Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Aug;31(8):2307-2317.
doi: 10.1007/s11136-022-03130-1. Epub 2022 Mar 31.

Oral health-related quality of life determinants throughout adolescence: a cohort study in Brazil

Fernanda Ruffo Ortiz  1 , Bruno Emmanuelli  2 , Amanda Michelon de Campos  2 , Thiago Machado Ardenghi  2
Affiliations

Oral health-related quality of life determinants throughout adolescence: a cohort study in Brazil

Fernanda Ruffo Ortiz et al. Qual Life Res. 2022 Aug.

Abstract

Purpose: Oral health-related quality of life (OHRQoL) is a complex construct that reflects the interaction among well-being, socioeconomic, oral health status, and also contextual factors. This study aimed to verify the association between poorer socioeconomic background and oral health condition on OHRQoL throughout adolescence.

Methods: A cohort study followed a random sample of 1134 participants aged 12 years in 2012 (T1), 770 adolescents with an average age of 14 years in 2014 (T2; retention rate, 67.9%), and 768 adolescents with an average age of 17.5 years in 2018 (T3; retention rate, 67.8%). OHRQoL was collected three times using the Brazilian short version of the Childhood Perception Questionnaire 11-14 (CPQ 11-14). At baseline, the adolescents were clinically assessed by dentists, and their demographic data, socioeconomic status, use of dental services, and toothache were evaluated. The mean income of the neighborhood was used as a proxy of contextual factors. This variable was obtained from an official municipal publication. Poisson multilevel regression analyses were performed using a hierarchical approach to assess the predictors of OHRQoL over time.

Results: Adolescents living in a neighborhood with low mean income, low household income, low education levels, girls, and nonwhite individuals reported poor OHRQoL. Clinical variables such as gingival bleeding and malocclusion were also associated with higher overall scores on CPQ11-14, indicating poor OHRQoL.

Conclusion: Our results showed that the unfavorable contextual and individual socioeconomic environment, and oral disease negatively influenced OHRQoL during adolescence.

Keywords: Adolescents; Longitudinal studies; Oral health; Quality of life.

PubMed Disclaimer

References

    1. Glick, M., Williams, D. M., Kleinman, D. V., Vujicic, M., Watt, R. G., & Weyant, R. J. (2016). A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. British Dental Journal, 221(12), 792–793. - DOI
    1. Moghaddam, L. F., Vettore, M. V., Bayani, A., Bayat, A. H., Ahounbar, E., Hemmat, M., & Fakhri, Y. (2020). The Association of Oral Health Status, demographic characteristics and socioeconomic determinants with Oral health-related quality of life among children: A systematic review and Meta-analysis. BMC Pediatrics, 20(1), 1–15. https://doi.org/10.1186/s12887-020-02371-8 - DOI
    1. Knorst, J. K., Sfreddo, C. S., Meira, G. F., Zanatta, F. B., Vettore, M. V., & Ardenghi, T. M. (2020). Socioeconomic status and oral health-related quality of life: A systematic review and meta-analysis. Community Dentistry and Oral Epidemiology, 49(2), 95–102. https://doi.org/10.1111/cdoe.12616 - DOI - PubMed
    1. Locker, D., & Allen, F. (2007). What do measures of “oral health-related quality of life” measure? Community Dentistry and Oral Epidemiology, 35(6), 401–411. https://doi.org/10.1111/j.1600-0528.2007.00418.x - DOI - PubMed
    1. Sischo, L., & Broder, H. L. (2011). Oral health-related quality of life: What, why, how, and future implications. Journal Dental Research, 90(11), 1264–1270. https://doi.org/10.1177/0022034511399918 - DOI - PubMed

LinkOut - more resources