Thesis (doctoral)--Malmö University, Sweden, 2009. / Includes bibliographical references. Also available on World Wide Web.

Thesis (doctoral)--Malmö University, Sweden, 2009. / Includes bibliographical references. Also available on World Wide Web.

Thesis (doctoral)--Malmö University, Sweden, 2007. / Added t.p. with thesis statement inserted. Includes bibliographical references.

Thesis (doctoral)--Malmö University, Sweden, 2007. / Added t.p. with thesis statement inserted. Includes bibliographical references.

Diss. (sammanfattning) Umeå : Umeå universitet, 2006. / Härtill 5 uppsatser.

No description available.

Das Ziel dieser Studie war es, die mundgesundheitsbezogene Lebensqualität (MLQ) bei Patienten mit rheumatoider Arthritis (RA) unter Berücksichtigung krank- heitsspezifischer Parameter zu bewerten. Dabei sollte eine Analyse der verschiedenen Dimensionen der MLQ, wie Funktionseinschränkungen des Kausystems, psychosozialer Einfluss, orofaziale Schmerzen sowie dentofaziale Ästhetik, durchgeführt werden.

Background : Oral health-related self-efficacy (OH-SE) is pivotal for oral health and is associated with other oralhealth related variables, such as dental fear and anxiety (DF/A) and dental hygiene behaviors (DHB). This study attempts to analyze associations between OH-SE and oral healthrelated variables in a German population to extend previous research by analyzing whether OH-SE can be predicted by these variables, as this might contribute to the development of treatment interventions. Methods : OH-SE, DF/A, oral health-related quality of life (OHRQoL), self-perceived dental condition, satisfaction with general health, DHB, and socioeconomic status were assessed as a part of the Saxon Longitudinal Study in an adult sample (n = 309, 56.3% female, all Saxon secondary school 8th graders in 1987). The associations of OH-SE with these variables were examined by means of correlation, multiple linear regression analyses, and group comparisons. Significance (p), standardized regression coefficients (β), and effect size (Cohen’s d) were calculated. Results : The correlation analyses revealed increased OH-SE to be accompanied by low levels of DF/A, high levels of OHRQoL, high levels of self-perceived dental condition, increased satisfaction with general health and socioeconomic status (all r ≥ 0.142; all p ≤ 0.013). In the regression analysis, OH-SE was mainly predicted by self-perceived dental condition and satisfaction with general health (R2 = 0.157) as well as by daily frequency of toothbrushing, OHRQoL, and socioeconomic status on a trend-level basis. In the group comparisons OH-SE was lower in participants with moderate for manifest DF/A and higher in individuals with higher OHRQoL, better self-perceived dental condition, increased satisfaction with general health, increased daily frequency of toothbrushing, more dental appointments, and above-average socioeconomic status (trend level; all t ≥ 1.57; p ≤ 0.059). Conclusions : In this cross-sectional study, high levels of OH-SE were mainly predicted by general health as well as self-perceived dental condition. It was also associated with decreased DF/A, increased DHB, higher OHRQoL, and higher socioeconomic status. Future research should analyze these associations in longitudinal designs to address whether interventions focusing on adherence to good DHB improve (dental) health and thus OH-SE. This might be a promising approach, particularly in relation to the treatment of DF/A.

