RESUMEN
Introducción: La presencia de factores socioeconómicos, nivel educativo y el acceso a atención sanitaria pueden condicionar los niveles de calidad de vida relacionada con la salud bucal, especialmente en etapas de vida como la niñez. Objetivo: Determinar la asociación de las condiciones orales en la calidad de vida relacionada con la salud bucal en escolares. Métodos: Estudio observacional, descriptivo y transversal desde una base de datos de 144 escolares (11-12 años). La variable dependiente fue calidad de vida relacionada con la salud bucal, medida con el índice Child Oral Impacts on Daily Performances. Se realizó un análisis descriptivo y pruebas de U de Mann Whitney y ji cuadrado, además se aplicó una regresión logística lineal, con un nivel de confianza de 95 % y p< 0,05. Resultados: El 69,44 % (n= 100) presentó muy poca intensidad del impacto. La procedencia presentó diferencias significativas con limpiarse la boca e impacto total (p< 0,05) y el sexo con hablar y estudiar (p< 0,05). De la regresión lineal, la procedencia se asoció a la gravedad del desempeño limpiarse la boca (R2%= 0,039; a= 0,527; b= 0,347; p= 0,017) e impacto total (R2%= 0,036; a= 4,831; b= 4,824; p= 0,023), el sexo presentó asociación con hablar (R2%= 0,034; a= 0,498; b= -0,137; p= 0,026). Conclusión: La intensidad del impacto es muy poca en la calidad de vida relacionada con la salud bucodental; además, la procedencia se asoció con limpiarse la boca e impacto total, mientras que el sexo se asoció con el desempeño hablar; todo ello en escolares de 11 y 12 años.
Introduction: The presence of certain socioeconomic factors, educational level and access to health care can condition the levels of oral health-related Quality of Life, especially in life stages such as childhood. Objective: To determine the association of oral conditions on oral health-related quality of life in students. Methods: Observational, descriptive and cross-sectional study from a database of 144 schoolchildren (11-12 years old). The dependent variable was Quality of Life related to oral health, measured with the Child Oral Impacts on Daily Performances index. A descriptive analysis and Mann Whitney U and Chi-square tests were performed, and a linear logistic regression was applied, with a confidence level of 95% and p< 0,05. Results: The 69.44% (n= 100) presented very low impact intensity. The provenance presented significant differences with cleaning the mouth and total impact (p< 0.05), and sex with talking and studying (p< 0.05). From the linear regression, provenance was associated with severity of cleaning mouth performance (R2%= 0.039, a= 0.527, b= 0.347, p= 0.017) and total impact (R2%= 0.036, a= 4.831, b= 4.824, p= 0.023), sex was associated with talking (R2%= 0.034, a= 0.498, b= -0.137, p= 0.026). Conclusion: The intensity of the impact was very little in the quality of life related to oral health; in addition, the origin was associated with cleaning the mouth and total impact, while gender was associated with speaking; all this in schoolchildren aged 11 and 12.
RESUMEN
BACKGROUND: Due to the high transmissibility of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes coronavirus disease 2019 (COVID-19), governments adopted preventive measures, such as social distancing and obligatory social immobilization, which negatively affected access to health services, including oral health services. Similarly, dental care restraint arose in this context, with the aim of reducing the possibility of cross-infection caused by aerosols, which notably restricted dental care activity. OBJECTIVES: The aim of the study was to determine the impact of the COVID-19 pandemic on the timing of dental care in Peruvian children. MATERIAL AND METHODS: A cross-sectional study with a population of 42,115 respondents for 2019 and 20,510 for 2020 was conducted. The participants were children aged 0-11 years. The records of those who responded to the question on the time since their last dental care were considered, extracting a total of 22,166 (69.03%) subjects for 2019 and 9,945 (30.97%) subjects for 2020. The dependent variable consisted of the time since the last dental care measured in years; the variables of health, geographic and sociodemographic characteristics were grouped within 3 dimensions. Descriptive bivariate and multivariate analyses were applied by means of multiple linear regression in order to analyze the variables. RESULTS: The time since the last dental care during 2019 was 5.25 ±4.30 years, and it increased to 6.64 ±4.90 years in 2020. Within the multivariate analysis, the dimensions and their variables were ordered hierarchically for 2019 and 2020 separately, and as a whole. Each model was not significant when observed independently (p > 0.05); however, when evaluated as a whole, validity was observed only in model 1 of the year (p = 0.018), with R2 = 2.90, a constant equal to 3.852, the non-standardized regression coefficient (ß) of 1.653, and a 95% confidence interval (CI) of 0.289-3.018. CONCLUSIONS: The 2020 COVID-19 pandemic year had a negative impact on the timing of dental care in Peruvian children, increasing it by 1.39 years as compared to 2019.
