青少年的社会脆弱性以及与口腔对日常表现的影响相关的因素。
Social vulnerability and factors associated with oral impact on daily performance among adolescents.
作者信息
da Cunha Inara Pereira, Pereira Antônio Carlos, Frias Antônio Carlos, Vieira Vladen, de Castro Meneghim Marcelo, Batista Marília Jesus, Cortellazzi Karine Laura, Bulgareli Jaqueline Vilela
机构信息
Department of Community Dentistry, School of Dentistry of Piracicaba, State University of Campinas, Av. Limeira, 901, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
Faculty of Dentistry, University of São Paulo, São Paulo, Brazil, Av. Prof. Lineu Prestes 2227 Butantã 05508-900, Sao Paulo, SP, Brazil.
出版信息
Health Qual Life Outcomes. 2017 Aug 30;15(1):173. doi: 10.1186/s12955-017-0746-1.
BACKGROUND
Oral 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.
METHODS
The 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.
RESULTS
The 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).
CONCLUSION
Social 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.
背景
口腔疾病可能会对青少年的生活质量产生负面影响。为了调查社会脆弱性和口腔健康状况因素如何影响参与“2015年圣保罗”州调查的15至19岁青少年的生活质量。
方法
通过口腔对日常表现影响（OIDP）工具测量几个自变量，即保利斯塔社会脆弱性指数（PSVI）得分、性别、肤色、家庭收入、年龄、未治疗的龋齿、牙齿缺失[由龋失补牙（DMF-T）指数确定]、牙痛、牙周状况[由社区牙周指数（CPI）确定]和错牙合（上颌前突、反牙合或开牙合）对日常生活的影响。基于分层模型进行逻辑回归分析。
结果
最终样本包括5402名青少年。口腔健康对生活质量至少产生一种负面影响的患病率为37.3%。调整后，发现对这种影响有显著影响（p < 0.01）的人口统计学因素为女性[优势比（OR）1.78，95%置信区间（CI）=1.59-2.0]、非白色肤色（OR 1.66，95%CI=1.47-1.88）和低家庭收入（OR 1.28，95%CI=1.28-1.29）。此外，与口腔健康对生活质量影响相关的口腔状况包括至少存在一处未治疗的龋齿病变（OR 1.42，95%CI=1.25-1.61）、至少一颗牙齿缺失（OR 1.49；95%CI=1.25-1.78）、牙痛（OR 4.87，95%CI=4.25-5.59）、探诊出血（OR 1.45，95%CI=1.25-1.68）和严重上颌前突（OR 1.68，95%CI=1.15-2.45）。
结论
社会脆弱性（PSVI得分）与OIDP得分无关，但发现口腔健康状况和社会人口统计学变量，包括性别、肤色和收入，会影响青少年的日常活动。应实施考虑该人群认知的策略，以增强他们的自主性和全面护理。
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