Advertisement

Quality of Life Research

, Volume 28, Issue 12, pp 3213–3224 | Cite as

Structural equation modeling to detect predictors of oral health-related quality of life among Japanese university students: a prospective cohort study

  • Hikari Saho
  • Daisuke EkuniEmail author
  • Kota Kataoka
  • Ayano Taniguchi-Tabata
  • Naoki Toyama
  • Yoshio Sugiura
  • Md Monirul Islam
  • Yoshiaki Iwasaki
  • Manabu Morita
Article

Abstract

Purpose

This prospective cohort study of Japanese university students aimed to identify factors that might affect oral health-related quality of life (OHRQoL) and longitudinal relationships over a period of 3 years.

Methods

Students (n = 487) provided complete data before entering and 3 years later (before university graduation) participated in the present study. Decayed, missing, and filled teeth (DMFT) scores, community periodontal index, ratios (%) of teeth with bleeding on probing, and malocclusion were determined during oral examinations. The questionnaire addressed age, sex, self-rated oral health, oral health behavior, subjective oral symptoms, and OHRQoL determined using the oral health impact profile (OHIP)-14. Associations were analyzed using structural equation modeling (SEM).

Results

The OHRQoL significantly worsened according to OHIP-14 total score (p = 0.001). The final model in the symptoms of SEM analysis showed that OHRQoL at follow-up positively correlated with OHRQoL at baseline. Self-rated oral health was directly associated with the OHRQoL at baseline (p < 0.05).

Conclusions

This study determined that OHRQoL at baseline was a direct predictor, and that self-rated oral health were indirect predictors of OHRQoL at follow-up among Japanese university students.

Keywords

Oral health-related quality of life The oral health impact profile-14 Cohort study Self-rated oral health Structural equation modeling 

Notes

Acknowledgements

The authors are grateful to Dr. Chiaki Inabu (Junpukai Daiku Dental Clinic, Okayama, Japan) for data entry, and to Dr. Tetsuji Azuma (Department of Community Oral Health, Asahi University School of Dentistry, Mizuho, Japan), Dr. Mayu Yamane-Takeuchi, and Dr. Shinsuke Mizutani (Section of Geriatric Dentistry and Perioperative Medicine in Dentistry, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University; OBT Research Center, Faculty of Dental Science, Kyushu University, Japan) for data collection.

Funding

This study was self-supported.

Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflicts of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Ethics Committees at Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences and at Okayama University Hospital, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Fayers, P. M., & Machin, D. (2000). Quality of life: Assessment, analysis and interpretation. Chichester: Wiley.CrossRefGoogle Scholar
  2. 2.
    Haag, D. G., Peres, K. G., Balasubramanian, M., & Brennan, D. S. (2017). Oral conditions and health-related quality of life: A systematic review. Journal of Dental Research,96(8), 864–874.  https://doi.org/10.1177/0022034517709737.CrossRefPubMedGoogle Scholar
  3. 3.
    Allen, P. F. (2003). Assessment of oral health related quality of life. Health and Quality of Life Outcomes,1, 40.  https://doi.org/10.1186/1477-7525-1-40.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Locker, D., Jokovic, A., & Clarke, M. (2004). Assessing the responsiveness of measures of oral health-related quality of life. Community Dentistry and Oral Epidemiology,32(1), 10–18.  https://doi.org/10.1111/j.1600-0528.2004.00114.x.CrossRefPubMedGoogle Scholar
  5. 5.
    Locker, D., & Allen, F. (2007). What do measures of ‘oral health-related quality of life’ measure? Community Dentistry and Oral Epidemiology,35(6), 401–411.  https://doi.org/10.1111/j.1600-0528.2007.00418.x.CrossRefPubMedGoogle Scholar
  6. 6.
    Rebelo, M. A., Cardoso, E. M., Robinson, P. G., & Vettore, M. V. (2016). Demographics, social position, dental status and oral health-related quality of life in community dwelling older adults. Quality of Life Research,25(7), 1735–1742.  https://doi.org/10.1007/s11136-015-1209-y.CrossRefPubMedGoogle Scholar
  7. 7.
    Slade, G. D. (1997). Derivation and validation of a short-form oral health impact profile. Community Dentistry and Oral Epidemiology,25(4), 284–290.  https://doi.org/10.1111/j.1600-0528.1997.tb00941.x.CrossRefPubMedGoogle Scholar
  8. 8.
    John, M. T., & Micheelis, W. (2003). Mundgesundheitsbezogene Lebensqualität in der Bevölkerung. Grundlagen und Ergebnisse des OHIP aus einer repräsentativen Stichprobe in Deutschland. Institut der Deutschen Zahnärzte,1, 1–28. (German).Google Scholar
  9. 9.
    Wei, C. N., Harada, K., Ueda, K., Fukumoto, K., Minamoto, K., & Ueda, A. (2012). Assessment of health-promoting lifestyle profile in Japanese university students. Environmental Health and Preventive Medicine,17(3), 222–227.  https://doi.org/10.1007/s12199-011-0244-8.CrossRefPubMedGoogle Scholar
  10. 10.
    Kojima, A., Ekuni, D., Mizutani, S., Furuta, M., Irie, K., Azuma, T., et al. (2013). Relationships between self-rated oral health, subjective symptoms, oral health behavior and clinical conditions in Japanese university students: A cross-sectional survey at Okayama University. BMC Oral Health.  https://doi.org/10.1186/1472-6831-13-62.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Pohjola, V., Rekola, A., Kunttu, K., & Virtanen, J. I. (2016). Association between dental fear and oral health habits and treatment need among university students in Finland: A national study. BMC Oral Health.  https://doi.org/10.1186/s12903-016-0179-y.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Krisdapong, S., Prasertsom, P., Rattanarangsima, K., & Sheiham, A. (2013). Sociodemographic differences in oral health-related quality of life related to dental caries in thai school children. Community Dental Health,30(2), 112–118.  https://doi.org/10.1922/CDH_3007Krisdapong07.CrossRefPubMedGoogle Scholar
  13. 13.
    Broadbent, J. M., Zeng, J., Foster Page, L. A., Baker, S. R., Ramrakha, S., & Thomson, W. M. (2016). Oral health-related beliefs, behaviors, and outcomes through the life course. Journal of Dental Research,95(7), 808–813.  https://doi.org/10.1177/0022034516634663.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Yamane-Takeuchi, M., Ekuni, D., Mizutani, S., Kataoka, K., Taniguchi-Tabata, A., Azuma, T., et al. (2016). Associations among oral health-related quality of life, subjective symptoms, clinical status, and self-rated oral health in Japanese university students: A cross-sectional study. BMC Oral Health,16(1), 127.  https://doi.org/10.1186/s12903-016-0322-9.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    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.  https://doi.org/10.1177/0022034511399918.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Akhter, R., Morita, M., Esaki, M., Nakamura, K., & Kanehira, T. (2011). Development of temporomandibular disorder symptoms: A 3-year cohort study of university students. Journal of Oral Rehabilitation,38(6), 395–403.  https://doi.org/10.1111/j.1365-2842.2010.02195.x.CrossRefPubMedGoogle Scholar
  17. 17.
