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Comparison of GOHAI and OHIP ‐14 measures in relation to objective values of oral function in elderly J apanese
Author(s) -
Ikebe Kazunori,
Hazeyama Tomohiro,
Enoki Kaori,
Murai Shunsuke,
Okada Tadashi,
Kagawa Ryosuke,
Matsuda Kenichi,
Maeda Yoshinobu
Publication year - 2012
Publication title -
community dentistry and oral epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.061
H-Index - 101
eISSN - 1600-0528
pISSN - 0301-5661
DOI - 10.1111/j.1600-0528.2012.00683.x
Subject(s) - medicine , masticatory force , oral health , bivariate analysis , linear regression , dentistry , gerontology , statistics , mathematics
Objectives The aims of this study were to assess the correlations between the G eriatric O ral H ealth A ssessment I ndex ( GOHAI ) and the O ral H ealth I mpact P rofile‐14 ( OHIP ‐14) and to examine which survey is more sensitive to objectively measured oral function in the Japanese elderly. Methods The subjects were 290 community‐dwelling, cognitively healthy, and independently living people over the age of 60 years (mean: 66.3 years). Measures included the GOHAI and OHIP ‐14 questionnaires, as well as self‐rating of general and oral health, dry mouth, number of residual teeth, and objective values of occlusal force, masticatory performance, and salivary flow rate. Bivariate and linear regression analyses were used to identify which of these variables predicted GOHAI and OHIP ‐14 scores. Results Spearman's correlation coefficient between the GOHAI and OHIP ‐14 scores was 0.728 ( P < 0.001), although the OHIP ‐14 showed a greater number of 0 scores, suggesting a greater floor effect. At the bivariate level, self‐rating of general and oral health, dry mouth, number of residual teeth, occlusal force, and masticatory performance were associated with GOHAI and OHIP ‐14 scores. Multiple linear regression analyses showed that after controlling for the other significant variables, both the occlusal force (standardized regression coefficient [β] = −0.164, P = 0.004) and masticatory performance (β = −0.125, P = 0.019) had significant associations with the GOHAI score, whereas this association was not found with the OHIP score. Conclusions Although the GOHAI and OHIP ‐14 had a strong correlation, the GOHAI was more sensitive to the objective values of oral functions among independently living elderly persons in J apan.