The association between malocclusion and health-related quality of life in adolescents: A mediation analysis.

Autor: Leite SDC; School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil., Herkrath FJ; Fundação Oswaldo Cruz, Instituto Leônidas e Maria Deane, Manaus, Amazonas, Brazil.; Superior School of Health Sciences, State University of Amazonas, Manaus, Amazonas, Brazil., Vettore MV; Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway., Rebelo MAB; School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil., de Queiroz AC; School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil., Pereira JV; School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil., de Herkrath APCQ; School of Dentistry, Federal University of Amazonas, Manaus, Amazonas, Brazil.
Jazyk: angličtina
Zdroj: European journal of oral sciences [Eur J Oral Sci] 2024 Feb; Vol. 132 (1), pp. e12960. Date of Electronic Publication: 2023 Nov 09.
DOI: 10.1111/eos.12960
Abstrakt: This study investigated the role of oral health-related functional limitations and social well-being, self-perceived health, psychosocial factors, and social support in mediating the impact of malocclusion on health-related quality of life (HRQoL). A school-based 6-month cohort study was conducted with 376 12-year-old deprived adolescents. Measures at baseline included malocclusion (DAI score), dental caries, sociodemographic characteristics, psychosocial traits (self-esteem, sense of coherence, oral health beliefs), and social support. The oral health-related functional limitations and symptoms (social well-being) domains of the CPQ 11-14 , self-perceived health, and HRQoL (Kiddo-KINDL) were evaluated at the 6-month follow-up. Associations between observed and latent variables (social support, psychosocial factors, and HRQoL) were evaluated using structural equation modelling, according to the Wilson and Cleary theoretical model. Malocclusion was indirectly associated with worse HRQoL, mediated by functional limitations, social well-being, and self-perceived health. Better psychosocial status was directly associated with better HRQoL, and higher social support was indirectly associated with better HRQoL via psychosocial factors. Dental caries experience, female sex, and lower family income were indirectly associated with worse HRQoL. The impact of malocclusion on HRQoL was mediated by oral health-related functional limitations, social well-being, and self-perceived health. Sociodemographic and psychosocial factors, and social support also impacted HRQoL.
(© 2023 Scandinavian Division of the International Association for Dental Research. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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