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Gusmão YG, Glória JCR, Ramos-Jorge ML, Lages FS, Douglas-de-Oliveira DW. Psychometric assessment of oral health-related quality of life questionnaires cross-culturally adapted for use in Brazilian adults - a systematic review. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2023; 26:e230046. [PMID: 37909628 PMCID: PMC10626907 DOI: 10.1590/1980-549720230046] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 07/10/2023] [Accepted: 08/01/2023] [Indexed: 11/03/2023] Open
Abstract
OBJECTIVE This study aimed to review the psychometric properties of oral health-related quality of life (OHRQoL) questionnaires for the Brazilian adult population. METHODS A systematic review was performed based on the COSMIN guidelines (PROSPERO CRD42022300018). The studies were obtained through electronic searches in the PubMed/MEDLINE, Web of Science, Lilacs, VHL (BIREME), SciELO, and Embase databases. RESULTS The search was performed in December 2022. Articles on OHRQoL that reported the cross-cultural adaptation of instruments into Portuguese (Brazil) and evaluated the psychometric properties of measuring instruments in adult patients were included. Those about the development of a novel instrument and participants under 18 years of age were excluded. Information was collected on the country, type of instrument validated, psychometric tests, and adaptation process. The certainty of the evidence was assessed using GRADEpro program. The search returned 6,556 articles, and 14 were considered for this review. However, two studies did not report the cross-cultural adaptation process. Content validity, internal consistency, criterion validity, construct validity, reliability, general discriminant validity, Cronbach's alpha value, and general intraclass correlation coefficient value were confirmed in 12 studies. Cronbach's alpha ranged from 0.69 to 0.96. The certainty of the evidence was considered moderate and low. This study has some limitations, such as the lack of information in some reviewed studies, the unavailability of Brazilian instruments, and absence of longitudinal validation of some instruments. CONCLUSIONS In conclusion, there are 14 OHRQoL instruments adapted for Brazilian adults that can be used with caution by researchers and clinicians, since they presented moderate to low certainty of the evidence.
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Wang X, Zong K, Gao Y, Li B, Wang S, Zhang L. The impact of COVID-19 lockdown on the quality of life of Chinese football referees: the chain mediating role of occupational stress and job burnout. BMC Public Health 2023; 23:1314. [PMID: 37430258 DOI: 10.1186/s12889-023-16248-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Accepted: 07/05/2023] [Indexed: 07/12/2023] Open
Abstract
BACKGROUND COVID-19 lockdown measures have had a great negative impact on the development of sports competition in China, as well as on the quality of life of football referees. This study aims to explore the impact of lockdown measures implemented in response to the COVID-19 pandemic on the quality of life of football referees in China and its mechanism of action. METHODS The Impact of Event Scale-Revised (IES-R), the Effort-Reward Imbalance Scale (ERI), the Maslach Burnout Inventory General Survey (MBI-GS), and the World Health Organization Quality of Life Brief Version (WHOQOL-BREF). The scale was used from August to September 2022. Using an online questionnaire, 350 questionnaires were sent out and 338 were returned, for a return rate of 96.57%. Invalid questionnaires were excluded, and 307 football referees with referee grades in 29 provinces registered with the CFA were surveyed. SPSS 24.0 and Mplus 8.0 were used for data analysis and structural equation model testing in this study. RESULTS The results showed that the COVID-19 lockdown had no significant impact on the quality of life of Chinese football referees. However, the COVID-19 lockdown can affect the quality of life of Chinese football referees through occupational stress or job burnout. Occupational stress and job burnout also play a chain intermediary role between the COVID-19 lockdown and the quality of life of Chinese football referees. In addition, this study further explores the quality of life by dividing it into four dimensions (physical, social, psychological, and environmental). The results show that all four dimensions satisfy the chain mediation model. CONCLUSIONS Therefore, the quality of life of Chinese football referees can be improved by reducing their occupational stress and job burnout during the COVID-19 lockdown.
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Affiliation(s)
- Xianliang Wang
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Kehao Zong
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Yubo Gao
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Bochen Li
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Shuzhen Wang
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Liguo Zhang
- School of Physical Education, Shandong University, Jinan, 250061, China.
