Self-perceived neighborhood factors and OHRQoL among adolescents: a population-based study in southern Brazil

Abstract

This study aimed to assess the relationship between self-perceived neighborhood factors and oral health-related quality of life (OHRQoL) among adolescents from southern Brazil. A representative sample of 15-19-year-old students from Santa Maria, Brazil, was included. The Oral Health Impact Profile (OHIP-14) was used to assess the OHRQoL. Self-perceived neighborhood factors were assessed through a structured questionnaire and included characteristics of the neighborhood where the adolescents lived, such as the presence of paved streets, tap water, community social networks, and availability of dental services and the Family Health Strategy (FHS). In addition, socioeconomic, behavioral, and clinical variables (dental caries and malocclusion) were also evaluated. Multilevel Poisson regression analysis with a hierarchical approach was used to assess the association between predictors and OHIP-14. The rate ratio (RR) and 95% confidence intervals (CIs) were estimated. A total of 1,197 adolescents were included in this study (participation rate: 72.3%). The mean OHIP-14 score was 8.4 (standard error = 0.2), ranging from 0 to 49. Living in residences with unpaved streets (RR = 1.11, 95%CI:1.06−1.17), no tap water (RR = 1.11, 95%CI: 1.02−1.20), absence of the FHS services (RR = 1.15, 95%CI: 1.09−1.20), and the availability of dental services (RR = 1.08, 95%CI: 1.03−1.14) were associated with higher OHIP-14 scores, indicating a poorer OHRQoL. In addition, lower socioeconomic status, visiting the dentist for curative reasons, lower frequency of brushing teeth, and higher sugar consumption were also associated with higher OHIP-14 scores. In conclusion, self-perceived neighborhood characteristics were associated with OHRQoL in adolescents. Adolescents who perceived their neighborhood as deprived had poorer OHRQoL.

Malocclusions and quality of life among adolescents: a systematic review and meta-analysis

“…Different versions of the CPQ were used: CPQ 11-14-ISF:16 ( 20 , 38 , 39 , 41 , 42 , 44 , 46 ), CPQ 11-14-ISF:8 and RSF:8 ( 35 ), and the original CPQ 11-14 37 item questionnaire ( 37 , 45 ). One study used the Generic and Condition–Specific Child Oral Impact on Daily Performances index (Child-OIDP) ( 43 ), one the Generic OIDP ( 36 ), and one the Oral Health Impact Profile-14 (OHIP-14) ( 40 ) ( Table 1 ).…”

“…Six articles ( 20 , 35 , 40 , 42 , 43 , 46 ) were assessed at overall low RoB and seven at moderate RoB ( 36–39 , 41 , 44 , 45 ). The ratings of overall RoB and for each domain are presented in Figure 2 .…”

“…Eight studies reported lower OHRQoL in groups with than without malocclusion ( 20 , 36 , 37 , 39 , 40 , 42 , 44 , 45 ). In three of four studies comparing malocclusion categories, a dose-effect gradient was found, meaning that OHRQoL gradually decreased when malocclusion increased ( 35 , 38 , 42 ).…”

Contextual and individual determinants of oral health-related quality of life among adolescents

“…The literature has pointed out that the availability of a healthcare service could be translated into access, good-quality-services, and better OHRQoL, which has been proven to be a misconception in this population. 37 Furthermore, adolescents who lived in municipalities with the highest average number of emergency dental visits per inhabitant showed a higher average OIDP. This finding is directly related to dental services offered to the population and to the presence of oral diseases.…”

Oral health, quality of life and associated factors in adults in a southern Brazilian city

“…O OHIP-14 foi motivo de investigação por diversos autores em busca de possíveis associações a variáveis sociodemográficas, como gênero (Gabardo, Moysés, Moysés, Olandoski, Olinto, & Pattussi, 2015;Nekouei, Kakoei, Najafipour, Kakooei, & Mirzaee, 2022), idade (Alvarenga et al, 2011;Bandéca, Nadalin, Calixto, Saad, & da Silva, 2011;Gabardo et al, 2015;Rodakowska et al, 2022), cor da pele (Abdelrahim, Delgado-Angulo, Gallagher, & Bernabé, 2017), escolaridade (Alvarenga et al, 2011;Gabardo et al 2015;Top, Sönmez, & Aslan, 2019), renda familiar (Gabardo et al, 2015;Htun & Peltzer, 2019) de vizinhança (Gabardo et al, 2015;Dalla Nora et al, 2022), condições e autopercepção de saúde bucal (Nekouei et al, 2022;Wagner et al, 2016;Yin et al, 2023).…”