Factors Related to Oral Health-Related Quality of Life of Independent Brazilian Elderly
Identifieur interne : 004582 ( Ncbi/Merge ); précédent : 004581; suivant : 004583Factors Related to Oral Health-Related Quality of Life of Independent Brazilian Elderly
Auteurs : Karla Giovana Bavaresco Ulinski [Brésil] ; Mariele Andrade Do Nascimento [Brésil] ; Arinilson Moreira Chaves Lima [Brésil] ; Ana Raquel Benetti [Brésil, Danemark] ; Regina Célia Poli-Frederico [Brésil] ; Karen Barros Parron Fernandes [Brésil] ; Marina Lourdes Calvo Fracasso [Brésil] ; Sandra Mara Maciel [Brésil]Source :
- International Journal of Dentistry [ 1687-8728 ] ; 2013.
Abstract
The aim of this cross-sectional study was to assess the factors associated with the impact of oral health on the quality of life in a sample of 504 Brazilian independent elderly. Data collection included oral examinations and structured interviews. The simplified form of the Oral Health Impact Profile (OHIP-14) was used to measure OHRQoL. Information on sociodemographic characteristics, use of dental services, and subjective measures of health was collected. Poisson regression within a hierarchical model was used to data analyses. The following variables were associated with a negative impact on OHRQoL: female gender (PR = 1.40; CI 95%: 1.11–1.77); lower class (PR = 1.58; CI 95%: 1.13–2.20); up to 3 occluding pairs of posterior teeth (PR = 1.88; CI 95%: 1.13–3.14); at least one untreated caries (PR = 1.28; CI 95%: 1.06–1.54); curative reasons for the last dental appointment (PR = 1.52; CI 95%: 1.15–2.00); poor self-perception of oral health (PR = 2.49; CI 95%: 1.92–3.24); and poor perception of dental care provided (PR = 1.34; CI 95%: 1.12–1.59). The younger elderly also noticed this negative impact. These findings showed that the clinical, sociodemographic, and subjective factors evaluated exerted a negative impact on OHRQoL in elderly people. Health authorities must address all these factors when planning interventions on oral health for this population.
Url:
DOI: 10.1155/2013/705047
PubMed: 23533414
PubMed Central: 3606732
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<front><div type="abstract" xml:lang="en"><p>The aim of this cross-sectional study was to assess the factors associated with the impact of oral health on the quality of life in a sample of 504 Brazilian independent elderly. Data collection included oral examinations and structured interviews. The simplified form of the Oral Health Impact Profile (OHIP-14) was used to measure OHRQoL. Information on sociodemographic characteristics, use of dental services, and subjective measures of health was collected. Poisson regression within a hierarchical model was used to data analyses. The following variables were associated with a negative impact on OHRQoL: female gender (PR = 1.40; CI 95%: 1.11–1.77); lower class (PR = 1.58; CI 95%: 1.13–2.20); up to 3 occluding pairs of posterior teeth (PR = 1.88; CI 95%: 1.13–3.14); at least one untreated caries (PR = 1.28; CI 95%: 1.06–1.54); curative reasons for the last dental appointment (PR = 1.52; CI 95%: 1.15–2.00); poor self-perception of oral health (PR = 2.49; CI 95%: 1.92–3.24); and poor perception of dental care provided (PR = 1.34; CI 95%: 1.12–1.59). The younger elderly also noticed this negative impact. These findings showed that the clinical, sociodemographic, and subjective factors evaluated exerted a negative impact on OHRQoL in elderly people. Health authorities must address all these factors when planning interventions on oral health for this population.</p>
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</TEI>
<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Dent</journal-id>
<journal-id journal-id-type="publisher-id">IJD</journal-id>
<journal-title-group><journal-title>International Journal of Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">1687-8728</issn>
<issn pub-type="epub">1687-8736</issn>
<publisher><publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23533414</article-id>
<article-id pub-id-type="pmc">3606732</article-id>
<article-id pub-id-type="doi">10.1155/2013/705047</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Factors Related to Oral Health-Related Quality of Life of Independent Brazilian Elderly</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Ulinski</surname>
<given-names>Karla Giovana Bavaresco</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>do Nascimento</surname>
<given-names>Mariele Andrade</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lima</surname>
<given-names>Arinilson Moreira Chaves</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Benetti</surname>
<given-names>Ana Raquel</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="I3"><sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Poli-Frederico</surname>
