scholarly journals Use of Oral Health Impact Profile-14 (OHIP-14) in Different Contexts. What Is Being Measured?

Author(s):  
Lucas Arrais Campos ◽  
Timo Peltomäki ◽  
João Marôco ◽  
Juliana Alvares Duarte Bonini Campos

The Oral Health Impact Profile-14 (OHIP-14) has been used to assess the impact that oral health problems can have on an individual’s life. Different theoretical models were proposed to evaluate the results. The aims of this study were to evaluate the fit of different factorial models of the OHIP-14 to non-dental patients (NDP) and dental patients (DP) samples from Brazil and Finland and to estimate the differential functioning of the items in the OHIP-14 between the samples. Two studies were conducted, one in Brazil and the other in Finland, composed of five samples (Brazil—Sample 1 (S1): DP, n = 434, age: 25.3 [SD = 6.3] years; S2: NDP, n = 1486, age: 24.7 [SD = 5.6] years; S3: DP, n = 439, age: 29.0 [SD = 6.7] years; Finland—S4: DP, n = 482, age: 26.3 [SD = 5.4] years; S5: NDP, n = 2425, age: 26.7 [DP = 5.5] years). The fit of the OHIP-14 models to the data was estimated using a confirmatory strategy (validity based on the internal structure). Differential item functioning (DIF) between samples was estimated. For NDP from both countries, the response pattern severely violated the normality assumption in six items of the OHIP-14, indicating that the instrument does not fit for these samples. For DP, the model with the best fit was unifactorial, which deals with the estimation of the general impact of oral health on an individual’s life, without addressing specific dimensions. Configural invariance was refuted between samples. DIF indicated that the characteristic of the sample (NDP and DP) in both countries interfered in the response given to the items, with the response level being more adequate for the latent PD trait. The validity of data related to the impact of oral health problems on an individual’s life was confirmed through a unifactorial model. OHIP-14 works properly in DP samples and was limited in NDP samples, being also influenced by cultural context and age.

2018 ◽  
Vol 20 (3) ◽  
pp. 173
Author(s):  
Clea Adas Saliba Garbin ◽  
Bruno Wakayama ◽  
Tania Adas Saliba ◽  
Artenio Jose Isper Garbin

Abstract Chemical dependency is a chronic disease, which in addition to generating catastrophic consequences throughout the social structure, favors the appearance of oral alterations, which are influential factors in the quality of life of these individuals. The objective of this study was to investigate the impact of oral health status, self-perception, oral hygiene habits and access to dental services in the quality of life of drug addicts. This is a quantitative cross-sectional exploratory study with chemical dependents living in poverty in a rehabilitation center.  The data collection was divided in two phases, the first with the application of two research instruments, a survey built exclusively for this study and the Oral Health Impact Profile (OHIP-14). The second phase was performed the DMFT index (decayed, missing and restored teeth). In the analysis of the data, the OHIP-14 was processed by the additive method, and dichotomized by low median and high impact. The bivariate analyzes were performed with the independent variables using the chi-square test and Fisher’s exact test with a significance level of 5%. 38 individuals in a state of recovery and social reinsertion were part of the study. There were statistically significant associations between quality of life and tooth pain in the last 6 months, need for dental treatment, xerostomia, DMFT, and daily toothbrushing number. It was concluded that there was the impact of oral health condition, self-perception and habits of hygiene on the quality of life of chemical dependents. However, no statistically significant associations were found regarding access to dental services.Keywords: Oral Health. Substance-Related Disorders. Public Health.ResumoA dependência química é uma doença crônica, que além de gerar consequências catastróficas em toda a estrutura social, favorece o surgimento de alterações bucais, que são fatores influentes na qualidade de vida destes indivíduos. Objetivou-se investigar o impacto da condição de saúde bucal, autopercepção, hábitos de higiene oral e acesso aos serviços odontológicos na qualidade de vida de dependentes químicos. Trata-se de um estudo exploratório transversal quantitativo com dependentes químicos em situação de pobreza de um centro de reabilitação. A coleta dos dados foi divida em duas fases, sendo a primeira com aplicação de dois instrumentos de pesquisa, um inquérito construído exclusivamente para este estudo e o Oral Health Impact Profile (OHIP-14). A segunda fase foi realizada o índice CPO-D (dentes cariados peridos e restaurados). Para análise dos dados, o OHIP-14 foi processado pelo método aditivo, e  dicotomizado pela mediana em baixo e alto impacto. A partir disto, foram feitas as análises bivariadas com as variáveis independentes utilizando o teste Qui-quadrado e Exato de Fisher com nível de significancia em 5%. Fizeram parte do estudo 38 indivíduos em estado de recuperação e reinserção social. Verificouse associações estatisticamente significantes entre a qualidade de vida e a dor de dente nos últimos 6 meses, necessidade de tratamento odontológico, xerostomia, CPO-D e número de escovação dentária diária. Conclui-se que houve o impacto da condição de saúde bucal, autopercepção e hábitos de higiene horal na qualidade de vida dos dependentes químicos. Entretanto, não foram encontradas associações significantes em relação ao acesso aos serviços odontológicos.Palavras-chave: Saúde Bucal. Transtornos Relacionados ao Uso de Substâncias. Saúde Pública. 


