The roles of contextual and individual social determinants of oral health-related quality of life in Brazilian adults.

Purpose: This study investigated the relationship between contextual and individual social determinants of oral health-related quality of life (OHRQoL) in Brazilian adults.Methods: Data of 4594 Brazilian adults aged 35-44 years from the 2010 Brazilian Oral Health Survey were analysed. OHRQoL was mea...

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Publicado en:Quality of Life Research Vol. 25; no. 4; pp. 1029 - 1043
Autores principales: Vettore, Mario, Aqeeli, Amal, Vettore, Mario Vianna
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2016
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11136-015-1118-0
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        atl: The roles of contextual and individual social determinants of oral health-related quality of life in Brazilian adults.
      aug:
        au:
          Vettore, Mario
          Aqeeli, Amal
          Vettore, Mario Vianna
        affil: Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent Sheffield S10 5SX UK
      sug:
        subj:
          Oral Hygiene Statistics and Numerical Data
          Surveys
          Mouth Diseases Prevention and Control
          Oral Health
          Quality of Life
          Brazil
          Female
          Social Behavior
          Male
          Prevalence
          Adult
          Eating
          Socioeconomic Factors
          Income
          Sleep
          Scales
          Questionnaires
          Human
          Adult: 19-44 years
          Female
          Male
      ab: Purpose: This study investigated the relationship between contextual and individual social determinants of oral health-related quality of life (OHRQoL) in Brazilian adults.Methods: Data of 4594 Brazilian adults aged 35-44 years from the 2010 Brazilian Oral Health Survey were analysed. OHRQoL was measured using the Oral Impacts on Daily Performance (OIDP). Contextual socio-economic characteristics at city level assessed in 1991 and 2000 included social deprivation measured by Human Development Index (HDI) and income inequality (Gini index). Individual socio-economic characteristics included family income, schooling and number of goods. Covariates were age, sex, ethnicity and clinical oral measures. Multilevel multivariable Poisson regression analysis was carried to investigate the association of contextual and individual social characteristics with OIDP extent and with each OIDP item.Results: Eating and cleaning teeth were the most reported daily activities influenced by oral conditions. In the adjusted analysis, low HDI 1991 and individual social characteristics (lower family income and lower schooling) were associated with OIDP extent. Sex (females) and all clinical oral measures were also associated with OIDP. Adults living in the cities with low HDI 1991 were more likely to have impact on eating and sleeping, whereas living in cities with high Gini index 1991 increased the prevalence of impact on emotional status, work and social contact. Low income was associated with all OIDP items.Conclusion: Poor contextual social determinants and lower individual socio-economic position are associated with worse OHRQoL among Brazilian adults, even after adjusting for individual socio-demographic and clinical oral health variables.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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