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Health and Quality of Life Outcomes

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Open Access 01-12-2012 | Research

The influence of oral health conditions, socioeconomic status and home environment factors on schoolchildren's self-perception of quality of life

Authors: Janice S Paula, Isabel CG Leite, Anderso B Almeida, Glaucia MB Ambrosano, Antônio C Pereira, Fábio L Mialhe

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

Abstract

Background

The objective this study was to investigate the influence of clinical conditions, socioeconomic status, home environment, subjective perceptions of parents and schoolchildren about general and oral health on schoolchildren's oral health-related quality of life (OHRQoL).

Methods

A sample of 515 schoolchildren, aged 12 years was randomly selected by conglomerate analysis from public and private schools in the city of Juiz de Fora, Brazil. The schoolchildren were clinically examined for presence of caries lesions (DMFT and dmft index), dental trauma, enamel defects, periodontal status (presence/absence of bleeding), dental treatment and orthodontic treatment needs (DAI). The SiC index was calculated. The participants were asked to complete the Brazilian version of Child Perceptions Questionnaire (CPQ_11-14) and a questionnaire about home environment. Questions were asked about the presence of general diseases and children's self-perception of their general and oral health status. In addition, a questionnaire was sent to their parents inquiring about their socioeconomic status (family income, parents' education level, home ownership) and perceptions about the general and oral health of their school-aged children. The chi-square test was used for comparisons between proportions. Poisson's regression was used for multivariate analysis with adjustment for variances.

Results

Univariate analysis revealed that school type, monthly family income, mother's education, family structure, number of siblings, use of cigarettes, alcohol and drugs in the family, parents' perception of oral health of schoolchildren, schoolchildren's self perception their general and oral health, orthodontic treatment needs were significantly associated with poor OHRQoL (p < 0.001). After adjusting for potential confounders, variables were included in a Multivariate Poisson regression. It was found that the variables children's self perception of their oral health status, monthly family income, gender, orthodontic treatment need, mother's education, number of siblings, and household overcrowding showed a strong negative effect on oral health-related quality of life.

Conclusions

It was concluded that the clinical, socioeconomic and home environment factors evaluated exerted a negative impact on the oral health-related quality of life of schoolchildren, demonstrating the importance of health managers addressing all these factors when planning oral health promotion interventions for this population.

Allen PF: Assessment of oral health related quality of life. Health Qual Life Outcomes 2003, 1: 40. 10.1186/1477-7525-1-40PubMedCentralCrossRefPubMed

Barbosa TS, Gavião MB: Oral health-related quality of life in children: Part II. Effects of clinical oral health status. A systematic review. Int J Dent Hyg 2008, 6: 100–107. 10.1111/j.1601-5037.2008.00293.xCrossRefPubMed

Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G: Validity and reliability of a measure of child oral health-related quality of life. J Dent Res 2002, 81(7):459–63. 10.1177/154405910208100705CrossRefPubMed

Bendo CB, Paiva SM, Torres CS, Oliveira AC, Goursand D, Pordeus IA, Vale MP: Association between treated/untreated traumatic dental injuries and impact on quality of life of Brazilian schoolchildren. Health Qual Life Outcomes 2010, 8: 114. 10.1186/1477-7525-8-114PubMedCentralCrossRefPubMed

Brennan DS, Singh KA, Spencer AJ, Roberts-Thomson KF: Positive and negative affect and oral health-related quality of life. Health Quali Life Outcomes 2006, 4: 83. 10.1186/1477-7525-4-83CrossRef

Gherunpong S, Tsakos G, Sheiham A: The prevalence and severity of oral impacts on daily performances in Thai primary school children. Health Qual Life Outcomes 2004, 2: 57. 10.1186/1477-7525-2-57PubMedCentralCrossRefPubMed

Jokovic A, Locker D, Guyatt G: Short forms of the Child Perceptions Questionnaire for 11–14-year-old children (CPQ_11–14): Development and initial evaluation. Health Qual Life Outcomes 2006, 4: 4. 10.1186/1477-7525-4-4PubMedCentralCrossRefPubMed

Newton JT, Bower EJ: The social determinants of health: new approaches to conceptualizing and researching complex causal networks. Community Dent Oral Epidemiol 2005, 33: 25–34. 10.1111/j.1600-0528.2004.00190.xCrossRefPubMed

Wilson I B, Cleary PD: Linking clinical variables with health-related quality of life: a conceptual model of patient outcomes. J Am Med Assoc 1995, 273: 59–65. 10.1001/jama.1995.03520250075037CrossRef

10.

