Revista brasileira de epidemiologia = Brazilian journal of epidemiology最新文献

{"title":"Use of public and private oral health services by Brazilian adults from 2003 to 2023: trends and socioeconomic inequalities.","authors":"Líria Sheila Chamane, Rosana Leal do Prado, Doralice Severo Cruz, Ana Luiza Guerra Francisco, Maria Luíza Viana Fonseca, Maria Luiza do Nascimento Silva, Loliza Luiz Figueiredo Houri Chalub, Raquel Conceição Ferreira","doi":"10.1590/1980-549720260006.supl.1","DOIUrl":"10.1590/1980-549720260006.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To analyze socioeconomic inequalities in the use of oral health services among Brazilian adults aged 35-44 years between 2003 and 2023, according to level of education, income, and type of service used.</p><p><strong>Methods: </strong>This is a cross-sectional study on data from the National Survey of Oral Health (SB Brasil) 2003, 2010, and 2023. Weighted prevalences of the use of oral health services in the previous year were estimated, and absolute (Slope Index of Inequality - SII) and relative (Relative Index of Inequality - RII) measures of inequality were calculated according to level of education and income. Multiple logistic regression models were used to assess the association between socioeconomic indicators and service use.</p><p><strong>Results: </strong>Between 2003 and 2023, the proportion of adults who used oral health services in the previous year increased from 38.7 to 51.6%. The RII for level of education decreased from 2.16 to 1.39, and the SII, from 0.30 to 0.20, indicating a reduction in educational inequalities, statistically significant among public service users (RII=1.08; SII=0.07 in 2023). Income-related inequalities remained unchanged. According to adjusted models, there was a significant interaction between level of education and type of service, with a steeper gradient in the private sector and a more homogeneous pattern in the public sector.</p><p><strong>Conclusion: </strong>From 2003 to 2023, the use of oral health services increased, and educational inequalities declined among users of public services, reflecting progress in the consolidation of the National Oral Health Policy and in the expansion of public access. However, economic disparities persist, underscoring the need for redistributive policies that integrate equity and sustainability in the financing of the Brazilian Unified Health System.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29Suppl 1 Suppl 1","pages":"e260006supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13440361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brazilian epidemiology facing new challenges: the Fifth Strategic Plan and the renewal of an academic, social, and political project.","authors":"Tânia Maria de Araújo, Ana Paula Muraro, Alexandra Crispim Boing, Maria Rita Donalisio","doi":"10.1590/1980-549720250007.supl.1","DOIUrl":"10.1590/1980-549720250007.supl.1","url":null,"abstract":"","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 suppl 1","pages":"e250007supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolution of income inequalities in the caries experience of 5-year-old children in Brazil between 2010 and 2023.","authors":"Armando Cabral de Lira Neto, Isabela Ficagna Oshiro, Luiza De Carli Grieleitow, Maria Letícia Barbosa Raymundo, Amanda Barbosa Oliveira, Yuri Wanderley Cavalcanti, Roger Keller Celeste, Rafael Aiello Bomfim","doi":"10.1590/1980-549720260025.supl.1","DOIUrl":"10.1590/1980-549720260025.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To compare income inequalities in caries experience and untreated caries in 5-year-old children between the 2010 and 2023 SB Brasil surveys.</p><p><strong>Methods: </strong>A comparative analysis of the 2010 and 2023 SB Brasil surveys was performed. For each year, the mean decayed, extracted, and filled teeth (deft) index and its respective 95% confidence intervals (CI) were calculated, considering sampling weights and the complex design. Equivalent per capita family income was divided into four categories: below the poverty line; up to 1 minimum wage; up to 2 minimum wages; and above 2 minimum wages, to generate ridit scores according to sampling weights. The Slope Index of Inequality (SII) and the Relative Index of Inequality (RII) were estimated using linear regression and generalized linear models, respectively, for each year.</p><p><strong>Results: </strong>The mean deft decreased from 2.42 (95%CI 2.02-2.81) in 2010 to 2.14 (95%CI 1.92-2.36) in 2023. However, the SII remained stable, ranging from -1.32 (95%CI -1.70; -0.94) in 2010 to -1.14 (95%CI -1.55; -0.72) in 2023. Similarly, the RII also showed slight variation- 0.63 (95%CI 0.57-0.70) in 2010 and 0.61 (95%CI 0.51-0.73) in 2023-indicating that children from higher-income families consistently had about 40% lower risk of experiencing dental caries in both periods. The sensitivity analyses with untreated caries corroborated the findings.</p><p><strong>Conclusion: </strong>Despite the average reduction in caries experience, socioeconomic disparities remained unchanged between 2010 and 2023. These findings suggest that the implemented public policies were not sufficient to reduce income inequalities in children caries and the need for more innovative and equitable strategies.