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Open Access 01-12-2012 | Research

Oral health related quality of life in pregnant and post partum women in two social network domains; predominantly home-based and work-based networks

Published in: Health and Quality of Life Outcomes | Issue 1/2012

Abstract

Background

Individuals connected to supportive social networks have better general and oral health quality of life. The objective of this study was to assess whether there were differences in oral health related quality of life (OHRQoL) between women connected to either predominantly home-based and work-based social networks.

Methods

A follow-up prevalence study was conducted on 1403 pregnant and post-partum women (mean age of 25.2 ± 6.3 years) living in two cities in the State of Rio de Janeiro, Brazil. Women were participants in an established cohort followed from pregnancy (baseline) to post-partum period (follow-up). All participants were allocated to two groups; 1. work-based social network group - employed women with paid work, and, 2. home-based social network group - women with no paid work, housewives or unemployed women. Measures of social support and social network were used as well as questions on sociodemographic characteristics and OHRQoL and health related behaviors. Multinomial logistic regression was performed to obtain OR of relationships between occupational contexts, affectionate support and positive social interaction on the one hand, and oral health quality of life, using the Oral Health Impacts Profile (OHIP) measure, adjusted for age, ethnicity, family income, schooling, marital status and social class.

Results

There was a modifying effect of positive social interaction on the odds of occupational context on OHRQoL. The odds of having a poorer OHIP score, ≥4, was significantly higher for women with home-based social networks and moderate levels of positive social interactions [OR 1.64 (95% CI: 1.08-2.48)], and for women with home-based social networks and low levels of positive social interactions [OR 2.15 (95% CI: 1.40-3.30)] compared with women with work-based social networks and high levels of positive social interactions. Black ethnicity was associated with OHIP scores ≥4 [OR 1.73 (95% CI: 1.23-2.42)].

Conclusions

Pregnant and post-partum Brazilian women in paid employment outside the home and having social supports had better OHRQoL than those with home-based social networks.

Berkman LF, Kawachi I: Social Epidemiology. New York: Oxford University Press; 2000.

Berkman LF, Glass TA, Brissette I, Seeman TE: From social integration to health: Durkheim in the new millennium. Soc Sci Med 2000, 51: 843–57. 10.1016/S0277-9536(00)00065-4CrossRefPubMed

Sawatzky R, Ratner PA, Johnson JL, Kopec JA, Zumbo BD: Self-reported physical and mental health status and quality of life in adolescents: a latent variable mediation model. Health and Quality of Life Outcomes 2010, 8: 17. 10.1186/1477-7525-8-17PubMedCentralCrossRefPubMed

Helgeson VS: Social support and quality of life. Quality of Life Research 2003, 12(Suppl 1):25–31.CrossRefPubMed

Bowling A, Browne PD: Social networks, health and emotional well-being among the oldest old in London. J Gerontol 1991, 46: S20–32.CrossRefPubMed

Holahah CJ, Moos RH, Holahah CK, Brannan PL: Social support, coping, and depressive symptoms in a late-middle-aged sample of patients reporting cardiac illness. Health Psychol 1995, 14: 152–63.CrossRef

Lomauro TA: Social support, health locus-of-control, and coping style and their relationship to depression among stroke victims. Dissertation Abstracts Int 1990, 51(5-b):2628. Doctoral Dissertation, St. John University US

Matt GE, Dean A: Social support from friends and psychological distress among elderly persons: moderatos effects of age. J Health Soc Behav 1993, 34: 197–200.CrossRef

Berkman LF, Leo-Summers L, Horwitz RI: Emotional support and survival following myocardial infarction: a prospective population-based study of the elderly. Ann Intern Med 1992, 117: 1003–9.CrossRefPubMed

10.

Brummett BH, Barefoot JC, Siegler IC, Clapp-Channing NE, Lytle BL, Bosworth HB, Williams RB Jr, Mark DB: Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality. Psychosom Med 2001, 63(2):267–72.CrossRefPubMed

11.