Author(s):  
Jacco G. Tuk ◽  
Jerome A. Lindeboom ◽  
Misha L. Tan ◽  
J. de Lange

Abstract Objective The objective of this study was to assess the impact of orthognathic surgery for dental facial deformities on oral health-related quality of life (OHRQoL) in the immediate postoperative period up to at least 1 year after surgery. Study design This prospective study evaluated data from 85 patients. OHRQoL was assessed using the Dutch version of the Oral Health Impact Profile questionnaire (OHIP-14NL) preoperatively (T0), each day for 7 days postoperatively (T1–T7) and 4 weeks (T8), 6 months (T9), and at least 1 year (T10) after surgery. The total OHIP score was calculated for each patient, with higher OHIP scores indicating a worse impact on oral health. Patients also completed an extra questionnaire about self-care, discomfort, and experienced pain (rated on a 10-point scale) in the postoperative period (T1–T10). Results The mean OHIP score increased sharply at T1 compared to T0 but decreased significantly in the first postoperative week. The mean OHIP score at T8 was still higher than before surgery. However, at T9 and T10, the mean OHIP score was significantly lower than at T0 (P < .05). No significant difference in OHIP score was found between gender, age, type of surgery, and indication for surgery. Pain significantly decreased from T6 to T0. The OHIP and pain scores significantly positively correlated at every time point except T9. Conclusion The findings indicate that OHRQoL is reduced from baseline in the immediate postoperative period but improves over time. By 1 year, OHRQoL improves significantly after orthognathic surgery in patients with dentofacial deformities.


2016 ◽  
Vol 28 (2) ◽  
Author(s):  
Anne Agustina Suwargiani ◽  
Indra Mustika Setia Pribadi ◽  
Wahyu Hidayat ◽  
Tadeus Arufan Yasrin

Introduction: The impact of oral health on quality of life of pregnant woman can be measured with the Oral Health Impact Profile-14 (OHIP 14). OHIP 14 is a measuring instrument that measures the functional limitations, physical pain, psychological discomfort, physical disability, psychological disorders, social disorder and disability. validity and reliability of a questionnaire is needed to measure the impact of dental health. The objectives of this study was to get the data validity and OHIP14 questionnaire reliability in pregnant woman. Methods: The research material that OHIP questionnaire 14 that has been adapted to the language and culture of Indonesia. Analysis of the questionnaire on the validity and reliability used correlation test. Research conducted by accidental sampling. Population study was pregnant woman who went to the beauty clinic in Banjaran District of Bandung. Sample study was pregnant woman. The inclusion criteria of sample is in good general state of health, exclusion criteria that do not have a systemic disorder. Result: Validity OHIP14 is the value of R calculated in the range from 0.495 to 0.647, r value calculated in 95% confidence level is 0.374 and in 99% confidence level is 0.474. The coefficient of reliability of 14 item instrument is 0.944. Conclusion: 14 OHIP questionnaire given to pregnant woman to be stated is valid and reliable.


2013 ◽  
Vol 14 (9) ◽  
pp. 4349-4358 ◽  
Author(s):  
Eun-Hee Kim ◽  
Min-Kyoung Park ◽  
In-Young Ku ◽  
Seon-Jeong Moon ◽  
Seung-Hyeon Kim

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