Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults
Identifieur interne : 000D56 ( Pmc/Curation ); précédent : 000D55; suivant : 000D57Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults
Auteurs : Maria Augusta Bessa Rebelo ; Evangeline Maria Cardoso ; Peter G. Robinson ; Mario Vianna VettoreSource :
- Quality of Life Research [ 0962-9343 ] ; 2015.
Abstract
To identify demographic, socioeconomic and dental clinical predictors of oral health-related quality of life (OHRQoL) in elderly people.
Cross-sectional study involving 613 elderly people aged 65–74 years in Manaus, Brazil. Interviews and oral examinations were carried out to collect demographic characteristics (age and sex) and socioeconomic data (income and education), dental clinical measures (DMFT, need of upper and lower dentures) and OHRQoL (GOHAI questionnaire). Structural equation modelling was used to estimate direct and indirect pathways between the variables.
Being older predicted lower schooling but higher income. Higher income was linked to better dental status, which was linked to better OHRQoL. There were also indirect pathways. Age and education were linked to OHRQoL, mediated by clinical dental status. Income was associated with dental clinical status via education, and income predicted OHRQoL via education and clinical measures.
Our findings elucidate the complex pathways between individual, environmental factors and clinical factors that may determine OHRQoL and support the application of public health approaches to improve oral health in older people.
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DOI: 10.1007/s11136-015-1209-y
PubMed: 26708574
PubMed Central: 4893369
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Maria Augusta Bessa Rebelo<affiliation><nlm:aff id="Aff1">School of Dentistry, Federal University of Amazonas, Rua Rio Itannana, 111, Bairro Nossa Sra das Gracas, Manaus, AM CEP: 69.053-040 Brazil</nlm:aff><wicri:noCountry code="subfield">AM CEP: 69.053-040 Brazil</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX UK</nlm:aff><wicri:noCountry code="subfield">S10 5SX UK</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX UK</nlm:aff><wicri:noCountry code="subfield">S10 5SX UK</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3">School of Health Sciences, State University of Amazonas, Av. Djalma Batista, 2470, Chapada, Manaus, AM CEP: 69050-10 Brazil</nlm:aff><wicri:noCountry code="subfield">AM CEP: 69050-10 Brazil</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX UK</nlm:aff><wicri:noCountry code="subfield">S10 5SX UK</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX UK</nlm:aff><wicri:noCountry code="subfield">S10 5SX UK</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults</title><author><name sortKey="Rebelo, Maria Augusta Bessa" sort="Rebelo, Maria Augusta Bessa" uniqKey="Rebelo M" first="Maria Augusta Bessa" last="Rebelo">Maria Augusta Bessa Rebelo</name><affiliation><nlm:aff id="Aff1">School of Dentistry, Federal University of Amazonas, Rua Rio Itannana, 111, Bairro Nossa Sra das Gracas, Manaus, AM CEP: 69.053-040 Brazil</nlm:aff><wicri:noCountry code="subfield">AM CEP: 69.053-040 Brazil</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX UK</nlm:aff><wicri:noCountry code="subfield">S10 5SX UK</wicri:noCountry></affiliation></author><author><name sortKey="Cardoso, Evangeline Maria" sort="Cardoso, Evangeline Maria" uniqKey="Cardoso E" first="Evangeline Maria" last="Cardoso">Evangeline Maria Cardoso</name><affiliation><nlm:aff id="Aff3">School of Health Sciences, State University of Amazonas, Av. Djalma Batista, 2470, Chapada, Manaus, AM CEP: 69050-10 Brazil</nlm:aff><wicri:noCountry code="subfield">AM CEP: 69050-10 Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Robinson, Peter G" sort="Robinson, Peter G" uniqKey="Robinson P" first="Peter G." last="Robinson">Peter G. Robinson</name><affiliation><nlm:aff id="Aff2">Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX UK</nlm:aff><wicri:noCountry code="subfield">S10 5SX UK</wicri:noCountry></affiliation></author><author><name sortKey="Vettore, Mario Vianna" sort="Vettore, Mario Vianna" uniqKey="Vettore M" first="Mario Vianna" last="Vettore">Mario Vianna Vettore</name><affiliation><nlm:aff id="Aff2">Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX UK</nlm:aff><wicri:noCountry code="subfield">S10 5SX