We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Contextual and individual determinants of oral health-related quality of life in older Brazilians.
- Authors
Silva Souza, João Gabriel; Costa Oliveira, Bárbara Emanoele; De Barros Limaq Martins, Andrea Maria Eleutério; Souza, João Gabriel Silva; Martins, Andrea Maria Eleutério De Barros Lima
- Abstract
<bold>Purpose: </bold>This cross-sectional, population-based study evaluated contextual and individual determinants on the oral health-related quality of life in older Brazilians.<bold>Materials and Methods: </bold>Data from the National Survey of Oral Health were used. The sample was selected by multi-stage probability cluster sampling, with probability proportional to size. The Oral Impacts on Daily Performance (OIDP) was used to evaluate oral health-related quality of life (OHRQoL). Contextual variables of municipalities and individual variables of older people were included. Descriptive, bivariate and multilevel analyses were conducted.<bold>Results: </bold>Of the sample of 7619 older Brazilians, 45.7% was impacted by at least one of the OIDP items. The item impact average was 1.2 (95% CI 1.04-1.37). The impact on OHRQoL was lower in older Brazilians residents in municipalities with the highest value of the GINI index (contextual variable) (p = 0.007), among edentulous people (p = 0.001) and dental prosthesis users (p < 0.001). This impact was greater among older people of nonwhite skin color (p = 0.024), lower family income (p = 0.024) and dissatisfied with the oral health (p < 0.001).<bold>Conclusion: </bold>A high prevalence of oral problems impacting OHRQoL in older Brazilians was identified. Furthermore, the impact prevalence was related to a positive situation in contextual determinants and a negative situation for the individual, showing a social inequalities profile in relation to individual determinants.
- Subjects
BRAZIL; QUALITY of life; CLUSTER sampling; BIVARIATE analysis; CROSS-sectional method; DISEASE prevalence; MENTAL health; ORAL hygiene
- Publication
Quality of Life Research, 2017, Vol 26, Issue 5, p1295
- ISSN
0962-9343
- Publication type
journal article
- DOI
10.1007/s11136-016-1447-7