Hibbard JH, Pope CR: The quality of social roles as predictors of morbidity and mortality. Soc Sci Med 1993, 36: 217–25. 10.1016/0277-9536(93)90005-OCrossRefPubMed

12.

Gottlieb BH, Bergen AE: Social support concepts and measures. J Psychosom Res 2010, 69(5):511–20. 10.1016/j.jpsychores.2009.10.001CrossRefPubMed

13.

McDowell I: Measuring Health: a guide to rating scales and questionnaires. 3rd edition. New York: Oxford University Press; 2006.CrossRef

14.

Sherbourne CD, Stewart AL: The MOS social support theory. Soc Sci Med 1991, 32: 705–14. 10.1016/0277-9536(91)90150-BCrossRefPubMed

15.

Elsenbruch S, Benson S, Rücke M, Rose M, Dudenhausen J, Pincus-Knackstedt MK, Klapp BF, Arck PC: Social support during pregnancy: effects on maternal depressive symptoms, smoking and pregnancy outcome. Hum Reprod 2007, 22(3):869–877.CrossRefPubMed

16.

Nuckolls KB, Cassel J, Kaplan BH: Psychosocial assets, life crisis, and the prognosis of pregnancy. Am J Epidemiol 1972, 95: 431–441.PubMed

17.

Orr ST: Social Support and Pregnancy Outcome: A Review of the Literature. Clin Obstet and Gynecol 2004, 47(4):842–855. 10.1097/01.grf.0000141451.68933.9fCrossRef

18.

Webster J, Nicholas C, Velacott C, Cridland N, Fawcett L: Quality of life and depression following childbirth: impact of social support. Midwifery 2011, 27(5):745–9. 10.1016/j.midw.2010.05.014CrossRefPubMed

19.

Kita A: Quality of social network for pregnant women in Japan with focus on parity and family structure. Kobe J Med Sci 2000, 46(3):125–36.PubMed

20.

Khlat M, Sermet C, Le Pape A: Women's Health in Relation with their Family and Work Roles: France in the Early 1990s. Soc Sci Med 2000, 50: 1807–25. 10.1016/S0277-9536(99)00419-0CrossRefPubMed

21.

Klumb PL, Lampert T: Women, Work, and Well-Being 1950–2000: A Review and Methodological Critique. Soc Sci Med 2004, 58: 1007–24. 10.1016/S0277-9536(03)00262-4CrossRefPubMed

22.

Godin I, Kittel F: Differential economic stability and psychosocial stress at work: associations with psychosomatic complaints and absenteeism. Soc Sci Med 2004, 58(8):1543–53. 10.1016/S0277-9536(03)00345-9CrossRefPubMed

23.

Suzuki E, Takao S, Subranian SV, Doi H, Kawachi I: Work-based social networks and health status among Japanese employees. J Epidemiol Community Health 2009, 63: 692–696. 10.1136/jech.2008.082453CrossRefPubMed

24.

Sanders AE, Spencer JA: Job characteristics and the subjective oral health of Australian workers. Aust N Z J Public Health 2004, 28(3):259–66. 10.1111/j.1467-842X.2004.tb00705.xCrossRefPubMed

25.

Karasek R, Theorell T: Healthy work: stress, productivity, and the reconstruction of working life. New York, NY: Basic Books; 1990:89–103.

26.

Link BG, Lennon MC, Dohrenwend BP: Socioeconomic Status and Depression: The Role of Occupations Involving Direction, Control and Planning. Am J Soc 1996, 98: 1351–87.CrossRef

27.

Rickardsson B, Hanson BS: Social network and regular dental care utilisation in elderly men. Results from the population study "Men born in 1914", Malmo, Sweden. Swed Dent J 1989, 13: 151–61.PubMed

28.

Petersen PE, Nörtov B: General and dental health in relation to life-style and social network activity among 67-year-old Danes. Scand J Prim Health Care 1989, 7(4):225–30. 10.3109/02813438909088669CrossRefPubMed

29.

