ArticleInternational dental journal2019
Oral clinical status and oral health-related quality of life: is socioeconomic position a mediator or a moderator?
Article in International dental journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 5 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 5 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Socioeconomic status and dental service utilization among children and adolescents: systematic reviews and meta analysis.BMC oral health · 2025Pooled it
- Reliability generalization meta-analysis of Cronbach's alpha of the oral impacts on daily performance (OIDP) questionnaire.BMC oral health · 2025Pooled it
- Impact of dental caries on the quality of life of adolescents: A systematic review and meta-analysis.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2025Pooled it
- Malocclusions and quality of life among adolescents: a systematic review and meta-analysis.European journal of orthodontics · 2023Pooled it
- The impact of surgery-first approach on the oral health-related quality of life: a systematic review and meta-analysis.BMC oral health · 2019Pooled it
- The association of socio-economic status, dental anxiety, and behavioral and clinical variables with adolescents' oral health-related quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Trial
- Malocclusion traits and oral health-related quality of life in adolescents: a multicenter cross-sectional study.European journal of orthodontics · 2026Article
- Global Trends in Adolescent Health Inequalities and Their Social Determinants: A Bibliometric and Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Awareness of Gingival Recession and Its Causes and Consequences Among Adults in Saudi Arabia.Dentistry journal · 2025Article
- The Association Between Periodontal Status, Oral Health-Related Quality of Life and Self-Rated Oral Health in Socially Underprivileged Adolescents.Community dentistry and oral epidemiology · 2025Article
- Association between different behavioral factors and dental caries among children attending the dental clinics in a sample from Saudi Arabia.BMC oral health · 2023Article
- Gender differences in the association between oral health literacy and oral health-related quality of life in older adults.BMC oral health · 2022Article
- Article
- Validation of an Indian (Kannada) translation of the Family Impact Scale questionnaire and the impact of malocclusion on the families of adolescent school children.International dental journal · 2020Article
- Analysis of the combined risk of oral problems in the oral health-related quality of life of Brazilian adolescents: multilevel approach.Clinical oral investigations · 2020Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo 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. MATERIALS AND
methodsThe 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.
resultsOral 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 mediated the relationship between the four oral clinical measures and OHRQoL. Sobel's test confirmed these findings (P < 0.001).
conclusionsThe findings suggest the importance of socioeconomic position as a moderator and mediator factor between oral clinical measures and OHRQoL. Disadvantaged adolescents are likely to experience poor OHRQoL due to oral conditions. The reduction of the impact of oral conditions on quality of life in adolescents may be enhanced by addressing social inequalities related to oral health.
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