Exploring the impact of oral health-related quality of life on the child’s family structure
Aim: The aim of this study was to explore the impact of oral health-related quality of life (OHRQoL) on the child’s family structure. Methods: A representative sample of 613 children from public preschools, in a city in southeastern Brazil, were enrolled in this cross-sectional study. The sample was determined through probabilistic sampling in two stages (preschools and children). The outcome variable (Early Childhood Oral Health Impact Scale [ECOHIS]) was multi-categorized in children and family. Independent individual variables were sex, race, family income, parents’/caregivers’ level of education, family income, dental caries, and malocclusion. Initially, individual analyses were performed, relating the study variables to the outcome variables, estimating the raw odds ratio with the respective confidence intervals of 95%. The variables with p < 0.20 in the individual analyses were tested in the multiple logistic regression models, and those with p < 0.10 remained in the model. Results: Impact on OHRQoL was reported by 40.9% of the children and 17% of their families. Children with low family income and caries experience had, respectively, 1.53 (95% CI: 1.00-2.32) (p = 0.0465) and 2.96 (95% CI: 1.81-4.84) (p < 0.0001) more chance of presenting negative impact on OHRQoL. Conclusions: The aspects that most affected the OHRQoL of child’s family structure were low income and dental caries experience.
Feldens CA, dos Santos Dullius AI, Kramer PF, Scapini A, Busato AL, Vargas-Ferreira F. Impact of malocclusion and dentofacial anomalies on the prevalence and severity of dental caries among adolescents. Angle Orthod. 2015 Nov;85(6):1027-34. doi: 10.2319/100914-722.1.
Schuch HS, Costa FS, Torriani DD, Demarco FF, Goettems ML. Oral health-related quality of life of schoolchildren: impact of clinical and psychosocial variables. Int J Paediatr Dent. 2015 Sep;25(5):358-65. doi: 10.1111/ipd.12118.
Souza JGS, Martins AMEBL, Silveira MF, Jones KM, Meirelles MPMR. Impact of oral clinical problems on oral health-related quality of life in Brazilian children: a hierarchical approach. Int J Paediatr Dent. 2017 Jan;27(1):66-78. doi: 10.1111/ipd.12229.
Abanto J, Panico C, Bönecker M, Frazão P. Impact of demographic and clinical variables on the oral health-related quality of life among five-year-old children: a population-based study using self-reports. Int J Paediatr Dent. 2018 Jan;28(1):43-51. doi: 10.1111/ipd.12300.
Kumar S, Zimmer-Gembeck MJ, Kroon J, Lalloo R, Johnson NW. The role of parental rearing practices and family demographics on oral health-related quality of life in children. Qual Life Res. 2017 Aug;26(8):2229-36. doi: 10.1007/s11136-017-1568-7.
Carvalho AC, Paiva SM, Viegas CM, Scarpelli AC, Ferreira FM, Pordeus IA. Impact of Malocclusion on Oral Health-Related Quality of Life among Brazilian Preschool Children:a Population-Based Study. Braz Dent J. 2013 Nov-Dec;24(6):655-61. doi: 10.1590/0103-6440201302360.
Vedovello SAS, Ambrosano GM, Pereira AC, Valdrighi HC, Vedovello Filho M, Meneghim MC. Association between malocclusion and the contextual factors of quality of life and socioeconomic status. Am J Orthod Dentofacial Orthop. 2016 Jul;150(1):58-63. doi: 10.1016/j.ajodo.2015.12.022.
Gomes MC, Clementino MA, Pinto-Sarmento TC, Costa EM, Martins CC, Granville-Garcia AF, et al. Parental Perceptions of Oral Health Status in Preschool Children and Associated Factors. Braz Dent J. 2015 Jul-Aug;26(4):428-34. doi: 10.1590/0103-6440201300245.
Martins MT, Sardenberg F, Vale MP, Paiva SM, Pordeus IA. Dental caries and social factors: impact on quality of life in Brazilian children. Braz Oral Res 2015;29(1):1-7. doi: 10.1590/1807-3107BOR-2015.vol29.0133.
Sousa RV, Clementino MA, Gomes MC, Martins CC, Granville-Garcia AF, Paiva SM. Malocclusion and quality of life in Brazilian preschoolers. Eur J Oral Sci. 2014 Jun;122(3):223-9. doi: 10.1111/eos.12130.