Biazevic MGH, Rissotto RR, Michel-Crosato E, Mendes LA, Mendes MOA: Relationship between oral health and its impact on quality of life among adolescents. Braz Oral Res 2008, 22(1):36–42. 10.1590/S1806-83242008000100007CrossRefPubMed

11.

Do LG, Spencer A: Oral Health-Related Quality of Life of children by dental caries and fluorosis experience. J Public Health Dent 2007, 67: 132–9. 10.1111/j.1752-7325.2007.00036.xCrossRefPubMed

12.

Foster Page LA, Thomson WM, Jokovic A, Locker D: Validation of the Child Perceptions Questionnaire for 11–14 year olds in a population-based study. J Dent Res 2005, 84: 649–52. 10.1177/154405910508400713CrossRefPubMed

13.

Marshman Z, Rodd H, Stern M, Mitchell C, Locker D, Jokovic A, Robinson PG: An evaluation of the child perceptions questionnaire in the UK. Community Dent Health 2005, 22: 151–5.PubMed

14.

Robinson PG, Nalweyiso N, Busingye J, Whitworth J: Subjective impacts of dental caries and fluorosis in rural Ugandan children. Community Dent Health 2005, 22: 231–6.PubMed

15.

Agou S, Locker D, Streiner DL, Tompson B: Impact of self-esteem on the oral-health-related quality of life of children with malocclusion. Am J Orthod Dentofacial Orthop 2008, 134(4):484–9. 10.1016/j.ajodo.2006.11.021CrossRefPubMed

16.

Locker D, Jokovic A, Tompson B, Prakash P: Is the Child Perceptions Questionnaire for 11–14 year olds sensitive to clinical and self-perceived variations in orthodontic status? Community Dent Oral Epidemiol 2007, 35: 179–85. 10.1111/j.1600-0528.2006.00324.xCrossRefPubMed

17.

Marques LS, Ramos-Jorge ML, Paiva SM, Pordeus IA: Malocclusion: esthetic impact and quality of life among Brazilian schoolchildren. Am J Orthod Dentofacial Orthop 2005, 129(3):424–27.CrossRef

18.

O'Brien K, Wright JL, Conboy F, Macfarlane T, Mandall N: The child perception questionnaire is valid for malocclusions in the United Kingdom. Am J Orthod Dentofacial Orthop 2006, 129: 536–40. 10.1016/j.ajodo.2004.10.014CrossRefPubMed

19.

Barbosa TS, Tureli MCM, Gavião MBD: Validity and reliability of the Child Perceptions Questionnaires. BMC Oral Health 2009, 9: 13. 10.1186/1472-6831-9-13PubMedCentralCrossRefPubMed

20.

Leão A, Sheiham A: Relation between clinical dental status and subjective impacts on daily living. J Dent Res 1995, 74(7):1408–13. 10.1177/00220345950740071301CrossRefPubMed

21.

Locker D: Issues in measuring change in self-perceived oral health status. Community Dent Oral Epidemiol 1998, 26: 41–7. 10.1111/j.1600-0528.1998.tb01923.xCrossRefPubMed

22.

Locker D: Disparities in oral health-related quality of life in a population of Canadian children. Community Dent Oral Epidemiol 2007, 35: 348–56. 10.1111/j.1600-0528.2006.00323.xCrossRefPubMed

23.

Piovesan C, Antunes JLF, Guedes RS, Ardenghi TM: Impact of socioeconomic and clinical factors on child oral health-related quality of life. Qual Life Res 2010, 19: 1359–66. 10.1007/s11136-010-9692-7CrossRefPubMed

24.

Antunes JLF, Frazão P, Narvai PC, Bispo CM, Pegoretti T: Spatial analysis to identify differentials in dental needs by area-based measures. Community Dent Oral Epidemiol 2002, 30: 133–2. 10.1034/j.1600-0528.2002.300207.xCrossRefPubMed

25.

Antunes JLF, Narvai PC, Nugent NZ: Measuring inequalities in the distribution of dental caries. Community Dent Oral Epidemiol 2004, 32: 41–8. 10.1111/j.1600-0528.2004.00125.xCrossRefPubMed

26.

