Association of familial risk with oral health, quality of life and socioeconomic variables
DOI:
https://doi.org/10.5712/rbmfc10(34)970Keywords:
Oral Health, Quality of Life, Socioeconomic Factors, Family Health StrategyAbstract
Objective: to assess the relation of familial risk with oral health, quality of life and socioeconomic variables. Methods: cross-sectional observational study encompassing 311 individuals (18 to 71 years old) living in the catchment area of four Family Health Units located in two municipalities of São Paulo state. The participants were evaluated according to: (1) clinical situation (CPO-D and treatment necessity); (2) self-perception oral health (OHIP-14), (3) quality of life (WHOQOL-BREF); and (4) socioeconomic status. The Coelho Scale was used for assessing familial risk. Data were analyzed using a multilevel model formed by fixed components (represented by the studied variables) and random components (represented by the neighborhoods and the variances in the different levels). Results: the participants’ average age was 36.7 years old (SD=13), and the average CPO-D was 12.9 (SD=7.0). The average of the Coelho´s Risk Scale among the volunteers was 2.67, with a standard error of 0.32. The participants with higher total risk score were older individuals (p=0.0486) who lived in houses with more residents (p<0.001), who wereless educated (p=0.0137), who did not own a vehicle (p=0.0048), and who had a higher OHIP-14 score (p=0.0130). Conclusion: the familial risk scale was positively associated with the socioeconomic variables, and the individuals with higher familial risk score had worse self-perception of their oral health. However, they did not perceive themselves as having worse general quality of life.
Downloads
Metrics
References
Mesquita F, Vieira S. Impacto da condição de autoavaliação de saúde bucal na qualidade de vida. RGO. 2009;57(4):401-406.
Nicolau B, Marcenes W. How will a life course framework be used to tackle wider socialdeterminants of health? Community Dent OralEpidemiol. 2012 Oct;40(Suppl 2):33-8. http://dx.doi.org/10.1111/j.1600-0528.2012.00717.x DOI: https://doi.org/10.1111/j.1600-0528.2012.00717.x
Lalonde M. A new perspective on the health of Canadians. Ottawa: Health and Welfare Canada; 1974.
Nadanovsk P. Promoção da saúde e a prevenção das doenças bucais. In: Pinto VG. Saúde bucal coletiva. 4a ed. São Paulo: Santos; 2000. p. 293.
Sobral A, Freitas CM. Modelo de Organização de Indicadores para operacionalização dos determinantes sócio ambientais da saúde. Saúde Soc. 2010;19(1):35-47. http://dx.doi.org/10.1590/S0104-12902010000100004 DOI: https://doi.org/10.1590/S0104-12902010000100004
Watt RG. Social determinants of oral health inequalities: implications for action. Community Dent Oral Epidemiol. 2012 Oct;40(Suppl 2):44-8. http://dx.doi.org/10.1111/j.1600-0528.2012.00719.x DOI: https://doi.org/10.1111/j.1600-0528.2012.00719.x
Luiz RR. Epidemiologia e Bioestatística em Odontologia. Ed revista e ampliada. São Paulo: Ateneu; 2008.
Instituto de Pesquisa e Planejamento de Piracicaba (IPPLAP). c2015 [acesso em 2012 Sep 06]. Disponível em: www.ipplap.com.br
Tatuí. Taxa de analfabetismo por bairro no município de Tatuí- SP. [acesso em 2012 Sep 06]. Disponível em: http://tatui.sp.gov.br/sobre-tatui/dados-gerais
Coelho FLG, Savassi LCM. Aplicação da Escala de Risco Familiar como instrumento de priorização das visitas domiciliares. Rev Bras Med Fam Comunidade. 2003 [acesso em 2011 May 01];1(2):19-26. Disponível em: http://www.rbmfc.org.br/rbmfc/article/view/104 DOI: https://doi.org/10.5712/rbmfc1(2)104
Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the Oral Health Impact Profile-short form. Community Dent Oral Epidemiol. 2005;33(4):307-14. http://dx.doi.org/10.1111/j.1600-0528.2005.00225.x DOI: https://doi.org/10.1111/j.1600-0528.2005.00225.x
Fleck MPA, et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref”. Rev Saúde Pública. 2000;34(2):178-183. http://dx.doi.org/10.1590/S0034-89102000000200012 DOI: https://doi.org/10.1590/S0034-89102000000200012
Pereira SM, Tagliaferro EP, Ambrosano GM, Cortelazzi KL, MeneghimMC, Pereira AC. Dental caries in 12-year-old schoolchildren and its relationship with socioeconomic and behavioural variables. Oral Health Prev Dent. 2007;5(4):299-306.
World Health Organization. Oral health serveys: basic methods. 4th ed. Geneva; 1997.
Zanini RR. Modelos multiníveis aplicados ao estudo da mortalidade infantil e no Rio Grande da Sul, Brasil, de 1994 a 2004 [tese]. Rio Grande do Sul: Universidade Federal do Rio Grande do Sul; 2007. Portuguese.
