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Gepubliceerd in: Quality of Life Research 9/2020

19-04-2020

The association of socio-economic status, dental anxiety, and behavioral and clinical variables with adolescents’ oral health-related quality of life

Auteurs: Bilu Xiang, Hai Ming Wong, Antonio P. Perfecto, Colman P. J. McGrath

Gepubliceerd in: Quality of Life Research | Uitgave 9/2020

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Abstract

Purpose

It is not clear which factors hold more weight in predicting oral health-related quality of life (OHRQoL). Therefore, this study explored which component of factors (e.g., socio-economic status, clinical status or oral health behaviors, dental anxiety, oral health knowledge) has a better predictive value in different aspects (e.g., oral symptoms, functional limitations, social and emotional conditions) of adolescents’ OHRQoL.

Methods

Participants were randomly selected from Grade Two (S2) students within 12 secondary schools in Hong Kong. The independent variables include the following : socio-economic (monthly family income, parents’ educational background), oral health behaviors (the frequency of brushing and having snacks like chocolate or biscuits), and oral health-related factors (oral health knowledge, dental anxiety, dental caries and bleeding index). Adolescents’ OHRQoL was evaluated using the 16-item Child Perception Questionnaire (CPQ11-14-ISF:16). Frequencies and means were used for data description. Different variables were analyzed as predictors of OHRQoL by multi-level linear regression analysis.

Results

1207 adolescents (46.6% females) participated in this study. The mean total CPQ11-14-ISF:16 was 14.2 (9.8). Mean scores of oral symptoms, functional limitations, and emotional and social well-being were 4.4 (2.8), 4.2 (2.8), 3.2 (3.1), and 2.4 (2.7), respectively. In the final model, adolescents with poorer oral health knowledge, higher dental anxiety levels, brushed their teeth less than once a day and consumed chocolates or biscuits more regularly as reported by a statistically worse OHRQoL (p < 0.05). In addition, gingival bleeding was a predictor of the oral symptom domain (β = 0.7, p = 0.027); the emotional well-being of adolescents whose father went to college had a better OHRQoL (β =  − 0.9, p = 0.014) and adolescents from the higher-income family had a statistically better social well-being (p = 0.015).

