Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz/FIOCRUZ, Rio de Janeiro, BR.
Health Qual Life Outcomes. 2012 Jan 13;10:5. doi: 10.1186/1477-7525-10-5.
Individuals connected to supportive social networks have better general and oral health quality of life. The objective of this study was to assess whether there were differences in oral health related quality of life (OHRQoL) between women connected to either predominantly home-based and work-based social networks.
A follow-up prevalence study was conducted on 1403 pregnant and post-partum women (mean age of 25.2 ± 6.3 years) living in two cities in the State of Rio de Janeiro, Brazil. Women were participants in an established cohort followed from pregnancy (baseline) to post-partum period (follow-up). All participants were allocated to two groups; 1. work-based social network group--employed women with paid work, and, 2. home-based social network group--women with no paid work, housewives or unemployed women. Measures of social support and social network were used as well as questions on sociodemographic characteristics and OHRQoL and health related behaviors. Multinomial logistic regression was performed to obtain OR of relationships between occupational contexts, affectionate support and positive social interaction on the one hand, and oral health quality of life, using the Oral Health Impacts Profile (OHIP) measure, adjusted for age, ethnicity, family income, schooling, marital status and social class.
There was a modifying effect of positive social interaction on the odds of occupational context on OHRQoL. The odds of having a poorer OHIP score, ≥ 4, was significantly higher for women with home-based social networks and moderate levels of positive social interactions [OR 1.64 (95% CI: 1.08-2.48)], and for women with home-based social networks and low levels of positive social interactions [OR 2.15 (95% CI: 1.40-3.30)] compared with women with work-based social networks and high levels of positive social interactions. Black ethnicity was associated with OHIP scores ≥ 4 [OR 1.73 (95% CI: 1.23-2.42)].
Pregnant and post-partum Brazilian women in paid employment outside the home and having social supports had better OHRQoL than those with home-based social networks.
与支持性社交网络有联系的个体拥有更好的一般和口腔健康生活质量。本研究的目的是评估与主要基于家庭和基于工作的社交网络有联系的个体之间的口腔健康相关生活质量（OHRQoL）是否存在差异。
对居住在巴西里约热内卢州两个城市的 1403 名怀孕和产后妇女（平均年龄 25.2 ± 6.3 岁）进行了一项随访患病率研究。这些女性是一个已建立的队列的参与者，从怀孕（基线）到产后（随访）期间进行了随访。所有参与者被分为两组；1.基于工作的社交网络组——有带薪工作的职业女性，和 2.基于家庭的社交网络组——没有带薪工作的女性、家庭主妇或失业女性。使用社会支持和社交网络测量、社会人口特征以及口腔健康相关生活质量和健康相关行为问题的问卷。采用多变量逻辑回归来获得职业背景、情感支持和积极社会互动与使用口腔健康影响概况（OHIP）测量的口腔健康质量之间的关系的比值比（OR），调整了年龄、种族、家庭收入、教育程度、婚姻状况和社会阶层。
积极社会互动对职业背景对 OHRQoL 的影响具有修饰作用。与基于工作的社交网络和高水平的积极社会互动相比，具有基于家庭的社交网络和中度积极社会互动的女性[OR 1.64（95%CI：1.08-2.48）]和具有基于家庭的社交网络和低水平积极社会互动的女性[OR 2.15（95%CI：1.40-3.30）]，出现 OHIP 评分≥4 的可能性更高。与基于工作的社交网络和高水平的积极社会互动相比，黑人种族与 OHIP 评分≥4 相关[OR 1.73（95%CI：1.23-2.42）]。
与具有基于家庭的社交网络的女性相比，从事家庭以外有薪工作且获得社会支持的巴西怀孕和产后女性的 OHRQoL 更好。
