Figure 1
Figure 2
Figure 3
Model 1 estimated correlation matrix for first and second-order OHRQoL and HRQoL factors from structural equation modeling confirmatory factor analysis_
| Factors | Physical Health | Mental Health | OHRQoL | Oral Function | Orofacial Appearance | Orofacial Pain | Psychosocial Impact |
|---|---|---|---|---|---|---|---|
| Physical Health | 1.00 | ||||||
| Mental Health | 0.89 | 1.00 | |||||
| OHRQoL | 0.55 | 0.51 | 1.00 | ||||
| Oral Function | 0.45 | 0.41 | 0.81 | 1.00 | |||
| Orofacial Appearance | 0.49 | 0.45 | 0.88 | 0.72 | 1.00 | ||
| Orofacial Pain | 0.46 | 0.42 | 0.83 | 0.67 | 0.73 | 1.00 | |
| Psychosocial Impact | 0.54 | 0.50 | 0.98 | 0.79 | 0.86 | 0.81 | 1.00 |
Estimated correlation matrix for first and second-order factors from structural equation modeling confirmatory factor analysis for Model 2_
| Factors | HRQoL | Physical Health | Mental Health | OHRQoL | Oral Function | Orofacial Appearance | Orofacial Pain | Psychosocial Impact |
|---|---|---|---|---|---|---|---|---|
| HRQoL | 1.00 | |||||||
| Physical Health | 0.98 | 1.00 | ||||||
| Mental Health | 0.90 | 0.89 | 1.00 | |||||
| OHRQoL | 0.56 | 0.55 | 0.51 | 1.00 | ||||
| Oral Function | 0.46 | 0.45 | 0.41 | 0.81 | 1.00 | |||
| Orofacial Appearance | 0.50 | 0.49 | 0.45 | 0.88 | 0.72 | 1.00 | ||
| Orofacial Pain | 0.47 | 0.46 | 0.42 | 0.83 | 0.67 | 0.73 | 1.00 | |
| Psychosocial Impact | 0.55 | 0.54 | 0.50 | 0.98 | 0.79 | 0.86 | 0.81 | 1.00 |
Dental patients’ demographic and clinical characteristics_
| Dental patients (n=2,076) | mean (SD) or % |
|---|---|
| Demographics | |
| Gender (female) | 59.7 |
| Age (years) | 54.7 (16.2) |
| Language | |
| English | 84.5 |
| Spanish | 15.5 |
| Ethnicity | |
| Hispanic or Latino | 12.3 |
| Unknown | 87.7 |
| Self-reported oral health | |
| Excellent | 6.5 |
| Very good | 24.1 |
| Good | 35.2 |
| Moderate | 25.6 |
| Poor | 8.5 |
| Self-reported general health | |
| Excellent | 10.3 |
| Very good | 36.8 |
| Good | 38.4 |
| Moderate | 13.0 |
| Poor | 1.3 |
| OHIP summary scores | |
| OHIP-49 | 32.0 (32.3) |
| OHIP-14 | 7.7 (9.4) |
| OHIP-5 | 3.4 (3.7) |
| OHIP-49 dimensional scores | |
| Oral Function | 6.4 (7.6) |
| Orofacial Pain | 6.0 (5.7) |
| Orofacial Appearance | 6.9 (7.0) |
| Psychosocial Impact | 7.8 (12.0) |
| PROMIS v.1.1 Global Health dimensional scores | |
| Physical Health | 15.3 (2.9) |
| Mental Health | 15.1 (3.0) |
Model Fit Indices of Model 1, Model 2, and Model 3_
| Model Fit Indices | Model 1 | Model 2 | Model 3 |
|---|---|---|---|
| Index value | |||
| Comparative Fit Index (CFI) | 0.96 | 0.96 | 0.94 |
| Tucker-Lewis Index (TLI) | 0.95 | 0.95 | 0.94 |
| Standardized Root Mean Square Residual (RMSEA) | 0.06 (95%CI:0.063–0.065) | 0.06 (95%CI:0.063–0.065) | 0.06 (95%CI:0.061–0.063) |
| Weighted Root Mean Square Residual (WRMR) | 3.14 | 3.14 | 3.16 |
Estimated correlation matrix for first and second-order factors adjusted for age, gender, and depression score for Model 3_
| Factors | Physical Health | Mental Health | OHRQoL | Oral Function | Orofacial Appearance | Orofacial Pain | Psychosocial Impact |
|---|---|---|---|---|---|---|---|
| Physical Health | 1.00 | ||||||
| Mental Health | 0.87 | 1.00 | |||||
| OHRQoL | 0.52 | 0.47 | 1.00 | ||||
| Oral Function | 0.43 | 0.39 | 0.83 | 1.00 | |||
| Orofacial Appearance | 0.46 | 0.42 | 0.88 | 0.73 | 1.00 | ||
| Orofacial Pain | 0.43 | 0.39 | 0.83 | 0.68 | 0.73 | 1.00 | |
| Psychosocial Impact | 0.50 | 0.46 | 0.97 | 0.80 | 0.86 | 0.80 | 1.00 |
The structural equation modeling path analysis model estimated standardized regression coefficients (SE)_ Standardized estimates are for the mean change in factor score for one standard deviation increase in the independent variable_
| Independent variables | Factors | |||||
|---|---|---|---|---|---|---|
| OHRQoL | Physical Health | Mental Health | ||||
| Estimate (SE) | p-value | Estimate (SE) | p-value | Estimate (SE) | p-value | |
| Age | 0.052 (0.023) | 0.024 | −0.167 (0.022) | <0.001 | 0.007 (0.018) | 0.704 |
| Female | −0.029 (0.023) | 0.195 | −0.101 (0.022) | <0.001 | −0.055 (0.018) | 0.003 |
| Depression score | −0.410 (0.019) | <0.001 | −0.520 (0.018) | <0.001 | −0.663 (0.012) | <0.001 |