Conclusion

Our study indicates that adolescents with poorer oral health knowledge, higher dental anxiety levels, brushing their teeth less than once a day, or having a daily consumption of chocolate or biscuits had statistically worse OHRQoL. These findings can provide guidance for future oral health promotion in improving OHRQoL among adolescents.
vorige artikel Parental health spillover effects of paediatric rare genetic conditions
volgende artikel Better sleep, better life? How sleep quality influences children’s life satisfaction
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Literatuur
1.
Petersen, P. E., Bourgeois, D., Ogawa, H., Estupinan-Day, S., & Ndiaye, C. (2005). The global burden of oral diseases and risks to oral health. Bulletin of the World Health Organization, 83, 661–669. PubMedPubMedCentral
2.
Alsumait, A., ElSalhy, M., Raine, K., Cor, K., Gokiert, R., Al-Mutawa, S., et al. (2015). Impact of dental health on children’s oral health-related quality of life: A cross-sectional study. Health and Quality of Life Outcomes, 13(1), 98. PubMedPubMedCentralCrossRef
3.
Johara, A. (2010). Factors affecting utilization of dental health services and satisfaction among adolescent females in Riyadh City. The Saudi Dental Journal, 22(1), 19–25. CrossRef
4.
Broadbent, J., Zeng, J., Foster Page, L., Baker, S., Ramrakha, S., & Thomson, W. (2016). Oral health–related beliefs, behaviors, and outcomes through the life course. Journal of Dental Research, 95(7), 808–813. PubMedPubMedCentralCrossRef
5.
Jokovic, A., Locker, D., & Guyatt, G. (2006). Short forms of the child perceptions Questionnaire for 11–14-year-old children (CPQ 11–14): Development and initial evaluation. Health and Quality of Life Outcomes, 4(1), 4. PubMedPubMedCentralCrossRef
6.
Lau, A. W., Wong, M. C., Lam, K., & McGrath, C. (2009). Confirmatory factor analysis on the health domains of the Child Perceptions Questionnaire. Community Dentistry and Oral Epidemiology, 37(2), 163–170. PubMedCrossRef
7.
Masulili, C., & Kusdhany, L. S. (2018). Oral health knowledge, denture status, and oral health related quality of life of the elderly. Journal of International Dental and Medical Research, 11(3), 1044–1048.
8.
Carlsson, V., Hakeberg, M., & Boman, U. W. (2015). Associations between dental anxiety, sense of coherence, oral health-related quality of life and health behaviour–a national Swedish cross-sectional survey. BMC Oral Health, 15(1), 100. PubMedPubMedCentralCrossRef
9.
Locker, D. (2003). Psychosocial consequences of dental fear and anxiety. Community Dentistry and Oral Epidemiology, 31(2), 144–151. PubMedCrossRef
10.
Halvari, A. E. M., Halvari, H., & Deci, E. L. (2019). Dental anxiety, oral health-related quality of life, and general well-being: A self-determination theory perspective. Journal of Applied Social Psychology, 49(5), 295–306. CrossRef
11.
12.
Castro, R. D. A., Portela, M. C., Leão, A. T., & de Vasconcellos, M. T. (2011). Oral health–related quality of life of 11-and 12-year-old public school children in Rio de Janeiro. Community Dentistry and Oral Epidemiology, 39(4), 336–344. CrossRef
13.
Marshman, Z., Rodd, H., Stern, M., Mitchell, C., Locker, D., Jokovic, A., et al. (2005). An evaluation of the Child Perceptions Questionnaire in the UK. Community Dental Health, 22(3), 151. PubMed
14.
Brown, A., & Al-Khayal, Z. (2006). Validity and reliability of the Arabic translation of the child oral-health-related quality of life questionnaire (CPQ11− 14) in Saudi Arabia. International Journal of Paediatric Dentistry, 16(6), 405–411. PubMedCrossRef
15.
Foster Page, L., Thomson, W., Jokovic, A., & Locker, D. (2005). Validation of the child perceptions questionnaire (CPQ11-14). Journal of Dental Research, 84(7), 649–652. PubMedCrossRef
16.
Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life: A conceptual model of patient outcomes. The Journal of the American Medical Association, 273(1), 59–65. PubMedCrossRef
17.
Department of Health. (2012). Oral Health Survey 2011. Department of Health: the Government of the Hong Kong Special Administrative Region: Hong Kong
18.
Hemming, K., Girling, A. J., Sitch, A. J., Marsh, J., & Lilford, R. J. (2011). Sample size calculations for cluster randomised controlled trials with a fixed number of clusters. BMC Medical Research Methodology, 11(1), 102. PubMedPubMedCentralCrossRef
19.
Organization, W. H. (Ed.). (1997). Oral health surveys: Basic methods (5th ed.). Geneva: World Health Organization.
20.
Chu, C.-H., Fung, D., & Lo, E. (1999). Dental public health: dental caries status of preschool children in Hong Kong. British Dental Journal, 187(11), 616. PubMedCrossRef
21.
Lui, W., Sum, C., Chan, H., Chu, C., & Lo, E. (2009). Dental caries status of preschool children in Hong Kong. British Dental Journal, 187(11), 616–620.
22.
Humphris, G., Wong, H., & Lee, G. (1998). Preliminary validation and reliability of the modified child dental anxiety scale. Psychological Reports, 83(3), 1179–1186. PubMedCrossRef
23.
Paryab, M., & Hosseinbor, M. (2013). Dental anxiety and behavioral problems: A study of prevalence and related factors among a group of Iranian children aged 6–12. Journal of Indian Society of Pedodontics and Preventive Dentistry, 31(2), 82. PubMedCrossRef
