Homeless who accessed a healthy living centre in Swansea, South Wales: an assessment of the impact of oral ill-health.
OBJECTIVE
To quantify the way that oral diseases affect the lives of homeless and vulnerable people in Swansea, using the short-form Oral Health Impact Profile (OHIP-14).


METHODS
A convenience sample of people using the services of a healthy living centre for the homeless was surveyed using a questionnaire and the short-form OHIP-14.


RESULTS
One hundred subjects were recruited to the study. The mean score for the OHIP-14 was 21.8 (SD 17.0). The most commonly reported impacts experienced were problems with toothache, discomfort, ability to relax, and feeling ashamed regarding the appearance of teeth. Of the different categories of homeless people, rough sleepers experienced higher levels of impact (P=0.004). Those having more than 20 teeth were more likely to experience lower levels of impact (P=0.001).


CONCLUSIONS
The survey highlighted an increased prevalence of oral health impacts in this special needs group. In addition to physical factors, psychosocial factors must be considered, particularly with regard to appearance and psychological disability and discomfort, in the development of services.
Richards
Wayne
W
Faculty of Health Sport and Science, University of Glamorgan, Pontypridd, Wales, UK. wrichard@glam.ac.uk
Keauffling
Janet
J
D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003151:Community Health Centers; D003729:Dental Care / Q000523:psychology; D003817:Dentition; D005006:Ethnicity / Q000523:psychology; D005260:Female; D006703:Ill-Housed Persons; D006801:Humans; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000523:psychology*; D009909:Oral Health; D010146:Pain / Q000523:psychology; D011788:Quality of Life; D012649:Self Concept; D013315:Stress, Psychological / Q000523:psychology; D014076:Tooth Diseases / Q000523:psychology*; D014098:Toothache / Q000523:psychology; D014099:Toothbrushing / Q000523:psychology; D035862:Vulnerable Populations; D014852:Wales; D055815:Young Adult