<given-names>Regina Célia</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fernandes</surname>
<given-names>Karen Barros Parron</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fracasso</surname>
<given-names>Marina Lourdes Calvo</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Maciel</surname>
<given-names>Sandra Mara</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Department of Preventive and Operative Dentistry, University of North Parana, Londrina, PR, Brazil</aff>
<aff id="I2"><sup>2</sup>
Department of Dentistry, State University of Maringa, Maringa, PR, Brazil</aff>
<aff id="I3"><sup>3</sup>
Institute of Odontology, University of Copenhagen, Copenhagen, Denmark</aff>
<author-notes><corresp id="cor1">*Sandra Mara Maciel: <email>sandramaciel53@gmail.com</email>
</corresp>
<fn fn-type="other"><p>Academic Editor: F. N. Hugo</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>6</day>
<month>3</month>
<year>2013</year>
</pub-date>
<volume>2013</volume>
<elocation-id>705047</elocation-id>
<history><date date-type="received"><day>28</day>
<month>9</month>
<year>2012</year>
</date>
<date date-type="rev-recd"><day>5</day>
<month>1</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>5</day>
<month>2</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2013 Karla Giovana Bavaresco Ulinski et al.</copyright-statement>
<copyright-year>2013</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>The aim of this cross-sectional study was to assess the factors associated with the impact of oral health on the quality of life in a sample of 504 Brazilian independent elderly. Data collection included oral examinations and structured interviews. The simplified form of the Oral Health Impact Profile (OHIP-14) was used to measure OHRQoL. Information on sociodemographic characteristics, use of dental services, and subjective measures of health was collected. Poisson regression within a hierarchical model was used to data analyses. The following variables were associated with a negative impact on OHRQoL: female gender (PR = 1.40; CI 95%: 1.11–1.77); lower class (PR = 1.58; CI 95%: 1.13–2.20); up to 3 occluding pairs of posterior teeth (PR = 1.88; CI 95%: 1.13–3.14); at least one untreated caries (PR = 1.28; CI 95%: 1.06–1.54); curative reasons for the last dental appointment (PR = 1.52; CI 95%: 1.15–2.00); poor self-perception of oral health (PR = 2.49; CI 95%: 1.92–3.24); and poor perception of dental care provided (PR = 1.34; CI 95%: 1.12–1.59). The younger elderly also noticed this negative impact. These findings showed that the clinical, sociodemographic, and subjective factors evaluated exerted a negative impact on OHRQoL in elderly people. Health authorities must address all these factors when planning interventions on oral health for this population.</p>
</abstract>
</article-meta>
</front>
<floats-group><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label>
<caption><p>Distribution of responses (%) to OHIP-14 items, mean and median scores subscales.</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Conceptual domains and questions</th>
<th align="center" rowspan="1" colspan="1">Never (0)/hardly ever (1)</th>
<th align="center" rowspan="1" colspan="1">Occasionally (2)</th>
<th align="center" rowspan="1" colspan="1">Very often (3)/fairly often (4)</th>
<th align="center" rowspan="1" colspan="1">Mean (SD)</th>
<th align="center" rowspan="1" colspan="1">Median (range)</th>
</tr>
</thead>
<tbody><tr><td align="left" rowspan="1" colspan="1">Functional limitation</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1">1.34 (1.90)</td>
<td align="center" rowspan="1" colspan="1">0 (0–8)</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Trouble pronouncing words</td>
<td align="center" rowspan="1" colspan="1">71.8</td>
<td align="center" rowspan="1" colspan="1">17.9</td>
<td align="center" rowspan="1" colspan="1">10.3</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Felt sense of taste worsened</td>
<td align="center" rowspan="1" colspan="1">82.8</td>
<td align="center" rowspan="1" colspan="1">8.1</td>
<td align="center" rowspan="1" colspan="1">9.1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Physical pain</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1">2.11 (2.19)</td>
<td align="center" rowspan="1" colspan="1">2 (0–8)</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Had painful aching in mouth</td>
<td align="center" rowspan="1" colspan="1">70.3</td>
<td align="center" rowspan="1" colspan="1">17.6</td>
<td align="center" rowspan="1" colspan="1">12.1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Uncomfortable to eat foods</td>
<td align="center" rowspan="1" colspan="1">58.7</td>
<td align="center" rowspan="1" colspan="1">20.0</td>
