Affiliation:
1. Shanghai Jiao Tong University School of Medicine
2. Department communities, Maogang Community Health Service Center
3. School of Business, Shanghai University of Finance and Economics
4. Baoshan Center for Disease Control and Prevention
5. Clinical Research Unit, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine
Abstract
AbstractBackgroundThe coronavirus disease 2019 (COVID-19) pandemic has led to many visible public health responses and significant restrictions on society, but its implications for oral health-related quality of life (OHRQoL) is relatively unknown. The present study investigated the association between the social distancing period and oral health-related quality of life (OHRQoL) in Shanghai.MethodsFrom July 9th to July 22nd, 2022 in Shanghai, 5,041 participants were recruited and completed a survey on demographic data, oral manifestations, oral hygiene practices, and a 14-item version of the Oral Health Impact Profile (OHIP-14) during the past social distancing periods. After multivariate adjustment of covariates, the logistic regression analysis was fitted to estimate the odds ratio (OR) and 95% confidence interval (95% CI) to evaluate the association between the longevity of social distancing and the OHIP-14 scores increment. Causal mediation analysis was employed to evaluate the extent to which oral hygiene practices, oral symptoms, and weight change mediate the association of detrimental OHRQoL with the social distancing period.ResultsThe OR of OHIP-14 increment was largely unchanged with the selection of confounding factors adjusted, which is 1.26 (95% CI, 1.04–1.53) in one month, 1.33 (95% CI, 1.08–1.65) in one and a half months, 1.29 (95% CI, 1.03–1.61) in two months and 1.83 (95% CI, 1.51–2.22) in more than two months, compared to that in half a month respectively. The proportion mediated by rinsing frequency was 18.88% (95% CI, 3.73%-34.04%) in one month, 19.08% (95% CI, 3.65%-34.051%) in one and a half months, 41.3% (95% CI, 9.61%-72.98%) in two months, and 66.41% (95% CI, 50.07%-82.76%) in more than two months, respectively.ConclusionOur findings showed a detrimental OHRQoL during the prolonged social distancing period due to the COVID-19 pandemic. Policies approaching enhanced oral hygiene practices, especially rinsing serve as a protection of OHRQoL in the pandemic.
Publisher
Research Square Platform LLC
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