident gingival bleeding on the oral health-related quality of life in young adolescents.</p><p><strong>Methods: </strong>This was a cross-sectional study involving 976 students (aged 10-14 years) in randomly selected primary schools in Ibadan. Data were obtained by oral examination and completion of the Child Oral Impact on Daily Performance Questionnaire. Data were analysed with SPSS version 24. The Mann Whitney <i>U</i> test was used to determine the association between gingival bleeding and the quality of life.</p><p><strong>Results: </strong>The mean age of the participants was 11.4±1.3 years. Almost half (48.3%) of the participants reported gingival bleeding during tooth cleaning while the gingiva of 534 (54.7%) participants bled on examination. Pupils with self-reported bleeding suffered a significantly greater impact on their overall quality of life than those without self-reported bleeding (mean ranks: 528.1 vs. 451.6, <i>P</i><0.001). For pupils with self-reported bleeding, there were higher impacts on all domains relating to quality of life than those who did not report bleeding (eating: mean ranks=521.0 vs. 458.2; speaking: 502.2 vs. 475.8; teeth cleaning: 522.7 vs. 456.7; sleeping: 497.7 vs. 456.7; showing teeth/smiling: 503.4 vs. 474.6; emotional stability: 501.1 vs. 476.8; school work: 492.4 vs. 484.9, and enjoying contact with other children: 494.0 vs. 483.4). There was no statistically significant association between clinically evident bleeding and impacts on the quality of life (<i>P</i>=0.272).</p><p><strong>Conclusion: </strong>Almost half of the students reported gingival bleeding while cleaning their teeth and over 50% experienced gingival bleeding on probing. Those with self-reporting of gingival bleeding had greater impacts on oral health-related quality of life compared with those with clinically evident bleeding.</p>\",\"PeriodicalId\":18185,\"journal\":{\"name\":\"Malawi Medical Journal\",\"volume\":\"33 2\",\"pages\":\"121-126\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2021-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/e8/MMJ3302-0121.PMC8560349.pdf\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Malawi Medical Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.4314/mmj.v33i2.7\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Malawi Medical Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4314/mmj.v33i2.7","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 1
摘要
背景:与临床明显出血相比，自我报告的牙龈出血对青少年口腔健康相关生活质量的影响知之甚少。本研究旨在比较自我报告的牙龈出血和临床明显的牙龈出血对青少年口腔健康相关生活质量的影响。方法:这是一项横断面研究，涉及伊巴丹市随机选择的小学976名学生(10-14岁)。数据通过口腔检查和填写儿童口腔对日常表现的影响问卷获得。数据采用SPSS version 24进行分析。曼-惠特尼U测试用于确定牙龈出血与生活质量之间的关系。结果:患者平均年龄11.4±1.3岁。几乎一半(48.3%)的参与者报告在清洁牙齿时牙龈出血，而534名(54.7%)参与者在检查时牙龈出血。自我报告出血的学生对其整体生活质量的影响明显大于没有自我报告出血的学生(平均排名:528.1比451.6,PP=0.272)。结论:近一半的学生报告在清洁牙齿时牙龈出血，超过50%的学生报告在探牙时牙龈出血。与临床明显出血的患者相比，自我报告有牙龈出血的患者对口腔健康相关生活质量的影响更大。
Self-reported and clinically evident gingival bleeding and impact on oral health-related quality of life in young adolescents: a comparative study.
Background: Very little is known about how self-reported gingival bleeding affects the oral health-related quality of life in adolescents compared with clinically evident bleeding. This study aimed to compare the impact of self-reported gingival bleeding and clinically evident gingival bleeding on the oral health-related quality of life in young adolescents.
Methods: This was a cross-sectional study involving 976 students (aged 10-14 years) in randomly selected primary schools in Ibadan. Data were obtained by oral examination and completion of the Child Oral Impact on Daily Performance Questionnaire. Data were analysed with SPSS version 24. The Mann Whitney U test was used to determine the association between gingival bleeding and the quality of life.
Results: The mean age of the participants was 11.4±1.3 years. Almost half (48.3%) of the participants reported gingival bleeding during tooth cleaning while the gingiva of 534 (54.7%) participants bled on examination. Pupils with self-reported bleeding suffered a significantly greater impact on their overall quality of life than those without self-reported bleeding (mean ranks: 528.1 vs. 451.6, P<0.001). For pupils with self-reported bleeding, there were higher impacts on all domains relating to quality of life than those who did not report bleeding (eating: mean ranks=521.0 vs. 458.2; speaking: 502.2 vs. 475.8; teeth cleaning: 522.7 vs. 456.7; sleeping: 497.7 vs. 456.7; showing teeth/smiling: 503.4 vs. 474.6; emotional stability: 501.1 vs. 476.8; school work: 492.4 vs. 484.9, and enjoying contact with other children: 494.0 vs. 483.4). There was no statistically significant association between clinically evident bleeding and impacts on the quality of life (P=0.272).
Conclusion: Almost half of the students reported gingival bleeding while cleaning their teeth and over 50% experienced gingival bleeding on probing. Those with self-reporting of gingival bleeding had greater impacts on oral health-related quality of life compared with those with clinically evident bleeding.
期刊介绍：
Driven and guided by the priorities articulated in the Malawi National Health Research Agenda, the Malawi Medical Journal publishes original research, short reports, case reports, viewpoints, insightful editorials and commentaries that are of high quality, informative and applicable to the Malawian and sub-Saharan Africa regions. Our particular interest is to publish evidence-based research that impacts and informs national health policies and medical practice in Malawi and the broader region.
Topics covered in the journal include, but are not limited to:
- Communicable diseases (HIV and AIDS, Malaria, TB, etc.)
- Non-communicable diseases (Cardiovascular diseases, cancer, diabetes, etc.)
- Sexual and Reproductive Health (Adolescent health, education, pregnancy and abortion, STDs and HIV and AIDS, etc.)
- Mental health
- Environmental health
- Nutrition
- Health systems and health policy (Leadership, ethics, and governance)
- Community systems strengthening research
- Injury, trauma, and surgical disorders
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