Factors that influence the oral impact on daily performance of older people in Brazil: A cross‐sectional population‐based study

• Published in: Gerodontology 2020-03, Vol.37 (1), p.78-86
• Main Authors: Cavalcanti, Yuri Wanderley, Almeida, Leopoldina de Fátima Dantas, Lucena, Edson Hilan Gomes, Probst, Livia Fernandes, Cavalcante, Denise de Fatima Barros, Frias, Antônio Carlos, Bulgareli, Jaqueline Vilela, Pereira, Antônio Carlos
• Format: Article
• Language: English
• Subjects: Activities of Daily Living; Aged; Aged, 80 and over; Brazil; Cross-Sectional Studies; dental care for aged; Dentistry; Humans; Oral Health; population‐based studies; Quality of Life; Self Concept; social determinants of health
• ISSN: 0734-0664; 1741-2358
• DOI: 10.1111/ger.12452

Aim To investigate factors that influence the oral health‐related quality of life of older people (65 years and over) in Brazil. Background Population‐based studies should be conducted to support health‐planning interventions. Materials and methods Data from the São Paulo State Survey on Oral Health (SBSP‐2015), which consisted of 5951 individuals, were used. A theoretical‐conceptual model was built based on the impact of family socio‐economic characteristics, individual social‐demographic features and self‐perceived and clinical oral health status on the oral impact on daily performance (OIDP). Multivariate binary logistic regression analysis was conducted at 5% significance level. Statistically significant variables included within the adjusted logistic regression model entered the multiple correspondence analysis (MCA). Results Oral health impact on daily activities was observed in 34.6% of older people. Characteristics significantly related to impact on OIDP score were as follows: family income up to R$ 500 (OR = 2.73), self‐perceived treatment need (OR = 1.33), self‐perceived toothache (OR = 1.52), self‐perception of denture replacement need (OR = 1.27), dissatisfaction (OR = 1.50) or very dissatisfied (OR = 2.57) with own oral health, partial lower denture use (OR = 1.34) and needing partial lower dentures (OR = 1.28). Increased number of people living in the same house (B = 0.05, OR = 1.06), number of bedrooms in the house (B = −0.10, OR = 0.90), age (B = −0.03, OR = 0.97) and number of teeth needing treatment (B = 0.08, OR = 1.08) contributed significantly to OIDP. Conclusion Prevalence of OIDP of older people in the state of São Paulo was related to factors other than their clinical and self‐perceived oral health status.