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Pigozzi LB, Pereira DD, Pattussi MP, Moret-Tatay C, Irigaray TQ, Weber JBB, Grossi PK, Grossi ML. Quality of life in young and middle age adult temporomandibular disorders patients and asymptomatic subjects: a systematic review and meta-analysis. Health Qual Life Outcomes 2021; 19:83. [PMID: 33691709 PMCID: PMC7945303 DOI: 10.1186/s12955-021-01727-7] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 03/02/2021] [Indexed: 11/10/2022] Open
Abstract
AIMS To compare the difference in the quality of life between temporomandibular disorders (TMD) patients and non-TMD subjects diagnosed with the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) or the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). METHODS Medical Literature Analysis and Retrieval System Online (MEDLINE), Excerpta Medica database (EMBASE) and Latin American and Caribbean Health Sciences Literature (LILACS) databases were searched in studies published in English and Portuguese. The search was performed by two independent reviewers in duplicate. A manual search and the gray literature were also included. The inclusion criteria were clinical studies that used the RDC/TMD axis I and quality of life with standard questionnaires in young and middle-aged adult population (18-55 years). The data were analyzed quantitatively by combining the results in a meta-analysis using forest plots. The measure of effect used was the standardized mean difference (SMD) in depression levels. The Newcastle-Ottawa Scale (NOS) was used to evaluate the quality of the studies. The publication bias was assessed by funnel plots. The initial search included 806 articles without duplications. RESULTS Twenty-four articles were included in the final systematic review. Of these, 9 were included in the meta-analysis, where it was shown a statistically significant in all axis I groups: (a) global TMD-groups I, II and III combined, N = 3829, SMD (95% CI) = 1.06 (0.65-1.51), p = 0.000; (b) group I-muscle disorders, N = 3,056, SMD (95% CI) = 0.82 (0.45-1.18), p = 0.000; (c) group II-disc displacements, N = 3,184, SMD (95% CI) = 0.59 (0.26-0.91), p = 0.000; and (d) group III-arthralgia/arthritis/arthrosis, N = 2781, SMD (95% CI) = 0.98 (0.59-1.36), p = 0.000. When compared to controls. CONCLUSIONS Quality of life is affected in all axis I TMD patients, especially in groups I and III with higher pain intensity and disability as compared to group II.
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Affiliation(s)
- Lucas Bozzetti Pigozzi
- School of Health and Life Sciences, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Avenida Ipiranga 6681 Prédio 6, Building 11, 9th Floor, Porto Alegre, RS, 90619-900, Brazil
| | - Duziene Denardini Pereira
- School of Health and Life Sciences, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Avenida Ipiranga 6681 Prédio 6, Building 11, 9th Floor, Porto Alegre, RS, 90619-900, Brazil
| | - Marcos Pascoal Pattussi
- Public Health, Vale Do Rio Dos Sinos University (UNISINOS), Av. Unisinos, 950 - Cristo Rei, São Leopoldo, RS, 93020-190, Brazil
| | - Carmen Moret-Tatay
- Faculty of Psychology, Universidad Católica de Valencia San Vicente Mártir, Avenida de La Ilustración 4, 46100, Burjassot, Valencia, Spain.,Dipartimento Di Neuroscienze Salute Mentale E Organi Di Senso (NESMOS), Università Sapienza Di Roma, Rome, Italy
| | - Tatiana Quarti Irigaray
- School of Health and Life Sciences, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Avenida Ipiranga 6681 Prédio 6, Building 11, 9th Floor, Porto Alegre, RS, 90619-900, Brazil
| | - João Batista Blessmann Weber
- School of Health and Life Sciences, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Avenida Ipiranga 6681 Prédio 6, Building 11, 9th Floor, Porto Alegre, RS, 90619-900, Brazil
| | - Patrícia Krieger Grossi
- School of Humanities, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Avenida Ipiranga 6681 Prédio 9, Porto Alegre, RS, 90619-900, Brazil
| | - Márcio Lima Grossi
- School of Health and Life Sciences, Pontifical Catholic University of Rio Grande Do Sul (PUCRS), Avenida Ipiranga 6681 Prédio 6, Building 11, 9th Floor, Porto Alegre, RS, 90619-900, Brazil.