Singer JD. Using SAS proc mixed to fit multilevel models, hierarchical models and individual growth models. J Educational Behavioral Statistics. 1998;24(4):323-355. http://dx.doi.org/10.2307/1165280 DOI: https://doi.org/10.2307/1165280
Tellez M, Sohn W, Burt BA, Ismail AI. Assessment of the relationship between neighborhood characteristics and dental caries severity among low-income African-Americans: A Multilevel Approach. J Public Health Dentistry. 2006;66(1):30-36. http://dx.doi.org/10.1111/j.1752-7325.2006.tb02548.x DOI: https://doi.org/10.1111/j.1752-7325.2006.tb02548.x
SAS 9.2 User’s Guide, Second Edition. Cary, NC, USA: SAS Institute Inc.; 2010. Disponível em: http://support.sas.com/documentation/cdl/en/statug/63033/HTML/default/viewer.htm#titlepage.htm
Muszalik M, Kedziora-Kornatowska K, Kornatowski T. Functional assessment and health-related quality of life (HRQOL) of elderly patients on the basis of the functional assessment of chronic illness therapy (FACIT)-F questionnaire. Arch Gerontol Geriatr. 2009 Nov-Dec;49(3):404-8. Epub 2009 Jan 28.http://dx.doi.org/10.1016/j.archger.2008.12.007 DOI: https://doi.org/10.1016/j.archger.2008.12.007
Seremidi K, Koletsi-Kounari H, Kandilorou H. Self-reported and clinically-diagnosed dental needs: determining the factors that affect subjective assessment. Oral Health Prev Dent. 2009;7(2):183-90.
Bortoli D, Locatelli FA, Fadel CB, Baldani MH. Associação entre percepção de saúde bucal e indicadores cínicos e subjetivos: estudo em adultos de um grupo de educação continuada da terceira idade. Publ UEPG Ci Biol Saúde, Ponta Grossa. 2003;9(3/4):55-65. DOI: https://doi.org/10.5212/Publ.Biologicas.v.9i3.0007
Daly B, Newton T, Batchelor P, Jones K. Oral health care needs and oral health-related quality of life (OHIP-14) in homeless people. Community Dent Oral Epidemiol. 2010;38:136–144.http://dx.doi.org/10.1111/j.1600-0528.2009.00516.x DOI: https://doi.org/10.1111/j.1600-0528.2009.00516.x
Cortellazzi KL et al. Influência de variáveis socioeconômicas, clínicas e demográfica na experiência de cárie dentária em pré-escolares de Piracicaba, SP. Rev Bras Epidemiol. 2009;12(3):490-500. http://dx.doi.org/10.1590/S1415-790X2009000300017 DOI: https://doi.org/10.1590/S1415-790X2009000300017
Szpilmanet ARM, Martins FG, Jantorno C, Coutinho Junior EZ, Silva LR, Sylvestre NC, et al. Condição de saúde bucal de crianças de zero a dois anos de idade inseridas na estratégia saúde da família (ESF). Rev Bras Pesquisa Saúde. 2012;14(1):42-48.
Nascimento FG, Prado TN, Galavote HS, Maciel PA, Lima R CD, Maciel ELN. Aplicabilidade de uma escala de risco para organização do processo de trabalho com famílias atendidas na Unidade Saúde da Família em Vitória (ES). Ciênc Saúde Coletiva. 2010;15(5):2465-72. http://dx.doi.org/10.1590/S1413-81232010000500021 DOI: https://doi.org/10.1590/S1413-81232010000500021
Garcia L, Tabak LA. Global oral health inequalities: the view from a research funder. Adv Dent Res. 2011;23(2). http://dx.doi.org/10.1177/0022034511402015 DOI: https://doi.org/10.1177/0022034511402015
Burt BA. Concepts of risk in dental public health. Community Dent Oral Epidemiol. 2005;33:240–7. http://dx.doi.org/10.1111/j.1600-0528.2005.00231.x DOI: https://doi.org/10.1111/j.1600-0528.2005.00231.x
Costa CM. A aplicação da escala de risco familiar no Programa de Saúde da Família como estratégia de priorização das visitas domiciliares pelos agentes comunitários de saúde [dissertação]. Rio de Janeiro: Universidade Estácio de Sá; 2009.
Gomes KO, Cotta RMM, Cherchiglia ML, Mitre SM, Batista RS. A práxis do agente comunitário de saúde no contexto do Programa Saúde da Família: reflexões estratégicas. Saúde Soc. 2009;18(4):744-755. http://dx.doi.org/10.1590/S0104-12902009000400017 DOI: https://doi.org/10.1590/S0104-12902009000400017
Downloads
Published
How to Cite
Issue
Section
License
By submitting a manuscript to the RBMFC, authors retain ownership of the copyright in the article, and authorize RBMFC to publish that manuscript under the Creative Commons Attribution 4.0 license and identify itself as the vehicle of its original publication.