Oral health-related quality of life among Brazilian adults with mental disorders
Oral health-related quality of life among Brazilian adults with mental disorders
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DOI：
10.1111/eos.12774
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发表时间：
2021-03-30
影响因子：
1.9
通讯作者：
Mialhe, Fabio Luiz
中科院分区：
文献类型：
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作者：
Lopes, Alexandre Gomes;Ju, Xiangqun;Mialhe, Fabio Luiz
本研究的目的是调查协会的社会人口，生活方式，医疗条件和龋齿的经验与口腔健康相关的生活质量（OHRQoL）在一个大样本的成年人精神障碍。753名被诊断为精神分裂症或抑郁症的成年人参加了这项研究，他们是位于巴西圣保罗市的10家公共精神健康门诊诊所的用户。参与者提供了有关社会人口学特征、精神病诊断、药物使用和健康行为的数据。进行口腔检查以评估龋齿（使用龋齿、缺失和填充牙齿（[DMFT]指数））和牙菌斑（使用Silness-Loe菌斑指数）。使用14项口腔健康影响概况（OHIP-14）问卷评估口腔健康相关生活质量。Log-Poisson回归用于评估结果与独立变量之间的相关性。一个或多个OHIP-14影响的发生率相当频繁/经常是72.3%。身体疼痛是OHIP领域的患病率最高，其次是心理不适。多变量分析显示，OHIP-14中“相当经常/经常”的反应的患病率较高与女性，年龄35至54岁，家庭收入低，诊断为抑郁症，吸烟习惯和少于20颗牙齿有关。成年精神障碍患者的OHRQoL受影响的患病率很高，这与龋齿经历、社会人口学特征、精神病诊断类型和行为风险指标有关。
The aim of this study was to investigate associations of sociodemographic, lifestyle, medical conditions, and caries experience with oral health-related quality of life (OHRQoL) in a large sample of adults with mental disorders. A sample of 753 adults diagnosed with schizophrenia or depression, who were users of 10 public mental health outpatient clinics located in the city of Sao Paulo, Brazil, participated in the study. Participants provided data on sociodemographic characteristics, psychiatric diagnosis, medication use, and health behaviors. Oral examinations to evaluate dental caries (using the decayed, missing, and filled teeth ([DMFT] index) and dental plaque (using the Silness-Loe plaque index) were conducted. Oral health-related quality of life was evaluated using the 14-item Oral Health Impact Profile (OHIP-14) questionnaire. Log-Poisson regression was used to evaluate associations between the outcome and independent variables. The prevalence of one or more OHIP-14 impacts occurring fairly often/often was 72.3%. Physical pain was the OHIP domain with the highest prevalence, followed by psychological discomfort. Multivariable analysis showed that higher prevalence of the reponses 'fairly often/often' in the OHIP-14 was associated with being female, aged 35 to 54 years, having a low family income, a diagnosis of depression, a smoking habit, and fewer than 20 teeth. Adults with mental disorders had a high prevalence of impacts on their OHRQoL, which were associated with caries experience, sociodemographic characteristics, type of psychiatric diagnosis, and behavioral risk indicators.