Skip to main content

Advertisement

SpringerLink
Log in

Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL)

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Purpose

Child oral health-related quality of life (COHRQoL) has been increasingly assessed; however, few studies appraised the influence of socioeconomic status on COHRQoL in developing countries. This study assessed the relationship of COHRQoL with socioeconomic backgrounds and clinical factors.

Methods

This study followed a cross-sectional design, with a multistage random sample of 792 schoolchildren aged 12 years, representative of Santa Maria, a southern city in Brazil. Participants completed the Brazilian version of the Child Perceptions Questionnaire (CPQ11–14), their parents or guardians answered questions on socioeconomic status, and a dental examination provided information on the prevalence of caries, dental trauma and occlusion. The assessment of association used hierarchically adjusted Poisson regression models.

Results

Higher impacts on COHRQoL were observed for children presenting with untreated dental caries (RR 1.20; 95% CI 1.07–1.35) and maxillary overjet (RR 1.19; 95% CI 1.02–1.40). Socioeconomic factors also associated with COHRQoL; poorer scores were reported by children whose mothers have not completed primary education (RR 1.30; 95% CI 1.17–1.44) and those with lower household income (RR 1.13; 95% CI 1.02–1.26).

Conclusion

Poor socioeconomic standings and poor dental status have a negative impact on COHRQoL; reducing health inequalities may demand dental programmes and policies targeting deprived population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Abbreviations

COHRQoL:

Child oral health-related quality of life

CPQ11–14 :

Child Perceptions Questionnaire

OHRQoL:

Oral health-related quality of life

RR:

Rate ratio

OS:

Oral symptoms

FL:

Functional limitation

EWB:

Emotional well-being

SWB:

Social well-being

References

  1. Foster Page, L. A., Thomson, W. M., Jokovic, A., & Locker, D. (2005). Validation of the Child Perceptions Questionnaire (CPQ 11–14). Journal of Dental Research, 84, 649–652.

    Article  CAS  PubMed  Google Scholar 

  2. Goursand, D., Paiva, S. M., Zarzar, P. M., et al. (2008). Cross-cultural adaptation of the Child Perceptions Questionnaire 11–14 (CPQ11–14) for the Brazilian Portuguese language. Health and Quality of Life Outcomes, 6, 2.

    Article  PubMed  Google Scholar 

  3. Jokovic, A., Locker, D., Stephens, M., Kenny, D., Tompson, B., & Guyatt, G. (2002). Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. Journal of Dental Research, 81, 459–463.

    Article  CAS  PubMed  Google Scholar 

  4. Locker, D. (2007). Disparities in oral health-related quality of life in a population of Canadian children. Community Dentistry and Oral Epidemiology, 35, 348–356.

    Article  PubMed  Google Scholar 

  5. Barbosa, T. S., Tureli, M. C., & Gaviao, M. B. (2009). Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children. BMC Oral Health, 9, 13.

    Article  PubMed  Google Scholar 

  6. Slade, G. D. (1998). Assessing change in quality of life using the Oral Health Impact Profile. Community Dentistry and Oral Epidemiology, 26, 52–61.

    CAS  PubMed  Google Scholar 

  7. Locker, D., Jokovic, A., Stephens, M., Kenny, D., Tompson, B., & Guyatt, G. (2002). Family impact of child oral and oro-facial conditions. Community Dentistry and Oral Epidemiology, 30, 438–448.

    Article  PubMed  Google Scholar 

  8. Filstrup, S. L., Briskie, D., da Fonseca, M., Lawrence, L., Wandera, A., & Inglehart, M. R. (2003). Early childhood caries and quality of life: Child and parent perspectives. Pediatric Dentistry, 25, 431–440.

    PubMed  Google Scholar 

  9. Broder, H. L., McGrath, C., & Cisneros, G. J. (2007). Questionnaire development: Face validity and item impact testing of the Child Oral Health Impact Profile. Community Dentistry and Oral Epidemiology, 35(Suppl 1), 8–19.

    Article  PubMed  Google Scholar 

  10. Marshman, Z., Rodd, H., Stern, M., et al. (2005). An evaluation of the Child Perceptions Questionnaire in the UK. Community Dental Health, 22, 151–155.

    CAS  PubMed  Google Scholar 

  11. O’Brien, K., Wright, J. L., Conboy, F., Macfarlane, T., & Mandall, N. (2006). The child perception questionnaire is valid for malocclusions in the United Kingdom. American Journal of Orthodontics and Dentofacial Orthopedics, 129, 536–540.

    Article  PubMed  Google Scholar 

  12. 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, 405–411.

    Article  CAS  PubMed  Google Scholar 

  13. 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, 267–274.

