SynthesisInternational journal for equity in health2025
Association between oral health-related quality of life and structural determinants of health among elderly populations. a systematic review and meta-analysis.
Synthesis in International journal for equity in health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Explainable AI for Digital Health: Predicting Depression Risk in Older Adults Living Alone Using Machine Learning.Healthcare (Basel, Switzerland) · 2026Article
- Implementing Clinical Practice Guidelines for Oral Care for (Frail) Older Patients: Facilitators, Barriers, and Recommendations.Gerodontology · 2026Article
- AI-Driven Dentistry and Public Health Surveillance: Opportunities and Challenges.Public health challenges · 2026Review
- Dental Treatment Needs and Cost Burden Among Older Adults: A K-Means Cluster Analysis to Inform Oral Health Policies.International journal of environmental research and public health · 2026Article
- Anxiety-Free Public Dentistry for Adults With Disabilities by Using Head-Mounted Virtual Reality Technology: Protocol for a Feasibility Mixed Methods Study.JMIR research protocols · 2026Article
- Trends in tooth loss among adults and older adults in municipalities participating in oral national surveys 2003, 2010 and 2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Use and need for dental prostheses in oral health-related daily activities among older adults: a cross-sectional study based on SB Brasil 2023.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2026Article
- Impact of removable complete dentures on quality of life and social dimension: a cross-sectional patient-reported study.Frontiers in dental medicine · 2026Article
- Salivary Flow, Tongue-Coating Burden, and Morning Breath Odor: A Cross-Sectional Study.Journal of clinical medicine · 2025Article
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11 authors.
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Abstract
backgroundOral diseases disproportionately affect poorer and disadvantaged groups of society. Despite this, there is scarce evidence regarding the monitoring of the structural determinants of health and their impact on oral health status. Thus, this systematic review addresses the question: Is oral health-related quality of life (OHRQoL) of elderly persons (aged ≥ 60 years) associated with structural determinants of health?
methodsThe present systematic review of observational studies applied the following inclusion and exclusion criteria; inclusion criteria: participants living in the community aged ≥ 60 years, reporting OHRQoL using Oral Health Impact Profile (OHIP), Geriatric Oral Health Assessment Index (GOHAI) or Oral Impact Daily Profile (OIDP). EXCLUSION CRITERIA: studies reporting outcomes of participants aged < 60 years and residing in long-term care facilities. Three electronic databases (i.e., Embase, MEDLINE via Pubmed and Scopus) were screened (last searched on 23rd August 2024). Quality assessment of the included studies was performed using the tailored quality assessment tool developed by the National Heart, Lung and Blood Institute for observational cohort and cross-sectional studies. Meta-analysis; the overall sum score of OHIP, GOHAI and OIDP were transformed on a scale of 0-100. Sub-group analyses were performed for OHRQoL sum scores stratified by the following variables: Country-level income, Gini index, unemployment rate, Human Development Index (HDI), out-of-pocket health expenditure, health expenditure per capita, prevalence of dental caries, edentulism and periodontal disease.
resultsThe search identified 910 records. After deduplication, title, abstract and full-text review, 45 papers were included for data extraction. The highest OHRQoL sum scores were recorded in studies from countries with high-middle to high income (77.9, 95% CI 70.2-85.6), low Gini index (91.3, 95% CI 90.0-92.6), high to very high HDI (78.4, 95% CI 71.1-85.8) and lowest out-of-pocket expenditure (83.9, 95% CI 75.2-92.6). Countries with low dental caries prevalence reported higher OHRQoL compared to countries with high dental caries prevalence (81.5, 95% CI 76.5-86.6). Limitations include the fair quality of > 50% of the studies included and the high inter- study heterogeneity.
conclusionsStructural determinants of health contribute to a good quality of life related to oral health. Upstream interventions are essential for improving oral health conditions and quality of life among older adults. REGISTRATION: The review protocol was registered (CRD42024573590) with the International Prospective Register of Systematic Reviews (PROSPERO) system.
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