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To compare oral health-related quality of life (OHRQoL) in children and adolescents with and without migration background, and to assess whether potential differences in OHRQoL can be sufficiently explained by oral health characteristics.
A consecutive sample of 112 children and adolescents was recruited in a German university-based orthodontic clinic, and a convenience sample of 313 children and adolescents of German public schools was enrolled in the study (total N = 425, age range 7–17 years). However, 29 participants were excluded due to insufficient information regarding migration background. Accordingly, the non-migrant group consisted of 262 participants (61.6%). For children with migration background, two groups were classified: (i) one parent born in a foreign country (N = 41, 9.6%, single-sided migration background), and (ii) both parents and/or child born in a foreign country ( N= 93, 21.9%, double-sided migration background). OHRQoL was assessed using the German 19-item version of the Child Oral Health Impact Profile (COHIP-G19). Additionally, physical oral health of 269 children with classified migration background was determined in a dental examination.
Overall, OHRQoL was significantly lower in the group with double-sided migration background indicated by lower COHIP-G19 summary scores (mean: 58.6 points) than in the group with single-sided migration background (mean: 63.3 points) or the non-migrant group (mean: 63.2 points). Likewise, the summary scores of the subscale “oral health well-being” and the subscale “social/emotional, school, and self-image” were also lower in the double-sided migrant group than in the other two groups. Linear regression analysis showed an association between double-sided migration background and impaired OHRQoL, even after statistically controlling for demographic, socioeconomic, and oral health characteristics.
Children and adolescents with double-sided migration background have poorer OHRQoL than comparably aged migrants with single-sided migration background or non-migrations. Between-group differences in OHRQoL could not be sufficiently explained by effects of socioeconomic status or physical oral health characteristics. Thus, other methodological, cultural, or immigration-related factors might also play an important role for the observed effects.
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Kurth, B. M. (2007). The German Health Interview and Examination Survey for Children and Adolescents (KiGGS): An overview of its planning, implementation and results taking into account aspects of quality management. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 50, 533–546. CrossRefPubMed
Marschalck, P., & Wiedl, K. H. (2005). Migration und Krankheit. Osnabrück: IMIS-Schriften.
Razum, O., Zeeb, H., Meesmann, U., Schenk, L., Bredehorst, M., Brzoska, P., et al. (2008). Migration und Gesundheit. Schwerpunktbericht der Gesundheitsberichterstattung. Berlin: Robert Koch-Institut.
Aarabi, G., Reissmann, D. R., Seedorf, U., Becher, H., Heydecke, G., & Kofahl, C. (2017). Oral health and access to dental care—A comparison of elderly migrants and non-migrants in Germany. Ethnicity and Health. https://doi.org/10.1080/13557858.2017.1294658. CrossRefPubMed
Aarabi, G., Reissmann, D., Farhan, D., Heydecke, G., & Kofahl, C. (2013). Die Mundgesundheit von Menschen mit Migrationshintergrund in Deutschland - eine kritische Betrachtung der vorliegenden Studien. Deutsche Zahnärztliche Zeitung, 68, 280–287.
C. Currie, C. Roberts, A. Morgan, R. Smith, W. Settertobulte, O. Samdal, Rasmussen, V. (2004). Young people’s health in context. Health Behaviour in School-aged Children (HBSC) study: International report from the 2001/2002 survey. Copenhagen: Health Policy for Children and Adolescents.
World Health Organization. (2013). Oral health surveys: Basic methods (5th ed.). Geneva: World Health Organization.
Ainamo, J., Barmes, D., Beagrie, G., Cutress, T., Martin, J., & Sardo-Infirri, J. (1982). Development of the World Health Organization (WHO) community periodontal index of treatment needs (CPITN). International Dental Journal, 32, 281–291. PubMed
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–334. CrossRef
Clark, L. A., & Watson, D. (1995). Constructing validity: Basic issues in objective scale development. Psychological Assessment, 7, 309–319. CrossRef
John, M. T., Patrick, D. L., & Slade, G. D. (2002). The German version of the Oral Health Impact Profile—Translation and psychometric properties. European Journal of Oral Science, 110, 425–433. CrossRef
Statistisches Bundesamt (2012). Bevölkerung mit Migrationshindergrund. Ergebnisse des Mikrozensus 2011. Wiesbaden: Statistisches Bundesamt.
- Oral health-related quality of life of children and adolescents with and without migration background in Germany
Daniel R. Reissmann
- Springer International Publishing