Herkrath, A.P.C.Q., Herkrath, F.J., Rebelo, M.A.B. et al. (1 more author) (2018) Determinants of health-related and oral health-related quality of life in adults with orofacial clefts: a cross-sectional study. Cleft Palate-Craniofacial Journal. ISSN 1055-6656
Abstract
Objectives: To investigate the structural and intermediary determinants of health-related quality of life (HRQoL) and oral health-related quality of life (OHRQoL) among adults with cleft lip and/or palate (CL/P).
Design and Participants: A cross-sectional study was conducted with patients enrolled at the referral center for craniofacial anomalies in Manaus, Brazil. Adults aged 18 years or more with non-syndromic CL/P were selected.
Main Outcome Measures: HRQoL and OHRQoL were assessed using the 36-Item Short Form Health Survey (SF-36) and the Oral Impacts on Daily Performance (OIDP), respectively. Individual interviews and oral examinations were conducted to collect data on socioeconomic and demographic characteristics, social ties, health-related behaviors, compliance of CL/P protocol, chronic diseases, type of CL/P, oral clinical measures and CL/P related measures. Poisson regression was used to test the association of independent variables with HRQoL and OHRQoL outcomes.
Results: The mean age of the 96 participants was 29.4 ± 9.1 years. Low family income, female sex, low social support, type of CL/P and dental caries were associated with poor HQoL and poor OHRQoL (P<.05). Poor HRQoL was also associated with chronic diseases (P<.05). Adults with low education, low social network and smokers were more likely to have worse OHRQoL (P<.05).
Conclusions: Structural and intermediary determinants were related to HRQoL and OHRQoL in adults with CL/P suggesting the need for interdisciplinary approaches to improve the management of CL/P and intersectoral actions to reduce the impact of social inequalities.
Metadata
Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2018. This is an author produced version of a paper subsequently published in Cleft Palate-Craniofacial Journal. Uploaded in accordance with the publisher's self-archiving policy. Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | quality of life; cleft lip; cleft palate; adults |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Clinical Dentistry (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 10 May 2017 12:32 |
Last Modified: | 19 Apr 2021 11:45 |
Published Version: | https://doi.org/10.1177/1055665618763377 |
Status: | Published online |
Publisher: | SAGE Publications |
Refereed: | Yes |
Identification Number: | https://doi.org/10.1177/1055665618763377 |
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Licence: CC-BY-NC-ND 4.0