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

Abstract

BackgroundOral 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.MethodsThe 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.ResultsThe 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).ConclusionSocial 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.

Dental caries experience and associated factors in 12-year-old-children: a population based-study

“…Although it is not possible to determine a direct causal relationship, the literature has reported that contextual factors such as the Human Development Index (HDI) and the Social Vulnerability Index (SVI) can influence the prevalence of dental caries. 12,13 A previous study identified that the HDI increase was related to the improvement in oral health conditions among 12-year-old children in Brazil, 8 whereas SVI influenced the experience of dental caries in adolescents. 12 Few studies, if any, have evaluated the impact of SVI on dental caries prevalence among 12-year-old children.…”

Factors that influence the oral impact on daily performance of older people in Brazil: A cross‐sectional population‐based study

“…This was a cross‐sectional study using secondary data from the 2015 São Paulo State Survey on Oral Health (SBSP‐2015). A complete description of research procedures has been previously published . Data used in this study were extracted from the public dataset of the SBSP‐2015 survey, available at https://w2.fop.unicamp.br/sbsp2015/…”

“…The questionnaire also included the oral impact on daily performance (OIDP) tool, a 9‐question survey used to assess the quality of life through the impact of oral health on daily life activities . This transculturally adapted and validated instrument was used in the last Brazilian oral health surveys . The OIDP questionnaire included physical, psychological and social impacts.…”

“…Participants could answer questions as “yes,” “no” or “don't know,” with the latter response being considered “missed” responses. Participants who answered one or more questions as “yes,” were classified as being “with impact”; whilst participants who answered all questions as “no” were interpreted as being “without impact.”…”

“…25,26 This transculturally adapted and validated instrument was used in the last Brazilian oral health surveys. 17,21,24,26 The OIDP questionnaire included physical, psychological and social impacts. Participants could answer questions as "yes," "no" or "don't know," with the latter response being considered "missed" responses.…”