Impacto das condições de saúde bucal em relação à qualidade de vida de adolescentes escolares de 15 a 19 anos, numa dicotomia socioeconômica, no município de Bauru, São Paulo, em 2009 / Impact of oral health conditions related quality of life of adolescent students of 15 to 19 years, in a socioeconomic dichotomy, in the city of Bauru, São Paulo, in 2009

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

This cross-sectional observational study investigated, in a socioeconomic dichotomy, the impact of oral health conditions on quality of life of adolescents aged 15 to 19 years in the city of Bauru, Brazilian state São Paulo. An epidemiological survey of oral health condition ran with 15 to 19 years old adolescent students enrolled in the public schools at Parque Santa Edwirges (PSE), Parque Santa Edwirges and Vereador Antonio Ferreira de Menezes, and at Jardim Estoril (JE), Professor Christino Cabral. It was investigated the impact of oral health on quality of life through the use of the questionnaire "Oral Health Impact Profile (OHIP-14). The socioeconomic classification of the families of research subjects and the correlation of oral health condition with the quality of life (OHIP-14) was done. Calibration was performed (Kappa>0.80) for these indices. A pilot study determined the total sample of 297 study subjects based on the DMFT Index and its standard deviation. The sample actually examined was 332 volunteers from the Parque Santa Edwirges and Jardim Estoril. The indices used were DMFT, Community Periodontal Index (CPI), Periodontal Attachment Loss (PIP), Dental Aesthetic Index (DAI) and Deans index for fluorosis. The comparison of rates of oral health conditions between both populations was performed using the Mann-Whitney test. To verify the correlation of these indices with the results of OHIP-14 it was used the coefficient of correlation of Spearman. And to relate the rates of oral health with the OHIP-14 was performed multiple linear regression. In JE the families of the study subjects were of higher socioeconomic level than in the PSE (p=0.000). In PSE the dental fluorosis was prevalent in 21.08% and in JE 14.29%. Bleeding after probing occurred in 74.05% in the PSE and in JE 46.26%. The prevalence of periodontal attachment loss in JE was null and was 5.95% in the PSE subjects. Normal occlusion was prevalent in 29.73% in the PSE and 42.18% in JE. In all these indices the difference was statistically significant (p <0.050). The decayed component of DMFT was higher in the PSE (p = 0.000) and higher in the restored component in JE (p = 0.000). The difference in the DMFT index was not significant (p = 0.837) in these populations. The DMFT, DAI, CPI and PIP together were higher in the PSE (p<0,050) and multiple linear regression presented was significant only in this neighborhood and in the overall average (p<0,001), demonstrating the effectiveness of the negative impact of oral health conditions in the neighborhood of lower socioeconomic class subjects.

ASSUNTO(S)

classe social quality of life adolescents epidemiology qualidade de vida epidemiologia oral health adolescentes social class saúde bucal

ACESSO AO ARTIGO

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