| Autor: |
Pinheiro LS; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil., Ritzel IF; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil., Hugo FN; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil., Hilgert JB; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil., Bastos JL; Simon Fraser University, Burnaby, Canada., Celeste RK; Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil. |
| Jazyk: |
angličtina |
| Zdroj: |
Cadernos de saude publica [Cad Saude Publica] 2024 Feb 19; Vol. 40 (2), pp. e00123123. Date of Electronic Publication: 2024 Feb 19 (Print Publication: 2024). |
| DOI: |
10.1590/0102-311XEN123123 |
| Abstrakt: |
Stress and discrimination negatively affect quality of life, but social support may buffer their effects. This study aims: (1) to examine the associations between psychological stress, discrimination, and oral health-related quality of life (OHRQoL); and (2) to assess whether social support, stress and discrimination interact to modify their associations with OHRQoL. We used cross-sectional household-based data from a study including 396 individuals aged 14 years and over from families registered for government social benefits in a city in Southern Brazil. OHRQoL was measured with the Oral Impacts on Daily Performance (OIDP) scale; psychological stress was assessed with the Perceived Stress Scale (PSS); social support was assessed based on the number of close relatives or friends of the participant, and discrimination was assessed with a short version of the Everyday Discrimination Scale. Interactions were estimated using the relative excess of risk due to interaction (RERI). Adjusted effects were calculated with logistic regression. The prevalence of oral impacts among people with higher and lower PSS scores was 81.6% and 65.5%, respectively (p < 0.01). Social support was found to have no interactions with stress levels and discrimination. The association between social discrimination and OHRQoL (OIDP score > 0) was OR = 2.03 (95%CI: 1.23; 3.34) among people with a low level of stress, but was OR = 12.6 (95%CI: 1.31; 120.9) among those with higher levels (p = 0.09, for interaction). Individuals who reported experiencing higher levels of psychological stress and discrimination had worse OHRQoL; a synergistic effect with social support was not clear. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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