<td align="center" rowspan="1" colspan="1">21.3</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Psychological discomfort</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1">2.02 (2.44)</td>
<td align="center" rowspan="1" colspan="1">1 (0–8)</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Been self-conscious</td>
<td align="center" rowspan="1" colspan="1">57.4</td>
<td align="center" rowspan="1" colspan="1">19.0</td>
<td align="center" rowspan="1" colspan="1">23.6</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Felt tense</td>
<td align="center" rowspan="1" colspan="1">78.2</td>
<td align="center" rowspan="1" colspan="1">9.7</td>
<td align="center" rowspan="1" colspan="1">12.1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Physical disability</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1">1.37 (1.99)</td>
<td align="center" rowspan="1" colspan="1">0 (0–8)</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Diet been unsatisfactory</td>
<td align="center" rowspan="1" colspan="1">73.0</td>
<td align="center" rowspan="1" colspan="1">12.7</td>
<td align="center" rowspan="1" colspan="1">14.3</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Had to interrupt meals</td>
<td align="center" rowspan="1" colspan="1">82.1</td>
<td align="center" rowspan="1" colspan="1">11.4</td>
<td align="center" rowspan="1" colspan="1">6.5</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Psychological disability</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1">1.45 (2.06)</td>
<td align="center" rowspan="1" colspan="1">0 (0–8)</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Difficult to relax</td>
<td align="center" rowspan="1" colspan="1">87.7</td>
<td align="center" rowspan="1" colspan="1">5.2</td>
<td align="center" rowspan="1" colspan="1">7.1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Been a bit embarrassed</td>
<td align="center" rowspan="1" colspan="1">66.7</td>
<td align="center" rowspan="1" colspan="1">14.7</td>
<td align="center" rowspan="1" colspan="1">18.6</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Social disability</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1">0.43 (1.17)</td>
<td align="center" rowspan="1" colspan="1">0 (0–8)</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Irritable with other people</td>
<td align="center" rowspan="1" colspan="1">92.9</td>
<td align="center" rowspan="1" colspan="1">3.4</td>
<td align="center" rowspan="1" colspan="1">3.7</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Difficult doing usual jobs</td>
<td align="center" rowspan="1" colspan="1">93.6</td>
<td align="center" rowspan="1" colspan="1">3.6</td>
<td align="center" rowspan="1" colspan="1">2.8</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Handicap</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1">0.39 (1.19)</td>
<td align="center" rowspan="1" colspan="1">0 (0–8)</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Felt life less satisfying</td>
<td align="center" rowspan="1" colspan="1">90.8</td>
<td align="center" rowspan="1" colspan="1">4.0</td>
<td align="center" rowspan="1" colspan="1">5.2</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Totally unable to function</td>
<td align="center" rowspan="1" colspan="1">96.6</td>
<td align="center" rowspan="1" colspan="1">2.0</td>
<td align="center" rowspan="1" colspan="1">1.4</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Total OHIP-14</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1">9.10 (9.47)</td>
<td align="center" rowspan="1" colspan="1">6 (0–56)</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="tab2" orientation="portrait" position="float"><label>Table 2</label>
<caption><p>Poisson bivariate analysis of factors associated with having negative impact on OHRQoL in Brazilian elderly (<italic>n</italic>
= 504).</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="3" colspan="1">Variables</th>
<th align="center" colspan="2" rowspan="1">Having negative impact</th>
<th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1"> </th>
<th align="center" rowspan="1" colspan="1"> </th>
</tr>
<tr><th align="center" colspan="2" rowspan="1">Yes</th>
<th align="center" rowspan="2" colspan="1">Unadjusted PR</th>
<th align="center" rowspan="2" colspan="1">CI 95%</th>
<th align="center" rowspan="2" colspan="1"><italic>P</italic>
value</th>
</tr>
<tr><th align="center" rowspan="1" colspan="1"><italic>n</italic>
</th>
<th align="center" rowspan="1" colspan="1">%</th>
</tr>
</thead>
<tbody><tr><td align="left" rowspan="1" colspan="1"><italic>Block 1: sociodemographic factors </italic>
</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Gender</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Male</td>
<td align="center" rowspan="1" colspan="1">58</td>
