Analysis of clinical, demographic, socioeconomic, and psychosocial determinants of quality of life of persons with intellectual disability: a cross‐sectional Study

Alves, Nayara Silva; Gavina, Victor Pinheiro; Cortellazzi, Karine Laura; Antunes, Leonardo Santos; Silveira, Flávia Maia; Assaf, Andréa Videira

doi:10.1111/scd.12196

Cited by 23 publications

(42 citation statements)

References 16 publications

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“…Periodontal health was measured mostly adhering to the World Health Organisation standards, including the community periodontal index (World Health Organisation ) (Alves et al . ; Leroy & Declerck ; Margaritis et al . ), and two studies as well as the SO‐SS studies conducted visual soft tissue oral examinations (Davies et al .…”

Section: Resultsmentioning

confidence: 99%

“…Many of these studies involved dental service users (Alves et al . ; Batista, Moreira, Rauen, Corso, & Fiates ; Finkelman, Stark, Tao, & Morgan ; Özgül et al . ; Seirawan, Schneiderman, Greene, & Mulligan ; Zizzi et al .…”

Section: Resultsmentioning

confidence: 99%

“…Of the clinical studies assessing the more severe form of periodontal health (periodontitis), a significant level of disease was recorded, with the prevalence in adults with intellectual disabilities ranging from 22.5% to 69.2% (Alves et al . ; Cheng, Leung, & Corbet ; Davies et al . ; Finkelman et al .…”

Section: Resultsmentioning

confidence: 99%

“…Regarding other clinical assessments of oral health, poor oral hygiene was measured by the use of the plaque index, gingival index, presence of calculus and toothbrushing frequency (Alves et al . ; Cheng et al . ; Leroy & Declerck ; Margaritis et al .…”

Section: Resultsmentioning

confidence: 99%

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Oral health of adults with intellectual disabilities: a systematic review

Ward

Cooper

Hughes-McCormack

et al. 2019

J intellect Disabil Res

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Background There have been several past reports that adults with intellectual disabilities experience poor oral health (tooth loss, periodontal health and untreated dental caries). Loss of a functional dentition has serious consequences, including problems with chewing, swallowing, nutrition, speech, temporomandibular joint osteoarthritis and pain and systemic health conditions. Poor oral health is largely preventable through proactive oral care support. In recent years, social care provision for adults has changed, with deinstitutionalisation and home‐based personalised care now being the typical provision in high income countries. Hence, oral health inequalities might be reducing. However, there is limited recent evidence‐synthesis on the topic. We aimed to address this. Method PROSPERO registration number: CRD42018089880. We conducted a preferred reporting items for systematic reviews and meta‐analyses systematic review of publications since 2008. Four databases were searched with a clear search strategy, strict inclusion criteria for selection of papers, double scoring (two raters), systematic data extraction and quality appraisal of included papers. Results A total of 33/3958 retrieved articles were included, of which 14 were drawn from dental service users and 10 from Special Olympic athletes, therefore not necessarily being representative of the wider population with intellectual disabilities. Despite this limitation, adults with intellectual disabilities were still shown to experience poor oral health. High levels of poor oral hygiene and gingivitis were found, with many also affected by periodontitis and untreated dental decay. There is clear unmet need relating to both periodontal (gum) and tooth health, leading to tooth loss. Conclusions Despite reports in the past of poor oral health amongst adults with intellectual disabilities, and despite it being preventable, there remains a high burden of poor oral health. This highlights the need to raise awareness, and for polices on effective daily oral care, and appropriate service provision. The importance of oral health and its possible negative sequelae needs to be elevated amongst carers and professionals.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Oral health of adults with intellectual disabilities: a systematic review

Ward

Cooper

Hughes-McCormack

et al. 2019

J intellect Disabil Res

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“…16,17 Sample calculation was based on this population of 200 people with ID in the age group from 11 to 29 years. 16,17 Considering a sampling error of 5%, significance level of 95% and an additional of 20% for possible sampling losses. Therefore, the sample number surveyed was 55 individuals; they were proportionally and randomly selected from the four institutions.…”

Section: Sample Definitionmentioning

confidence: 99%

Acessibilidade à saúde bucal de pessoas com Deficiência Intelectual na perspectiva do cuidador: uma avaliação qualitativa

Alves

Gavina

et al. 2018

Rev. Bras. Odontol.

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Objective: to access and identify barriers to oral health care of people with intellectual disabilities (ID), from the caregivers' perspective. Material and Methods: the random sample was composed of 55 caregivers of people with ID and an interview script with a qualitative approach was applied to deepen the understanding of this group about oral health services accessibility. The qualitative analysis was performed through the Discourse of the Collective Subject Method. Results: we observed some barriers to access and care to oral health to patients with disabilities, such as: lack of structure and organization of the service, deficient training of professionals for attendance, among others. In addition, the health care within a practice little paid in and weakly based on health promotion were other factors that compromised the access of people with ID. Conclusion: the access evaluation is extremely important, because it allows the reordering of actions and services according to the users' needs. However, despite the advances, the patient with ID still has been facing barriers, basically to the accessibility to treatment performed by professionals, to reception and low management.

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Changes in the oral health-related quality of life in adult patients with intellectual disabilities after dental treatment under general anesthesia

et al. 2019

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Analysis of clinical, demographic, socioeconomic, and psychosocial determinants of quality of life of persons with intellectual disability: a cross‐sectional Study

Abstract: It was concluded that clinical determinants had the greatest influence on OHRQoL of individuals with ID.

Cited by 23 publications

References 16 publications

Oral health of adults with intellectual disabilities: a systematic review

Oral health of adults with intellectual disabilities: a systematic review

Acessibilidade à saúde bucal de pessoas com Deficiência Intelectual na perspectiva do cuidador: uma avaliação qualitativa

Changes in the oral health-related quality of life in adult patients with intellectual disabilities after dental treatment under general anesthesia

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