Instituto Multidisciplinar em Saude, Campus Anisio Teixeira, Universidade Federal da Bahia. Rua Hormindo Barros, 58, quadra 17, lote 58, Candeias, Vitória da Conquista, BA, 45029-094, Brazil.
Health Qual Life Outcomes. 2020 Sep 29;18(1):318. doi: 10.1186/s12955-020-01567-x.
This study aimed to estimate the prevalence of negative impacts of oral health conditions on the quality of life of quilombola and non-quilombola rural adolescents and identify associated factors.
This cross-sectional study was carried out in a rural area in the countryside of Bahia, Brazil, in 2015. Participants were asked to complete the Oral Impacts on Daily Performance Questionnaire. Prevalence and prevalence ratios (PR) were estimated together with their respective 95% confidence intervals. Multiple analysis was conducted using Poisson regression with robust error variance and hierarchical entry of variables.
Of the 390 rural adolescents who took part in the study, 42.8% were quilombolas, and 45.6% of all participants reported a negative impact of their oral health conditions on their quality of life. The most prevalent impact was difficulty eating (32.6%). After adjusted analysis, the following factors were found to be associated with the negative impact of oral health conditions on quality of life: age (PR = 1.04), feeling lonely (PR = 1.42), worst evaluation of oral health (PR = 1.52), need of dental care (PR = 1.33), and occurrence of toothache in the last 6 months (PR = 1.83). Quilombolas and non-quilombolas presented with a different prevalence of discomfort when brushing their teeth and had different factors associated with the negative impact of oral health conditions on their quality of life. Both quilombola and non-quilombola rural adolescents showed a high prevalence of negative impact of oral health conditions on their quality of life.
These results support the need for improved oral healthcare for specific populations like the quilombolas. Furthermore, the results illustrate the importance of incorporating oral healthcare strategies that take into consideration the sociocultural context of adolescents.
本研究旨在评估农村克丘亚人和非克丘亚青少年的口腔健康状况对生活质量的负面影响，并确定相关因素。
这是一项于 2015 年在巴西巴伊亚州农村进行的横断面研究。要求参与者完成《日常口腔功能影响问卷》。估计了患病率和患病率比（PR）及其各自的 95%置信区间。使用具有稳健误差方差的泊松回归和变量分层输入进行多变量分析。
在参与研究的 390 名农村青少年中，42.8%是克丘亚人，45.6%的参与者报告称他们的口腔健康状况对生活质量有负面影响。最常见的影响是进食困难（32.6%）。经过调整分析，以下因素与口腔健康状况对生活质量的负面影响相关：年龄（PR=1.04）、孤独感（PR=1.42）、口腔健康最差评价（PR=1.52）、需要口腔保健（PR=1.33）、过去 6 个月内牙痛（PR=1.83）。克丘亚人和非克丘亚人在刷牙时感到不适的比例不同，并且与口腔健康状况对生活质量的负面影响相关的因素也不同。克丘亚和非克丘亚农村青少年的口腔健康状况对生活质量的负面影响都有较高的患病率。
这些结果支持为特定人群（如克丘亚人）提供更好的口腔保健服务的必要性。此外，这些结果表明，必须采取考虑到青少年社会文化背景的口腔保健策略。