24.
McGrath, C., Pang, H. N., Lo, E. C., King, N. M., Hagg, U., & Samman, N. (2008). Translation and evaluation of a Chinese version of the Child Oral Health-related Quality of Life measure. International Journal of Paediatric Dentistry, 18(4), 267–274. PubMedCrossRef
25.
Bursac, Z., Gauss, C. H., Williams, D. K., & Hosmer, D. W. (2008). Purposeful selection of variables in logistic regression. Source Code for Biology and Medicine, 3(1), 17. PubMedPubMedCentralCrossRef
26.
Copay, A. G., Subach, B. R., Glassman, S. D., Polly, D. W., Jr., & Schuler, T. C. (2007). Understanding the minimum clinically important difference: A review of concepts and methods. The Spine Journal, 7(5), 541–546. PubMedCrossRef
27.
Wyrwich, K. W. (2004). Minimal important difference thresholds and the standard error of measurement: Is there a connection? Journal of Biopharmaceutical Statistics, 14(1), 97–110. PubMedCrossRef
28.
Shikiar, R., Harding, G., & Leahy, M. (2005). Lennox, Minimal important difference (MID) of the Dermatology Life Quality Index (DLQI): Results from patients with chronic idiopathic urticaria. Health and Quality of Life Outcomes, 3(1), 36. PubMedPubMedCentralCrossRef
29.
Kamimura, A., Gull, B., Weaver, S., Wright, L., Edwards, A., Nourian, K., et al. (2017). Factors associated with oral health-related quality of life among safety-net clinic patients. Journal of Public Health Dentistry, 77(2), 155–162. PubMedCrossRef
30.
Alsumait, A., ElSalhy, M., & Amin, M. (2015). Long-term effects of school-based oral health program on oral health knowledge and practices and oral health-related quality of life. Medical Principles and Practice, 24(4), 362–368. PubMedPubMedCentralCrossRef
31.
Levin, L., Zini, A., Levine, J., Weiss, M., Lev, R. A., Hai, A., et al. (2018). Dental anxiety and oral health-related quality of life in aggressive periodontitis patients. Clinical oRal Investigations, 22(3), 1411–1422. PubMedCrossRef
32.
Mohamed, S., & Vettore, M. V. (2019). Oral clinical status and oral health-related quality of life: Is socioeconomic position a mediator or a moderator? International Dental Journal, 69(2), 119–129. PubMedCrossRef
33.
Baker, S., Mat, A., & Robinson, P. (2010). What psychosocial factors influence adolescents’ oral health? Journal of Dental Research, 89(11), 1230–1235. PubMedCrossRef
34.
Gomes, M. C., de Almeida Pinto-Sarmento, T. C., de Brito Costa, E. M. M., Martins, C. C., Granville-Garcia, A. F., & Paiva, S. M. (2014). Impact of oral health conditions on the quality of life of preschool children and their families: A cross-sectional study. Health and Quality of Life Outcomes, 12(1), 55. PubMedPubMedCentralCrossRef
35.
Baker, C. E. (2017). Father-son relationships in ethnically diverse families: Links to boys’ cognitive and social emotional development in preschool. Journal of Child and Family Studies, 26(8), 2335–2345. CrossRef
36.
Maida, C. A., Marcus, M., Spolsky, V. W., Wang, Y., & Liu, H. (2013). Socio-behavioral predictors of self-reported oral health-related quality of life. Quality of Life Research, 22(3), 559–566. PubMedCrossRef
37.
Foster Page, L. A., Thomson, W. M., Ukra, A., & Baker, S. R. (2013). Clinical status in adolescents: is its impact on oral health-related quality of life influenced by psychological characteristics? European Journal of Oral Sciences, 121(3 pt 1), 182–187. PubMedCrossRef
38.
Zhang, S., Chau, A. M., Lo, E. C., & Chu, C.-H. (2014). Dental caries and erosion status of 12-year-old Hong Kong children. BMC Public Health, 14(1), 7. PubMedPubMedCentralCrossRef
39.
Ramos-Jorge, M. L., Vieira-Andrade, R. G., Martins-Júnior, P. A., Cordeiro, M. M., Ramos-Jorge, J., Paiva, S. M., et al. (2012). Level of agreement between self-administered and interviewer-administered CPQ8–10 and CPQ11–14. Community Dentistry and Oral Epidemiology, 40(3), 201–209. PubMedCrossRef
40.
Borges, T. S., Vargas-Ferreira, F., Kramer, P. F., & Feldens, C. A. (2017). Impact of traumatic dental injuries on oral health-related quality of life of preschool children: A systematic review and meta-analysis. PLoS ONE, 12(2), e0172235. PubMedPubMedCentralCrossRef
41.
Agou, S., Locker, D., Muirhead, V., Tompson, B., & Streiner, D. L. (2011). Does psychological well-being influence oral-health-related quality of life reports in children receiving orthodontic treatment? American Journal of Orthodontics and Dentofacial Orthopedics, 139(3), 369–377. PubMedCrossRef
42.
Petersen, A. C., & Leffert, N. (1995). Developmental issues influencing guidelines for adolescent health research: A review. Journal of Adolescent Health, 17(5), 298–305. PubMedCrossRef
Metagegevens
Titel
The association of socio-economic status, dental anxiety, and behavioral and clinical variables with adolescents’ oral health-related quality of life
Auteurs
Bilu Xiang
Hai Ming Wong
Antonio P. Perfecto
Colman P. J. McGrath
Publicatiedatum
19-04-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 9/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02504-7

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