Christopherson EA, Briskie D, Inglehart MR: Objective, subjective, and self assessment of preadolescent orthodontic treatment need--a function of age, gender, and ethnic/racial background? J Public Health Dent 2009, 69(1):9–17. 10.1111/j.1752-7325.2008.00089.xCrossRefPubMed

27.

Locker D, Frosina C, Murray H, Wiebe D, Wiebe P: Identifying children with dental care needs: evaluation of a targeted school-based dental screening program. J Pub Health Dent 2004, 64: 63–70. 10.1111/j.1752-7325.2004.tb02729.xCrossRef

28.

Pereira SM, Tagliaferro EPS, Ambrosano GMB, Cortellazzi KL, Meneghim MC, Pereira AC: Dental caries in 12-year-old Schoolchildren and its relationship with socioeconomic and behavioural variables. Oral Health Prev Dent 2007, 5(4):299–306.PubMed

29.

Petersen PE: Sociobehavioural risk factors in dental caries - international perspectives. Community Dent Oral Epidemiol 2005, 33: 274–9. 10.1111/j.1600-0528.2005.00235.xCrossRefPubMed

30.

Vanobberge JN, Martens LC, Lesaffre E, Declerck D: Parental occupational status related to dental caries experience in 7-year-old children in Flanders (Belgium). Community Dent Health 2001, 18(4):256–62.PubMed

31.

Levin KA, Currie C: Adolescent toothbrushing and the home environment: sociodemographic factors, family relationships and mealtime routines and disorganisation. Community Dent Oral Epidemiol 2010, 38: 10–8. 10.1111/j.1600-0528.2009.00509.xCrossRefPubMed

32.

Locker D, Jokovic A, Stephens M, Kenny D, Tompson B, Guyatt G: Family impact of child oral and oro-facial conditions. Community Dent Oral Epidemiol 2002, 30: 438–48. 10.1034/j.1600-0528.2002.00015.xCrossRefPubMed

33.

Talekar BS, Rozier RG, Slade GD, Ennett ST: Parental perceptions of their preschool-aged children's oral health. J Am Dent Assoc 2005, 136(3):364–72.CrossRefPubMed

34.

Poutanen R, Lahti S, Seppӓ L, Tolvanen M, Hausen H: Oral health-related knowledge, attitudes, behavior, and family characteristics among Finnish schoolchildren with and without caries lesions. Acta Odontol Scand 2007, 65: 1–10. 10.1080/00016350600963640CrossRef

35.

Brazilian Institute of Geography and Statistics[http://www.ibge.gov.br/home/]

36.

Brasil: Ministério da Saúde. Projeto SB Brasil 2003. Condições de saúde bucal da população brasileira 2002–2003: resultados principais. Brasília: Departamento de Atenção Básica, Secretaria de Atenção à Saúde, Ministério da Saúde; 2004.

37.

World Health Organization: Oral health surveys: basic methods. 4th edition. Geneva: World Health Organization; 1997.

38.

Nishi M, Bratthall D, Stjernswärd J: How to calculate the Significant Caries Index (SiC Index). In WHO Collaborating Centre/Faculty of Odontology. University of Malmö, Sweden; 2001.

39.

Estioko LJ, Wright FA, Morgan MV: Orthodontic treatment need of secondary schoolchildren in Heidelberg, Victoria: an epidemiologic study using the Dental Aesthetic Index. Community Dent Health 1994, 11: 147–151.PubMed

40.

SAS Institute Inc: 8.2: SAS/STAT Guide for personal computers. Cary: SAS Institute; 2001.

41.

Meneghim MC, Kozlowski FC, Pereira AC, Ambrosano GMB, Meneghim ZMAP: A socioeconomic classification and the discussion related to prevalence of dental caries and dental fluorosis. Cien Saúde Coletiva 2007, 12(2):523–9. 10.1590/S1413-81232007000200028CrossRef

42.

Brasil: Ministério da Saúde. Projeto SB Brasil 2010. Condições de saúde bucal da população brasileira: resultados principais. Brasília: Departamento de Atenção Básica, Secretaria de Atenção à Saúde, Ministério da Saúde; 2010.

43.

Cypriano S, Hoffmann RHS, Sousa MLR, Wada RS: Dental caries experience in 12-year-old schoolchildren in southeastern Brazil. J Appl Oral Sci 2008, 16(4):286–92. 10.1590/S1678-77572008000400011PubMedCentralCrossRefPubMed

44.

