Top

Quality of Life Research

Published in:

Open Access 01-12-2017

Social inequalities in children’s oral health-related quality of life: the Generation R Study

Authors: Lea Kragt, Eppo B. Wolvius, Hein Raat, Vincent W. V. Jaddoe, Edwin M. Ongkosuwito

Published in: Quality of Life Research | Issue 12/2017

Abstract

Purpose

Oral health-related quality of life (OHRQoL) is the most important patient-reported outcome measure in oral health research. The purpose of the present research was to study the association of family socioeconomic position (SEP) with children’s OHRQoL.

Methods

This cross-sectional study was embedded in the Generation R Study, a population-based cohort study conducted in Rotterdam, The Netherlands. For the present study, OHRQoL was assessed of 3871 ten-year old children. Family SEP was assessed with the following indicators: maternal/paternal education level, maternal/paternal employment status, household income, benefit dependency, and family composition. Linear regression analyses were performed to evaluate the (independent) associations of family SEP indicators with OHRQoL.

Results

The median (90% range) OHRQoL score of the participating children was relatively high [50.0 (43.0–53.0)]; however, OHRQoL was consistently lower in children with low family SEP. Positive associations were found for all SEP indicators (p-values <0.05) except maternal employment status and family composition. Benefit dependency, paternal employment, and household income were the most strongly associated with OHRQoL. No family SEP indicator was significantly associated with OHRQoL independent of the other indicators.

Conclusions

Based on the present findings, interventions and policies promoting good oral health and oral well-being should target children from low socioeconomic position. More research is needed, however, to understand the pathways of social inequalities in children’s OHRQoL especially for the effects of material resources on subjective oral health measures.

Available only for authorised users

Sischo, L., & Broder, H. L. (2011). Oral health-related quality of life: What, why, how, and future implications. Journal of Dental Research, 90(11), 1264–1270.CrossRefPubMedPubMedCentral

Najman, J. M., & Levine, S. (1981). Evaluating the impact of medical care and technologies on the quality of life: A review and critique. Social Science and Medicine Part F, 15(2–3), 107–115.CrossRef

Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life: A conceptual model of patient outcomes. JAMA, 273(1), 59–65.CrossRefPubMed

Verrips, G. H. W. (2011). Een beter leven door een gezonde mond? Nederlands Tijdschrift voor Tandheelkunde, 123(118), 123–125.CrossRef

Boyce, W. T., Den Besten, P. K., Stamperdahl, J., Zhan, L., Jiang, Y., Adler, N. E., et al. (2010). Social inequalities in childhood dental caries: the convergent roles of stress, bacteria and disadvantage. Social Science and Medicine, 71(9), 1644–1652.CrossRefPubMedPubMedCentral

Fisher-Owens, S. A., Gansky, S. A., Platt, L. J., Weintraub, J. A., Soobader, M.-J., Bramlett, M. D., et al. (2007). Influences on children’s oral health: A conceptual model. Pediatrics, 120(3), e510–e520.CrossRefPubMed

Sabbah, W., Tsakos, G., Chandola, T., Sheiham, A., & Watt, R. G. (2007). Social gradients in oral and general health. Journal of Dental Research, 86(10), 992–996.CrossRefPubMed

Geyer, S., Schneller, T., & Micheelis, W. (2010). Social gradients and cumulative effects of income and education on dental health in the Fourth German Oral Health Study. Community Dentistry and Oral Epidemiology, 38(2), 120–128.CrossRefPubMed

Willems, S., Vanobbergen, J., Martens, L., & De Maeseneer, J. (2005). The independent impact of household- and neighborhood-based social determinants on early childhood caries: A cross-sectional study of inner-city children. Fam Community Health, 28(2), 168–175.CrossRefPubMed

10.

Peres, K. G., Peres, M. A., Araujo, C. L., Menezes, A. M., & Hallal, P. C. (2009). Social and dental status along the life course and oral health impacts in adolescents: A population-based birth cohort. Health and Quality of Life Outcomes, 7, 95.CrossRefPubMedPubMedCentral

11.

Vettore, M. V., & Aqeeli, A. (2016). The roles of contextual and individual social determinants of oral health-related quality of life in Brazilian adults. Quality of Life Research, 25(4), 1029–1042.CrossRefPubMed

12.

Aida, J., Kondo, K., Kondo, N., Watt, R. G., Sheiham, A., & Tsakos, G. (2011). Income inequality, social capital and self-rated health and dental status in older Japanese. Social Science and Medicine, 73(10), 1561–1568.CrossRefPubMed

13.

