Oral health-related quality of life and associated factors in institutionalized adolescents: a census study

  • Caroline Fernandes e Silva Federal University Pelotas, Graduate Program in Dentistry. RS, Brazil.
  • Paulo Roberto Grafitti Colussi University of Passo Fundo, Faculty of Dentistry. RS, Brazil
  • Carla Cioato Piardi Federal University Rio Grande do Sul, Graduate Program in Dentistry. RS, Brazil
  • Patricia Weidlich Federal University Rio Grande do Sul, Faculty of Dentistry. RS, Brazil
  • Cassiano Kuchenbecker Rösing Federal University Rio Grande do Sul, Faculty of Dentistry. RS, Brazil
  • Francisco Wilker Mustafa Gomes Muniz Federal University Pelotas, Faculty of Dentistry. RS, Brazil http://orcid.org/0000-0002-3945-1752

Resumo

This study aimed to associate oral health-related quality of life (OHRQoL) and related factors in adolescents deprived of freedom. In this cross-sectional observational study, sixty-eight male adolescents deprived of freedom (from the Socio-Educational Assistance Centers from Passo Fundo, Brazil)  were included. The sample was dichotomized into those with lower impact (sum scores <16) and higher impact (sum score ≥16) on OHRQoL. Sociodemographic characteristics, medical and dental histories, and a structured questionnaire about dental perception were collected. Clinical examination was performed by using the Decayed, Missing, Filled Index. Associations between the outcome and independent variables were analyzed by uni- and multivariate Poisson regression with robust variation. Overall, a mean score OHIP-14 was 13.15±11.17. In the multivariate analysis, former smokers and current smokers presented a significant higher prevalence ratio (PR) of higher OHIP-14 scores than nonsmokers (PR= 4.70; 95%CI: 1.21–18.22 and 4.83; 95%CI:1.25–18.58, respectively). Additionally, to every decayed tooth, a significant increase in the PR of having higher OHIP-14 was 28% (PR=1.28 – 95%CI: 1.11–1.47). Conversely, adolescents that were not concerned about teeth alignment presented a significantly lower PR of being in the higher impact of OHRQoL (PR=0.42 – 95%CI: 0.19–0.93). Adolescents deprived of freedom present a high impact on OHRQoL. The number of decayed teeth and smoking exposure were associated with higher impact on OHRQoL. However, absence of teeth alignment concern was associated with lower impact on OHRQoL.

 

Keywords: Quality of Life. Adolescent. Institutionalized. Psychometrics. Adolescent Health Services.

 

Resumo

Esse estudo objetivou associar a qualidade de vida associada a saúde bucal (QVASB) e fatores relacionados em adolescentes privados de liberdade. Sessenta e oito adolescentes privados de liberdade foram incluídos. QVASB foi avaliada pelo Oral Health Impact Profile-14. A amostra foi dicotomizada em baixo impacto (soma de escores <16) e alto impacto (soma de escores ≥16) na QVASB. Características sociodemográficas, histórico médico e odontológico e um questionário estruturado sobre percepção dental foram coletados. Exame clínico foi realizado utilizando-se o Índice de dentes cariados, perdidos e obturados. Associações entre o desfecho e as variáveis independentes foram analisadas por regressão uni e multivariada de Poisson com variância robusta. Em toda a amostra, a média de escores do OHIP-14 foi de 13,15±11,17. Na análise multivariada, ex-fumantes e fumantes apresentaram significativa maior razão de prevalência (RP) de apresentarem maiores escores do OHIP-14 do que os não fumantes (RP=4,70; IC95%: 1,21 – 18,22 e 4,83; IC95%: 1,25 – 18,58, respectivamente). Além disso, para cada dente cariado, houve aumento significativo de 28% RP de ter maiores escores de OHIP-14 (RP=1,28 – IC95%: 1,11 – 1,47). Por outro lado, adolescentes que não se preocupam com o alinhamento dos seus dentes apresentaram significativo melhor RP de terem maior impacto na QVASB (RP=0,42 – IC95%: 0,19 – 0,93). Adolescentes privados de liberdade apresentaram alto impacto na QVASB. O número de dentes cariados e exposição ao fumo estiveram associados com alto impacto na QVASB. Entretanto, a ausência de preocupação com o alinhamento esteve associada com menor impacto na QVASB.