Hanson BS, Liedberg B, Owall B: Social network, social support and dental status in elderly Swedish men. Community Dent Oral Epidemiol 1994, 22(5 Pt 1):331–37.CrossRefPubMed

30.

Merchant AT, Pitiphat W, Ahmed B, Kawachi I, Joshipura K: A prospective study of social support, anger expression and risk of periodontitis in men. J Am Dent Assoc 2003, 134: 1591–96.CrossRefPubMed

31.

Locker D: Measuring oral health: a conceptual framework. Community Dent Health 1988, 5: 3–18.PubMed

32.

Slade G, Spencer AJ: Development and evaluation of oral health impact profile. Community Dent Health 1994, 11: 3–11.PubMed

33.

Inglehart MR, Bagramian RA: Oral health-related quality of life: an introduction. In Oral health-related quality of life. Edited by: Inglehart MR, Bagramian RA. Chicago, IL: Quintessence Publishing; 2002:1–6.

34.

Naito M, Yusa H, Nomura Y, Nakayama T, Hamajima N, Hanada N: Oral health status and health-related quality of life: a systematic review. J Oral Sci 2006, 48: 1–7. 10.2334/josnusd.48.1CrossRefPubMed

35.

Achat H, Kawachi I, Levine S, Berkey C, Coakley E, Colditz G: Social Networks, Stress and Health-Related Quality of Life. Qual Life Res 1998, 7(8):735–750.CrossRefPubMed

36.

Oliveira BH, Nadanovsky P: The impact of oral pain on quality of life during pregnancy in low-income Brazilian women. J Orofac Pain 2006, 20(4):297–305.PubMed

37.

Wandera MN, Engebretsen IM, Rwenyonyi CM, Tumwine J, Astrøm AN, PROMISE-EBF Study Group: Periodontal status, tooth loss and self-reported periodontal problems effects on oral impacts on daily performances, OIDP, in pregnant women in Uganda: a cross-sectional study. Health Qual Life Outcomes 2009, 14: 7–10.

38.

Leal M do C, Pereira APE, Lamarca GA, Vettore MV: The relationship between social capital, social support and the adequate use of prenatal care. Cad Saude Publica 2011, 27(suppl 2):s237-s253.CrossRef

39.

Kleinbaum DG, Kupper LL, Morgenstein H: Epidemiologic Research. Principles and Quantitative Methods. California, Belmont: Lifetime Learning Publications; 1982.

40.

Oliveira BH, Nadanovsky P: Psychometric properties of the Brazilian version of the Oral Health Impact Profile-short form. Community Dent Oral Epidemiol 2005, 33: 307–14. 10.1111/j.1600-0528.2005.00225.xCrossRefPubMed

41.

Fleiss JL: Statistical Methods for rates and proportions. 2nd edition. New York: John Wiley & Sons; 1981.

42.

Berkman LF, Syme SL: Social networks, host resistance and mortality: a nine year follow-up study of Alameda County residents. Am J Epidemiol 1979, 109: 186–204.PubMed

43.

Chor D, Griep RH, Lopes C, Faerstein E: Medidas de rede e apoio social no Estudo Pró-Saúde: pré-testes e estudo piloto. Cad Saúde Pública 2001, 17(4):887–896.CrossRefPubMed

44.

Griep RH, Chor D, Faerstein E, Lopes C: Apoio social: confiabilidade teste-reteste de escala no Estudo Pró-Saúde. Cad Saúde Pública 2003, 19(2):625–634.CrossRefPubMed

45.

Caplan G: Support Systems and Community Mental Health. New York: Behavioral Publications; 1974.

46.

Lynch JW, Kaplan GA: Socioeconomic position. In Social epidemiology. Edited by: Berkman LF, Kawachi I. New York: Oxford University Press; 2000:13–35.

47.

Associação Nacional de Empresas de Pesquisa (ANEP): Critério de Classificação Econômica Brasil. Manual - Anep. São Paulo; 1997.