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Cavalcanti YW, Almeida LDFD, Lucena EHG, Probst LF, Cavalcante DDFB, Frias AC, Bulgareli JV, Pereira AC. Factors that influence the oral impact on daily performance of older people in Brazil: A cross‐sectional population‐based study. Gerodontology 2019; 37:78-86. [DOI: 10.1111/ger.12452] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 11/07/2019] [Accepted: 11/15/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Yuri Wanderley Cavalcanti
- Department of Clinical and Social Dentistry School of Dentistry Federal University of Paraíba (UFPB) Joao Pessoa Brazil
| | | | - Edson Hilan Gomes Lucena
- Department of Clinical and Social Dentistry School of Dentistry Federal University of Paraíba (UFPB) Joao Pessoa Brazil
| | - Livia Fernandes Probst
- Department of Social Dentistry Piracicaba Dental School State University of Campinas (FOP/UNICAMP) Piracicaba Brazil
| | | | - Antônio Carlos Frias
- Department of Social Dentistry School of Dentistry University of São Paulo (FO/USP) São Paulo Brazil
| | - Jaqueline Vilela Bulgareli
- Department of Social Dentistry Piracicaba Dental School State University of Campinas (FOP/UNICAMP) Piracicaba Brazil
| | - Antônio Carlos Pereira
- Department of Social Dentistry Piracicaba Dental School State University of Campinas (FOP/UNICAMP) Piracicaba Brazil
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de Melo NB, de Sousa VM, Bernardino ÍM, de Melo DP, Gomes DQC, Bento PM. Oral health related quality of life and determinant factors in patients with head and neck cancer. Med Oral Patol Oral Cir Bucal 2019; 24:e281-e289. [PMID: 31011137 PMCID: PMC6530945 DOI: 10.4317/medoral.22670] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2018] [Accepted: 02/22/2019] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND The present study aimed to measure the impact of oral health on the quality of life of patients with head and neck cancer. MATERIAL AND METHODS A cross-sectional study was conducted with 130 patients diagnosed with head and neck cancer at two medical centers. Participants answered a sociodemographic questionnaire and the Oral Health Impact Profile - 14 (OHIP-14). Clinical aspects, cancer staging, and treatment approach were also investigated. Mann-Whitney and Kruskal-Wallis non-parametric tests were used for statistical analysis, followed by Poisson regression analysis (with robust error variance), to associate the OHIP-14 scores with independent variables. RESULTS The OHIP-14 presented good internal consistency (Cronbach's Alpha = 0.861). The mean score obtained was 19.52 (±11.79). Physical pain (3.70±2.44), physical disability (3.26±2.62) and functional limitation (3.24±2.45) were ranked as the main factors affecting the quality of life. Patients non-Caucasians (PR = 1.30; IC 95% = 1.07-1.58; p = 0.009), widowers (PR = 1.36; IC 95% = 1.13-1.64; p = 0.001), diagnosed with squamous cell carcinoma (PR = 1.28; IC 95% = 1.05-1.58; p = 0.017) and with temporomandibular pain (PR = 1.31; IC 95% = 1.08-1.60; p = 0.007) were more likely to exhibit lower rates of quality of life. CONCLUSIONS The results showed a high impact of the oral health in the quality of life of patients with head and neck cancer was observed. Sociodemographic and clinical characteristics can exert influence on the quality of life of patients with head and neck cancer.
