title: Impact of oral health on physical and psychosocial dimensions: an analysis using structural equation modeling.
abstract: This study aimed to estimate the prevalence of impact of oral health conditions on physical and psychosocial dimensions among adolescents and to identify factors associated with severity of impact. The impact of oral health status was assessed by the instrument Oral Health Impact Profile (OHIP-14). The covariates were: socioeconomic status, habits and health care, use of dental services, and normative conditions of oral health. Structural equation modeling was performed, and 15.6% of adolescents reported impact in at least one dimension of the OHIP-14. The dimensions that showed the highest prevalence of impact were psychological distress (11.8%) and physical pain (6.6%). The number of teeth needing dental treatment, number of filled teeth, and CPI significantly affected severity of impact. In this adolescent population, unfavorable socioeconomic conditions were associated with reduced use of dental services, associated in turn with precarious oral health conditions and increased severity of impact.
authors.affiliation: Departamento de Ciências Exatas e Tecnológicas, Universidade Estadual de Montes Claros, Montes Claros, Brasil.
authors.forename: Marise Fagundes
authors.initials: MF
authors.lastname: Silveira
authors.affiliation: Departamento de Ciências Psicológicas, Instituto Superior de Psicologia Aplicada, Lisboa, Portugal.
authors.forename: João P
authors.initials: JP
authors.lastname: Marôco
authors.affiliation: Departamento de Fisioterapia, Faculdades Integradas Pitágoras de Montes Claros, Montes Claros, Brasil.
authors.forename: Rafael Silveira
authors.initials: RS
authors.lastname: Freire
authors.affiliation: Departamento de Odontologia, Universidade Estadual de Montes Claros, Montes Claros, Brasil.
authors.forename: Andréa Maria Eleutério de Barros Lima
authors.initials: AM
authors.lastname: Martins
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brasil.
authors.forename: Luiz Francisco
authors.initials: LF
authors.lastname: Marcopito
mesh_terms: D000293:Adolescent; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003753:Dental Health Surveys; D005163:Factor Analysis, Statistical; D006801:Humans; D009909:Oral Health / Q000706:statistics & numerical data*; D015995:Prevalence; D018434:Sickness Impact Profile; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult