Socioeconomic and psychosocial associations with oral health impact and general health

Brennan, David S.; Roberts‐Thomson, Kaye

doi:10.1111/cdoe.12419

Cited by 13 publications

(25 citation statements)

References 47 publications

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“…Especially, the correlation coefficient ρ = .61 between trust and satisfaction from a previous study 31 is commensurate with r = .67 from Table 1. It is also worth noting that OHRQoL scores were associated with SES variables in both bivariate analyses and adjusted full model, which is in agreement with the findings from the study of a similar framework 30 …”

Section: Discussionsupporting

confidence: 90%

“…Variables were entered progressively into the model in five individual block entry steps (DPR and four confounding variable blocks), two clustered block entry steps (dental/oral health cluster and demographic/SES cluster), and a full model, to compare changes of regression coefficients and variance explained. The sequential entry of blocks and comparison with a full model has been adopted in a similar context of an empirical study and demonstrated its practical application to assess plausible mediation effects among variables 30 . Missing values in multi‐item scales ≤ 20% were imputed using the expectation‐maximization algorithm with an iterative maximum likelihood estimation.…”

Section: Methodsmentioning

confidence: 99%

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Dentist‐patient relationships and oral health impact in Australian adults

Song

Luzzi

Chrisopoulos

et al. 2020

Comm Dent Oral Epid

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Objectives Dentist‐patient relationships (DPRs) are a key component in clinical encounters with potential benefits for oral health outcomes. This study aimed to investigate whether better DPR variables are associated with higher oral health‐related quality of life (OHRQoL). Methods A total of 12 245 adults aged 18 years or over were randomly sampled from South Australia in 2015‐2016. Data were collected from self‐complete questionnaires and analysed as a cross‐sectional design. The outcome variable was the Oral Health Impact Profile (OHIP‐14). Explanatory DPR variables included trust in dentists, satisfaction with dental care, and dental fear. Covariates comprising oral health behaviours, dental services, demographics, and socioeconomic status were included as potential confounding variables. Bivariate correlation analyses and multivariable linear regression were performed for the associations among explanatory, outcome variables and other covariates. Results Response data were analysed from 4220 participants (response rate = 41.9%). Unadjusted mean total scores of DPR variables and OHIP‐14 were associated with most of the study participants' characteristics (P < .05). Bivariate correlations among DPR variables and OHIP‐14 showed a diverse range of coefficients (|r| or |ρ|=0.22‐0.67). Multivariable regression analyses in both individual/clustered block entry and full model indicated that higher satisfaction and less dental fear (B = –0.039 and 0.316, respectively in the full model) were associated with lower OHIP‐14 after adjusting for possible confounders (P < .01). Conclusions This study found that favourable DPR variables, mainly greater satisfaction and less dental fear are positively associated with better OHRQoL. Further studies are warranted to investigate the causality and mediation/moderation of DPR variables on oral health outcomes.

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Section: Discussionsupporting

confidence: 90%

Section: Methodsmentioning

confidence: 99%

Dentist‐patient relationships and oral health impact in Australian adults

Song

Luzzi

Chrisopoulos

et al. 2020

Comm Dent Oral Epid

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“…The results of this study showed that adverse psychosocial conditions were associated with a worse impact of oral health on quality of life, even after adjustment for demographic, socioeconomic, behavioral, and oral health service-related variables. A possible explanation for the greater impact in individuals with a worse psychosocial profile would be the fact that these variables, directly and indirectly, affect attitudes and behaviors that represent a risk to health 33,34 . For example, lower levels of social support were associated with a worse perceived impact of oral health on quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, stress might increase anxiety, directly affecting the immune system and decreasing the salivary flow. In addition to this process, we could infer that anxiety, psychological stress, and depression could indirectly influence the oral health, leading, for example, to greater consumption of candies, facilitating the progression of dental caries and periodontal diseases 34,38 . However, in the present study, the consumption of candies was not associated with either the outcome or the perceived stress.…”

Section: Rev Bras Epidemiol 2020; 23: E200049mentioning

confidence: 99%

Aspectos psicossociais e percepção de impacto da saúde bucal na qualidade de vida em adultos do Sul do Brasil

Ferreira¹,

Gonçalves

Celeste

et al. 2020

Rev. bras. epidemiol.