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29Suppl 1 Suppl 1","pages":"e260025supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncovering inequities: the role of epidemiology in confronting racism.","authors":"Joilda Silva Nery","doi":"10.1590/1980-549720250008.supl.1","DOIUrl":"10.1590/1980-549720250008.supl.1","url":null,"abstract":"<p><p>This article discusses the role of epidemiology and collective health in addressing racism and racial health inequalities in Brazil. The reflections presented were inspired by the conference \"Unveiling Inequities: the role of epidemiology in confronting racism\", held during the 12th Brazilian Congress of Epidemiology in 2024. Through a critical and historical analysis, the study seeks to understand how the Brazilian field of epidemiology - consolidated in Latin America and recognized for its contributions to collective health - still reproduces mechanisms that render Black and Indigenous researchers invisible. It argues that combating racism should not be the isolated responsibility of a specific group, but rather a collective and ethical commitment involving the entire scientific community. Morbidity and mortality data speak for themselves and for the majority of the Brazilian population, revealing the urgent need for a more explicit debate on racism within epidemiology and for reflection on how institutions and research groups are organized and operate based on power relations. Furthermore, it proposes that contemporary topics such as digital health, climate change, and mental health be analyzed through intersectional perspectives that consider race, gender, class, and other dimensions of inequality. The text emphasizes that recognizing racism as a social determinant of health is an essential condition for building an epidemiology committed to equity and the right to life. Acknowledging these gaps is necessary to move forward, as highlighted in Brazil's Fifth Brazilian Plan for the Development of Epidemiology.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"28 suppl 1","pages":"e250008supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13405550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tooth loss and rehabilitation in the elderly: an intersectional analysis of gender, race, and territory.","authors":"Ana Karine Macedo Teixeira, Raul Anderson Domingues Alves da Silva, Alice Castro Guedes Mendonça, Kenio Costa de Lima","doi":"10.1590/1980-549720260020.supl.1","DOIUrl":"10.1590/1980-549720260020.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To assess tooth loss, dental function, and rehabilitation in older adults in 2010 and 2023, and its intersection with gender, race, and territory.</p><p><strong>Methods: </strong>A sample of elderly individuals from the 2023 National Oral Health Survey (SB Brasil) (n=9,745) and 2010 (n=7,619) was used. The outcomes were: tooth loss, dental functionality, and oral rehabilitation in the elderly population. Demographic data (sex, race, age, and Brazilian regions) were used as independent variables. Poisson regression was performed for each oral health variable based on an interaction model between race/color and gender, stratified by region.</p><p><strong>Results: </strong>The oral health status of the elderly population improved between 2010 and 2023, with reduction in edentulism (from 53.4% to 36%), and increase in functional dentition (from 13.2% to 28.6%) and complete anterior dentition (from 12.4 to 21.2%). The use of prostheses in elderly individuals with fewer than 20 teeth did not improve during the evaluated period. In the intersectional analysis, black women presented a higher prevalence of edentulism (PR=1.16; CI 1.04-1.29), lower functional dentition (PR=0.74; CI 0.66-0.83), and lower anterior dentition (PR=0.85; CI 0.78-0.93) compared to white men, while black men were the least rehabilitated (PR=0.83; CI 0.78-0.90). Gender and racial inequalities varied across regions. The North region, despite having the worst oral health conditions among the elderly population, did not show inequality in functional dentition and edentulism.</p><p><strong>Conclusion: </strong>Despite advances in oral health among elderly Brazilians, inequalities persist, marked by the intersection of gender, race, and territory, with a more severe impact on black women.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29Suppl 1 Suppl 1","pages":"e260020supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Edentulism, severe tooth loss, and lack of functional dentition in elderly people in Brazil: prevalence and social inequalities in the 2023 National Oral Health Survey.","authors":"Renato Canevari Dutra da Silva, Heloísa Silva Guerra, Fernanda de Oliveira Meller, Cleidiane Aparecida de Quadra, Elton Brás Camargo Júnior, Antônio Augusto Schäfer","doi":"10.1590/1980-549720260023.supl.1","DOIUrl":"10.1590/1980-549720260023.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the prevalence of edentulism, severe tooth loss, and lack of functional dentition among older adults in Brazil and to analyze associated social, racial, and regional inequalities, based on the 2023 National Oral Health Survey.</p><p><strong>Methods: </strong>A population-based cross-sectional study was conducted with individuals aged ≥65 years. Outcomes included edentulism, severe tooth loss (0-8 teeth), and lack of functional dentition (<21 teeth). Associations were estimated using Poisson regression with robust variance.