Made available in DSpace on 2014-12-17T15:43:52Z (GMT). No. of bitstreams: 1 PatriciaNG_DISSERT.pdf: 2029374 bytes, checksum: 7beef1937e948bf118e34bf7f689b69b (MD5) Previous issue date: 2013-03-22 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / Early childhood caries, especially in its severe form, which is characterized by an acute and aggressive nature, can have negative impacts on thequality of life of a child, due to effects such as difficulty in chewing, decreased appetite, weight loss, insomnia, changes in behavior and a decreased performance in school, among others. Moreover, the quality of life of the child`s family can also be affected, as the pain and discomfort caused by this type of caries result in loss of working days of parents, spending on dental treatments, changes in sleep patterns and stress. The aim of this study was to evaluate the impact of severe early childhood caries in the Oral Health-Related Quality of Life (OHRQoL) of public daycares`s preschool children through the Escala de Impacto da Sa?de Bucal na Primeira Inf?ncia, a Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS). A single calibrated examiner (kappa=1.0) evaluated, through the dmfs index, the oral health of 116 children aged between 3 and 5, which were included in one of three study groups: "caries-free", "not-severe early childhood caries" and "severe early childhood caries". The parents responded to ECOHIS, to assess their perception regarding the OHRQoL of their children, and a questionnaire on socioeconomic conditions. The OHRQoL was measured through the total scores and domains of ECOHIS. Descriptive analysis, Mann-Whitney test, Kruskal-Wallis test, chi-square test and Poisson multiple regression with robust variance were used. Among the children observed, 38.8% were caries-free, 27.6% showed not-severe early childhood caries and 33.6% showed severe early childhood caries. Regarding the total score of ECOHIS, severe early childhood caries had a greater negative impact on OHRQoL, compared to caries-free and not-severe early childhood caries groups (p <0.001). Regarding the child subscale, there was significant difference between the "severe early childhood caries" group and the other groups in all domains, except for theone of self-image / social interaction. In the family subscale domains, there was statistical significance between the severe early childhood caries and the caries-free groups in all domains (p <0.001), whereas between the "severe early childhood caries and not-severe early childhood caries groups there was a statistically significant difference only in the domain of parental anguish (p <0.001). Multivariate analysis showed that early childhood caries and the parent`s age were significantly associated to OHRQoL (p <0.05), independently of the other variables in the model. The presence of severe early childhood caries resulted in greater negative impact on OHRQoL (AdjPR= 6.016; 95%CI = 3.12 11.56; p<0.001), while older parents reported better OHRQoL (AdjPR = 0.603; 95%CI = 0.428 - 0.850; p = 0.004). The presence of severe early childhood caries had a negative impact on OHRQoL of preschool children and their families. / A c?rie precoce na inf?ncia, especialmente a sua forma severa, caracterizada pela natureza aguda e agressiva, pode produzir impactos negativos na qualidade de vida da crian?a, como dificuldade na mastiga??o, diminui??o do apetite, perda de peso, dificuldade em dormir, altera??o no comportamento e diminui??o do rendimento escolar, entre outros. Al?m disso, a qualidade de vida da fam?lia da crian?a portadora desse tipo de c?rie tamb?m pode ser afetada, pois os quadros de dor e desconforto causados resultam em perdas de dias de trabalho dos pais, gastos com tratamentos odontol?gicos, altera??o nos padr?es de sono e estresse. O objetivo deste estudo foi avaliar o impacto da c?rie precoce severa na inf?ncia na Qualidade de Vida Relacionada ? Sa?de Bucal (QVRSB) de crian?as pr?-escolares de creches p?blicas por meio da Escala de Impacto da Sa?de Bucal na Primeira Inf?ncia, vers?o brasileira do Early Childhood Oral Health Impact Scale (ECOHIS). Um ?nico examinador calibrado (kappa=1,0) avaliou, por meio do ?ndice ceo-s, a sa?de bucal de 116 crian?as entre 3 e 5 anos de idade, as quais foram inclu?das em um dos tr?s grupos de estudo: livre de c?rie , c?rie precoce n?o severa e c?rie precoce severa . Os pais responderam ao ECOHIS, para avaliar sua percep??o em rela??o ? QVRSB de seus filhos, al?m de um question?rio sobre condi??es socioecon?micas. A QVRSB foi mensurada por meio dos escores total e por dom?nios do ECOHIS. An?lise descritiva, teste de Mann-Whitney, teste de Kruskal-Wallis, teste do quiquadrado e regress?o m?ltipla de Poisson com vari?ncia robusta foram utilizados. Dentre as crian?as avaliadas, 38,8% eram livres de c?rie, 27,6% apresentavam c?rie precoce n?o severa e 33,6% apresentavam c?rie precoce severa. Em rela??o ao escore total do ECOHIS, a c?rie precoce severa na inf?ncia teve um maior impacto negativo na QVRSB em compara??o aos grupos livre de c?rie e c?rie precoce n?o severa (p<0,001). Em rela??o ? subescala da crian?a, houve diferen?a estatisticamente significativa entre o grupo c?rie precoce severa e os outros grupos em todos os dom?nios, com exce??o do dom?nio de auto-imagem / intera??o social. Nos dom?nios da subescala da fam?lia, houve diferen?a significativa entre os grupos c?rie precoce severa e o livre de c?rie em todos os dom?nios (p<0,001); j? entre os grupos c?rie precoce severa e c?rie precoce n?o severa , houve diferen?a estatisticamente significativa somente no dom?nio de ang?stia dos pais (p<0,001). A an?lise multivariada mostrou que a c?rie precoce na inf?ncia e a idade dos pais foram significativamente associadas ? QVRSB (p<0,05), independentemente das demais vari?veis do modelo. A presen?a de c?rie precoce severa na inf?ncia resultou em maior impacto negativo sobre a QVRSB (RPaj=6,016; IC95% = 3,12 -11,56; p<0,001), enquanto pais mais velhos relataram melhor QVRSB (RPaj = 0,603; IC95% = 0,428-0,850; p = 0,004). A presen?a de c?rie precoce severa na inf?ncia teve um impacto negativo na QVRSB de crian?as pr?-escolares e de suas fam?lias