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Affiliation(s)
- N-B de Melo
- Rua Baraúnas 351, Bairro Universitário -Campina Grande, Paraíba, Brazil, Postal code: 58429-500,
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Head and neck cancer, quality of life, and determinant factors: a novel approach using decision tree analysis. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 126:486-493. [DOI: 10.1016/j.oooo.2018.07.055] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Revised: 06/08/2018] [Accepted: 07/23/2018] [Indexed: 01/26/2023]
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Vendrame É, Goulart MDA, Hilgert JB, Hugo FN, Celeste RK. Decomposing early and adult life social position effects on oral health and chronic diseases in a cross-sectional study of Southern Brazil. Community Dent Oral Epidemiol 2018; 46:601-607. [DOI: 10.1111/cdoe.12410] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Accepted: 07/05/2018] [Indexed: 12/27/2022]
Affiliation(s)
- Édina Vendrame
- Graduate Program in Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - Mariél de Aquino Goulart
- Department of Preventive and Social Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - Juliana B. Hilgert
- Graduate Program in Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
- Department of Preventive and Social Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
- Graduate Program in Epidemiology; Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - Fernando N. Hugo
- Graduate Program in Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
- Department of Preventive and Social Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
- Research Center in Social Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
| | - Roger Keller Celeste
- Graduate Program in Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
- Department of Preventive and Social Dentistry; Federal University of Rio Grande do Sul; Porto Alegre Brazil
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Bidinotto AB, Santos CMD, Tôrres LHDN, de Sousa MDLR, Hugo FN, Hilgert JB. Change in Quality of Life and Its Association with Oral Health and Other Factors in Community-Dwelling Elderly Adults-A Prospective Cohort Study. J Am Geriatr Soc 2016; 64:2533-2538. [PMID: 27685754 DOI: 10.1111/jgs.14482] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To determine whether changes in oral health status were associated with decline in quality of life (QoL). DESIGN Prospective cohort study. SETTING Carlos Barbosa, southern Brazil. PARTICIPANTS A random sample of 872 community-dwelling individuals aged 60 and older was evaluated in 2004. The current study population consisted of 389 participants available for follow-up in 2012. MEASURES Change in QoL was assessed through the use of the short version of the World Health Organization QoL Assessment tool (WHOQOL-BREF) at baseline and follow-up. Each WHOQOL domain generates a score, with changes being calculated for each domain. Individuals with the same or higher scores at follow-up were categorized as having improved QoL, and those with lower scores were categorized as having a decline in QoL. Sociodemographic and health variables were assessed in an interview, and tooth loss, use of dental prostheses, and satisfaction with chewing ability and oral appearance were verified through oral examinations. Interviews and examinations were repeated. Risk ratios (RRs) relative to the outcome and independent variables were estimated using Poisson regression with a robust variance estimator. RESULTS Tooth loss was a risk factor for decline in the psychological domain of QoL (RR = 1.04, 95% confidence interval (CI) = 1.02-1.06). Improvement in satisfaction with chewing ability was a protective factor for decline in this same domain (RR = 0.69, 95% CI = 0.50-0.97). Greater satisfaction with oral appearance was a protective factor against decline in social (RR = 0.84, 95% CI = 0.72-0.98) and environmental (RR = 0.77, 95% CI = 0.61-0.97) domain scores. CONCLUSION Preventing tooth loss and recognizing and properly addressing concerns about chewing and dental appearance can affect the general well-being of community-dwelling elderly adults.
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Affiliation(s)
- Augusto Bacelo Bidinotto
- Postgraduate Studies Program in Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Camila Mello Dos Santos
- Department of Preventive and Social Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Maria da Luz Rosário de Sousa
- Postgraduate Studies Program in Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.,Department of Community Dental Health, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil
| | - Fernando Neves Hugo
- Postgraduate Studies Program in Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.,Department of Preventive and Social Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Juliana Balbinot Hilgert
- Postgraduate Studies Program in Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.,Department of Preventive and Social Dentistry, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
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Åkesson ML, Wärnberg Gerdin E, Söderström U, Lindahl B, Johansson I. Health-related quality of life and prospective caries development. BMC Oral Health 2016; 16:15. [PMID: 26860617 PMCID: PMC4746799 DOI: 10.1186/s12903-016-0166-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2015] [Accepted: 01/20/2016] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND The present study was conducted to prospectively assess the association between health-related quality of life (HRQoL) and the development of dental caries in adults in northern Sweden. The SF-36 questionnaire was used to estimate HRQoL. METHODS Adults who had (i) participated in a population-based health screening in northern Sweden between 2003 and 2009 and had completed the SF-36 questionnaire, and (ii) received a dental check-up within 1 year (n = 15,615) were included in the study. Of these, 9,838 had a second caries examination 2-7 years after the baseline recording. Information regarding SF-36, lifestyle factors and medical conditions was retrieved by questionnaires, and anthropometric status and blood lipid levels were measured. The association between dental caries (outcome) and SF-36 scores (exposure) with the inclusion of potential confounders was analysed by linear and logistic regression. RESULTS Caries increment increased significantly with decreasing scores for both physical and mental dimensions of SF-36 in women, but no association was seen in men. However, lifelong caries experience (DMFS) increased linearly with decreasing physical HRQoL in both men and women; this was also observed for the single dimension of mental HRQoL. The crude odds ratio for being in the highest caries quintile compared to the lowest when having the poorest physical HRQoL compared with the best physical HRQoL was 1.88 (95 % CI: 1.54-2.3). Several factors were identified as potential confounders in the associations between DMFS and SF-36 scores, including education level, smoking, age, medications, higher levels of total cholesterol, triglycerides, systolic blood pressure, body mass index and sugar intake. Except for education level and smoking, the effect sizes for the association between gradually decreasing SF-36 scores and increasing caries were generally moderate. CONCLUSIONS Increased development of caries was associated with low physical HRQoL and some aspects of mental HRQoL. The mechanisms underlying these associations, which are likely confounded by both biological and lifestyle factors, remain to be elucidated. The study implies that, when possible, subjects with poor HRQoL would benefit from caries prevention measures meeting the underlying situation.
