Bulgareli Jaqueline Vilela, Faria Eduardo Tanajura de, Cortellazzi Karine Laura, Guerra Luciane Miranda, Meneghim Marcelo de Castro, Ambrosano Glaucia Maria Bovi, Frias Antonio Carlos, Pereira Antonio Carlos
Faculdade de Odontologia de Piracicaba, Universidade de Campinas, Piracicaba, SP, Brasil.
Departamento de Odontologia Social, Faculdade de Odontologia de Piracicaba, Universidade de Campinas, Piracicaba, SP, Brasil.
Rev Saude Publica. 2018;52:44. doi: 10.11606/s1518-8787.2018052000042. Epub 2018 Apr 12.
Analyze if clinical, sociodemographic and access to dental services variables influence the impact of oral health on the daily activities of adolescents, adults and older adults.
A cross-sectional study with secondary data from the State Oral Health Survey (SB São Paulo 2015) conducted in 163 cities of São Paulo. A total of 17,560 individuals from three age groups: 15-19-year-old (n = 5,558), 35-44-year-old (n = 6,051), and older people of 65 years or more (n = 5,951) participated in the survey. The selection was made by probabilistic sample by conglomerates in two stages. The endpoint variable was the impact of oral health on daily activities, evaluated by the Oral Impacts on Daily Performances questionnaire, containing questions about eating, talking, oral hygiene, relaxation, sports practice, smile, study or work, social contact, and sleep. Oral Impacts on Daily Performances was dichotomized with and without impact. The independent variables were sociodemographic, clinical and access variables, divided into three blocks. A hierarchical multiple logistic regression analysis was performed considering the complex sampling plan of clusters. Each observation received a specific weight, depending on the location that resulted in weighted frequencies and adjusted for the design effect.
The presence of oral health impact was observed in 27.9% of the individuals. In block 1, female gender and black/brown ethnic group had a greater chance of impact of oral health on quality of life, as well as the adults and the older adults in relation to adolescents. In block 2, family income up to R$1,500 was associated with the presence of impact. In block 3, individuals who reported toothache, used the public service and sought dental treatment had a greater chance of impact.
Sociodemographic, clinical and access to health services variables influence the impact of oral health on the daily activities of adolescents, adults and older adults.
分析临床、社会人口学以及获得牙科服务的变量是否会影响口腔健康对青少年、成年人和老年人日常活动的影响。
一项横断面研究，使用来自圣保罗州口腔健康调查（2015年圣保罗州口腔健康调查）的二手数据，该调查在圣保罗的163个城市进行。共有来自三个年龄组的17560人参与调查：15 - 19岁（n = 5558）、35 - 44岁（n = 6051）以及65岁及以上的老年人（n = 5951）。通过两阶段整群概率抽样进行选择。终点变量是口腔健康对日常活动的影响，通过《日常表现的口腔影响问卷》进行评估，该问卷包含有关进食、交谈、口腔卫生、放松、体育锻炼、微笑、学习或工作、社交接触以及睡眠等问题。《日常表现的口腔影响问卷》分为有影响和无影响两类。自变量为社会人口学、临床和获得服务的变量，分为三个板块。考虑到整群的复杂抽样方案，进行了分层多元逻辑回归分析。每个观察对象都有一个特定的权重，这取决于其所在位置，从而得出加权频率并针对设计效应进行调整。
27.9%的个体存在口腔健康影响。在板块1中，女性以及黑人/棕色人种群体的口腔健康对生活质量产生影响的可能性更大，与青少年相比，成年人和老年人也是如此。在板块2中，家庭收入低于1500雷亚尔与存在影响相关。在板块3中，报告牙痛、使用公共服务以及寻求牙科治疗的个体产生影响的可能性更大。
社会人口学、临床以及获得卫生服务的变量会影响口腔健康对青少年、成年人和老年人日常活动的影响。
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