Social vulnerability and factors associated with oral impact on daily performance among adolescents

Abstract Background Oral disorders may negatively affect the quality of life (QoL) of adolescents. To investigate how social vulnerability and oral-health status factors affect QoL in 15–19 years olds who participated in the “SB São Paulo 2015” state survey. Methods The relationship of several indep...

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Main Authors: Inara Pereira da Cunha, Antônio Carlos Pereira, Antônio Carlos Frias, Vladen Vieira, Marcelo de Castro Meneghim, Marília Jesus Batista, Karine Laura Cortellazzi, Jaqueline Vilela Bulgareli
Format: Article
Language:English
Published: BMC 2017-08-01
Series:Health and Quality of Life Outcomes
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12955-017-0746-1
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author Inara Pereira da Cunha
Antônio Carlos Pereira
Antônio Carlos Frias
Vladen Vieira
Marcelo de Castro Meneghim
Marília Jesus Batista
Karine Laura Cortellazzi
Jaqueline Vilela Bulgareli
author_facet Inara Pereira da Cunha
Antônio Carlos Pereira
Antônio Carlos Frias
Vladen Vieira
Marcelo de Castro Meneghim
Marília Jesus Batista
Karine Laura Cortellazzi
Jaqueline Vilela Bulgareli
author_sort Inara Pereira da Cunha
collection DOAJ
description Abstract Background Oral disorders may negatively affect the quality of life (QoL) of adolescents. To investigate how social vulnerability and oral-health status factors affect QoL in 15–19 years olds who participated in the “SB São Paulo 2015” state survey. Methods The relationship of several independent variables, namely Paulista Social Vulnerability Index (PSVI) score, gender, skin color, family income, age, untreated caries, tooth loss [determined by the Decayed, Missing, Filled-Teeth (DMF-T) index], toothache, periodontal condition [determined by the Community Periodontal Index (CPI)], and malocclusion (maxillary overjet, cross bite, or open bite) affect daily life, measured by the Oral Impacts on Daily Performance (OIDP) instrument. Logistic regression analyses were carried out based on a hierarchical model. Results The final sample consisted of 5402 adolescents. The prevalence of at least one negative impact of oral health on QoL was 37.3%. After adjustment, demographic factors that were found to influence this impact significantly (p < 0.01) were female gender [odds ratio (OR) 1.78, 95% confidence interval (CI) = 1.59–2.0], non-white skin color (OR 1.66, 95% CI = 1.47–1.88), and a low family income (OR 1.28, 95% CI = 1.28–1.29). Additionally, oral conditions associated with oral health impact on QoL included the presence of at least one untreated tooth decay lesion (OR 1.42, 95% CI = 1.25–1.61), loss of at least one tooth (OR 1.49; 95% CI = 1.25–1.78), toothache (OR 4.87, 95% CI = 4.25–5.59), bleeding on probing (OR 1.45, 95% CI = 1.25–1.68), and severe maxillary overjet (OR 1.68, 95% CI = 1.15–2.45). Conclusion Social vulnerability (PSVI score) was not associated with the OIDP score, but oral health conditions and socio-demographic variables, including gender, skin color, and income, were found to affect adolescents’ daily activities. Strategies that consider the perceptions of this segment of the population should be implemented to strengthen their autonomy and totality of care.
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spelling doaj.art-08e80b4c79564fabbdf326b7b0adbbaf2022-12-21T20:04:07ZengBMCHealth and Quality of Life Outcomes1477-75252017-08-0115111010.1186/s12955-017-0746-1Social vulnerability and factors associated with oral impact on daily performance among adolescentsInara Pereira da Cunha0Antônio Carlos Pereira1Antônio Carlos Frias2Vladen Vieira3Marcelo de Castro Meneghim4Marília Jesus Batista5Karine Laura Cortellazzi6Jaqueline Vilela Bulgareli7Department of Community Dentistry, School of Dentistry of Piracicaba, State University of CampinasDepartment of Community Dentistry, School of Dentistry of Piracicaba, State University of CampinasFaculty of Dentistry, University of São Paulo, São Paulo, BrazilThe state of São Paulo Secretary of HealthDepartment of Community Dentistry, School of Dentistry of Piracicaba, State University of CampinasDepartment of Public Health, Jundiaí Medical School, São Paulo, BrazilDepartment of Community Dentistry, School of Dentistry of Piracicaba, State University of CampinasDepartment of Community Dentistry, School of Dentistry of Piracicaba, State University of CampinasAbstract Background Oral disorders may negatively affect the quality of life (QoL) of adolescents. To investigate how social vulnerability and oral-health status factors affect QoL in 15–19 years olds who participated in the “SB São Paulo 2015” state survey. Methods The relationship of several independent variables, namely Paulista Social Vulnerability Index (PSVI) score, gender, skin color, family income, age, untreated caries, tooth loss [determined by the Decayed, Missing, Filled-Teeth (DMF-T) index], toothache, periodontal condition [determined by the Community Periodontal Index (CPI)], and malocclusion (maxillary overjet, cross bite, or open bite) affect daily life, measured by the Oral Impacts on Daily Performance (OIDP) instrument. Logistic regression analyses were carried out based on a hierarchical model. Results The final sample consisted of 5402 adolescents. The prevalence of at least one negative impact of oral health on QoL was 37.3%. After adjustment, demographic factors that were found to influence this impact significantly (p < 0.01) were female gender [odds ratio (OR) 1.78, 95% confidence interval (CI) = 1.59–2.0], non-white skin color (OR 1.66, 95% CI = 1.47–1.88), and a low family income (OR 1.28, 95% CI = 1.28–1.29). Additionally, oral conditions associated with oral health impact on QoL included the presence of at least one untreated tooth decay lesion (OR 1.42, 95% CI = 1.25–1.61), loss of at least one tooth (OR 1.49; 95% CI = 1.25–1.78), toothache (OR 4.87, 95% CI = 4.25–5.59), bleeding on probing (OR 1.45, 95% CI = 1.25–1.68), and severe maxillary overjet (OR 1.68, 95% CI = 1.15–2.45). Conclusion Social vulnerability (PSVI score) was not associated with the OIDP score, but oral health conditions and socio-demographic variables, including gender, skin color, and income, were found to affect adolescents’ daily activities. Strategies that consider the perceptions of this segment of the population should be implemented to strengthen their autonomy and totality of care.http://link.springer.com/article/10.1186/s12955-017-0746-1Oral healthQuality of lifeAdolescentSocial vulnerability
spellingShingle Inara Pereira da Cunha
Antônio Carlos Pereira
Antônio Carlos Frias
Vladen Vieira
Marcelo de Castro Meneghim
Marília Jesus Batista
Karine Laura Cortellazzi
Jaqueline Vilela Bulgareli
Social vulnerability and factors associated with oral impact on daily performance among adolescents
Health and Quality of Life Outcomes
Oral health
Quality of life
Adolescent
Social vulnerability
title Social vulnerability and factors associated with oral impact on daily performance among adolescents
title_full Social vulnerability and factors associated with oral impact on daily performance among adolescents
title_fullStr Social vulnerability and factors associated with oral impact on daily performance among adolescents
title_full_unstemmed Social vulnerability and factors associated with oral impact on daily performance among adolescents
title_short Social vulnerability and factors associated with oral impact on daily performance among adolescents
title_sort social vulnerability and factors associated with oral impact on daily performance among adolescents
topic Oral health
Quality of life
Adolescent
Social vulnerability
url http://link.springer.com/article/10.1186/s12955-017-0746-1
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