Kumar, S., Kroon, J., & Lalloo, R. (2014). A systematic review of the impact of parental socio-economic status and home environment characteristics on children’s oral health related quality of life. Health and Quality of Life Outcomes, 12, 41.CrossRefPubMedPubMedCentral

14.

de Paula, J. S., Leite, I. C., de Almeida, A. B., Ambrosano, G. M., & Mialhe, F. L. (2013). The impact of socioenvironmental characteristics on domains of oral health-related quality of life in Brazilian schoolchildren. BMC Oral Health, 13, 10.CrossRefPubMedPubMedCentral

15.

Isaksson, H., Alm, A., Koch, G., Birkhed, D., & Wendt, L. K. (2013). Caries prevalence in Swedish 20-year-olds in relation to their previous caries experience. Caries Research, 47(3), 234–242.CrossRefPubMed

16.

Skeie, M. S., Raadal, M., Strand, G. V., & Espelid, I. (2006). The relationship between caries in the primary dentition at 5 years of age and permanent dentition at 10 years of age–a longitudinal study. International Journal of Paediatric Dentistry, 16(3), 152–160.CrossRefPubMed

17.

Kragt, L., van der Tas, J. T., Moll, H. A., Elfrink, M. E. C., Jaddoe, V. W. V., Wolvius, E. B., et al. (2016). Early caries predicts low oral health-related quality of life at a later age. Caries Research, 50, 471–479.CrossRefPubMedPubMedCentral

18.

Kooijman, M. N., Kruithof, C. J., van Duijn, C. M., et al. (2016). The Generation R Study: design and cohort update 2017. European Journal of Epidemiology, 31(12), 1243–1264.CrossRefPubMed

19.

Kragt, L., Tiemeier, H., Wolvius, E. B., & Ongkosuwito, E. M. (2016). Measuring oral health-related quality of life in orthodontic patients with a short version of the child oral health impact profile (COHIP). Journal of Public Health Dentistry, 76(2), 105–112.CrossRefPubMed

20.

Geels, L. M., Hoogstraten, J., & Prahl-Andersen, B. (2008). Confirmative factor analysis of the dimensions of the child oral health impact profile (Dutch version). European Journal of Oral Sciences, 116(2), 148–152.CrossRefPubMed

21.

Galobardes, B., Shaw, M., Lawlor, D. A., Lynch, J. W., & Davey Smith, G. (2006). Indicators of socioeconomic position (part 1). Journal of Epidemiology and Community Health, 60(1), 7–12.CrossRefPubMedPubMedCentral

22.

Galobardes, B., Shaw, M., Lawlor, D. A., Lynch, J. W., & Davey Smith, G. (2006). Indicators of socioeconomic position (part 2). Journal of Epidemiology and Community Health, 60(2), 95–101.CrossRefPubMedPubMedCentral

23.

Brook, P. H., & Shaw, W. C. (1989). The development of an index of orthodontic treatment priority. European Journal of Orthodontics, 11, 309–320.CrossRefPubMed

24.

Swertz, O., Duimelaar, P., & Thijssen, J. (2004). Migrants in the Netherlands. Heerlen: Statisitcs Netherlands.

25.

Elfrink, M. E., Veerkamp, J. S., Aartman, I. H., Moll, H. A., & Ten Cate, J. M. (2009). Validity of scoring caries and primary molar hypomineralization (DMH) on intraoral photographs. Deciduous Molar Hypomineralisation, its Nature and Nurture, 10(Suppl 1), 5–10.

26.

Kragt, L., Hermus, A. M., Wolvius, E. B., & Ongkosuwito, E. M. (2016). Three-dimensional photographs for determining the index of orthodontic treatment need in scientific studies. American Journal of Orthodontics and Dentofacial Orthopedics, 150(1), 64–70.CrossRefPubMed

27.

Hair, J. F., Jr., Anderson, R. E., Tatham, R. L., & Black, W. C. (1995). Multivariate data analysis (3rd ed.). New York: Macmillan.

28.

Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Boston: Allyn and Bacon.

29.

Elani, H. W., Harper, S., Allison, P. J., Bedos, C., & Kaufman, J. S. (2012). Socio-economic inequalities and oral health in Canada and the United States. Journal of Dental Research, 91(9), 865–870.CrossRefPubMed

30.

Pieper, K., Dressler, S., Heinzel-Gutenbrunner, M., Neuhauser, A., Krecker, M., Wunderlich, K., et al. (2012). The influence of social status on pre-school children’s eating habits, caries experience and caries prevention behavior. International Journal of Public Health, 57(1), 207–215.CrossRefPubMed

31.

Sohn, W., Burt, B. A., & Sowers, M. R. (2006). Carbonated soft drinks and dental caries in the primary dentition. Journal of Dental Research, 85(3), 262–266.CrossRefPubMed

32.

Eisen, C. H., Bowie, J. V., Gaskin, D. J., LaVeist, T. A., & Thorpe, R. J., Jr. (2015). The contribution of social and environmental factors to race differences in dental services use. Journal of Urban Health, 92(3), 415–421.CrossRefPubMedPubMedCentral

33.

