title: Social and dental status along the life course and oral health impacts in adolescents: a population-based birth cohort.
abstract: BACKGROUND
  Harmful social conditions in early life might predispose individuals to dental status which in turn may impact on adolescents' quality of life.
  
  
  OBJECTIVE
  To estimate the prevalence of oral health impacts among 12 yr-old Brazilian adolescents (n = 359) and its association with life course socioeconomic variables, dental status and dental services utilization in a population-based birth cohort in Southern Brazil.
  
  
  METHODS
  Exploratory variables were collected at birth, at 6 and 12 yr of age. The Oral Impacts on Daily Performances index (OIDP) was collected in adolescence and it was analyzed as a ranked outcome (OIDP from 0 to 9). Unadjusted and adjusted multivariable Poisson regression with robust variance was performed guided by a theoretical determination model.
  
  
  RESULTS
  The response rate was of 94.4% (n = 339). The prevalence of OIDP = 1 was 30.1% (CI95%25.2;35.0) and OIDP >or= 2 was 28.0% (CI95%23.2;32.8). The most common daily activity affected was eating (44.8%), follow by cleaning the mouth and smiling (15.6%, and 15.0%, respectively). In the final model mother schooling and mother employment status in early cohort participant's life were associated with OIDP in adolescence. As higher untreated dental caries at age 6 and 12 years, and the presence of dental pain, gingival bleeding and incisal crowing in adolescence as higher the OIDP score. On the other hand, dental fluorosis was associated with low OIDP score.
  
  
  CONCLUSIONS
  Our findings highlight the importance of adolescent's early life social environmental as mother schooling and mother employment status and the early and later dental status on the adolescent's quality of life regardless family income and use of dental services.
authors.affiliation: Research Group in Public Health Dentistry Post-Graduate Program in Public Health, Federal University of Santa Catarina, Florianópolis, Brazil. karengp@ccs.ufsc.br
authors.forename: Karen G
authors.initials: KG
authors.lastname: Peres
authors.forename: Marco A
authors.initials: MA
authors.lastname: Peres
authors.forename: Cora L P
authors.initials: CL
authors.lastname: Araujo
authors.forename: Ana M B
authors.initials: AM
authors.lastname: Menezes
authors.forename: Pedro C
authors.initials: PC
authors.lastname: Hallal
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000294:Adolescent Behavior; D001938:Brazil; D015331:Cohort Studies; D003729:Dental Care / Q000706:statistics & numerical data; D003753:Dental Health Surveys; D004435:Eating; D005260:Female; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D009909:Oral Health; D015995:Prevalence; D012111:Residence Characteristics / Q000145:classification; D012919:Social Behavior; D012959:Socioeconomic Factors