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- Impact of body and orofacial appearance on life satisfaction among Brazilian adultsPublication . Campos, Lucas; Alvares Duarte Bonini Campos, Juliana; Silva, Wanderson Roberto Da; Peltomäki, Timo; Pinto, Ary Santos; Maroco, J. P.Aims 1. to elaborate a general model of physical appearance taking into account body image (BI) and orofacial appearance (OA) components; and 2. to evaluate the impact of BI and OA on life satisfaction among Brazilian adults. Methods This is a cross-sectional observational study. The cognitive, behavioral, affective, and satisfaction/ dissatisfaction aspects of BI, the satisfaction and psychosocial impact of OA, and life satisfaction were evaluated by self-reported psychometric scales. Principal Component Analysis and Parallel Analysis were performed. Structural equation models were elaborated to estimate the impact of BI and OA on life satisfaction. The fit of the models was verified and the significance of the path estimates (β) was evaluated using z-tests (α = 5%). Results A total of 1,940 individuals participated in the study (age: mean = 24.8, standard deviation = 5.7 years; females = 70.1%). In the male sample, three physical appearance factors were retained (OA, cognitive and behavioral components of BI, and affective and satisfaction/dissatisfaction components of BI). In the female sample, two factors were retained (OA and all components of BI). All factors had significant impact on life satisfaction (β = |0.26|-|0.48|, p<0.001) in both samples. Individuals dissatisfied with BI and OA had lower levels of life satisfaction. For men, the affective and satisfaction components of BI had a greater impact on life satisfaction (β = 0.48, p<0.001) than the other factors (β =] -0.30;-0.25[, p<0.001). For women, both BI and OA had a similar impact (BI: β = -0.30, p<0.001; OA: β = -0.32, p<0.001). Conclusion BI and OA formed distinct clusters in the physical appearance evaluation. Physical appearance was perceived differently by men and women, fostering discussion about the sociocultural construction of the body. BI and OA had a significant impact on life satisfaction and should be considered in assessment and treatment protocols.
- Aesthetic dental treatment, orofacial appearance, and life satisfaction of Finnish and Brazilian adultsPublication . Arrais De Campos, Lucas; Alvares Duarte Bonini Campos, Juliana; Maroco, J. P.; Peltomäki, TimoTo study the probability of seeking/undergoing aesthetic dental treatment (ADT) and compare self-perception of orofacial appearance (OA) based on sex, age, and monthly income; and to estimate the impact of OA on life satisfaction (LS) among Finnish and Brazilian adults, considering the indirect effect of receiving ADT and the moderating effects of those sociodemographic variables. Methods This was an online cross-sectional study. Orofacial Esthetic Scale (OES), Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) and Satisfaction with Life Scale (SWLS) were used. Probability of seeking/receiving ADT was calculated using logistic regression and odds ratio (OR). OA scores were compared according to sociodemographic characteristics (ANOVA, α = 5%). Structural equations models estimated the impact of OA on LS. Results 3,614 Finns [75.1% female, 32.0 (SD = 11.6) years] and 3,979 Brazilians [69.9% female, 33.0 (SD = 11.3) years] participated in the study. Women were more likely to receive ADT than men in both countries (OR>1.3). However, no statistically or practical significant differences were observed in OA between sexes (p>0.05 or p<0.05, ηp2 = 0.00–0.02). In Finland, demand for ADT (OR = 0.9–1.0) and OA scores (p>0.05) were the same among different ages and monthly income. In Brazil, younger individuals (OR>1.6) and those with higher monthly income (OR>2.7) were more likely to receive ADT, while those with lower income had a greater psychosocial impact of OA (p<0.05; ηp2>0.07). Individuals who were more satisfied with their own OA and had less psychosocial impact from OA had higher levels of LS (β = 0.31–0.34; p<0.01; explained variance: 9.8–13.1%). Conclusion Demand for ADT is influenced by sociodemographic and cultural factors. Greater societal pressure on physical appearance is observed among women in Western countries. In countries with high socioeconomic inequalities, consumerism and social prestige are involved in this demand. Self-perception of orofacial appearance plays a significant role in individuals’ subjective well-being. Therefore, the planning of aesthetic treatments in the orofacial region should consider the patient’s perceptions and social context.
