Oral clinical status and oral health-related quality of life: is socioeconomic position a mediator or a moderator?

International Dental Journal
Seham Mohamed, Mario V Vettore

Abstract

To evaluate whether socioeconomic position exerts a mediating and/or moderating effect on the association between oral clinical measures and oral health-related quality of life (OHRQoL) in adolescents. The study analysed data on 5,445 adolescents aged 15-19 years from the Brazilian Oral Health Survey (SBBrasil Project). The numbers of decayed and missing teeth, number of sextants with gingivitis and malocclusion were assessed through oral clinical examinations. Participant's age, sex, OHRQoL and socioeconomic position were also collected. Monthly family income was used to indicate the participant's socioeconomic position, and OHRQoL was assessed using the Oral Impacts on Daily Performance. Moderation was tested using Poisson regression models. Structural equation modelling and Sobel's test assessed the mediation effects. Oral clinical measures, OHRQoL and socioeconomic position were significantly correlated (P < 0.001). The moderator effect of socioeconomic position on the association between all oral clinical measures and OHRQoL was observed. The impact of all oral clinical conditions on adolescents' OHRQoL was lower in the low-family-income groups compared with those with a better income. Socioeconomic position partially medi...Continue Reading

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Citations

Apr 21, 2020·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Bilu XiangColman P J McGrath
Aug 6, 2019·Journal of Periodontology·Reyce KogaAdriana Corrêa de Queiroz
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Jan 4, 2021·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Kikelomo Adebanke Kolawole, Maryam Moteleola Ayodele-Oja
Apr 8, 2021·International Journal of Dental Hygiene·Carlos ZarorMaría José Martínez-Zapata

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