Palavras-chave: Qualidade de Vida. Adolescente Institucionalizado. Psychometria. Serviços de Saúde do Adolescente.

Referências

John MT, Koepsell TD, Hujoel P, Miglioretti DL, LeResche L, Micheelis W. Demographic factors, denture status and oral health-related quality of life. Community Dent Oral Epidemiol 2004;32(2):125-32. https://doi.org/10.1111/j.0301-5661.2004.00144.x

Sheiham A. Oral health, general health and quality of life. Bull World Health Organ 2005 ;83(9):644. https://doi.org/S0042-96862005000900004

Klotz AL, Tauber B, Schubert AL et al. Oral health-related quality of life as a predictor of subjective well-being among older adults-A decade-long longitudinal cohort study. Community Dent Oral Epidemiol 2018;46(6):631-38. https://doi.org/ 10.1111/cdoe.12416

Kragt L, Dhamo B, Wolvius EB, Ongkosuwito EM. The impact of malocclusions on oral health-related quality of life in children-a systematic review and meta-analysis. Clin Oral Investig 2016;20(8):1881-94. https://doi.org/10.1007/s00784-015-1681-3

Martins MT, Sardenberg F, Bendo CB, Abreu MH, Vale MP, Paiva SM, et al. Dental caries remains as the main oral condition with the greatest impact on children's quality of life. PLoS One 2017;12(10):e0185365. https://doi.org/10.1371/journal.pone.0185365.

Kunz F, Platte P, Keß S, Geim L, Zeman F, Proff P, et al. Correlation between oral health-related quality of life and orthodontic treatment need in children and adolescents-a prospective interdisciplinary multicentre cohort study. J Orofac Orthop 2018;79(5):297-308. https://doi.org/10.1007/s00056-018-0142-4

The World Health Organization. Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 1995;41(10):1403-9.

Arora G, Mackay DF, Conway DI, Pell JP. Ethnic differences in oral health and use of dental services: cross-sectional study using the 2009 Adult Dental Health Survey. BMC Oral Health 2016;17(1):1. https://doi.org/10.1186/s12903-016-0228-6

Brazil. Conselho Nacional de Justiça. Cadastro nacional de adolescentes em conflito com a Lei, 2016. [Acessed on: November, 26th 2018]. Available at: <http://www.cnj.jus.br/sistemas/infancia-e-juventude/20531-cadastro-nacional-de-adolescentes-em-conflito-com-a-lei-cnacl>

Brazil. Conselho Nacional de Justiça. Anuário Brasileiro de Segurança Pública, 2017. [Acessed on: November, 26th 2018]. Available at: /www.forumseguranca.org.br/wp-content/uploads/2018/09/FBSP_ABSP_edicao_especial_estados_faccoes_2018.pdf>

Brazil, Rio Grande do Sul. Fundação de Atendimento Socio-educativo do Rio Grande do Sul, 2018. [Acessed on: November, 26th 2018]. Available at: < http://www.fase.rs.gov.br/wp >

Fontanive V. Adaptação do Instrument Primary Care Assessment Tool – Brasil versão usuários dirigido à saúde bucal. Dissertação [Mestrado Faculdade de Medicina]. Porto Alegre, Universidade Federal do Rio Grande do Sul, 2011.

Furtado GE, Sousa ML, Barbosa TS, Wada RS, Martínez-Mier EA, Almeida ME. Perceptions of dental fluorosis and evaluation of agreement between parents and children: validation of a questionnaire. Cad Saude Publica 2012;28(8):1493-505.

Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the Oral Health Impact Profile-short form. Community Dent Oral Epidemiol 2005;33(4):307-14. https://doi.org/10.1111/j.1600-0528.2005.00225.x

World Health Organization (WHO). WHO: Oral health surveys - basic methods, 1997. Geneva.

Bolin K, Jones D. Oral health needs of adolescents in a juvenile detention facility. J Adolesc Health 2006;38(6):755-7. https://doi.org/10.1016/j.jadohealth.2005.05.029

Oliveira DC, Ferreira FM, Morosini IA, Torres-Pereira CC, Martins Paiva S, Fraiz FC. Impact of Oral Health Status on the Oral Health-Related Quality of Life of Brazilian Male Incarcerated Adolescents. Oral Health Prev Dent 2015;13(5):417-25. https://doi.org/10.3290/j.ohpd.a33922

Griel Iii LC, Loeb SJ. Health issues faced by adolescents incarcerated in the juvenile justice system. J Forensic Nurs 2009;5(3):162-79. https://doi.org/ 10.1111/j.1939-3938.2009.01049.x

Barnert ES, Perry R, Morris RE. Juvenile Incarceration and Health. Acad Pediatr 2016;16(2):99-109. https://doi.org/10.1016/j.acap.2015.09.004

Biazevic MG, Rissotto RR, Michel-Crosato E, Mendes, LA, Mendes MO. Relationship between oral health and its impact on quality of life among adolescents. Braz Oral Res 2008;22(1):36-42.

Baker SR, Mat A, Robinson PG. What psychosocial factors influence adolescents' oral health? J Dent Res 2010;89(11):1230-5. https://doi.org/10.1177/0022034510376650

Bastos RS, Carvalho ES, Xavier A, Caldana ML, Bastos JR, Lauris JR. Dental caries related to quality of life in two Brazilian adolescent groups: a cross-sectional randomised study. Int Dent J 2012;62(3):137-43.https://doi.org/10.1111/j.1875-595X.2011.00105.x

Colussi PR, Hugo FN, Muniz FW, Rösing CK. Oral Health-Related Quality of Life and Associated Factors in Brazilian Adolescents. Braz Dent J 2017;28(1):113-20. https://doi.org/10.1590/0103-6440201701098

Axelsson P, Paulander J, Lindhe J. Relationship between smoking and dental status in 35-, 50, 65-, and 75-year-old individuals. J Clin Periodontol 1998;25(4):297-305.

Kumar M, Nanavati R, Modi TG, Dobariya C. Oral cancer: Etiology and risk factors: A review. J Cancer Res Ther 2016;12(2):458-63. https://doi.org/10.4103/0973-1482

Walter C, Kaye EK, Dietrich T. Active and passive smoking: assessment issues in periodontal research. Periodontol 2000 2012;58(1):84-92. https://doi.org/ 10.1111/j.1600-0757.2011.00417.x

Guitérrez-Bedmar M, Seguí-Gómez M, Gómez-Gracia E, Bes-Rastrollo M, Martínez-González MA. Smoking status, changes in smoking status and health-related quality of life: findings from the SUN ("Seguimiento Universidad de Navarra") cohort. Int J Environ Res Public Health 2009;6(1):310-20. https://doi.org/10.3390/ijerph6010310

Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res 2011;90(11):1264-70. https://doi.org/10.1177/0022034511399918

Sardenberg F, Martins MT, Bendo CB, Pordeus IA, Paiva SM, Auad SM, et al. Malocclusion and oral health-related quality of life in Brazilian school children. Angle Orthod 2013;83(1):83-9. https:/doi.org/10.2319/010912-20.1

Andiappan M, Gao W, Bernabé E, Kandala NB, Donaldson AN. Malocclusion, orthodontic treatment, and the Oral Health Impact Profile (OHIP-14): Systematic review and meta-analysis. Angle Orthod 2015;85(3):493-500. https://doi.org/10.2319/051414-348.1

Publicado
2020-06-30
Seção
Artigos