Quality of life and socio-dental impact among underprivileged Brazilian adolescents

Purpose To evaluate the influence of clinical variables, individual and contextual characteristics on the quality of life (QL) of underprivileged adolescents in a municipality in the interior of the State of São Paulo, Brazil. Methods An analytical cross-sectional study was conducted in Piracicaba,...

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Veröffentlicht in:Quality of life research 2015-03, Vol.24 (3), p.661-669
Hauptverfasser: de Lima Vazquez, Fabiana, Cortellazzi, Karine Laura, Kaieda, Armando Koichiro, Guerra, Luciane Miranda, Ambrosano, Glaucia Maria Bovi, da Silva Tagliaferro, Elaine Pereira, Mialhe, Fábio Luiz, de Castro Meneghim, Marcelo, Pereira, Antonio Carlos
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container_end_page 669
container_issue 3
container_start_page 661
container_title Quality of life research
container_volume 24
creator de Lima Vazquez, Fabiana
Cortellazzi, Karine Laura
Kaieda, Armando Koichiro
Guerra, Luciane Miranda
Ambrosano, Glaucia Maria Bovi
da Silva Tagliaferro, Elaine Pereira
Mialhe, Fábio Luiz
de Castro Meneghim, Marcelo
Pereira, Antonio Carlos
description Purpose To evaluate the influence of clinical variables, individual and contextual characteristics on the quality of life (QL) of underprivileged adolescents in a municipality in the interior of the State of São Paulo, Brazil. Methods An analytical cross-sectional study was conducted in Piracicaba, in 2012, with 1,172 adolescents aged 15-19 years, from 21 state schools and 34 Family Health Units. The dependent variables included the socio-dental impact (OIDP) and quality of life (WHOQOL-bref) indices. The dependent variables were classified as individual (DMFT index, CPI Index, age, sex, income, parents' educational level) and contextual (Social Exclusion Index) variable. The multilevel regression model was estimated by the PROC GLIMMIX ("Generalized Linear Models-Mixed") procedure, considering the individuals' variables as being Level 1 and the contextual variables as being Level 2, and the statistical significance was evaluated at level of significance of 5 %. Results Girls were found to have the worst QL (p < 0.000) and greatest OIDP (p = 0.000). There was an increase in OIDP (p < 0.001) and diminished QL (p < 0.052) with an increase in the periodontal index. This result is marginally significant since the significance probability is marginally greater than 0.05. In turn, there was an increase in QL (p = 0.000) and reduction in OIDP (p < 0.000) with an increase in the family income. Adolescents who resided in areas of greatest social exclusion (p = 0.031) and with greater OIDP (p < 0.000) presented the worst QL. Conclusion Individual and contextual variables were related to the OIDP and QL in underprivileged Brazilian adolescents.
doi_str_mv 10.1007/s11136-014-0795-4
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Methods An analytical cross-sectional study was conducted in Piracicaba, in 2012, with 1,172 adolescents aged 15-19 years, from 21 state schools and 34 Family Health Units. The dependent variables included the socio-dental impact (OIDP) and quality of life (WHOQOL-bref) indices. The dependent variables were classified as individual (DMFT index, CPI Index, age, sex, income, parents' educational level) and contextual (Social Exclusion Index) variable. The multilevel regression model was estimated by the PROC GLIMMIX ("Generalized Linear Models-Mixed") procedure, considering the individuals' variables as being Level 1 and the contextual variables as being Level 2, and the statistical significance was evaluated at level of significance of 5 %. Results Girls were found to have the worst QL (p &lt; 0.000) and greatest OIDP (p = 0.000). There was an increase in OIDP (p &lt; 0.001) and diminished QL (p &lt; 0.052) with an increase in the periodontal index. This result is marginally significant since the significance probability is marginally greater than 0.05. In turn, there was an increase in QL (p = 0.000) and reduction in OIDP (p &lt; 0.000) with an increase in the family income. Adolescents who resided in areas of greatest social exclusion (p = 0.031) and with greater OIDP (p &lt; 0.000) presented the worst QL. Conclusion Individual and contextual variables were related to the OIDP and QL in underprivileged Brazilian adolescents.</description><identifier>ISSN: 0962-9343</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-014-0795-4</identifier><identifier>PMID: 25173682</identifier><language>eng</language><publisher>Cham: Springer</publisher><subject>Adolescent ; Adult ; Age ; Brazil - epidemiology ; CLINICAL AND POLICY APPLICATIONS ; Cross-Sectional Studies ; Dental health ; Dental schools ; Dentistry ; Families &amp; family life ; Female ; Generalized linear models ; Health Status ; Humans ; Income ; Male ; Medicine ; Medicine &amp; Public Health ; Oral Health - statistics &amp; numerical data ; Oral hygiene ; Periodontal Diseases - epidemiology ; Primary care ; Public Health ; Quality of Life ; Quality of Life Research ; Schools ; Secondary schools ; Sex Factors ; Social exclusion ; Sociodemographics ; Socioeconomic factors ; Sociology ; Students ; Surveys and Questionnaires ; Teenagers ; Variables ; Vulnerable Populations - statistics &amp; numerical data ; Young Adult</subject><ispartof>Quality of life research, 2015-03, Vol.24 (3), p.661-669</ispartof><rights>Springer International Publishing 2015</rights><rights>Springer International Publishing Switzerland 2014</rights><rights>Springer International Publishing Switzerland 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c534t-8f5f2d1da7e10736b682b65262f4f1ec29562c8e83172b373a63239c433857b23</citedby><cites>FETCH-LOGICAL-c534t-8f5f2d1da7e10736b682b65262f4f1ec29562c8e83172b373a63239c433857b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44849067$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44849067$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,41464,42533,51294,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25173682$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Lima