Abstract
Objective: This study aimed to assess the oral impact on daily performance and its association with sociodemographic characteristics, tooth pain, need for prosthesis, and periodontal disease of adults in the state of São Paulo, Brazil. Methods: This was a cross-sectional epidemiological study with secondary data obtained from the Oral Health Conditions Project– 2015 conducted in 163 municipalities in the state of São Paulo with the participation of 17,560 individuals. This study evaluated adults in the age-range between 35–44 years (n = 5,855), selected by means of probabilistic cluster sampling in two stages. The outcome variable was the OIDP (Oral Impacts on Daily Performances), obtained by using this instrument to assess daily activities (eating, speaking, oral hygiene, relaxation, sports practice, smile, study/work, social contact, and sleep). The independent variables were collected and grouped into three blocks: Block 1 (sex, age group, and ethnic group); Block 2 (household income and education); and Block 3 (tooth pain, need for prosthesis, bleeding, calculus, and periodontal pockets). A hierarchical multiple logistic regression analysis was performed considering the complex cluster sampling plan. Each observation was assigned a specific weight, depending on the location, which resulted in weighted frequencies adjusted for the effect of outlining. Results: the female sex (p<0.0001), ethnic group black/mulatto (p<0.0001), low household income (p = 0.0112), up to 8 years of education (p<0.0001), tooth pain (p<0.0001), presence of bleeding (p<0.0001), and presence of periodontal pockets (p<0.0001) had greater oral impact on daily performance. Conclusion: sociodemographic characteristics, tooth pain, and presence of periodontal disease were associated with oral impact on daily performance of the adult population in the state of São Paulo, Brazil.
Highlights
Oral diseases have a negative influence on the quality of life [1,2]
The results of epidemiological oral health surveys conducted in Brazil in 2010, and in the state of São Paulo in 2015 [5], respectively, have indicated that in adulthood, 83% and 74% of individuals had some problem related to periodontal disease; and some type of prosthesis was needed in 69% and 52% of the cases
In this study we evaluated the clinical conditions of periodontal disease and need for prosthesis, tooth pain, socioeconomic characteristics, and oral impact on daily performance
Summary
The results of epidemiological oral health surveys conducted in Brazil in 2010, and in the state of São Paulo in 2015 [5], respectively, have indicated that in adulthood, 83% and 74% of individuals had some problem related to periodontal disease; and some type of prosthesis was needed in 69% and 52% of the cases. Tooth pain was mentioned by 27% and 40% of the adults surveyed These surveys incorporated the collection of information that enabled analysis of the oral impact on daily performance of Brazilians. These data, associated with the socioeconomic data collected, enabled a set of analyses of the social inequalities related to the subject
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