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. 2009 Nov 22:7:95.
doi: 10.1186/1477-7525-7-95.

Social and dental status along the life course and oral health impacts in adolescents: a population-based birth cohort

Karen G Peres  1 , Marco A Peres, Cora L P Araujo, Ana M B Menezes, Pedro C Hallal
Affiliations

Social and dental status along the life course and oral health impacts in adolescents: a population-based birth cohort

Karen G Peres et al. Health Qual Life Outcomes. .

Abstract

Background: Harmful social conditions in early life might predispose individuals to dental status which in turn may impact on adolescents' quality of life.

Aims: To estimate the prevalence of oral health impacts among 12 yr-old Brazilian adolescents (n = 359) and its association with life course socioeconomic variables, dental status and dental services utilization in a population-based birth cohort in Southern Brazil.

Methods: Exploratory variables were collected at birth, at 6 and 12 yr of age. The Oral Impacts on Daily Performances index (OIDP) was collected in adolescence and it was analyzed as a ranked outcome (OIDP from 0 to 9). Unadjusted and adjusted multivariable Poisson regression with robust variance was performed guided by a theoretical determination model.

Results: The response rate was of 94.4% (n = 339). The prevalence of OIDP = 1 was 30.1% (CI95%25.2;35.0) and OIDP >or= 2 was 28.0% (CI95%23.2;32.8). The most common daily activity affected was eating (44.8%), follow by cleaning the mouth and smiling (15.6%, and 15.0%, respectively). In the final model mother schooling and mother employment status in early cohort participant's life were associated with OIDP in adolescence. As higher untreated dental caries at age 6 and 12 years, and the presence of dental pain, gingival bleeding and incisal crowing in adolescence as higher the OIDP score. On the other hand, dental fluorosis was associated with low OIDP score.

Conclusion: Our findings highlight the importance of adolescent's early life social environmental as mother schooling and mother employment status and the early and later dental status on the adolescent's quality of life regardless family income and use of dental services.

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Figures

Figure 1
Figure 1
Conceptual framework of the relationship between life course socioeconomic, demographic and dental status and Oral Impacts on Daily Performance (OIDP).
Figure 2
Figure 2
Prevalence of each oral health impact on daily performances on adolescents age 12 yr. Pelotas, Brazil, 2005.
See this image and copyright information in PMC

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