Abstract
BackgroundThis 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.MethodsThis 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.ResultsOf 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.ConclusionsThese 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.
Highlights
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
Socio-dental indicators are often used to measure the negative impact of oral health conditions on quality of life because they reflect individuals’ selfperceptions and because clinical criteria alone do not permit a holistic evaluation of the impact of oral health conditions on daily life [4]
Considering that the living environment influences individuals’ oral health [12], this study aimed to estimate the prevalence of negative impact of oral health conditions on quality of life and identify associated factors in quilombola and non-quilombola adolescents in a rural area in the countryside of Bahia, Brazil
Summary
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. Associations between oral health, general health, and quality of life are strongest, as this group is the most sensitive to the negative impacts of oral health da Silva and de Medeiros Health Qual Life Outcomes (2020) 18:318 conditions on a range of aspects, including the perception of physical appearance and pain [2]. Socio-dental indicators are often used to measure the negative impact of oral health conditions on quality of life because they reflect individuals’ selfperceptions and because clinical criteria alone do not permit a holistic evaluation of the impact of oral health conditions on daily life [4]
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