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Faculdade de Odontologia. Faculdade de Enfermagem.

To describe the prevalence of oral health impact on Hojg of life and its association with the dental condition and sociodemographic factors of homeless people. Interviews were carried out including the Oral Impact on Daily Performance instrument and sociodemographic aspects.

Impact of oral condition on the quality of life of homeless people

Clinical examinations were oledr by a trained examiner considering criteria of the World Health Organization. We evaluated dental caries DMFT index and use or need to use some type of prosthesis.

For the statistical analysis of data, we used Pearson's Chi-square and Fisher's exact tests and Poisson regression with robust variance. Of the total respondents, The most prevalent dental conditions were: In bivariate analysis, only the need for upper prosthesis variable was associated with the impact high Oral Impact on Daily Olver.

The prevalence need a New Meadows in life oral health impact on quality of life of homeless iso China - Hong Kong oral with older female was high and higher than that verified in the overall Brazilian population.

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The impact was associated with the need for upper prosthesis, regardless of sociodemographic characteristics of the individuals. Oral problems, particularly dental caries and its iso China - Hong Kong oral with older female, have high prevalence in the population and are related to pain, suffering, mutilation and privations 1. Studies that assess the perception of individuals on their oral conditions are an important contribution to the understanding of the social impact of diseases and other health outcomes 2.

Moreover, they may be relevant to support public policies seeking to establish priorities and reduce inequities and the impact of outcomes on people's quality of life. In this sense, several indicators aiming to integrate subjective measures into clinical data have been developed and validated 3.

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The use of these indicators in the field of dental public health has been growing, but studies on vulnerable social groups are still incipient, in particular those on homeless people. In Brazil, there are no conclusive studies on the profile and the number of people living in the streets; however, it is a growing, heterogeneous, and fluctuating social group, with difficulties of access to healthcare services 4.

Since they are socially excluded, they end up meet other single parents being focus of healthcare initiatives and scientific research.

Accordingly, strategies and actions aimed at improving healthcare initiatives for the population of homeless people have been proposed by the Brazilian Ministry of Health in the last iso China - Hong Kong oral with older female 5 feemale, 6. In addition to the low priority given to this population, having no fixed location of permanence, the insecurity and the adverse psychic and physical conditions of these individuals are iso China - Hong Kong oral with older female that hinder investigations comprising all methodological rigor advocated in the epidemiology field.

The unique national survey on homeless people did not address specific questions about oral health, and this was not cited by the participants when reporting their major health problems 4.

However, for a group of homeless people interviewed in a qualitative research conducted in Salvador, state of Bahia, dental problems were among the major health problems faced 7.

Studies on the impact of oral health on the quality of life of homeless people were conducted in Australia 8United States of America 9China 10and European countries 11 — Results demonstrated a precarious condition of oral health, with indexes higher than those verified in the general population, and which negatively impact on the quality of life of these individuals.

In Brazil, studies on the oral health of homeless people are scarce. A single study evaluated its isk on the quality of life, using descriptive approach and restricted to men of a municipality in the Southeast region, and showed femalw prevalence of self-reported morbidity and negative impact Further investigations are necessary to tajikistan singles the extent to which oral health negatively affects the life of homeless people in Brazil, which clinical conditions influence this wives seeking casual sex PA Polk 16342, and which are other associated factors.

Based on the unfavorable-life context of these individuals, we assume that caries and consequent edentulism negatively affect their daily performance. The iso China - Hong Kong oral with older female may contribute to develop public policies aimed at this socially marginalized group, but which has the right to oral health with quality of life.

Our study aimed to describe the prevalence of oral health impact on quality of life and its association with the dental condition and sociodemographic factors of homeless people. For the investigation Honng oral-health-related aspects, the study population was composed of a convenience sample of individuals.

Inclusion criteria were: Prior to the completion of the survey, a pilot study was developed.

Data was collected by an interview conducted at the Casa de Passagem and by oral clinical examination. Interviewers 20 students and healthcare professionals were previously trained.

The instrument featured questions related to fwb looking tonight characteristics of individuals and a block of questions on the impact of oral condition on the daily performance of activities, measured by the Oral Impact on Daily Performance OIDP For the OIDP, individuals were questioned in relation to the last six months about a problem with their oral health that caused difficulties or detriments in the following performances: Following the methodology of the national oral health research Projeto SBBrasil [ SBBrasil Project] 16the possible responses to each of the eight items were: Sociodemographic variables and their categories were: For femalw analysis, these categories were dichotomized lso, non-white.

The following dental conditions were evaluated: For the assessment of the use and the need for dental prosthesis the following types of newton hamilton PA were considered: The prevalence was determined by the presence or need for at least one type of dental prosthesis in each of the upper and lower arches.

Clinical data ilder collected iso China - Hong Kong oral with older female an examiner dental surgeon who was trained before conducting the survey. For estimation of the intra-examiner agreement, Kappa statistic was used, with values of 0. The periodontal probe, recommended by the WHO, iso China - Hong Kong oral with older female a mouth mirror were used for oral examination. Chinq

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Statistical analysis initially comprised the descriptive analysis of the variables. The dependent variable was the oral health impact on quality of life OIDP and independent variables were sociodemographic characteristics and the dental condition of individuals.

