Association between the dental health team of the Family Health Strategy and oral health related quality of life in adults
DOI:
https://doi.org/10.5335/rfo.v26i1.13507Keywords:
Atenção Primária em saúde. Serviço odontológico. Saúde bucal. Estudo observacional.Abstract
Objective: to assess the influence of dental health
team (DHT) on the oral health-related quality of
life (OHRQoL) of adults. Methods: the sample of
this cross-sectional study consisted of adults enrolled in the Family Health Strategy (FHS) in Santa
Maria, RS. Sociodemographic variables such as
age, sex, skin color, family income and education level were assessed using a semi-structured
questionnaire. Dental service variables were measured through the reason for attending for the
service and the presence of DHT, evaluated from
the official data of the municipality. Dental biofilm, gingival bleeding and dental caries were collected through clinical dental examination. The
outcome was OHRQoL, measured by the OHIP14 questionnaire. Models were built using Poisson regression to assess the association between
the presence of DHT and OHRQoL. On total, 80
adults enrolled in four FHS (two with DHT) were
included. The absence of DHT negatively influenced the OHRQoL of adults [mean ratio: 1.21; 95%
confidence interval: 1.07-1.36]. In addition, age,
non-white skin color, lower family income, less
education, attending dental care due to dental
pain and poorer oral health were associated with
worse OHRQoL (P<0.05). Conclusion: individuals
without access to DHT had a worse OHRQOL.
Health promotion strategies should include expanding access to FHS, increasing equity in access
to dental care.
Keywords: dental health service; primary health
care; oral health; observational study.
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