<td align="center" rowspan="1" colspan="1">34.1</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Female</td>
<td align="center" rowspan="1" colspan="1">171</td>
<td align="center" rowspan="1" colspan="1">51.2</td>
<td align="center" rowspan="1" colspan="1">1.50</td>
<td align="center" rowspan="1" colspan="1">(1.18–1.89)</td>
<td align="center" rowspan="1" colspan="1">0.001</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Age</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> 60–64 years</td>
<td align="center" rowspan="1" colspan="1">75</td>
<td align="center" rowspan="1" colspan="1">58.6</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> 65–74 years</td>
<td align="center" rowspan="1" colspan="1">113</td>
<td align="center" rowspan="1" colspan="1">41.4</td>
<td align="center" rowspan="1" colspan="1">0.70</td>
<td align="center" rowspan="1" colspan="1">(0.57–0.86)</td>
<td align="center" rowspan="1" colspan="1">0.001</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> 75 or over </td>
<td align="center" rowspan="1" colspan="1">41</td>
<td align="center" rowspan="1" colspan="1">39.8</td>
<td align="center" rowspan="1" colspan="1">0.67</td>
<td align="center" rowspan="1" colspan="1">(0.51–0.90)</td>
<td align="center" rowspan="1" colspan="1">0.007</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Geography</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Urban</td>
<td align="center" rowspan="1" colspan="1">108</td>
<td align="center" rowspan="1" colspan="1">46.4</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Rural</td>
<td align="center" rowspan="1" colspan="1">121</td>
<td align="center" rowspan="1" colspan="1">44.6</td>
<td align="center" rowspan="1" colspan="1">0.96</td>
<td align="center" rowspan="1" colspan="1">(0.79–1.16)</td>
<td align="center" rowspan="1" colspan="1">0.702</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Living arrangements</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Not alone</td>
<td align="center" rowspan="1" colspan="1">147</td>
<td align="center" rowspan="1" colspan="1">44.8</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Alone</td>
<td align="center" rowspan="1" colspan="1">82</td>
<td align="center" rowspan="1" colspan="1">46.6</td>
<td align="center" rowspan="1" colspan="1">1.04</td>
<td align="center" rowspan="1" colspan="1">(0.85–1.26)</td>
<td align="center" rowspan="1" colspan="1">0.702</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Ethnicity</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> White</td>
<td align="center" rowspan="1" colspan="1">148</td>
<td align="center" rowspan="1" colspan="1">47.3</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Nonwhite</td>
<td align="center" rowspan="1" colspan="1">81</td>
<td align="center" rowspan="1" colspan="1">42.4</td>
<td align="center" rowspan="1" colspan="1">0.89</td>
<td align="center" rowspan="1" colspan="1">(0.73–1.09)</td>
<td align="center" rowspan="1" colspan="1">0.292</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Education</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> >4 years</td>
<td align="center" rowspan="1" colspan="1">42</td>
<td align="center" rowspan="1" colspan="1">42.9</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> ≤4 years</td>
<td align="center" rowspan="1" colspan="1">187</td>
<td align="center" rowspan="1" colspan="1">46.1</td>
<td align="center" rowspan="1" colspan="1">1.07</td>
<td align="center" rowspan="1" colspan="1">(0.83–1.38)</td>
<td align="center" rowspan="1" colspan="1">0.575</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Economical class</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Upper/upper middle </td>
<td align="center" rowspan="1" colspan="1">25</td>
<td align="center" rowspan="1" colspan="1">30.1</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Lower middle/lower </td>
<td align="center" rowspan="1" colspan="1">204</td>
<td align="center" rowspan="1" colspan="1">48.5</td>
<td align="center" rowspan="1" colspan="1">1.60</td>
<td align="center" rowspan="1" colspan="1">(1.14–2.26)</td>
<td align="center" rowspan="1" colspan="1">0.006</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"><italic>Block 2: oral health conditions and needs </italic>
</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Number of teeth</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> ≥20</td>
<td align="center" rowspan="1" colspan="1">24</td>
<td align="center" rowspan="1" colspan="1">38.7</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> <1–19</td>
<td align="center" rowspan="1" colspan="1">103</td>
<td align="center" rowspan="1" colspan="1">50.7</td>
<td align="center" rowspan="1" colspan="1">1.31</td>
<td align="center" rowspan="1" colspan="1">(0.93–1.84)</td>
<td align="center" rowspan="1" colspan="1">0.120</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Edentulous</td>