</p><p><strong>Results: </strong>A total of 9,746 older adults were included. The prevalence of edentulism was 36.5%, severe tooth loss 48.1%, and lack of functional dentition 72.9%. In the adjusted analysis, women showed higher prevalence of all outcomes, which also increased with age. Low educational level was the main factor associated with worse oral health conditions: individuals with no schooling had higher prevalence of edentulism (PR=3.62; 95%CI: 2.48-5.30) and severe tooth loss (PR=3.79; 95%CI: 3.00-5.17), as well as higher prevalence of lack of functional dentition (PR=1.82; 95%CI: 1.52-2.19), compared to those with higher education. Brown-skinned individuals had higher prevalence of severe tooth loss and lack of functional dentition, while living in capital cities was associated with lower prevalence of edentulism.</p><p><strong>Conclusion: </strong>Edentulism, severe tooth loss, and lack of functional dentition remain strongly associated with social, racial, and regional inequalities in Brazil. These findings highlight the need for public policies focused on oral health equity, emphasizing prevention, prosthetic rehabilitation, and expanded access to services for vulnerable populations.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29Suppl 1 Suppl 1","pages":"e260023supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use and need for dental prostheses in oral health-related daily activities among older adults: a cross-sectional study based on SB Brasil 2023.","authors":"Gustavo Silva Costa, Sara Antunes Rocha, Samuel Trezena, Fabrício Emanuel Soares de Oliveira, Hercílio Martelli Júnior, Daniella Reis Barbosa Martelli, Simone de Melo Costa, Verônica Oliveira Dias","doi":"10.1590/1980-549720260022.supl.1","DOIUrl":"10.1590/1980-549720260022.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To assess the association between the use and need for dental prostheses and the presence of oral health impacts on daily activities, measured using the Oral Impacts on Daily Performance (OIDP) instrument, among older adults in Brazil.</p><p><strong>Methods: </strong>This cross-sectional study used data from the 2023 Brazilian National Oral Health Survey (SB Brasil), including 9,696 individuals aged 65 to 74 years, with clinical and sociodemographic information. The dependent variable was the presence of oral health impacts on daily activities, assessed by the OIDP and defined as the report of at least one negative impact. Independent variables included sociodemographic characteristics, use and need for dental prostheses, self-perceived need for prosthetic replacement, edentulism, and implant-based rehabilitation. Descriptive analyses and Poisson regression with robust variance were performed, accounting for the complex sampling design, and Prevalence Ratios (PR) and 95% Confidence Intervals (95%CI) were estimated).</p><p><strong>Results: </strong>Oral health impacts on daily activities were most frequent for eating (21.0%), smiling (16.1%), and emotional status (13.3%). Female gender (PR 1.07; 95%CI 1.01-1.14), self-perceived need to use or replace prostheses (PR 1.32; 95%CI 1.24-1.41), and need for upper prosthesis (PR 1.18; 95%CI 1.10-1.27) were associated with higher prevalence of impacts, while the use of implant-supported prostheses was a protective factor (PR 0.90; 95%CI 0.83-0.97).</p><p><strong>Conclusion: </strong>Prosthetic status is central to the relationship between oral health and quality of life in older adults, reinforcing the need for public policies that expand access and equity in prosthetic rehabilitation.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29Suppl 1 Suppl 1","pages":"e260022supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in the use of dental prostheses among adults and the elderly and the effects of their provision in the Brazilian health system 2003-2023.","authors":"Sonia Cristina Lima Chaves, Thais Regis Aranha Rossi, Jony Arrais Pinto Junior, Thamyres Pereira Lima, Ana Tereza Ribeiro da Silva, Ana Maria Freire de Souza Lima, Andréia Cristina Leal Figueiredo, Joana Danielle Brandão Carneiro, Leonardo Marchini, Monira Samann Kallás, Doralice Severo da Cruz Teixeira","doi":"10.1590/1980-549720260011.supl.1","DOIUrl":"10.1590/1980-549720260011.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>This study analyzed trends in the use of dental prostheses among adults and older adults and their availability in the Unified Health System (SUS) in Brazil between 2003 and 2023.</p><p><strong>Methods: </strong>Quasi-experimental ecological observational study for impact evaluation using a Difference-in-Differences (DiD) model. The temporal variation was compared between municipalities that implemented Dental Prosthesis Laboratories (LPD) (intervention) and those that did not (counterfactual). Data from 43 municipalities participating in all SB Brasil (Brazil Oral Health) epidemiological surveys from 2003, 2010, and 2023 were used. The outcome variables were the increased use of complete dentures (CD), removable partial dentures (RPD), and fixed dentures in adults (35-44 years old) and older adults (65-74 years old) in these municipalities.