Validation of self-reported oral health among Indonesian adolescents.
Adolescents
Caries
Indonesia
Oral health
Self-report
Survey
Tooth loss
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
19 11 2021
19 11 2021
Historique:
received:
10
09
2021
accepted:
08
11
2021
entrez:
20
11
2021
pubmed:
21
11
2021
medline:
15
12
2021
Statut:
epublish
Résumé
With the recognition of health as a subjective state, self-reported oral health has been applied in many epidemiological studies. However, the validity of self-reports may vary across different age groups and socio-cultural backgrounds and by using different tools. This study aimed to assess the validity of self-reported oral health of 15-year-old Indonesian adolescents. This study used data from the Indonesian National Oral Health Survey, a part of the Indonesian Basic Health Survey 2018. The study included 572 15-year-old Indonesian adolescents. We compared the presence of clinically assessed dental caries, tooth loss, and fillings following the World Health Organization Basic Health Survey method and questionnaire-based self-reported oral conditions using McNemar test. The sensitivity (Sn), specificity (Sp), and likelihood ratios (LRs) of self-reports were calculated using clinical assessment as the reference standard. The overall accuracy of self-reports in identifying the clinical condition was assessed using the area under the curve (AUC) of a receiver operating characteristic curve. Self-reports significantly underestimated the clinical presence of caries (39.3% and 67.1%) and overestimated the clinical presence of tooth loss (9.3% and 4.2%) and filling (4.7% and 2.4%, p < 0.05). All self-reported conditions had higher Sp (at least 70.3%) than Sn (max 54.2%) and the AUC for all self-reported conditions were < 0.7. Self-reporting the presence of fillings had the highest LR+ = 11. Self-reporting oral health in Indonesian adolescents had low accuracy. Further studies of other methods of self-reporting are needed before they can be used to assess adolescents' oral health in epidemiological surveys.
Sections du résumé
BACKGROUND AND AIM
With the recognition of health as a subjective state, self-reported oral health has been applied in many epidemiological studies. However, the validity of self-reports may vary across different age groups and socio-cultural backgrounds and by using different tools. This study aimed to assess the validity of self-reported oral health of 15-year-old Indonesian adolescents.
MATERIALS AND METHODS
This study used data from the Indonesian National Oral Health Survey, a part of the Indonesian Basic Health Survey 2018. The study included 572 15-year-old Indonesian adolescents. We compared the presence of clinically assessed dental caries, tooth loss, and fillings following the World Health Organization Basic Health Survey method and questionnaire-based self-reported oral conditions using McNemar test. The sensitivity (Sn), specificity (Sp), and likelihood ratios (LRs) of self-reports were calculated using clinical assessment as the reference standard. The overall accuracy of self-reports in identifying the clinical condition was assessed using the area under the curve (AUC) of a receiver operating characteristic curve.
RESULTS
Self-reports significantly underestimated the clinical presence of caries (39.3% and 67.1%) and overestimated the clinical presence of tooth loss (9.3% and 4.2%) and filling (4.7% and 2.4%, p < 0.05). All self-reported conditions had higher Sp (at least 70.3%) than Sn (max 54.2%) and the AUC for all self-reported conditions were < 0.7. Self-reporting the presence of fillings had the highest LR+ = 11.
CONCLUSIONS
Self-reporting oral health in Indonesian adolescents had low accuracy. Further studies of other methods of self-reporting are needed before they can be used to assess adolescents' oral health in epidemiological surveys.
Identifiants
pubmed: 34798849
doi: 10.1186/s12903-021-01953-x
pii: 10.1186/s12903-021-01953-x
pmc: PMC8603482
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
586Informations de copyright
© 2021. The Author(s).
Références
BMC Public Health. 2020 Oct 6;20(1):1509
pubmed: 33023540
Qual Life Res. 2020 Sep;29(9):2455-2464
pubmed: 32307626
Int Dent J. 2018 Oct;68(5):327-335
pubmed: 29624659
Front Public Health. 2017 Nov 20;5:307
pubmed: 29209603
JAMA. 2013 Nov 27;310(20):2191-4
pubmed: 24141714
J Dent Res. 2013 Nov;92(11):1041-7
pubmed: 24065636
BMC Oral Health. 2018 May 3;18(1):74
pubmed: 29724206
PLoS One. 2014 Sep 09;9(9):e106382
pubmed: 25202969
BMJ Open. 2016 Nov 14;6(11):e012799
pubmed: 28137831
BMC Oral Health. 2020 Nov 25;20(1):336
pubmed: 33238956
Asian Pac Isl Nurs J. 2019;4(2):72-76
pubmed: 31259232
Int J Environ Res Public Health. 2020 Apr 16;17(8):
pubmed: 32316219
Community Dent Oral Epidemiol. 2016 Aug;44(4):331-41
pubmed: 26952723
J Dent. 2013 Jul;41(7):581-9
pubmed: 23707644
Rev Bras Epidemiol. 2013 Sep;16(3):716-28
pubmed: 24896284
Phys Med Biol. 2018 Mar 29;63(7):07TR01
pubmed: 29512515
J Oral Sci. 2009 Dec;51(4):545-50
pubmed: 20032606
J Int Soc Prev Community Dent. 2017 Oct;7(Suppl 2):S119-S124
pubmed: 29184839