The Association Between Periodontal Status, Oral Health-Related Quality of Life and Self-Rated Oral Health in Socially Underprivileged Adolescents

IF 2.1 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2025-02-02 DOI:10.1111/cdoe.13028

Andréia Coelho Gomes Ripardo, Adriana Corrêa de Queiroz, Ana Paula Corrêa de Queiroz Herkrath, Fernando José Herkrath, Janete Maria Rebelo Vieira, Juliana Vianna Pereira, Maria Augusta Bessa Rebelo, Mario Vianna Vettore

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Abstract

Objectives

To assess the associations between periodontal conditions, dental caries, sex, psychosocial factors, socioeconomic status, oral health-related quality of life (OHRQoL), and self-rated oral health among adolescents living in socially deprived neighbourhoods.

Methods

A school-based survey was conducted in a random sample of 406 12-year-old adolescents in 11 neighbourhoods in the East region of Manaus, Brazil. Gingival status, dental calculus (Community Periodontal Index), and dental caries (DMFT index) were registered through clinical examinations. Adolescents self-completed questionnaires to assess psychosocial factors (self-esteem, sense of coherence, and oral health beliefs), socioeconomic status (family income, parent's schooling, number of goods, and house crowding), oral health-related quality of life (OHRQoL) (CPQ_11–14), and self-rated oral health. Direct and indirect relationships between variables were tested using structural equation modelling guided by the Wilson and Cleary model.

Results

Greater gingival bleeding was directly associated with worse self-rated oral health. Poor OHRQoL was directly linked to the number of teeth with dental calculus, more teeth with dental caries experience, and worse psychosocial factors. Worse socioeconomic status and dental calculus were associated with gingival bleeding. Dental calculus and socioeconomic status were indirectly associated with self-rated oral health via gingival status. OHRQoL mediated the association of dental caries experience and psychosocial factors with self-rated oral health.

Conclusions

Gingival bleeding and dental calculus may negatively affect self-reported oral health in adolescents. Socioeconomic status and psychosocial factors were also relevant determinants for oral health in this age group.

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社会贫困青少年牙周状况、口腔健康相关生活质量和自评口腔健康之间的关系

目的：评估生活在社会贫困社区的青少年牙周状况、龋齿、性别、社会心理因素、社会经济地位、口腔健康相关生活质量（OHRQoL）和自评口腔健康之间的关系。方法：在巴西马瑙斯东部地区11个社区随机抽取406名12岁青少年进行校本调查。通过临床检查登记牙龈状况、牙石（社区牙周指数）、龋齿（DMFT指数）。青少年自行完成问卷，以评估心理社会因素（自尊、连贯感和口腔健康信念）、社会经济地位（家庭收入、父母受教育程度、物品数量和房屋拥挤程度）、口腔健康相关生活质量（OHRQoL）（CPQ11-14）和自评口腔健康。使用Wilson和Cleary模型指导的结构方程模型检验变量之间的直接和间接关系。结果：较多的牙龈出血与较差的自评口腔健康直接相关。较差的OHRQoL与患牙石的牙齿数量、有龋齿经历的牙齿数量和较差的心理社会因素直接相关。较差的社会经济地位和牙石与牙龈出血有关。牙石和社会经济地位通过牙龈状况与自评口腔健康间接相关。OHRQoL介导龋病经历和心理社会因素与自评口腔健康的关联。结论：牙龈出血和牙石可能对青少年自我报告的口腔健康产生负面影响。社会经济地位和社会心理因素也是这一年龄组口腔健康的相关决定因素。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.