<td align="center" rowspan="1" colspan="1">102</td>
<td align="center" rowspan="1" colspan="1">42.7</td>
<td align="center" rowspan="1" colspan="1">1.10</td>
<td align="center" rowspan="1" colspan="1">(0.78–1.55)</td>
<td align="center" rowspan="1" colspan="1">0.580</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Posterior occlusal pairs</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> ≥3</td>
<td align="center" rowspan="1" colspan="1">11</td>
<td align="center" rowspan="1" colspan="1">26.8</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> <3</td>
<td align="center" rowspan="1" colspan="1">218</td>
<td align="center" rowspan="1" colspan="1">47.1</td>
<td align="center" rowspan="1" colspan="1">1.75</td>
<td align="center" rowspan="1" colspan="1">(1.04–2.93)</td>
<td align="center" rowspan="1" colspan="1">0.032</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Use of prosthesis </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> No </td>
<td align="center" rowspan="1" colspan="1">29</td>
<td align="center" rowspan="1" colspan="1">38.2</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Yes</td>
<td align="center" rowspan="1" colspan="1">200</td>
<td align="center" rowspan="1" colspan="1">46.7</td>
<td align="center" rowspan="1" colspan="1">1.22</td>
<td align="center" rowspan="1" colspan="1">(0.90–1.65)</td>
<td align="center" rowspan="1" colspan="1">0.191</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Untreated dental caries</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> No</td>
<td align="center" rowspan="1" colspan="1">139</td>
<td align="center" rowspan="1" colspan="1">42.1</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> At least one</td>
<td align="center" rowspan="1" colspan="1">90</td>
<td align="center" rowspan="1" colspan="1">51.7</td>
<td align="center" rowspan="1" colspan="1">1.22</td>
<td align="center" rowspan="1" colspan="1">(1.01–1.49)</td>
<td align="center" rowspan="1" colspan="1">0.035</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Prosthetic need</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> No </td>
<td align="center" rowspan="1" colspan="1">44</td>
<td align="center" rowspan="1" colspan="1">40.4</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Yes</td>
<td align="center" rowspan="1" colspan="1">185</td>
<td align="center" rowspan="1" colspan="1">46.8</td>
<td align="center" rowspan="1" colspan="1">1.16</td>
<td align="center" rowspan="1" colspan="1">(0.90–1.49)</td>
<td align="center" rowspan="1" colspan="1">0.246</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"><italic>Block 3: use of dental services </italic>
</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"></td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Pattern of dental attendance</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Regular</td>
<td align="center" rowspan="1" colspan="1">6</td>
<td align="center" rowspan="1" colspan="1">26.1</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Irregular</td>
<td align="center" rowspan="1" colspan="1">223</td>
<td align="center" rowspan="1" colspan="1">46.4</td>
<td align="center" rowspan="1" colspan="1">1.77</td>
<td align="center" rowspan="1" colspan="1">(0.89–3.56)</td>
<td align="center" rowspan="1" colspan="1">0.105</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Time since last dental visit</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> ≤1 year</td>
<td align="center" rowspan="1" colspan="1">66</td>
<td align="center" rowspan="1" colspan="1">48.9</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> 1 year</td>
<td align="center" rowspan="1" colspan="1">163</td>
<td align="center" rowspan="1" colspan="1">44.2</td>
<td align="center" rowspan="1" colspan="1">0.90</td>
<td align="center" rowspan="1" colspan="1">(0.73–1.11)</td>
<td align="center" rowspan="1" colspan="1">0.337</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Site of last dental visit</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Private/agreements</td>
<td align="center" rowspan="1" colspan="1">167</td>
<td align="center" rowspan="1" colspan="1">42.9</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Public</td>
<td align="center" rowspan="1" colspan="1">62</td>
<td align="center" rowspan="1" colspan="1">53.9</td>
<td align="center" rowspan="1" colspan="1">1.25</td>
<td align="center" rowspan="1" colspan="1">(1.02–1.54)</td>
<td align="center" rowspan="1" colspan="1">0.029</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Reason for dental visit</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Checkup, exam, or clean</td>
<td align="center" rowspan="1" colspan="1">209</td>
<td align="center" rowspan="1" colspan="1">44.2</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Pain/problem</td>