- Academic experience satisfaction of pharmacy and dentistry studentsPublication . Lucio Bueno, Julia; Campos, Lucas Arrais de; Peltomäki, Timo; Maroco, J. P.; Alvares Duarte Bonini Campos, JulianaObjective: To assess the psychometric properties of the Academic Experience Satisfaction Scale (ESEA) applied to Pharmacy and Dentistry students and investigate the effect of demographic and course-related characteristics on the ESEA factors. Methods: This was a cross-sectional study. Academic satisfaction was assessed by the ESEA. Construct validity was measured by confirmatory factor analysis (CFI, TLI, RMSEA). The composite reliability (CR) and the ordinal α were estimated. Structural model was elaborated considering demographic and course-related characteristics as the independent variable and ESEA factors as the dependent variables. The model fit and path estimates significance (β) were evaluated (z test; α = 5%). Results: 544 students participated in the study (70.0% female; mean age: 21.4 ± 2.4 years; 52.4% dental students). ESEA showed adequate fit to the data (CFI = 0.90; TLI = 0.90; RMSEA = 0.064, CR and α ≥ 0.88). In general, students reported being satisfied with their academic experience. Dental students and those from the first and second years of the course showed greater satisfaction with the academic experience. Sex did not have a significant impact on any of the scale's factors. Conclusion: ESEA produced valid and reliable data. Course-related characteristics, but not demographic characteristics, significantly affected the academic experience of students.
- Measuring concern about smile appearance among adultsPublication . Silva, Bianca Nubia Souza; Campos, Lucas; Martins, Bianca Gonzalez; Maroco, João; Peltomäki, Timo; Campos, Juliana Alvares Duarte BoniniBackground/Objectives: To adapt and estimate the psychometric properties of Utrecht Questionnaire for esthetic outcome assessment in rhinoplasty (OAR) to assess concern about smile appearance and to estimate the infuence of demographic characteristics on this concern in adults. Material/Methods: This was a cross-sectional observational study. Individuals aged between 18 and 40 years participated in the study. The Portuguese version of OAR was adapted for smile assessment in dental practice and was named Questionnaire for Outcome Assessment of Smile Aesthetic (OA-Smile). Data validity was estimated using factorial validity [confrmatory factor analysis (CFA)—CFI, Tucker-Lewis index (TLI), SRMR)] and convergent validity (average variance extracted). Reliability was assessed using the alpha ordinal coeffcient (αordinal) and the omega coeffcient (ω). A structural model was elaborated to assess the contribution of demographic characteristics to smile appearance concerns. Model ft was evaluated, and the z-test (α = 5%) was used to estimate the signifcance of the path estimates (β). Results: 2.523 subjects participated in the study [mean age = 32.86 (SD = 11.39) years, 68.1% female]. The factor model of orofacial appearance (OA)-Smile presented an adequate ft to the data [CFA: comparative ft index (CFI) = 0.99, TLI = 0.99, SRMR ≤ 0.05]. Convergent validity (AVE ≥ 0.80) and reliability (αordinal and ω ≥ 0.85) were adequate. The structural model presented an acceptable ft (CFI = 0.974; TLI = 0.991 and SRMR = 0.053). Women, younger people, single people, people with lower income, people using dental prostheses, undergoing dental treatment, and those who do not like their smile were more concerned about their smile appearance. Limitations: Nonprobability sampling, online data collection, and cross-sectional design are considered limitations of the study. Conclusions/Implications: OA-Smile is a suitable scale to assess smile appearance concerns, and the data obtained with this scale were valid and reliable. Demographic characteristics should be considered when measuring concerns about smile appearance.
- Use of oral health impact Profile-14 (OHIP-14) in different contexts. What Is being measured?Publication . Campos, Lucas; Peltomäki, Timo; Maroco, João; Alvares Duarte Bonini Campos, JulianaThe Oral Health Impact Profile-14 (OHIP-14) has been used to assess the impact that oral health problems can have on an individual’s life. Different theoretical models were proposed to evaluate the results. The aims of this study were to evaluate the fit of different factorial models of the OHIP-14 to non-dental patients (NDP) and dental patients (DP) samples from Brazil and Finland and to estimate the differential functioning of the items in the OHIP-14 between the samples. Two studies were conducted, one in Brazil and the other in Finland, composed of five samples (Brazil—Sample 1 (S1): DP, n = 434, age: 25.3 [SD = 6.3] years; S2: NDP, n = 1486, age: 24.7 [SD = 5.6] years; S3: DP, n = 439, age: 29.0 [SD = 6.7] years; Finland—S4: DP, n = 482, age: 26.3 [SD = 5.4] years; S5: NDP, n =·2425, age: 26.7 [DP = 5.5] years). The fit of the OHIP-14 models to the data was estimated using a confirmatory strategy (validity based on the internal structure). Differential item functioning (DIF) between samples was estimated. For NDP from both countries, the response pattern severely violated the normality assumption in six items of the OHIP-14, indicating that the instrument does not fit for these samples. For DP, the model with the best fit was unifactorial, which deals with the estimation of the general impact of oral health on an individual’s life, without addressing specific dimensions. Configural invariance was refuted between samples. DIF indicated that the characteristic of the sample (NDP and DP) in both countries interfered in the response given to the items, with the response level being more adequate for the latent PD trait. The validity of data related to the impact of oral health problems on an individual’s life was confirmed through a unifactorial model. OHIP-14 works properly in DP samples and was limited in NDP samples, being also influenced by cultural context and age.