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Oral health-related quality of life, measured using the five-item version of the Oral Health Impact Profile, in relation to socio-economic status: a population survey in Sweden

Journal article
Authors Ulla Wide
Magnus Hakeberg
Published in European Journal of Oral Sciences
Volume 126
Issue 1
Pages 41-45
ISSN 0909-8836
Publication year 2018
Published at Institute of Odontology, Section 1
Pages 41-45
Language en
Keywords epidemiology, oral health-related quality of life, socio-economic status, dental anxiety, periodontal-disease, short forms, adults, behavior, care, associations, validation, finland, access
Subject categories Dentistry


Oral health-related quality of life (OHRQoL) is an important patient-reported outcome measure in dental research. This study was conducted to analyse the association between OHRQoL, as measured using the five-item version of the Oral Health Impact Profile (OHIP-5), and different socio-economic indices. A national survey of randomly selected adult individuals in Sweden (n=3,500) was performed using telephone interviews. The questions asked for the purpose of this study were defined by the items of the OHIP-5, just as questions were asked regarding socio-economic variables, including education, income, and economic resources. Poor OHRQoL, as identified by an OHIP-5 score of 3 or higher on at least two of the five items, was statistically significantly associated in multivariate analysis with low income (OR=1.84) and having no economic resources (OR=2.19). The statistical models were adjusted for age, gender, ethnicity, marital status, dental-care utilization, dental anxiety, and smoking. The OHIP-5 may be used in larger epidemiological surveys because it demonstrates the ability to discriminate for a range of important areas of measurement in dental public health, including social determinants.

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