Peres SHCS, Carvalho FS, Carvalho CP, Bastos JRM, Lauris JRP: Polarization of dental caries in teen-agers in the Southwest of the state of São Paulo, Brazil. Ciência & Saúde Coletiva 2008, 13(Sup 2):2155–62.CrossRef

45.

Poonacha KS, Deshpande SD, Shigli AL: Dental aesthetic index: applicability in Indian population: a retrospective study. J Indian Soc Pedod Prev Dent 2010, 28(1):13–7. 10.4103/0970-4388.60483CrossRefPubMed

46.

Anosike AN, Sanu OO, da Costa OO: Malocclusion and its impact on quality of life of school children in Nigeria. West Afr J Med 2010, 29(6):417–24.PubMed

47.

Locker D, Quinonez C: To what extent do oral disorders compromise the quality of life? Community Dent Oral Epidemiol 2011, 39: 3–11. 10.1111/j.1600-0528.2010.00597.xCrossRefPubMed

48.

Thilander B, Pena L, Infante C, Parada SS, Mayorga C: Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia. Eur J Orthod 2001, 23: 153–167. 10.1093/ejo/23.2.153CrossRefPubMed

49.

Jung SH, Tsakos G, Sheiham A, Ryu JI, Watt RG: Socio-economic status and oral health-related behaviours in Koran adolescents. Soc Sci Med 2010, 70: 1780–8. 10.1016/j.socscimed.2010.02.022CrossRefPubMed

50.

Ostberg AL, Jarkman K, Lindblad U, Halling A: Adolescents' perceptions of oral health and influencing factors: a qualitative study. Acta Odontol Scand 2002, 60: 167–73. 10.1080/000163502753740197CrossRefPubMed

51.

Maes L, Vereecken C, Vanobbergen J: Tooth brushing and social characteristics of families in 32 countries. Int Dent J 2006, 56: 159–67.PubMed

52.

Polk DE, Weyant RJ, Manz MC: Socioeconomic factors in adolescents' oral health: are they mediated by oral hygiene behaviors or preventive interventions? Community Dent Oral Epidemiol 2010, 38: 1–9. 10.1111/j.1600-0528.2009.00499.xCrossRefPubMed

53.

Feu D, de Oliveira BH, de Oliveira Almeida MA, Kiyak HA, Miguel JA: Oral health-related quality of life and orthodontic treatment seeking. Am J Orthod Dentofacial Orthop 2010, 138(2):152–9. 10.1016/j.ajodo.2008.09.033CrossRefPubMed

54.

Taylor KR, Kiyak A, Huang GJ, Greenlee GM, Jolley CJ, King GJ: Effects of malocclusion and its treatment on the quality of life of adolescents. Am J Orthod Dentofacial Orthop 2009, 136(3):382–92. 10.1016/j.ajodo.2008.04.022CrossRefPubMed

55.

Zhang M, McGrath C, Hägg U: Changes in oral health-related quality of life during fixed orthodontic appliance therapy. Am J Orthod Dentofacial Orthop 2008, 133(1):25–9. 10.1016/j.ajodo.2007.01.024CrossRefPubMed

56.

Sheiham A, Sabbah W: Using universal patterns of caries for planning and evaluating dental care. Caries Res 2010, 44: 141–50. 10.1159/000308091CrossRefPubMed

57.

Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH: Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes 2010, 8: 126. 10.1186/1477-7525-8-126PubMedCentralCrossRefPubMed

58.

Crosby R, Noar SM: What is a planning model? An introduction to PRECEDE-PROCEED. J Public Health Dent 2011, 71(Suppl 1):S7–15.CrossRefPubMed

59.

Agou S, Locker D, Muirhead V, Tompson B, Streiner DL: Does psychological well-being influence oral-health-related quality of life reports in children receiving orthodontic treatment? Am J Orthod Dentofacil Orthop 2011, 139(3):369–77. 10.1016/j.ajodo.2009.05.034CrossRef

Title: The influence of oral health conditions, socioeconomic status and home environment factors on schoolchildren's self-perception of quality of life
Authors: Janice S Paula
Isabel CG Leite
Anderso B Almeida
Glaucia MB Ambrosano
Antônio C Pereira
Fábio L Mialhe
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: Health and Quality of Life Outcomes / Issue 1/2012
Electronic ISSN: 1477-7525
DOI: https://doi.org/10.1186/1477-7525-10-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

The influence of oral health conditions, socioeconomic status and home environment factors on schoolchildren's self-perception of quality of life

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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