Dimberg L, Arnrup K, Bondemark L. The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies. Eur J Orthod. 2015 Jun;37(3):238-47. doi: 10.1093/ejo/cju046.
Kumar S, Kroon J, Lalloo R. 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 Qual Life Outcomes. 2014 Mar;21:12:41. doi: 10.1186/1477-7525-12-41.
Gomes MC, Neves ÉTB, Perazzo MF, Paiva SM, Ferreira FM, Granville-Garcia AF. Importance of contextual variables related to cavitated lesions in 5-year-old children. Int J Paediatr Dent. 2018 Mar;28:504-13. doi: 10.1186/1477-7525-12-41.
Assaf AV, Tagliaferro EP, Meneghim MC, Tengan C, Pereira AC, Ambrosano GM, et al. A new approach for interexaminer reliability data analysis on dental caries calibration. J Appl Oral Sci. 2007 Dec;15(6):480-5.
Pahel BT, Rozier RG, Slade GD. Parental perceptions of children’s oral health: the Early Childhood Oral Health Impact Scale (ECOHIS). Health Qual Life Outcomes. 2007 Jan;5:6. doi: 10.1186/1477-7525-5-6.
Martins-Júnior PA, Ramos-Jorge J, Paiva SM, Marques LS,Ramos-Jorge ML. Validations of the Brazilian version of the early childhood oral health impact scale (ECOHIS). Cad Saúde Pública. 2012 Feb;28(2):367-74.
World Health Organization. Oral health surveys, basics methods. Geneva: Word Health Organization; 1997.
Foster TD, Hamilton MC. Occlusion in the primary dentition: study of children at 2 and one-half to 3 years of age. Br Dent J 1969 Jan;126(2):76-9.
Grabowski R, Stahl F, Gaebel M, Kundt G. Relationship between occlusal findings and orofacial myofunctional status in primary and mixed dentition. Part I: prevalence of malocclusions. J Orofac Orthop. 2007 Jan;68(1):26-37.
Kumar S, Tadakamadla J, Zimmer-Gembeck MJ, Kroon J, Lalloo R, Johnson NW. Parenting practices and children's dental caries experience: A structural equation modelling approach. Community Dent Oral Epidemiol. 2017 Dec;45(6):552-8. doi: 10.1111/cdoe.12321.
Lai SHF, Wong MLW, Wong HM, McGrath CPJ, Yiu CKY. Factors influencing the oral health-related quality of life among children with severe early childhood caries in Hong Kong. Int J Dent Hyg. 2019 Nov;17(4):350-8. doi: 10.1111/idh.12414.
Chan KL, Chen M, Chen Q, Ip P. Can family structure and social support reduce the impact of child victimization on health-related quality of life? Child Abuse Negl. 2017 Oct;72:66-74. doi: 10.1016/j.chiabu.2017.07.014.
Nkansah-Amankra S, Luchok KJ, Hussey JR, Watkins K, Liu X. Effects of maternal stress on low birth weight and preterm birth outcomes across neighborhoods of South Carolina, 2000–2003. Matern Child Health J. 2010 Mar;14(2):215-26. doi: 10.1007/s10995-009-0447-4.
Perazzo MF, Gomes MC, Neves ET, Martins CC, Paiva SM, Costa EMMB, et al. Oral problems and quality of life of preschoold children: self-reports of children and perception of parents/caregivers. Eur J Oral Sci. 2017 Aug;125(4):272-9. doi: 10.1111/eos.12359.
Gomes MC, Clementino MA, Pinto-Sarmento TC, Costa EM, Martins CC, Granville-Garcia AF, et al. Parental Perceptions of Oral Health Status in Preschool Children and Associated Factors. Braz Dent J. 2015 Jul-Aug;26(4):428-3 doi: 10.1590/0103-6440201300245.
Gomes MC, Perazzo MF, Neves ÉT, Martins CC, Paiva SM, Granville-Garcia AF. Oral Problems and Self-Confidence in Preschool Children. Braz Dent J. 2017 Jul-Aug;28(4):523-30. doi: 10.1590/0103-6440201601295.
Gomes MC, Neves ÉTB, Perazzo MF, Paiva SM, Ferreira FM, Granville-Garcia AF. Contextual and individual determinants of oral health-related quality of life among five-year-old children: a multilevel analysis. Peer J. 2018 Aug;29:e5451. doi: 10.7717/peerj.54.
The Brazilian Journal of Oral Sciences uses the Creative Commons license (CC), thus preserving the integrity of the articles in an open access environment.