UK</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26708574</idno><idno type="pmc">4893369</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4893369</idno><idno type="RBID">PMC:4893369</idno><idno type="doi">10.1007/s11136-015-1209-y</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000D56</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000D56</idno><idno type="wicri:Area/Pmc/Curation">000D56</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000D56</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults</title><author><name sortKey="Rebelo, Maria Augusta Bessa" sort="Rebelo, Maria Augusta Bessa" uniqKey="Rebelo M" first="Maria Augusta Bessa" last="Rebelo">Maria Augusta Bessa Rebelo</name><affiliation><nlm:aff id="Aff1">School of Dentistry, Federal University of Amazonas, Rua Rio Itannana, 111, Bairro Nossa Sra das Gracas, Manaus, AM CEP: 69.053-040 Brazil</nlm:aff><wicri:noCountry code="subfield">AM CEP: 69.053-040 Brazil</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX UK</nlm:aff><wicri:noCountry code="subfield">S10 5SX UK</wicri:noCountry></affiliation></author><author><name sortKey="Cardoso, Evangeline Maria" sort="Cardoso, Evangeline Maria" uniqKey="Cardoso E" first="Evangeline Maria" last="Cardoso">Evangeline Maria Cardoso</name><affiliation><nlm:aff id="Aff3">School of Health Sciences, State University of Amazonas, Av. Djalma Batista, 2470, Chapada, Manaus, AM CEP: 69050-10 Brazil</nlm:aff><wicri:noCountry code="subfield">AM CEP: 69050-10 Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Robinson, Peter G" sort="Robinson, Peter G" uniqKey="Robinson P" first="Peter G." last="Robinson">Peter G. Robinson</name><affiliation><nlm:aff id="Aff2">Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX UK</nlm:aff><wicri:noCountry code="subfield">S10 5SX UK</wicri:noCountry></affiliation></author><author><name sortKey="Vettore, Mario Vianna" sort="Vettore, Mario Vianna" uniqKey="Vettore M" first="Mario Vianna" last="Vettore">Mario Vianna Vettore</name><affiliation><nlm:aff id="Aff2">Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX UK</nlm:aff><wicri:noCountry code="subfield">S10 5SX UK</wicri:noCountry></affiliation></author></analytic><series><title level="j">Quality of Life Research</title><idno type="ISSN">0962-9343</idno><idno type="eISSN">1573-2649</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>To identify demographic, socioeconomic and dental clinical predictors of oral health-related quality of life (OHRQoL) in elderly people.</p></sec><sec><title>Methods</title><p>Cross-sectional study involving 613 elderly people aged 65–74 years in Manaus, Brazil. Interviews and oral examinations were carried out to collect demographic characteristics (age and sex) and socioeconomic data (income and education), dental clinical measures (DMFT, need of upper and lower dentures) and OHRQoL (GOHAI questionnaire). Structural equation modelling was used to estimate direct and indirect pathways between the variables.</p></sec><sec><title>Results</title><p>Being older predicted lower schooling but higher income. Higher income was linked to better dental status, which was linked to better OHRQoL. There were also indirect pathways. Age and education were linked to OHRQoL, mediated by clinical dental status. Income was associated with dental clinical status via education, and income predicted OHRQoL via education and clinical measures.</p></sec><sec><title>Conclusion</title><p>Our findings elucidate the complex pathways between individual, environmental factors and clinical factors that may determine OHRQoL and support the application of public health approaches to improve oral health in older people.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tsakos, G" uniqKey="Tsakos G">G Tsakos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Petersen, Pe" uniqKey="Petersen P">PE Petersen</name></author><author><name sortKey="Kandelman, D" uniqKey="Kandelman D">D Kandelman</name></author><author><name sortKey="Arpin, S" uniqKey="Arpin S">S Arpin</name></author><author><name sortKey="Ogawa, H" uniqKey="Ogawa H">H Ogawa</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Qual Life Res</journal-id><journal-id journal-id-type="iso-abbrev">Qual Life Res</journal-id><journal-title-group><journal-title>Quality of Life Research</journal-title></journal-title-group><issn