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RESUMO: Introdução: A pesquisa objetivou investigar a associação entre os aspectos psicossociais e o impacto das condições bucais sobre a qualidade de vida de adultos, escopo ainda pouco explorado em pesquisas nacionais. Método: Um estudo transversal de base populacional foi realizado com 1.100 adultos de 20 anos de idade ou mais, em uma cidade de médio porte do Rio Grande do Sul. O desfecho foi avaliado por meio do Oral Health Impact Profile (OHIP-14) enquanto as exposições incluíram medidas de apoio social, resiliência, senso de coerência, espiritualidade, qualidade de vida e estresse. Foram calculadas as razões de chances brutas e ajustadas, bem como seus intervalos de confiança de 95% utilizando-se regressão logística ordinal. Resultados: Após o ajuste para variáveis demográficas, socioeconômicas e comportamentais, indivíduos com baixo apoio social, baixo senso de coerência, baixa qualidade de vida e alto nível de estresse possuíam respectivamente 2,16; 2,90; 2,94; 1,50 vezes mais chance de relatar um pior impacto da condição na qualidade de vida quando comparados aos indivíduos com estas características favoráveis. Conclusões: Os achados sugerem que os aspectos psicossociais podem influenciar a avaliação que as pessoas fazem do impacto da condição bucal sobre a qualidade de vida. É importante que políticas, programas e serviços de saúde reconheçam a relação mútua entre os indicadores de saúde bucal e os aspectos psicossociais de adultos.

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“…Facial burn patients are reported to have psychosocial problems related to dissatisfaction with facial image, low self-esteem and problems to re-integrate and adapt to a new life. Stress, anxiety and depression, which are not uncommon to them, are also risk factors of tooth decay, periodontal disease, and tooth loss (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27). Recent evidence suggests that the burden of oral diseases in facial burn patients is high (28) and potentially impact on the oral health-related quality of life, but the evidence is currently a limited.…”

Section: Introductionmentioning

confidence: 99%

Oral health-related quality of life and related factors among facial burn injury patients in Pakistan.

Chaudhary¹,

Ahmad²,

Bashir³

et al. 2020

Preprint

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Background: There is a limited understanding of the long-term effect of facial burn injury on oral health. This study was aimed to describe the oral health-related quality of life of patients with facial burn injury and determine the associated risk factors.Methods: Patients with facial burn who attended the Burn Care Center in Islamabad, Pakistan were systematically and randomly selected and invited to participate in this cross-sectional study. They underwent extra- and intra-oral examinations and, completed self-administered questionnaires. The severity of disfigurement and, caries (DMFT), periodontal (CPI) and oral hygiene (OHI-S) statuses were assessed. Validated Urdu language instruments were used to collect information on sociodemographic background, oral health behaviours, oral health-related quality of life (OHIP-14) and satisfaction with appearance (SWAP). Information relating to the time of burn injury event and, cause and severity (type, TBSA) of burn were obtained from medical records. The OHIP- 14 severity (add-score) and prevalence of impact measures were derived and analysed using simple and multiple linear regression.Results: A total of 271 patients had participated in the study. The OHIP-14 prevalence of impact was 94% mean the mean add-score 37 = unit (sd = 8.5). The domains with the greatest impact prevalence were the physical pain (87%), psychological disability (87%), social disability (85%) and physical discomfort (83%). Poor clinical oral health status – particularly dental caries, oral health behaviours, severe burn injury, psychological distress and time of burn event, were associated with poor oral health-related quality of life (p< 0.05).Conclusion: Poor oral conditions, particularly caries, and severity of burn injury are the main factors that affect the oral health-related quality of life in facial burn patients. Addressing issues related to oral health behaviours, especially dental visit, may reduce the impact.

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Socioeconomic and psychosocial associations with oral health impact and general health

Abstract: For both oral health impact and general health utility, objective SES was significant in the presence of subjective SES. Psychosocial variables had important independent associations with both oral and general health.

Cited by 13 publications

References 47 publications

Dentist‐patient relationships and oral health impact in Australian adults

Dentist‐patient relationships and oral health impact in Australian adults

Aspectos psicossociais e percepção de impacto da saúde bucal na qualidade de vida em adultos do Sul do Brasil

Oral health-related quality of life and related factors among facial burn injury patients in Pakistan.

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