Bast, L. S., Nordahl, H., Christensen, L. B., & Holstein, B. E. (2015). Tooth brushing among 11–15-year-olds in Denmark: Combined effect of social class and migration status. Community Dental Health, 32(1), 51–55.PubMed

34.

Cruz, G. D., Chen, Y., Salazar, C. R., Karloopia, R., & LeGeros, R. Z. (2010). Determinants of oral health care utilization among diverse groups of immigrants in New York City. Journal of the American Dental Association, 141(7), 871–878.CrossRefPubMed

35.

Thompson, F. E., McNeel, T. S., Dowling, E. C., Midthune, D., Morrissette, M., & Zeruto, C. A. (2009). Interrelationships of added sugars intake, socioeconomic status, and race/ethnicity in adults in the United States: National Health Interview Survey, 2005. Journal of the American Dietetic Association, 109(8), 1376–1383.CrossRefPubMedPubMedCentral

36.

Locker, D. (2009). Self-esteem and socioeconomic disparities in self-perceived oral health. Journal of Public Health Dentistry, 69(1), 1–8.CrossRefPubMed

37.

Fagg, J. H., Curtis, S. E., Cummins, S., Stansfeld, S. A., & Quesnel-Vallee, A. (2013). Neighbourhood deprivation and adolescent self-esteem: Exploration of the ‘socio-economic equalisation in youth’ hypothesis in Britain and Canada. Social Science and Medicine, 91, 168–177.CrossRefPubMedPubMedCentral

38.

De Baets, E., Lambrechts, H., Lemiere, J., Diya, L., & Willems, G. (2012). Impact of self-esteem on the relationship between orthodontic treatment need and oral health-related quality of life in 11- to 16-year-old children. European Journal of Orthodontics, 34(6), 731–737.CrossRefPubMed

39.

Agou, S., Locker, D., Streiner, D. L., & Tompson, B. (2008). Impact of self-esteem on the oral-health-related quality of life of children with malocclusion. American Journal of Orthodontics and Dentofacial Orthopedics, 134(4), 484–489.CrossRefPubMed

40.

Baker, S. R., Mat, A., & Robinson, P. G. (2010). What psychosocial factors influence adolescents’ oral health? Journal of Dental Research, 89(11), 1230–1235.CrossRefPubMed

41.

Mattila, M. L., Rautava, P., Sillanpää, M., & Paunio, P. (2000). Caries in 5-year-old children and associations with family-related factors. Journal of Dental Research, 79, 875–881.CrossRefPubMed

42.

43.

Bos, A., Hoogstraten, J., & Zentner, A. (2010). Perceptions of Dutch orthodontic patients and their parents on oral health-related quality of life. Angle Orthodontist, 80(2), 367–372.CrossRefPubMed

44.

Jokovic, A., Locker, D., Stephens, M., Kenny, D., Tompson, B., & Guyatt, G. (2003). Measuring parental perceptions of child oral health-related quality of life. Journal of Public Health Dentistry, 63(2), 67–72.CrossRefPubMed

45.

Wilson-Genderson, M., Broder, H. L., & Phillips, C. (2007). Concordance between caregiver and child reports of children’s oral health-related quality of life. Community Dentistry and Oral Epidemiology, 35(Suppl 1), 32–40.CrossRefPubMed

46.

Galobardes, B., Lynch, J., & Smith, G. D. (2007). Measuring socioeconomic position in health research. British Medical Bulletin, 81–82, 21–37.CrossRefPubMed

47.

Soper, D.S. (2017). Post-hoc Statistical power calculator for multiple regression [Software]. http://www.danielsoper.com/statcalc.

Title: Social inequalities in children’s oral health-related quality of life: the Generation R Study
Authors: Lea Kragt
Eppo B. Wolvius
Hein Raat
Vincent W. V. Jaddoe
Edwin M. Ongkosuwito
Publication date: 01-12-2017
Publisher: Springer International Publishing
Published in: Quality of Life Research / Issue 12/2017
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-017-1679-1

ACC 2024 Congress

Springer Medicine

Social inequalities in children’s oral health-related quality of life: the Generation R Study

Abstract

Purpose

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 12/2017

Impact of monitoring health-related quality of life in clinical practice in children with type 1 diabetes mellitus

Subjective evaluation of psychosocial well-being in children and youths with overweight or obesity: the impact of multidisciplinary obesity treatment

Maternal mental quality of life mediates the associations between intimate partner abuse against mothers and their children’s behaviours and quality of life in low-income Chinese families

Measuring quality of life in opioid-dependent people: a systematic review of assessment instruments

Associations between health-related quality of life, cardiorespiratory fitness, muscle strength, physical activity and waist circumference in 10-year-old children: the ASK study

Examining transgender health through the International Classification of Functioning, Disability, and Health’s (ICF) Contextual Factors