pub-type="ppub">0962-9343</issn><issn pub-type="epub">1573-2649</issn><publisher><publisher-name>Springer International Publishing</publisher-name><publisher-loc>Cham</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26708574</article-id><article-id pub-id-type="pmc">4893369</article-id><article-id pub-id-type="publisher-id">1209</article-id><article-id pub-id-type="doi">10.1007/s11136-015-1209-y</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Demographics, social position, dental status and oral health-related quality of life in community-dwelling older adults</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Rebelo</surname><given-names>Maria Augusta Bessa</given-names></name><xref ref-type="aff" rid="Aff1"></xref><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Cardoso</surname><given-names>Evangeline Maria</given-names></name><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author"><name><surname>Robinson</surname><given-names>Peter G.</given-names></name><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Vettore</surname><given-names>Mario Vianna</given-names></name><address><phone>+44-0114-2265325</phone><email>m.vettore@sheffield.ac.uk</email></address><xref ref-type="aff" rid="Aff2"></xref></contrib><aff id="Aff1"><label></label>School of Dentistry, Federal University of Amazonas, Rua Rio Itannana, 111, Bairro Nossa Sra das Gracas, Manaus, AM CEP: 69.053-040 Brazil</aff><aff id="Aff2"><label></label>Academic Unit of Dental Public Health, School of Clinical Dentistry, University of Sheffield, 19 Claremont Crescent, Sheffield, S10 5SX UK</aff><aff id="Aff3"><label></label>School of Health Sciences, State University of Amazonas, Av. Djalma Batista, 2470, Chapada, Manaus, AM CEP: 69050-10 Brazil</aff></contrib-group><pub-date pub-type="epub"><day>26</day><month>12</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>26</day><month>12</month><year>2015</year></pub-date><pub-date pub-type="ppub"><year>2016</year></pub-date><volume>25</volume><fpage>1735</fpage><lpage>1742</lpage><history><date date-type="accepted"><day>7</day><month>12</month><year>2015</year></date></history><permissions><copyright-statement>© The Author(s) 2015</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p></license></permissions><abstract id="Abs1"><sec><title>Purpose</title><p>To identify demographic, socioeconomic and dental clinical predictors of oral health-related quality of life (OHRQoL) in elderly people.</p></sec><sec><title>Methods</title><p>Cross-sectional study involving 613 elderly people aged 65–74 years in Manaus, Brazil. Interviews and oral examinations were carried out to collect demographic characteristics (age and sex) and socioeconomic data (income and education), dental clinical measures (DMFT, need of upper and lower dentures) and OHRQoL (GOHAI questionnaire). Structural equation modelling was used to estimate direct and indirect pathways between the variables.</p></sec><sec><title>Results</title><p>Being older predicted lower schooling but higher income. Higher income was linked to better dental status, which was linked to better OHRQoL. There were also indirect pathways. Age and education were linked to OHRQoL, mediated by clinical dental status. Income was associated with dental clinical status via education, and income predicted OHRQoL via education and clinical measures.</p></sec><sec><title>Conclusion</title><p>Our findings elucidate the complex pathways between individual, environmental factors and clinical factors that may determine OHRQoL and support the application of public health approaches to improve oral health in older people.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Oral health</kwd><kwd>Quality of life</kwd><kwd>Elderly people</kwd><kwd>Socioeconomic status</kwd><kwd>Structural equation modelling</kwd></kwd-group><funding-group><award-group><funding-source><institution>National Council for Scientific and Technological Development – CNPq</institution></funding-source><award-id>200704/2014-1</award-id><principal-award-recipient><name><surname>Rebelo</surname><given-names>Maria Augusta Bessa</given-names></name></principal-award-recipient></award-group></funding-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Springer International Publishing Switzerland 2016</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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