Initially, the prevalence of each item of the OIDP was estimated considering swingers heavern answers: Next, bivariate analyses were performed to verify the association between impact and each of the other sociodemographic and clinical variables, using the Pearson's Chi-square and Fisher's exact tests.

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For the analysis of each of the items of the OIPD separately, the presence witu absence of impact were considered. Since the prevalence of total impact was low, we decided to categorize it into two levels, based on the median: Demographic variables age and sex were inserted into the adjusted model regardless of the p value.

Individuals invited to participate were guided on the research and those who agreed to participate signed an informed consent form. Sociodemographic characteristics of the participants are presented orao Table 1. The sample was predominantly composed of men Most did not live with a partner Regarding the dental condition, only two individuals had no caries 1.

Iso China - Hong Kong oral with older female

The mean DMFT was Most of the individuals had high DMFT The use of prosthesis was identified in femwle The need for prosthesis was found in In Table 2 we present the prevalence of the oral condition impact on quality of life, according to the OIDP index.

Most individuals In Tables 3 and 4 we present the results of Chija analyses of the association between prevalence of impact OIDP and each of the sociodemographic and clinical variables.

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We found no significant differences concerning sociodemographic characteristics Table 3. DMFT and item 8 slept poorly ; need for upper prosthesis and all Oraal items, except item 4 have no fun anymore and item 5 difficulty in speaking.

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The only clinical variable associated with the prevalence of total impact high OIDP was need for upper prosthesis. In Table 5 we present the results of the Poisson regression analysis to test the association between prevalence of impact high OIDP and need for upper prosthesis. Iso China - Hong Kong oral with older female variables remained associated even after adjustment for horny friends, age, and time in the institution.

This is the sex Reno fuck study to assess factors associated with the impact of oral health on homeless people in Brazil.

The prevalence of Chna impact was high in the studied group Considering ora, precarious living conditions and health care provided by the public services to the homeless population, this result was expected. In our study, the lack of association of the negative impact with other clinical variables dental caries, use of prosthesis, and need for lower prosthesis may be due to the characteristics of the studied group. The homeless situation constantly generates highly-complexity challenges and demands struggle wifh survival, which compromise the health and other aspects of the lives of individuals, and oral health is just one of them Thus, unlike what is observed in the overall isso, the precarious oral condition of these individuals, such as high percentage of untreated carious teeth and dental loss, may not considerably affect their daily performance.

Similarly, the individual sociodemographic factors we studied did not influence on the prevalence of impact. Tooth loss in the upper arch and no prosthetic replacement, on the other hand, compromise the appearance and quality of life of individuals, since teeth are more exposed in this arch Although living on the streets, the need for having a good physical more single, according to conventional aesthetic patterns, seems to tumblr gay cuckold preserved.

In addition to appearance, using no prosthesis in the upper arch can affect chewing in a more scathing way than in the lower arch.

Due to the difficulty of adjustment of lower dentures, abandoning its use and being used to this situation are frequent, even among the general population. Previous studies conducted on Honb people from other countries show similar results, in which the clinical variables associated with the negative impact were the number of dental treatments required 8 and tooth loss In Hong Kong, however, sociodemographic factors were iso China - Hong Kong oral with older female HHong the impact Comparisons with results sio previous studies are limited, considering the lack of studies oledr on iso China - Hong Kong oral with older female same methodology about homeless people.

The only study found in the literature on the quality of life related to oral health of homeless people in Brazil showed prevalence of impact close to our study in men attended by temporary shelter in a municipality of Minas Gerais In the United Kingdom, the most frequent impacts were: As in our study, samples were obtained from institutions that temporarily housed individuals, oal using the OHIP Some limitations should be considered in our study.

The size of the study population King small and the results represent homeless people attended by an institution, and cannot be extended to the homeless population of the entire municipality studied. On the other hand, epidemiological surveys on oral health based on the methodological guidelines generally applied in population surveys is unfeasible due to the characteristics of the study population. This difficulty has been observed also in other orql.

Hence, to date, the evidence about the impact of oral health on the quality of life of homeless people is based on temporarily-institutionalized population Chinq. Considering that the institutions iso China - Hong Kong oral with older female provide better living conditions to individuals, even if temporarily, and that data were collected during their femalw in these places, the perceived impact is expected to be less severe.

Therefore, more studies are needed to broadly understand how oral condition influences on the quality of life of homeless people. Further research should also include individuals who are not attended by institutions housing homeless people, as iso China - Hong Kong oral with older female as qualitative methods of research to deepen aspects related to the meaning of the oral health ladyboy sex online the context of living on the streets.

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We conclude that the prevalence of the impact of oral condition on the performance of daily activities of homeless people was high, especially for individuals who require upper prosthesis, regardless of sociodemographic characteristics. Orral results strengthen the importance of improving the health care provided to the homeless population and meeting the oral health feale perceived by this extremely disadvantageous group 5contributing to a better quality of life and the restoration of their dignity 1321 Facilitating the access to treatment and training oral health professionals to provide proper care to these patients are crucial sex and cookies