    Baba, K., Inukai, M., & John, M. T. (2008). Feasibility of oral health-related quality of life assessment in prosthodontic patients using abbreviated Oral Health Impact Profile questionnaires. Journal of Oral Rehabilitation,35(3), 224–228.  https://doi.org/10.1111/j.1365-2842.2007.01761.x.CrossRefPubMedGoogle Scholar
  18. 18.
    Papaioannou, W., Oulis, C. J., Latsou, D., & Yfantopoulos, J. (2011). Oral health-related quality of life of greek adults: A cross-sectional study. International Journal of Dentistry.  https://doi.org/10.1155/2011/360292.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    World Health Organization. (1997). Oral health survey: Basic methods (4th ed.). Geneva: World Health Organization.Google Scholar
  20. 20.
    Ikebe, K., Watkins, C. A., Ettinger, R. L., Sajima, H., & Nokubi, T. (2004). Application of short-form oral health impact profile on elderly Japanese. Gerodontology,21(3), 167–176.  https://doi.org/10.1111/j.1741-2358.2004.00028.x.CrossRefPubMedGoogle Scholar
  21. 21.
    Kataoka, K., Ekuni, D., Mizutani, S., Tomofuji, T., Azuma, T., Yamane, M., et al. (2015). Association between self-reported bruxism and malocclusion in university students: A cross-sectional study. Journal of Epidemiology,25(6), 423–430.  https://doi.org/10.2188/jea.JE20140180.CrossRefPubMedGoogle Scholar
  22. 22.
    Ekuni, D., Furuta, M., Irie, K., Azuma, T., Tomofuji, T., Murakami, T., et al. (2011). Relationship between impacts attributed to malocclusion and psychological stress in young Japanese adults. European Journal of Orthodontics,33(5), 558–563.  https://doi.org/10.1093/ejo/cjq121.CrossRefPubMedGoogle Scholar
  23. 23.
    Vendrame, É., Goulart, M. A., Hilgert, J. B., Hugo, F. N., & Celeste, R. K. (2018). Decomposing early and adult life social position effects on oral health and chronic diseases in a cross-sectional study of Southern Brazil. Community Dentistry and Oral Epidemiology,46(6), 601–607.  https://doi.org/10.1111/cdoe.12410.CrossRefPubMedGoogle Scholar
  24. 24.
    Acharya, S., & Sangam, D. K. (2008). Oral health-related quality of life and its relationship with health locus of control among Indian dental university students. European Journal of Dental Education,12(4), 208–212.  https://doi.org/10.1111/j.1600-0579.2008.00519.x.CrossRefPubMedGoogle Scholar
  25. 25.
    Astrom, A. N., & Mashoto, K. (2002). Determinants of self-rated oral health status among school children in northern Tanzania. International Journal of Paediatric Dentistry,12(2), 90–100.  https://doi.org/10.1046/j.1365-263X.2002.00341.x.CrossRefPubMedGoogle Scholar
  26. 26.
    Singh, A., & Purohit, B. M. (2017). Exploring patient satisfaction levels, self-rated oral health status and associated variables among citizens covered for dental insurance through a National Social Security Scheme in India. International Dental Journal,67(3), 172–179.  https://doi.org/10.1111/idj.12285.CrossRefPubMedGoogle Scholar
  27. 27.
    Samorodnitzky, G. R., & Levin, L. (2005). Self-assessed dental status, oral behavior, DMF, and dental anxiety. Journal of Dental Education,69(12), 1385–1389.PubMedGoogle Scholar
  28. 28.
    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.  https://doi.org/10.1186/s12955-015-0283-8.CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Vermaire, J. H., de Jongh, A., & Aartman, I. H. (2008). Dental anxiety and quality of life: The effect of dental treatment. Community Dentistry and Oral Epidemiology,36(5), 409–416.  https://doi.org/10.1111/j.1600-0528.2007.00416.x.CrossRefPubMedGoogle Scholar
  30. 30.
    Liu, L. J., Xiao, W., He, Q. B., & Jiang, W. W. (2012). Generic and oral quality of life is affected by oral mucosal diseases. BMC Oral Health.  https://doi.org/10.1186/1472-6831-12-2.CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Hapa, A., Aksoy, B., Polat, M., Aslan, U., & Atakan, N. (2011). Does recurrent aphthous stomatitis affect quality of life? A prospective study with 128 patients evaluating different treatment modalities. Journal of Dermatological Treatment,22(4), 215–220.  https://doi.org/10.3109/09546631003675450.CrossRefPubMedGoogle Scholar
  32. 32.
    Nadendla, L. K., Meduri, V., Paramkusam, G., & Pachava, K. R. (2015). Relationship of salivary cortisol and anxiety in recurrent aphthous stomatitis. Indian Journal of Endocrinology and Metabolism,19(1), 56–59.  https://doi.org/10.4103/2230-8210.131768.CrossRefPubMedPubMedCentralGoogle Scholar
  33. 33.
    Bernabé, E., Sheiham, A., & de Oliveira, C. M. (2009). Impacts on daily performances attributed to malocclusions by British adolescents. Journal of Oral Rehabilitation,36(1), 26–31.  https://doi.org/10.1111/j.1365-2842.2008.01899.x.CrossRefPubMedGoogle Scholar
  34. 34.
    Almoznino, G., Zini, A., Zakuto, A., Sharav, Y., Haviv, Y., Hadad, A., et al. (2015). Oral health-related quality of life in patients with temporomandibular disorders. Journal of Oral & Facial Pain and Headache,29(3), 231–241.  https://doi.org/10.11607/ofph.1413.CrossRefGoogle Scholar
