Fabiana Raynal Floriano

Family context and incidence of dental caries in preschool children living in areas covered by the Family Health Strategy in Salvador, Bahia State, Brazil.

Psychosocial factors influence family care and can jeopardize child development. This study aimed to analyze the association between maternal common mental disorders and incidence of early dental caries in preschool-age children living in areas covered by the Family Health Strategy in Salvador, Bahia State, Brazil, in a cohort design. A total of 472 children were examined and their mothers were interviewed from 2007 to 2008. Incidence of at least one tooth with caries was 21.19%, while 7.84% of the children showed high risk of caries. The results after adjusting for the childs age and maternal schooling showed that maternal common mental disorders were associated with high caries risk in deciduous teeth (adjusted RR = 2.41, 95%CI: 1.05-5.56, among children with 6 or fewer home appliances in the household; adjusted RR = 3.44, 95%CI: 1.06-11.17, among those that brushed twice or less per day). Maternal mental problems were associated with the development of caries in preschoolers.

SP3-83 Relationship between clinical dental status and the perception of oral health-related quality of life in adults, Brazil

Introduction The objective of this study was to assess the impact of oral health-related quality of life (OHRQoL) in adults and to investigate the relationship between OHRQoL indicator and specific clinical dental measures. Methods Cross-sectional survey was carried out of 501 adults between 35 and 59 years, living in five different areas covered by the Community Health Agents Program/Family Health Strategy (CHAP/FHS) in Salvador—Bahia, Brazil. Data were collected from July to October, 2008, through interviews and clinical examination thats used indexes and criteria according Examiners Manual SB Brazil project (2001). OHRQoL was assessed through the General Oral Health Assessment Index (GOHAI). Data analysis used non-parametric tests (Mann–Whitney, Kruskal–Wallis and multiple linear regressions). Results 51.1% of adults had tooth loss (<20 functional teeth present), the GOHAI mean overall score was 29.4±4.7 and 50.7% reported low levels of OHRQoL Female perceived a greater impact of oral health status in quality of life (GOHAI=29.1±4.9). Concerns about oral health was the most frequently reported problem (64.9%) while concerns about appearance (53.7%) and oral impacts related to pain (53.1%) were experienced by just over than half of participants. Tooth loss remained associated with worse perceptions of OHRQoL (p<0.05) even after adjusted for age, gender, economic status, and loss of periodontal attachment. Conclusions Poor oral health status increased the perceived impact of OHRQoL. Policies of reduction of oral health inequalities can be successful strategies to improve the quality of life of adults.

AVALIAÇÃO DE DESEMPENHO DE REDES DE PESQUISA: O CASO DO INSTITUTO NACIONAL DE CIÊNCIA, INOVAÇÃO E TECNOLOGIA EM SAÚDE – INCT-CITECS

Research networks are an organizational form which enhance actions, articulating different competencies . This study aimed to evaluate the overall performance of the National Institute of Science, Innovation and Technology in Health (Citecs) in 2009 and 2010. For the analysis, a matrix was created. It was composed of 21 indicators grouped into four components: (1) Strengthening of the network, (2) Knowledge transfer, (3) Research, (4) Training. The results showed that Citecs achieved its goals, increased its activities in the four components. In this period, the following indicators were highlighted, due to their significant rise: peer reviewed papers in collaboration; scientific support to health policies; science education activities, and undergraduate student in science program supervision. The methods used in this evaluation may be adapted to assess other research networks with similar objectives.

SP3-82 Factors associated with oral health status of adults, Brazil

Introduction The objective of this study was to evaluate the oral health status of adults in Salvador—Bahia, Brazil, and to identify potentials factors related to tooth loss and loss of periodontal attachment. Methods Cross-sectional study in 501 adults between 35 and 59 years, living in five different areas covered by the Community Health Agents Program/Family Health Strategy (CHAP/FHS), from July to October 2008. The oral health status information was obtained using indexes and criteria according Examiners Manual SB Brazil project (2001). Descriptive and exploratory analyses were carried out and the differences in scores were tested by Pearsons χ2. Results Near 50.0% of adults had tooth loss (<20 functional teeth present) and 17.7% had loss of periodontal attachment ≥6 mm. Female had a greater tooth loss (53.0%) and male had larger loss of periodontal attachment ≥6 mm (32.2%). The adults with more than 45 years presented bigger tooth loss (67.2%) as much as periodontal attachment ≥6 mm (24.3%). Among the factors associated with tooth loss, can be pointed out no monthly individual income, low educational level and attending dentist when there is need (p<0.001), while only low educational level was associated with loss of periodontal attachment ≥6 mm (p<0.001). Conclusions The oral health status of adults was poor, which makes it one of the priorities of the primary care. Low socioeconomic status is commonly related to this condition, suggesting that improving the socioeconomic determinants reflect improvements in oral health.

P1-374 Quality of life of adults and associated factors, Brazil

Introduction The objective of this study was to assess quality of life (QoL) among adults in Salvador-Bahia, Brazil, and identify potentials factors related to its domains. Methods Cross-sectional study in 501 adults between 35 and 59 years, living in five different areas covered by the Community Health Agents Program/Family Health Strategy (CHAP/FHS), from July to October, 2008. Data were collected through interview using a questionnaire including social-economic variables and oral health status and the WHO Quality of Life questionnaire (WHOQOL-Bref) validated in Brazilian population to measured QoL. Descriptive and exploratory analyses were carried out and differences in scores were tested by Mann–Whitney and Kruskal-Wallis tests. Results Mean scores of WHOQOL-Bref were 58.5±19.8 and 59.0±27.3 to the general issues of quality of life and satisfaction with health, respectively. The social relationships domain had the highest mean scores (69.3±18.4) and the environment domain had the lowest mean scores (49.8±14.5). The WHOQOL-Bref domains showed that QoL is perceived better by male, having the highest mean scores (71.8±12.8) on the psychological domain and the lowest mean scores (53.8±13.1) on the environmental domain. Variables predicted for QoL were: years of education, monthly individual income, treated water at home and mucosal damage. Conclusions Evaluate QoL is very important for adult and it showed associated with current social-economic conditions and with oral health status. WHOQoL-Bref proved to be an efficient tool and useful for a better evaluation approach of the subjective aspects of QoL.