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牙周疾病对巴西统一卫生系统使用者健康相关生活质量的影响。

Impact of periodontal diseases on health-related quality of life of users of the brazilian unified health system.

作者信息

Palma Pamella Valente, Caetano Paula Liparini, Leite Isabel Cristina Gonçalves

机构信息

School of Dentistry, Institutional Programs for Scientific Start-Up Grants (XX PIBIC/UFJF), Federal University of Juiz de Fora (UFJF), 36036-900 Juiz de Fora, MG, Brazil ; Public Health Department of the School of Medicine, Federal University of Juiz de Fora, Street José Lourenço Kelmer, Campus Universitário-São Pedro, 36036-900 Juiz de Fora, MG, Brazil.

School of Dentistry, Institutional Programs for Scientific Start-Up Grants (XX PIBIC/UFJF), Federal University of Juiz de Fora (UFJF), 36036-900 Juiz de Fora, MG, Brazil.

出版信息

Int J Dent. 2013;2013:150357. doi: 10.1155/2013/150357. Epub 2013 Dec 18.

Abstract

Objective. This study assessed the impact of periodontal diseases on health-related quality of life of adult users of the Brazilian Unified Health System. Study Design. A cross-sectional study was conducted on an outpatient basis. The sample included 151 adults treated in the Periodontics section at Dental Specialty Centres of Juiz de Fora (Minas Gerais, Brazil). The Oral Health Impact Profile (OHIP-14) measured the impact of periodontal disease on quality of life. Participants were interviewed to obtain self-perception of general and oral health and socioeconomic data, and dental records were consulted to obtain periodontal status data. The values of central tendency of the OHIP-14 were compared with socioeconomic, demographic, and self-reported health predictors using nonparametric tests. The final analysis was performed using multiple linear regressions. Results. The results showed that psychological discomfort and physical disability exhibited a negative impact. The following variables can explain approximately 27% of the impact of oral health conditions on health-related quality of life in this group: periodontal disease, self-perceived oral health, and the need to use or replace dental prosthesis. Conclusion. The need for prosthetic rehabilitation and worse periodontal status are associated with health-related quality of life, which can be predicted by the self-perception of health.

摘要

目的。本研究评估了牙周疾病对巴西统一卫生系统成年使用者健康相关生活质量的影响。研究设计。进行了一项门诊横断面研究。样本包括在茹伊斯迪福拉(巴西米纳斯吉拉斯州)牙科专科中心牙周科接受治疗的151名成年人。口腔健康影响程度量表(OHIP - 14)用于测量牙周疾病对生活质量的影响。对参与者进行访谈以获取其对总体健康和口腔健康的自我认知以及社会经济数据,并查阅牙科记录以获取牙周状况数据。使用非参数检验将OHIP - 14的集中趋势值与社会经济、人口统计学和自我报告的健康预测因素进行比较。最终分析采用多元线性回归。结果。结果表明,心理不适和身体残疾表现出负面影响。以下变量可解释该组中口腔健康状况对健康相关生活质量影响的约27%:牙周疾病、自我感知的口腔健康以及使用或更换假牙的需求。结论。假牙修复需求和更差的牙周状况与健康相关生活质量相关,这可通过健康的自我认知来预测。

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