48.

Sokol RJ, Martier SS, Ager JW: The T-ACE questions: Practical prenatal detection of risk-drinking. Am J Obs Gyn 1989, 160: 863–871.CrossRef

49.

Wadsworth MEJ: The imprint of time. Oxford: Oxford University Press; 1991.

50.

Sorensen G, Verbrugge LM: Women, work, and health. Annu Rev Public Health 1987, 8: 235–251. 10.1146/annurev.pu.08.050187.001315CrossRefPubMed

51.

Stansfeld SA, Fuhrer R, Head J, Ferrie J, Shipley M: Work and psychiatric disorder in the Whitehall II Study. J Psychosom Res 1997, 43(1):73–81. 10.1016/S0022-3999(97)00001-9CrossRefPubMed

52.

Quinlan M, Mayhew C, Bohle P: The global expansion of precarious employment, work disorganization, and consequences for occupational health: placing the debate in a comparative historical context. Int J Health Serv 2001, 31(3):507–36.CrossRefPubMed

53.

Bosma H, Marmot MG, Hemingway H, Nicholson AC, Brunner E, Stansfeld SA: Low job control and risk of coronary heart disease in Whitehall II (prospective cohort) study. BMJ 1997, 314(7080):558–65. 10.1136/bmj.314.7080.558PubMedCentralCrossRefPubMed

54.

Lopes CL, Araya R, Werneck GL, Chor D, Faerstein E: Job strain and other work conditions: relationships with psychological distress among civil servants in Rio de Janeiro, Brazil. Soc Psychiat Epidemiol 2010, 45: 345–354. 10.1007/s00127-009-0066-9CrossRef

55.

Alves MG, Chor D, Faerstein E, Werneck GL, Lopes CS: Job strain and hypertension in women: Estudo Pro-Saúde (Pro-Health Study). Rev Saude Publica 2009, 43(5):893–6. 10.1590/S0034-89102009000500019CrossRefPubMed

56.

Marcenes WS, Sheiham A: The relationship between work stress and oral health status. Soc Sci Med 1992, 35(12):1511–20. 10.1016/0277-9536(92)90054-TCrossRefPubMed

57.

Abbegg C, Croucher R, Marcenes WS, Sheiham A: How do routines of daily activities and flexibility of daily activities affect tooth-cleaning behaviour? J Public Health Dent 2000, 60(3):154–8. 10.1111/j.1752-7325.2000.tb03321.xCrossRef

58.

Stiglitz JE, Sem A, Fitoussi JP: Report by the Commission on the Measurement of Economic Performance and Social Progress.2009. [http://www.hqlo.com/content/10/1/5]

59.

Slade GD, Sanders AE: ICF and oral health. In ICF Australian User Guide Version 1.0. AIHW Catalogue No.: DIS 33. Disability Series. Camberra (ACT): Australian Institute of Health and Welfare; 2003.

60.

Pattussi MP: Neighbourhood social capital and oral health in adolescents. In PhD Thesis. Epidemiology and dental Public Health Department, University College London; 2004.

61.

Broom DH, D'Souza RM, Strazdins L, Butterworth P, Parslow R, Rodgers B: The lesser evil: bad jobs or unemployment? A survey of mid-aged Australians. Soc Sci Med 2006, 63(3):575–86. 10.1016/j.socscimed.2006.02.003CrossRefPubMed

62.

Siegrist J: Place, social exchange and health: proposed sociological framework. Soc Sci Med 2000, 51(9):1283–93. 10.1016/S0277-9536(00)00092-7CrossRefPubMed

Title: Oral health related quality of life in pregnant and post partum women in two social network domains; predominantly home-based and work-based networks
Publication date: 01-12-2012
Published in: Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI: https://doi.org/10.1186/1477-7525-10-5

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Oral health related quality of life in pregnant and post partum women in two social network domains; predominantly home-based and work-based networks

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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