title: Assessment and comparison of clinical dental status and its impact on oral health-related quality of life among rural and urban adults of Udaipur, India: A cross-sectional study.
abstract: BACKGROUND
  Dental diseases negatively influence people's oral health-related quality of life (OHRQoL) and thus their perceived need for dental care. QoL is increasingly acknowledged as a valid, appropriate and significant indicator of service need and intervention outcomes in contemporary public health research and practice.
  
  
  OBJECTIVE
  (1) To assess the psychometric properties of oral health impact profile-14 (OHIP-14) scale among rural and urban OHIP of Udaipur population. (2) To assess and compare clinical dental status (dental caries, periodontal disease and prosthetic status) and its impacts on OHRQoL rural and urban population of Udaipur.
  
  
  METHODS
  A cross-sectional descriptive survey was conducted among rural (600) and urban (600) population of Udaipur that have age ranges between 20 and 79 years, chosen from outpatient department of Pacific Dental College and Hospital. The OHIP-14 was tested for validity and reliability. Chi-square, Student's t-test, analysis of variance and multiple logistic regression analysis were employed for statistical analysis.
  
  
  RESULTS
  The Cronbach's alpha of the scale was found to be 0.85 among the rural population and 0.89 among the urban population. Prevalence of periodontal disease (community periodontal index and loss of attachment) was found greater among the rural population than the urban population. Urban population showed significantly greater proportion of subjects with prosthesis (including partial, fixed and total) as compared to the rural population. Among study population, OHIP-14 was significantly (P ≤ 0.05) associated with age, gender, presence of decayed teeth (DT), missing teeth (MT), and location. Significantly greater odds ratio (OR) (OHIP-14) were revealed among males (OR = 1.35, P = 0.02), urban residents (OR = 1.13, P = 0.002), those < 45 years of age (OR = 1.23, P = 0.01), those without DT (OR = 1.48, P = 0.002) and without MT (OR = 1.08, P = 0.03).
  
  
  CONCLUSIONS
  The rural and urban study subjects had a fair clinical status. The presence of dental caries had greatest impacts on OHRQoL. In addition, rural subjects faced greater impact than urban subjects.
authors.affiliation: Assistant Professor, Department of Public Health Dentistry, Government Dental College and Hospital, Subhash Nagar, Jaipur, India.
authors.forename: Sudhanshu
authors.initials: S
authors.lastname: Sanadhya
authors.affiliation: Senior Lecturer, Department of Public Health Dentistry, Rajasthan Dental College and Hospital, Bagrukhurd, Jaipur, India.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Aapaliya
authors.affiliation: Post Graduate Student, Department of Prosthodontics, Pacific Dental College and Hospital, Debari, Udaipur, India.
authors.forename: Sorabh
authors.initials: S
authors.lastname: Jain
authors.affiliation: Junior Lecturer, Department of Conservative Dentistry, Jaipur Dental College and Hospital, Dhand, Jaipur, India.
authors.forename: Nidhi
authors.initials: N
authors.lastname: Sharma
authors.affiliation: Senior Lecturer, Department of Orthodontics, Rajasthan Dental College and Hospital, Bagrukhurd, Jaipur.
authors.forename: Garima
authors.initials: G
authors.lastname: Choudhary
authors.affiliation: Junior Lecturer, Department of Prosthodontics, Jamnagar Dental College and Hospital, Jamnagar, Gujarat, India.
authors.forename: Nirali
authors.initials: N
authors.lastname: Dobaria
keywords: Oral health; Udaipur; oral health impact profile-14; reliability