Impact of oral condition on the quality of life of homeless people

Abstract

OBJECTIVE: To describe the prevalence of oral health impact on quality of life and its association with the dental condition and sociodemographic factors of homeless people. METHODS: The sample was composed of 116 adults, temporarily attended by a public institution in the municipality of Goiânia, state of Goiás. Interviews were carried out including the Oral Impact on Daily Performance instrument and sociodemographic aspects. Clinical examinations were done by a trained examiner considering criteria of the World Health Organization. We evaluated dental caries (DMFT index) and use or need to use some type of prosthesis. For the statistical analysis of data, we used Pearson’s Chi-square and Fisher’s exact tests and Poisson regression with robust variance. RESULTS: Of the total respondents, 81.9% had at least one daily performance affected by dental problems in the six months prior the survey. The most prevalent dental conditions were: need for lower arch (76.7%) and upper arch prosthesis (69.0%); untreated caries (75.9%); and high DMFT (57.8%). In bivariate analysis, only the need for upper prosthesis variable was associated with the impact (high Oral Impact on Daily Performance). In the regression model, adjusted for time in the institution, age, and sex, this association remained significant (p = 0.015). Individuals without need for upper prosthesis had prevalence of high impact on daily performance 55% lower than those in need of this type of prosthesis (p = 0.018). CONCLUSIONS: The prevalence of oral health impact on quality of life of homeless people was high and higher than that verified in the overall Brazilian population. The impact was associated with the need for upper prosthesis, regardless of sociodemographic characteristics of the individuals.

Oral health-related quality of life among a group of patients with substance use disorders in rehabilitation treatment: a cross-sectional study

“…In accordance with the result of the study of Iranian general population [ 10 ], and the study of homeless people in Brazil [ 12 ], the most prevalent OIDP impact during the previous 6 months was “difficulty eating”. The most prevalent oral conditions affecting daily activities were tooth loss and dental decay.…”

“…This finding is similar to that of a sample of Portuguese in-treatment alcoholic patients that as high as 62.4% reported a negative impact on OHRQoL fairly often or often [ 19 ]. In addition to a group of homeless people in Brazil with the prevalence score of 81.9% [ 12 ], as high as 74.5% of Brazilian crack users reported a negative impact on OHRQoL at least fairly often [ 7 ].…”

“…Thus, oral health professionals should also consider the impact of oral problems on patients’ quality of life as part of their oral health need assessment [ 10 , 11 ]. In addition, understanding the social impact of oral complications helps policy maker to prioritize the resources and to reduce the inequalities [ 12 ].…”

Dental Caries Experience and Associated Factors Among Brazilian Homeless Persons: A Cross-Sectional Study

“…Poverty, low education and socioeconomic levels and deleterious habits, are factors associated with dental caries (Petersen & Yamamoto, 2005). In addition to exposure to factors common to the occurrence of dental caries, homeless individuals tend not to have permanent and steady living arrangements, and have adverse physical and psychic conditions, contributing to not being common targets for health investigations and actions (Lawder et al, 2019).…”

Epidemiologia da cárie dentária em crianças pré-escolares de um município do Nordeste Brasileiro

“…A literatura mostra a influência marcante dos fatores sociais, econômicos e culturais na distribuição desigual dos problemas de saúde bucal na população, com maior prevalência de doenças na população com menos assistência social e sanitária. (4,(5)(6)(7) Em crianças com idade pré-escolar -até os seis anos de idade -, a cárie é conceituada pela American Academy of Pediatric Dentistry (AAPD) como Cárie Precoce da Infância (CPI), e definida como a presença de um ou mais dentes decíduos com cárie (cavitada ou não cavitada), restaurados ou perdidos devido a cárie. (8) O índice ceo-d possibilita a expressão quantitativa de prevalência da cárie para a dentição decídua, medindo o percentual de crianças com dentes decíduos cariados (c), com extração indicada ou perdidos devido à cárie (e) e obturados (o), em determinado período e espaço geográfico.…”