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Affiliation(s)
| | - Elisabeth Wärnberg Gerdin
- Dental Research Department, Public Dental Service, Region Örebro County, Örebro Sweden and Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
| | - Ulf Söderström
- Department of Public Dental Service, County council of Västerbotten, Umeå, Sweden.
| | - Bernt Lindahl
- Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.
| | - Ingegerd Johansson
- Department of Odontology, Section of Cariology, Umeå University, Umeå, Sweden.
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Paula JS, Meneghim MC, Pereira AC, Mialhe FL. Oral health, socio-economic and home environmental factors associated with general and oral-health related quality of life and convergent validity of two instruments. BMC Oral Health 2015; 15:26. [PMID: 25888507 PMCID: PMC4344795 DOI: 10.1186/s12903-015-0009-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2014] [Accepted: 02/12/2015] [Indexed: 11/23/2022] Open
Abstract
Background The objective of this study was to evaluate the convergent validity between the domains of the Autoquestionnaire Qualité de Vie Enfant image (AUQUEI) and the Child Perceptions Questionnaire instrument (CPQ11–14) among schoolchildren and to assess the difference between socio-economic and clinical variables associated with their scores. Methods An analytical cross-sectional study was conducted in Juiz de Fora, Minas Gerais, Brazil, with 515 schoolchildren aged 12 years from 22 public and private schools, selected with the use of a random multistage sampling design. They were clinically examined for dental caries experience (DMFT and dmft index) and orthodontic treatments needs (DAI index) and were asked to complete the Brazilian versions of Child Perception Questionnaire (CPQ11–14) and Autoquestionnaire Qualité de Vie Enfant image (AUQUEI). In addition, a questionnaire was sent to their parents inquiring about their socio-economic status and home characteristics. The convergent validity of the Brazilian versions of CPQ11–14 and AUQUEI instruments was analyzed by Spearman’s correlation coefficients. For comparison between the summarized scores of each questionnaire with regard to the schoolchildren’s socio-environmental and clinical aspects the nonparametric Mann–Whitney was used at level of significance of 5%. Results The mean DMFT index was 1.09 and 125 (24.3%) children had orthodontic treatment needs (DAI ≥ 31). There was a similarity and a weak correlation between the scores of the domains of CPQ11–14 and AUQUEI (r ranged between −0.006 and 0.0296). In addition, a significant difference was found between the scores of the two instruments according to the socio-economic variables (p < 0.05) and presence of teeth with carious lesions (p < 0.05). Conclusions The general and oral health-related quality of life instruments AUQUEI and CPQ11–14 were both found to be useful, and significant influence of socio-economic and clinical variables were detected with both instruments.
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Affiliation(s)
- Janice S Paula
- Department of Community Dentistry, Division of Health Education and Health Promotion, Piracicaba Dental School, University of Campinas -UNICAMP, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
| | - Marcelo C Meneghim
- Department of Community Dentistry, Division of Health Education and Health Promotion, Piracicaba Dental School, University of Campinas -UNICAMP, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
| | - Antônio C Pereira
- Department of Community Dentistry, Division of Health Education and Health Promotion, Piracicaba Dental School, University of Campinas -UNICAMP, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
| | - Fábio L Mialhe
- Department of Community Dentistry, Division of Health Education and Health Promotion, Piracicaba Dental School, University of Campinas -UNICAMP, P.O. BOX 52, Piracicaba, SP, 13414-903, Brazil.