  35. 35.
    Blanco-Aguilera, A., Blanco-Hungría, A., Biedma-Velázquez, L., Serrano-del-Rosal, R., González-López, L., Blanco-Aguilera, E., et al. (2014). Application of an oral health-related quality of life questionnaire in primary care patients with orofacial pain and temporomandibular disorders. Medicina Oral Patologia Oral y Cirugia Bucal,19(2), e127–e135.  https://doi.org/10.4317/medoral.19061.CrossRefGoogle Scholar
  36. 36.
    McGrath, C., Comfort, M. B., Lo, E. C., & Luo, Y. (2003). Patient-centred outcome measures in oral surgery: Validity and sensitivity. British Journal of Oral and Maxillofacial Surgery,41(1), 43–47.  https://doi.org/10.1016/S0266-4356(02)00289-9.CrossRefPubMedGoogle Scholar
  37. 37.
    Dahlström, L., & Carlsson, G. E. (2010). Temporomandibular disorders and oral health-related quality of life. A systematic review. Acta Odontologica Scandinavica,68(2), 80–85.  https://doi.org/10.3109/00016350903431118.CrossRefPubMedGoogle Scholar
  38. 38.
    Zanatta, F. B., Ardenghi, T. M., Antoniazzi, R. P., Pinto, T. M., & Rösing, C. K. (2012). Association between gingival bleeding and gingival enlargement and oral health-related quality of life (OHRQoL) of subjects under fixed orthodontic treatment: A cross-sectional study. BMC Oral Health.  https://doi.org/10.1186/1472-6831-12-53.CrossRefPubMedPubMedCentralGoogle Scholar
  39. 39.
    Montero, J., Albaladejo, A., & Zalba, J. I. (2014). Influence of the usual motivation for dental attendance on dental status and oral health-related quality of life. Medicina Oral Patologia Oral y Cirugia Bucal,19(3), e225–e231.  https://doi.org/10.4317/medoral.19366.CrossRefGoogle Scholar
  40. 40.
    Al-Harthi, L. S., Cullinan, M. P., Leichter, J. W., & Thomson, W. M. (2013). The impact of periodontitis on oral health-related quality of life: A review of the evidence from observational studies. Australian Dental Journal,58(3), e274–e277.  https://doi.org/10.1111/adj.12076.CrossRefGoogle Scholar
  41. 41.
    Eltas, A., Uslu, M. O., & Eltas, S. D. (2016). Association of oral health-related quality of life with periodontal status and treatment needs. Oral Health & Preventive Dentistry,14(4), 339–347.  https://doi.org/10.3290/j.ohpd.a35613.CrossRefGoogle Scholar
  42. 42.
    Buset, S. L., Walter, C., Friedmann, A., Weiger, R., Borgnakke, W. S., & Zitzmann, N. U. (2016). Are periodontal diseases really silent? A systematic review of their effect on quality of life. Journal of Clinical Periodontology,43(4), 333–344.  https://doi.org/10.1111/jcpe.12517.CrossRefPubMedGoogle Scholar
  43. 43.
    Ueno, M., Zaitsu, T., Ohara, S., Wright, C., & Kawaguchi, Y. (2015). Factors influencing perceived oral health of Japanese middle-aged adults. Asia Pacific Journal of Public Health,27(2), NP2296–NP2304.  https://doi.org/10.1177/1010539511428352.CrossRefPubMedGoogle Scholar
  44. 44.
    Atchison, K. A., & Dolan, T. A. (1990). Development of the geriatric oral health assessment index. Journal of Dental Education,54(11), 680–687.PubMedGoogle Scholar
  45. 45.
    Gonzales-Sullcahuamán, J. A., Ferreira, F. M., de Menezes, J. V., Paiva, S. M., & Fraiz, F. C. (2013). Oral health-related quality of life among Brazilian dental students. Acta Odontológica Latinoamericana,26(2), 76–83.PubMedGoogle Scholar
  46. 46.
    Lu, H.-X., Wong, M., Lo, E., & McGrath, C. (2015). Oral health related quality of life among young adults. Applied Research in Quality of Life,10(1), 37–47.  https://doi.org/10.1007/s11482-013-9296-9.CrossRefGoogle Scholar
  47. 47.
    Cohen-Carneiro, F., Souza-Santos, R., & Rebelo, M. A. (2011). Quality of life related to oral health: Contribution from social factors. Cien Saude Colet,16, 1007–1015.  https://doi.org/10.1590/s1413-81232011000700033.CrossRefPubMedGoogle Scholar
  48. 48.
    Paula, J. S., Leite, I. C., Almeida, A. B., Ambrosano, G. M., Pereira, A. C., & Mialhe, F. L. (2012). The influence of oral health conditions, socioeconomic status and home environment factors on schoolchildren’s self-perception of quality of life. Health and Quality of Life Outcomes,10, 16.  https://doi.org/10.1186/1477-7525-10-6.CrossRefGoogle Scholar
  49. 49.
    Mbawalla, H. S., Masalu, J. R., & Astrøm, A. N. (2010). Socio-demographic and behavioural correlates of oral hygiene status and oral health related quality of life, the Limpopo-Arusha school health project (LASH): A cross-sectional study. BMC Pediatrics,10, 87.  https://doi.org/10.1186/1471-2431-10-87.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Departments of Preventive DentistryOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical SciencesOkayamaJapan
  2. 2.Departments of Preventive DentistryOkayama University HospitalOkayamaJapan
  3. 3.Health Service CenterOkayama UniversityOkayamaJapan

Personalised recommendations