Abstract
Background Prison units are marked by structural deficiencies, especially in relation to the female gender. Objectives To measure the self-perceived impact of oral health on the quality of life of Brazilian women in detention. Methodology. A survey was carried out conducted in the penitentiary at Juiz de Fora (Minas Gerais, Brazil) using an instrument with semistructured questions and validated scales, including the Oral Health Impact Profile-14. 99 women were interviewed. The analysis was based on a theoretical model of determination, with hierarchical blocks of variables. Bivariate analysis was done using the Mann–Whitney, test and multivariate analysis was used using linear regression. The significance level was set at 5%. Results 33% experienced tooth loss after incarceration, (3.70 ± 3.26 lost teeth). 65.6% rated the dental service as fair/poor. The highest prevalence of oral health impact was for the domains of psychological discomfort (50.5%) and physical pain (40.4%). There is a negative impact on psychological discomfort: the number of dental consultations in the past year and self-perceived general health. There is an impact on physical pain: self-declared color and anxiety. Self-perceived general health had an impact on the domains of psychological disability and social disadvantage. Depression had an impact on the total score. Conclusion This study revealed a self-perceived impact of oral health on the quality of life of women inmates. We need to ensure high-quality access to dental treatment in prisons.
Highlights
Brazil currently ranks fourth in countries with the largest female prison population in the world [1]. is population consists mainly of young women, black women, single women, and mothers, with low levels of education and economic status; female incarceration stands out for its high growth rate compared to the male group, and over 16 years, this represented an increase of 656% nationally [2, 3]
Symptoms of depression and anxiety were measured by PHQ-4 [12]. e study had as a dependent variable the Oral Health Impact Profile (OHIP14), developed by Slade and Spencer, in 1994. e questionnaire used measures the limitation, discomfort, and disability attributed to the oral condition
It consists of two questions for each of the seven domains: functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and social disadvantage. e questions were organized in such a way that the inmates indicated, according to a Likert scale with five response categories, how often they experienced each problem, within a 6-month reference period. e response categories and respective values are as follows: always 4; repeatedly 3; sometimes 2; rarely 1; never 0
Summary
Self-Perceived Impact of Oral Health on the Quality of Life of Women Deprived of Their Liberty. Ludmila Roberto Moraes ,1 Lidiane Castro Duarte de Aquino ,1 Danielle Teles da Cruz ,1,2 and Isabel Cristina Gonçalves Leite 1,2. Received 15 February 2021; Revised 12 May 2021; Accepted 22 May 2021; Published 28 May 2021
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