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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Oral health literacy and oral health outcomes in an adult population in Brazil

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Autor(es):
Batista, Marilia Jesus ; Lawrence, Herenia Procopio ; de Sousa, Maria da Luz Rosario
Número total de Autores: 3
Tipo de documento: Artigo Científico
Fonte: BMC PUBLIC HEALTH; v. 18, JUL 26 2017.
Citações Web of Science: 15
Resumo

Background: To investigate the association between critical and communicative oral health literacy (OHL) and oral health outcomes (status, oral health-related quality of life and practices) in adults. Methods: This cross-sectional study examined a household probability sample of 248 adults, representing 149,635 residents (20-64 years old) in Piracicaba-SP, Brazil. Clinical oral health and socioeconomic and demographic data, as well as data on oral health-related quality of life (OHIP-14) and health practices were collected. The oral examinations were carried out in the participants' homes, using the World Health Organization criteria for oral diseases. The critical and communicative OHL instrument was the primary independent variable, and it was measured using five Likert items that were dichotomized as `high' ('agree' and `strongly agree' responses for the 5 items) and `low' OHL. Binary and multinomial logistic regressions were performed on each outcome (oral health status and practices), controlling for age, sex and socioeconomic status (SES). Results: Approximately 71.5% presented low OHL. When adjusted for age and sex (first model) low OHL was associated with untreated caries (Odds Ratio = 1.92, 95% Confidence Interval = 1.07-3.45), tooth brushing < 3 times a day (OR = 2.00, 1.11-3.62) and irregular tooth flossing (OR = 2.17, 1.24-3.80). After SES inclusion in the first model, significant associations were found for low OHL when the outcomes were: presence of biofilm (OR = 1.83, 1.08-3.33), dental care for emergency only (OR = 2.24, 1.24-4.04) and prevalence of oral health impact on quality of life (OR = 2.06, 1.15-3.69). Conclusion: Adjusting for age, sex and SES, OHL is related to a risk factor (biofilm) and a consequence of poor oral health (emergency dental visits) and can interfere with the impact of oral diseases on quality of life. As low OHL can be modified, the results support oral health promotion strategies directed at improving critical and communicative oral health literacy in adult populations. (AU)

Processo FAPESP: 09/16560-0 - "Estudo da perda dentária em adultos: impacto em grupos de distintos níveis sócio econômicos e de uso de serviços odontológicos através da aplicação de índices de perda dentária e fatores associados."
Beneficiário:Marília Jesus Batista de Brito Mota
Linha de fomento: Bolsas no Brasil - Doutorado
Processo FAPESP: 11/00545-1 - Perda dentária em adultos: avaliação do impacto na qualidade de vida através da aplicação de índices de perda dentária
Beneficiário:Maria da Luz Rosario de Sousa
Linha de fomento: Auxílio à Pesquisa - Regular