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Functional and psychosocial impact of oral disorders and quality of life of people living with HIV/AIDS. Qual Life Res 2014; 24:503-11. [PMID: 25120016 DOI: 10.1007/s11136-014-0778-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/05/2014] [Indexed: 01/03/2023]
Abstract
PURPOSE This study compared the Quality of Life (QOL) according to the presence of functional and psychosocial impact of oral disorders and evaluated the convergent validity between the dimensions of the WHOQOL and the OHIP-14 scores among people living with HIV. METHODS This was a cross-sectional study with patients enrolled in reference centres of a midsize Brazilian city. Interviews were conducted when the participants arrived at the centres seeking services for medical appointments and collecting medicines. The OHIP-14 was used to evaluate the functional and psychosocial impact of oral disorders. QOL was assessed using the general issues and six domains of the WHOQOL-HIV BREF. The Chi square test, Mann-Whitney test, and Spearman correlation analysis were used for analysis. RESULTS The sample comprised 422 people living with HIV/AIDS (response rate: 81.2%). The prevalence of functional and psychosocial impact of oral disorders was 34.0%. The prevalence of very poor/poor QOL and those who were very dissatisfied/dissatisfied with their health was higher among those with functional and psychosocial impact of oral disorders. There was a negative correlation between the scores on the domains of QOL and the severity of the impact of the oral disorders (r-value ranged from -0.107 to -0.30). CONCLUSION Individuals with functional and psychosocial impact of oral disorders were found to more frequently rate their QOL as poor/very poor, and were more often dissatisfied with health. The correlation between the scores of QOL and functional and psychosocial impact of oral disorders scores was weak, indicating that they represent different constructs. The measures of functional and psychosocial impact of oral disorders should be complemented by general measures of QOL.
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León S, Bravo-Cavicchioli D, Correa-Beltrán G, Giacaman RA. Validation of the Spanish version of the Oral Health Impact Profile (OHIP-14Sp) in elderly Chileans. BMC Oral Health 2014; 14:95. [PMID: 25091189 PMCID: PMC4128544 DOI: 10.1186/1472-6831-14-95] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2014] [Accepted: 07/21/2014] [Indexed: 11/28/2022] Open
Abstract
Background The OHIP-49 is widely used to assess oral health-related quality of life, but its length makes it time-consuming and difficult to use. An abbreviated version of the OHIP-49 with fourteen items has been validated for older adults, but not in Chile. The aim was to develop and validate the Spanish version of the OHIP-14 in an elderly Chilean population. Methods Two studies were conducted; a cross sectional to develop and a retrospective study to validate the OHIP-14Sp. The OHIP-49Sp was applied to 490 older adults and the fourteen questions with the higher impact on oral health-related quality of life were selected through linear regression. These items were applied on a retrospective dataset of 85 older adults to test internal consistency (Cronbach’s alpha). A discriminative validity analysis was performed along with the assessment of sociodemographic (age and gender, educational level) and clinical variables (number of teeth, caries lesions, CPITN, prosthetic needs and prosthetic functionality). Data were analyzed using Mann–Whitney U, Student’s t and one-way ANOVA tests with a 95% confidence level and finally were analyzed by a Multivariate Logistic Regression Model. Results High internal consistency values were obtained for the OHIP-14Sp instrument (0.91). There was an association between the OHIP-14Sp scores and the presence of caries (p = 0.003), need for complex periodontal treatment (p = 0.002), prosthetic needs (p < 0.0001) and age younger than 70 years-old (p < 0.0001). Subjects with periodontal treatment need were more likely to report reduced oral health-related quality of life (PR = 2.10). Conclusions The OHIP-14Sp proved to be a consistent and valid tool to assess oral health-related quality of life when tested in Chilean older adults.
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Affiliation(s)
| | | | | | - Rodrigo A Giacaman
- Gerodontology Research Group (GIOG), Department of Oral Rehabilitation, University of Talca, Talca, Chile.
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