<td align="center" rowspan="1" colspan="1">20</td>
<td align="center" rowspan="1" colspan="1">64.5</td>
<td align="center" rowspan="1" colspan="1">1.46</td>
<td align="center" rowspan="1" colspan="1">(1.10–1.93)</td>
<td align="center" rowspan="1" colspan="1">0.008</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"><italic>Block 4: subjective conditions </italic>
</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Self-rating general status</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Good/very good</td>
<td align="center" rowspan="1" colspan="1">66</td>
<td align="center" rowspan="1" colspan="1">34.4</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Fair</td>
<td align="center" rowspan="1" colspan="1">122</td>
<td align="center" rowspan="1" colspan="1">51.5</td>
<td align="center" rowspan="1" colspan="1">1.59</td>
<td align="center" rowspan="1" colspan="1">(1.19–2.11)</td>
<td align="center" rowspan="1" colspan="1">0.001</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Poor/very poor</td>
<td align="center" rowspan="1" colspan="1">41</td>
<td align="center" rowspan="1" colspan="1">54.7</td>
<td align="center" rowspan="1" colspan="1">1.49</td>
<td align="center" rowspan="1" colspan="1">(1.18–1.88)</td>
<td align="center" rowspan="1" colspan="1">0.001</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Self-rating of oral health</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Good/very good</td>
<td align="center" rowspan="1" colspan="1">51</td>
<td align="center" rowspan="1" colspan="1">25.0</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Fair</td>
<td align="center" rowspan="1" colspan="1">52</td>
<td align="center" rowspan="1" colspan="1">40.3</td>
<td align="center" rowspan="1" colspan="1">1.61</td>
<td align="center" rowspan="1" colspan="1">(1.17–2.21)</td>
<td align="center" rowspan="1" colspan="1">0.003</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Poor/very poor</td>
<td align="center" rowspan="1" colspan="1">126</td>
<td align="center" rowspan="1" colspan="1">73.7</td>
<td align="center" rowspan="1" colspan="1">2.94</td>
<td align="center" rowspan="1" colspan="1">(2.28–3.80)</td>
<td align="center" rowspan="1" colspan="1">0.000</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Perception of the last query </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Good</td>
<td align="center" rowspan="1" colspan="1">154</td>
<td align="center" rowspan="1" colspan="1">40.0</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Poor</td>
<td align="center" rowspan="1" colspan="1">75</td>
<td align="center" rowspan="1" colspan="1">63.0</td>
<td align="center" rowspan="1" colspan="1">1.57</td>
<td align="center" rowspan="1" colspan="1">(1.31–1.89)</td>
<td align="center" rowspan="1" colspan="1">0.000</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="tab3" orientation="portrait" position="float"><label>Table 3</label>
<caption><p>Poisson multivariate analysis of factors associated with having negative impact on OHRQoL in Brazilian elderly (<italic>n</italic>
= 504).</p>
</caption>
<table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Variables</th>
<th align="center" rowspan="1" colspan="1">Adjusted PR </th>
<th align="center" rowspan="1" colspan="1">CI 95%</th>
<th align="center" rowspan="1" colspan="1"><italic>P</italic>
value</th>
</tr>
</thead>
<tbody><tr><td align="left" rowspan="1" colspan="1"><italic>Block 1: sociodemographic factors </italic>
</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Gender</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Male</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Female</td>
<td align="center" rowspan="1" colspan="1">1.40</td>
<td align="center" rowspan="1" colspan="1">(1.11–1.77)</td>
<td align="center" rowspan="1" colspan="1">0.004</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Age</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> 60–64 years</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> 65–74 years</td>
<td align="center" rowspan="1" colspan="1">0.72</td>
<td align="center" rowspan="1" colspan="1">(0.59–0.88)</td>
<td align="center" rowspan="1" colspan="1">0.001</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> 75 or over </td>
<td align="center" rowspan="1" colspan="1">0.68</td>
<td align="center" rowspan="1" colspan="1">(0.52–0.90)</td>
<td align="center" rowspan="1" colspan="1">0.006</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Economical class</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Upper/upper middle </td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Lower middle/lower </td>
<td align="center" rowspan="1" colspan="1">1.58</td>
<td align="center" rowspan="1" colspan="1">(1.13–2.20)</td>
