Machado Fernanda W, Perroni Ana Paula, Nascimento Gustavo G, Goettems Marília L, Boscato Noéli
Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Brazil.
Section of Periodontology, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
Qual Life Res. 2017 Aug;26(8):2181-2187. doi: 10.1007/s11136-017-1558-9. Epub 2017 Mar 20.
This cross-sectional study aimed to evaluate the association of demographic and clinical characteristics, Sense of Coherence (SOC), clinical conditions (number of teeth, and use of and need for dental prostheses), and Oral Health-Related Quality of Life (OHRQoL); and if the SOC modifies the relationship of clinical conditions and OHRQoL in a sample of elders.
Trained dentists assessed the participants' oral health and conducted interviews (n = 110). Information on sociodemographic conditions (sex; age at time of data collection; educational level; household income), SOC, and OHRQoL were investigated. Clinical data included use of and need for dental prostheses; number of decayed, missing, and filled teeth; and number of teeth (categorized by median). OHRQoL was measured using the Oral Health Impact Profile (OHIP-14). Effect modification between SOC and each clinical oral condition on OHRQoL was tested in regression models.
The findings of the present study showed that individuals with high SOC presented better OHRQoL, even after adjustment for sociodemographic and clinical conditions.
SOC modifies the effect in the association between OHIP-14 scores and clinical conditions, and could be a protective factor in adverse conditions.
本横断面研究旨在评估人口统计学和临床特征、连贯感（SOC）、临床状况（牙齿数量、假牙的使用和需求）与口腔健康相关生活质量（OHRQoL）之间的关联；以及在老年人样本中，SOC是否会改变临床状况与OHRQoL之间的关系。
训练有素的牙医评估参与者的口腔健康状况并进行访谈（n = 110）。调查了社会人口统计学状况（性别；数据收集时的年龄；教育水平；家庭收入）、SOC和OHRQoL的信息。临床数据包括假牙的使用和需求；龋坏、缺失和充填牙的数量；以及牙齿数量（按中位数分类）。使用口腔健康影响量表（OHIP-14）测量OHRQoL。在回归模型中测试了SOC与每种临床口腔状况对OHRQoL的效应修正。
本研究结果表明，即使在对社会人口统计学和临床状况进行调整后，具有高SOC的个体仍具有更好的OHRQoL。
SOC改变了OHIP-14评分与临床状况之间关联的效应，并且可能是不利状况下的一个保护因素。
