Validation of self-reported oral health among Indonesian adolescents

Abstract 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 s...

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Autores principales:	Ary Agustanti, Atik Ramadhani, Melissa Adiatman, Anton Rahardjo, Maha El Tantawi, Diah Ayu Maharani
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Self-report Oral health Adolescents Survey Caries Tooth loss Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/e9b82c88e5cf41d196b0b208ca4ad5d7
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spelling	oai:doaj.org-article:e9b82c88e5cf41d196b0b208ca4ad5d72021-11-21T12:32:23ZValidation of self-reported oral health among Indonesian adolescents10.1186/s12903-021-01953-x1472-6831https://doaj.org/article/e9b82c88e5cf41d196b0b208ca4ad5d72021-11-01T00:00:00Zhttps://doi.org/10.1186/s12903-021-01953-xhttps://doaj.org/toc/1472-6831Abstract 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.Ary AgustantiAtik RamadhaniMelissa AdiatmanAnton RahardjoMaha El TantawiDiah Ayu MaharaniBMCarticleSelf-reportOral healthAdolescentsSurveyCariesTooth lossDentistryRK1-715ENBMC Oral Health, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Self-report Oral health Adolescents Survey Caries Tooth loss Dentistry RK1-715
spellingShingle	Self-report Oral health Adolescents Survey Caries Tooth loss Dentistry RK1-715 Ary Agustanti Atik Ramadhani Melissa Adiatman Anton Rahardjo Maha El Tantawi Diah Ayu Maharani Validation of self-reported oral health among Indonesian adolescents
description	Abstract 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.
format	article
author	Ary Agustanti Atik Ramadhani Melissa Adiatman Anton Rahardjo Maha El Tantawi Diah Ayu Maharani
author_facet	Ary Agustanti Atik Ramadhani Melissa Adiatman Anton Rahardjo Maha El Tantawi Diah Ayu Maharani
author_sort	Ary Agustanti
title	Validation of self-reported oral health among Indonesian adolescents
title_short	Validation of self-reported oral health among Indonesian adolescents
title_full	Validation of self-reported oral health among Indonesian adolescents
title_fullStr	Validation of self-reported oral health among Indonesian adolescents
title_full_unstemmed	Validation of self-reported oral health among Indonesian adolescents
title_sort	validation of self-reported oral health among indonesian adolescents
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e9b82c88e5cf41d196b0b208ca4ad5d7
work_keys_str_mv	AT aryagustanti validationofselfreportedoralhealthamongindonesianadolescents AT atikramadhani validationofselfreportedoralhealthamongindonesianadolescents AT melissaadiatman validationofselfreportedoralhealthamongindonesianadolescents AT antonrahardjo validationofselfreportedoralhealthamongindonesianadolescents AT mahaeltantawi validationofselfreportedoralhealthamongindonesianadolescents AT diahayumaharani validationofselfreportedoralhealthamongindonesianadolescents
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Validation of self-reported oral health among Indonesian adolescents

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