<td align="center" rowspan="1" colspan="1">0.008</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"><italic>Block 2: oral health conditions and needs </italic>
</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Posterior occlusal pairs</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> ≥3</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> <3</td>
<td align="center" rowspan="1" colspan="1">1.88</td>
<td align="center" rowspan="1" colspan="1">(1.13–3.14)</td>
<td align="center" rowspan="1" colspan="1">0.015</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Untreated dental caries</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> No</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> At least one</td>
<td align="center" rowspan="1" colspan="1">1.28</td>
<td align="center" rowspan="1" colspan="1">(1.06–1.54)</td>
<td align="center" rowspan="1" colspan="1">0.010</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"><italic>Block 3: use of dental services </italic>
</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Reason for dental visit</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Checkup, exam, or clean</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Pain/problem</td>
<td align="center" rowspan="1" colspan="1">1.52</td>
<td align="center" rowspan="1" colspan="1">(1.15–2.00)</td>
<td align="center" rowspan="1" colspan="1">0.003</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"><italic>Block 4: subjective conditions </italic>
</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Self-rating of oral health</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Good/very good</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Fair</td>
<td align="center" rowspan="1" colspan="1">1.48</td>
<td align="center" rowspan="1" colspan="1">(1.08–2.02)</td>
<td align="center" rowspan="1" colspan="1">0.014</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Poor/very poor</td>
<td align="center" rowspan="1" colspan="1">2.49</td>
<td align="center" rowspan="1" colspan="1">(1.92–3.24)</td>
<td align="center" rowspan="1" colspan="1"><0.001</td>
</tr>
<tr><td align="left" rowspan="1" colspan="1">Perception of the last query </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Good</td>
<td align="center" rowspan="1" colspan="1">1</td>
<td align="center" rowspan="1" colspan="1"> </td>
<td align="center" rowspan="1" colspan="1"> </td>
</tr>
<tr><td align="left" rowspan="1" colspan="1"> Poor</td>
<td align="center" rowspan="1" colspan="1">1.34</td>
<td align="center" rowspan="1" colspan="1">(1.12–1.59)</td>
<td align="center" rowspan="1" colspan="1">0.001</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
<affiliations><list><country><li>Brésil</li>
<li>Danemark</li>
</country>
<region><li>Hovedstaden</li>
<li>Paraná (État)</li>
</region>
<settlement><li>Copenhague</li>
</settlement>
</list>
<tree><country name="Brésil"><region name="Paraná (État)"><name sortKey="Ulinski, Karla Giovana Bavaresco" sort="Ulinski, Karla Giovana Bavaresco" uniqKey="Ulinski K" first="Karla Giovana Bavaresco" last="Ulinski">Karla Giovana Bavaresco Ulinski</name>
</region>
<name sortKey="Benetti, Ana Raquel" sort="Benetti, Ana Raquel" uniqKey="Benetti A" first="Ana Raquel" last="Benetti">Ana Raquel Benetti</name>
<name sortKey="Do Nascimento, Mariele Andrade" sort="Do Nascimento, Mariele Andrade" uniqKey="Do Nascimento M" first="Mariele Andrade" last="Do Nascimento">Mariele Andrade Do Nascimento</name>
<name sortKey="Fernandes, Karen Barros Parron" sort="Fernandes, Karen Barros Parron" uniqKey="Fernandes K" first="Karen Barros Parron" last="Fernandes">Karen Barros Parron Fernandes</name>
<name sortKey="Fracasso, Marina Lourdes Calvo" sort="Fracasso, Marina Lourdes Calvo" uniqKey="Fracasso M" first="Marina Lourdes Calvo" last="Fracasso">Marina Lourdes Calvo Fracasso</name>
<name sortKey="Lima, Arinilson Moreira Chaves" sort="Lima, Arinilson Moreira Chaves" uniqKey="Lima A" first="Arinilson Moreira Chaves" last="Lima">Arinilson Moreira Chaves Lima</name>
<name sortKey="Maciel, Sandra Mara" sort="Maciel, Sandra Mara" uniqKey="Maciel S" first="Sandra Mara" last="Maciel">Sandra Mara Maciel</name>
<name sortKey="Maciel, Sandra Mara" sort="Maciel, Sandra Mara" uniqKey="Maciel S" first="Sandra Mara" last="Maciel">Sandra Mara Maciel</name>
<name sortKey="Poli Frederico, Regina Celia" sort="Poli Frederico, Regina Celia" uniqKey="Poli Frederico R" first="Regina Célia" last="Poli-Frederico">Regina Célia Poli-Frederico</name>
</country>
<country name="Danemark"><region name="Hovedstaden"><name sortKey="Benetti, Ana Raquel" sort="Benetti, Ana Raquel" uniqKey="Benetti A" first="Ana Raquel" last="Benetti">Ana Raquel Benetti</name>
</region>
</country>
</tree>
</affiliations>
</record>
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