</p><p><strong>Results: </strong>The presence of LPD between 2003 and 2010 was associated with a 311.96% increase in the supply of prostheses (p=0.032), but it remained stable between 2010 and 2023. Changes in government probably impacted the supply of prostheses in these municipalities. The presence of LPD in the period 2003-2010 and having an Dental Specialty Center (CEO) between 2010 and 2023 increased the use of CD among adults by 6.94% (p=0.012) and 10.5% (p=0.032). Among older adults, having LPD increased the use of RPD by 12.42% (p=0.002), and being in a municipality with a CEO increased the use of CD by 12.05% (p=0.05) between 2003 and 2010.</p><p><strong>Conclusion: </strong>The LPD supply had a residual effect. The lower tooth loss may explain the reduced use of dentures in adults and the increased use of RPD in older adults. Future analyses are suggested regarding coverage, access, and different contexts.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29Suppl 1 Suppl 1","pages":"e260011supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequalities in the demand for dental services in Brazil: associated factors in the 2023 National Oral Health Survey.","authors":"Fernanda Alencar Rodrigues Pereira, Ana Paula Alves Távora de Oliveira, Maraysa Costa Vieira Cardoso, Christina Cesar Praça Brasil, Geraldo Bezerra da Silva Junior, Mirna Albuquerque Frota, Ana Livia Torres de Sousa, Antonio Augusto Ferreira Carioca","doi":"10.1590/1980-549720260027.supl.1","DOIUrl":"10.1590/1980-549720260027.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To analyze sociodemographic factors associated with the use of dental services in Brazil, based on data from the National Oral Health Survey - SB Brasil 2023.</p><p><strong>Methods: </strong>This cross-sectional, population-based study used data from 40,489 individuals aged 18 years or older. The dependent variable was the use of dental services in the previous year. Analyses accounted for the complex sampling design, including weighting and design corrections. Descriptive and bivariate analyses (χ2 test) were conducted, followed by multiple logistic regression to estimate odds ratio (OR) and 95% confidence intervals (95%CI).</p><p><strong>Results: </strong>Approximately 58.8% of respondents reported having used dental services in the previous year. A higher likelihood of use was associated with being female (OR=1.44; 95%CI 1.20-1.74), having higher educational attainment (complete higher education: OR=3.16; 95%CI 2.01-5.00), and higher income (>10 minimum wages: OR=2.79; 95%CI 1.63-4.78). Conversely, increasing age (OR=0.99; 95%CI 0.98-0.99) and residence in state capitals (OR=0.70; 95%CI 0.59-0.83) were associated with a lower likelihood of using dental services.</p><p><strong>Conclusion: </strong>Inequalities in the use of dental services persist in Brazil and are influenced by educational attainment, income, and vulnerability-related factors. These findings highlight the need for public policies aimed at reducing structural barriers and expanding equitable access to oral health care.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29Suppl 1 Suppl 1","pages":"e260027supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13403695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of oral health problems on daily activities and quality of life of adolescents in Brazil.","authors":"Waneska Ferreira de Melo, Helene Soares Moura, Sandra Aparecida Marinho, Lívia Natália Sales Brito, Gustavo Gomes Agripino, Pierre Andrade Pereira de Oliveira","doi":"10.1590/1980-549720260009.supl.1","DOIUrl":"10.1590/1980-549720260009.supl.1","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the impact of oral health conditions on quality of life and daily activities among adolescents according to the Oral Impacts on Daily Performances (OIDP) and its domains.</p><p><strong>Methods: </strong>This cross-sectional study was based on data from the Brazilian National Oral Health Survey (SB Brasil 2023) and included 8,054 adolescents aged 15 to 19 years from all regions of the country. The outcome was oral health-related quality of life assessed using the OIDP instrument. Associations between OIDP and its domains with the presence of untreated caries, tooth loss, odontalgia, need for prostheses, gingival bleeding, and dental calculus were analyzed. Statistical analyses were performed considering the complex sample design, using the Rao-Scott adjusted F-test and multiple logistic regression considering a 95% confidence interval (CI).</p><p><strong>Results: </strong>A negative impact of oral health on quality of life was observed in 37.2% of adolescents, with a higher frequency among those with lower family income and education level. All oral health problems analyzed showed a significant association with an OIDP≥1. After adjusting for sociodemographic factors, dental pain in the last 6 months was the condition most strongly associated with a negative impact on quality of life (OR=9.06; 95%CI 6.32-13.0), followed by the need for a prosthesis (OR=3.86; 95%CI 2.31-6.43), untreated dental caries (OR=2.39; 95%CI 1.87-3.05), tooth loss (OR=1.56; 95%CI 1.07-2.26), gum bleeding (OR=1.62; 95%CI 1.14-2.29), and dental calculus (OR=1.33; 95%CI 1.03-1.71).</p><p><strong>Conclusion: </strong>Oral health problems represent a limiting factor in the quality of life and daily activities of Brazilian adolescents.</p>","PeriodicalId":74697,"journal":{"name":"Revista brasileira de epidemiologia = Brazilian journal of epidemiology","volume":"29Suppl 1 Suppl 1","pages":"e260009supl1"},"PeriodicalIF":2.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148451002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}