Oral health-related quality of life among Brazilian adults with mental disorders.

The aim of this study was to investigate associations of sociodemographic, lifestyle, medical conditions, and caries experience with oral health-related quality of life (OHRQoL) in a large sample of adults with mental disorders. A sample of 753 adults diagnosed with schizophrenia or depression, who were users of 10 public mental health outpatient clinics located in the city of São Paulo, Brazil, participated in the study. Participants provided data on sociodemographic characteristics, psychiatric diagnosis, medication use, and health behaviors. Oral examinations to evaluate dental caries (using the decayed, missing, and filled teeth ([DMFT] index) and dental plaque (using the Silness-Löe plaque index) were conducted. Oral health-related quality of life was evaluated using the 14-item Oral Health Impact Profile (OHIP-14) questionnaire. Log-Poisson regression was used to evaluate associations between the outcome and independent variables. The prevalence of one or more OHIP-14 impacts occurring fairly often/often was 72.3%. Physical pain was the OHIP domain with the highest prevalence, followed by psychological discomfort. Multivariable analysis showed that higher prevalence of the reponses 'fairly often/often' in the OHIP-14 was associated with being female, aged 35 to 54 years, having a low family income, a diagnosis of depression, a smoking habit, and fewer than 20 teeth. Adults with mental disorders had a high prevalence of impacts on their OHRQoL, which were associated with caries experience, sociodemographic characteristics, type of psychiatric diagnosis, and behavioral risk indicators.

Structure and replicability of oral health-related quality of life networks across patients with schizophrenia and the general community.

OBJECTIVES: Schizophrenia is a disabling mental disorder associated with severe social dysfunction. Individuals with long-term mental conditions have poorer Oral Health-Related Quality of Life (OHRQoL) compared to the general population, but little is known about the measurement properties of OHRQoL instruments in this group of patients. This study aimed to examine the replicability of OHRQoL networks across samples of the general community (GC) and patients with schizophrenia (PWS). METHODS: Data were obtained from 603 community-dwelling participants and 627 patients with schizophrenia. OHRQoL was measured using the short form of the Oral Health Impact Profile (OHIP-14) questionnaire. A regularized partial correlation network was estimated for each sample. The number of dimensions and structural stability were assessed using Exploratory Graph Analysis. Global strength, edge weights and centrality estimates were compared. Network replicability was examined fitting the PWS data to the GC network structure. RESULTS: A single OHIP-14 dimension was identified in the GC sample, whereas three dimensions were detected in the PWS sample. Structural consistency was perfect in the network of GC participants (1), and considerably low in at least two dimensions of the PWS network (0.28; 0.65; 0.16). A moderate correlation for node strength estimates was observed (τ: 0.43; 95% CI: 0.13, 0.72), although edge weights were not correlated (τ: 0.025; 95% CI: -0.11, 0.16). The fit of the PWS data to the GC network structure was deemed unacceptable. CONCLUSION: Network models of OHRQoL did not replicate across samples of the general community and outpatients with schizophrenia. Prudent use of OHIP-14 to compare measures of OHRQoL between groups with significant cognitive impartment and the general population is recommended.

Irregularidades sanitárias na promoção comercial em rótulos de produtos para lactentes e os riscos para a saúde / Sanitary irregularities in the commercial promotion and labeling of products for nurslings and risks to health

RESUMO Regulamentações sanitárias para crianças e lactentes buscam controlar estratégias mercadológicas que estimulam o consumo de certos produtos. Na investigação realizada em pontos de venda, verificou-se heterogeneidade na frequência de falhas na rotulagem de bicos, chupetas e mamadeiras em várias marcas. Deficiências nas informações sobre o controle de fabricação e os aspectos de proteção ao aleitamento natural indicam uma conduta intencional das marcas líderes para a manutenção dessa situação, que pode ser agravada pela falta de monitoramento periódico da rotulagem e promoção comercial pela vigilância sanitária, implicando risco de desmame precoce e outros problemas de saúde durante a primeira infância.

ABSTRACT Sanitary regulations for infants and nurslings seek to control marketing strategies that stimulate the consumption of certain products. In the investigation carried out at points of sale, we verified heterogeneity in the frequency of failures in the labeling of nozzles, pacifiers and nursing bottles in several brands. Deficiency in information on manufacturing control and aspects of breastfeeding protection indicates intentional conduct of the leading brands for the maintenance of such situation, which may be aggravated by the lack of periodic monitoring of the labeling and commercial promotion by health surveillance, implying risk of early weaning and other health problems during early childhood.