Vazquez, Fabiana</creatorcontrib><creatorcontrib>Cortellazzi, Karine Laura</creatorcontrib><creatorcontrib>Kaieda, Armando Koichiro</creatorcontrib><creatorcontrib>Guerra, Luciane Miranda</creatorcontrib><creatorcontrib>Ambrosano, Glaucia Maria Bovi</creatorcontrib><creatorcontrib>da Silva Tagliaferro, Elaine Pereira</creatorcontrib><creatorcontrib>Mialhe, Fábio Luiz</creatorcontrib><creatorcontrib>de Castro Meneghim, Marcelo</creatorcontrib><creatorcontrib>Pereira, Antonio Carlos</creatorcontrib><title>Quality of life and socio-dental impact among underprivileged Brazilian adolescents</title><title>Quality of life research</title><addtitle>Qual Life Res</addtitle><addtitle>Qual Life Res</addtitle><description>Purpose To evaluate the influence of clinical variables, individual and contextual characteristics on the quality of life (QL) of underprivileged adolescents in a municipality in the interior of the State of São Paulo, Brazil. Methods An analytical cross-sectional study was conducted in Piracicaba, in 2012, with 1,172 adolescents aged 15-19 years, from 21 state schools and 34 Family Health Units. The dependent variables included the socio-dental impact (OIDP) and quality of life (WHOQOL-bref) indices. The dependent variables were classified as individual (DMFT index, CPI Index, age, sex, income, parents' educational level) and contextual (Social Exclusion Index) variable. The multilevel regression model was estimated by the PROC GLIMMIX ("Generalized Linear Models-Mixed") procedure, considering the individuals' variables as being Level 1 and the contextual variables as being Level 2, and the statistical significance was evaluated at level of significance of 5 %. Results Girls were found to have the worst QL (p &lt; 0.000) and greatest OIDP (p = 0.000). There was an increase in OIDP (p &lt; 0.001) and diminished QL (p &lt; 0.052) with an increase in the periodontal index. This result is marginally significant since the significance probability is marginally greater than 0.05. In turn, there was an increase in QL (p = 0.000) and reduction in OIDP (p &lt; 0.000) with an increase in the family income. Adolescents who resided in areas of greatest social exclusion (p = 0.031) and with greater OIDP (p &lt; 0.000) presented the worst QL. Conclusion Individual and contextual variables were related to the OIDP and QL in underprivileged Brazilian adolescents.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Brazil - epidemiology</subject><subject>CLINICAL AND POLICY APPLICATIONS</subject><subject>Cross-Sectional Studies</subject><subject>Dental health</subject><subject>Dental schools</subject><subject>Dentistry</subject><subject>Families &amp; family life</subject><subject>Female</subject><subject>Generalized linear models</subject><subject>Health Status</subject><subject>Humans</subject><subject>Income</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Oral Health - statistics &amp; numerical data</subject><subject>Oral hygiene</subject><subject>Periodontal Diseases - epidemiology</subject><subject>Primary care</subject><subject>Public Health</subject><subject>Quality of Life</subject><subject>Quality of Life Research</subject><subject>Schools</subject><subject>Secondary schools</subject><subject>Sex Factors</subject><subject>Social exclusion</subject><subject>Sociodemographics</subject><subject>Socioeconomic factors</subject><subject>Sociology</subject><subject>Students</subject><subject>Surveys and Questionnaires</subject><subject>Teenagers</subject><subject>Variables</subject><subject>Vulnerable Populations - statistics &amp; 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Methods An analytical cross-sectional study was conducted in Piracicaba, in 2012, with 1,172 adolescents aged 15-19 years, from 21 state schools and 34 Family Health Units. The dependent variables included the socio-dental impact (OIDP) and quality of life (WHOQOL-bref) indices. The dependent variables were classified as individual (DMFT index, CPI Index, age, sex, income, parents' educational level) and contextual (Social Exclusion Index) variable. The multilevel regression model was estimated by the PROC GLIMMIX ("Generalized Linear Models-Mixed") procedure, considering the individuals' variables as being Level 1 and the contextual variables as being Level 2, and the statistical significance was evaluated at level of significance of 5 %. Results Girls were found to have the worst QL (p &lt; 0.000) and greatest OIDP (p = 0.000). There was an increase in OIDP (p &lt; 0.001) and diminished QL (p &lt; 0.052) with an increase in the periodontal index. This result is marginally significant since the significance probability is marginally greater than 0.05. In turn, there was an increase in QL (p = 0.000) and reduction in OIDP (p &lt; 0.000) with an increase in the family income. Adolescents who resided in areas of greatest social exclusion (p = 0.031) and with greater OIDP (p &lt; 0.000) presented the worst QL. Conclusion Individual and contextual variables were related to the OIDP and QL in underprivileged Brazilian adolescents.</abstract><cop>Cham</cop><pub>Springer</pub><pmid>25173682</pmid><doi>10.1007/s11136-014-0795-4</doi><tpages>9</tpages></addata></record>
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subjects Adolescent
Adult
Age
Brazil - epidemiology
CLINICAL AND POLICY APPLICATIONS
Cross-Sectional Studies
Dental health
Dental schools
Dentistry
Families & family life
Female
Generalized linear models
Health Status
Humans
Income
Male
Medicine
Medicine & Public Health
Oral Health - statistics & numerical data
Oral hygiene
Periodontal Diseases - epidemiology
Primary care
Public Health
Quality of Life
Quality of Life Research
Schools
Secondary schools
Sex Factors
Social exclusion
Sociodemographics
Socioeconomic factors
Sociology
Students
Surveys and Questionnaires
Teenagers
Variables
Vulnerable Populations - statistics & numerical data
Young Adult
title Quality of life and socio-dental impact among underprivileged Brazilian adolescents
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