    PubMed  Google Scholar 

  14. Do, L. G., & Spencer, A. J. (2008). Evaluation of oral health-related quality of life questionnaires in a general child population. Community Dental Health, 25, 205–210.

    CAS  PubMed  Google Scholar 

  15. Wogelius, P., Gjorup, H., Haubek, D., Lopez, R., & Poulsen, S. (2009). Development of Danish version of child oral-health-related quality of life questionnaires (CPQ8–10 and CPQ11–14). BMC Oral Health, 9, 11.

    Article  PubMed  Google Scholar 

  16. Antunes, J. L., Peres, M. A., de Campos Mello, T. R., & Waldman, E. A. (2006). Multilevel assessment of determinants of dental caries experience in Brazil. Community Dentistry and Oral Epidemiology, 34, 146–152.

    Article  PubMed  Google Scholar 

  17. Oral Health Organization. (1997). Oral health surveys: basic methods (4th ed.). Geneva: World Health Organization.

    Google Scholar 

  18. Victora, C. G., Huttly, S. R., Fuchs, S. C., & Olinto, M. T. (1997). The role of conceptual frameworks in epidemiological analysis: A hierarchical approach. International Journal of Epidemiology, 26, 224–227.

    Article  CAS  PubMed  Google Scholar 

  19. Tsakos, G., Sheiham, A., Iliffe, S., et al. (2009). The impact of educational level on oral health-related quality of life in older people in London. European Journal of Oral Sciences, 117, 286–292.

    Article  PubMed  Google Scholar 

  20. Sisson, K. L. (2007). Theoretical explanations for social inequalities in oral health. Community Dentistry and Oral Epidemiology, 35, 81–88.

    Article  PubMed  Google Scholar 

  21. 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.

    PubMed  Google Scholar 

  22. Davey-Smith, G., Blane, D., & Bartley, M. (1994). Explanations for socioeconomic differentials in mortality: Evidence from Britain and elsewhere. European Journal of Public Health, 4, 131–144.

    Article  Google Scholar 

  23. Sabbah, W., Tsakos, G., Sheiham, A., & Watt, R. G. (2009). The effects of income and education on ethnic differences in oral health: A study in US adults. Journal of Epidemiology and Community Health, 63, 516–520.

    Article  CAS  PubMed  Google Scholar 

  24. Sanders, A. E., & Spencer, A. J. (2005). Childhood circumstances, psychosocial factors and the social impact of adult oral health. Community Dentistry and Oral Epidemiology, 33, 370–377.

    Article  PubMed  Google Scholar 

  25. Pine, C. M., Adair, P. M., Nicoll, A. D., et al. (2004). International comparisons of health inequalities in childhood dental caries. Community Dental Health, 21, 121–130.

    PubMed  Google Scholar 

  26. Traebert, J., Guimaraes Ldo, A., Durante, E. Z., & Serratine, A. C. (2009). Low maternal schooling and severity of dental caries in Brazilian preschool children. Oral Health & Preventive Dentistry, 7, 39–45.

    Google Scholar 

  27. Johal, A., Cheung, M. Y., & Marcene, W. (2007). The impact of two different malocclusion traits on quality of life. British Dental Journal, 202, E2.

    CAS  PubMed  Google Scholar 

  28. Bernabe, E., de Oliveira, C. M., & Sheiham, A. (2007). Condition-specific sociodental impacts attributed to different anterior occlusal traits in Brazilian adolescents. European Journal of Oral Sciences, 115, 473–478.

    Article  PubMed  Google Scholar 

  29. Macintyre, S., Ford, G., & Hunt, K. (1999). Do women ‘over-report’ morbidity? Men’s and women’s responses to structured prompting on a standard question on long standing illness. Social Science & Medicine (1982), 48, 89–98.

    CAS  Google Scholar 

  30. Antunes, J. L., Junqueira, S. R., Frazao, P., Bispo, C. M., Pegoretti, T., & Narvai, P. C. (2003). City-level gender differentials in the prevalence of dental caries and restorative dental treatment. Health & Place, 9, 231–239.

    Article  Google Scholar 

  31. Barros, A. J., & Hirakata, V. N. (2003). Alternatives for logistic regression in cross-sectional studies: An empirical comparison of models that directly estimate the prevalence ratio. BMC Medical Research Methodology, 3, 21.

    Article  PubMed  Google Scholar 

  32. Guyatt, G., & Schunemann, H. (2007). How can quality of life researchers make their work more useful to health workers and their patients? Quality of Life Research, 16, 1097–1105.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to thank for all the children for their cooperation and the Education Authorities in Santa Maria for all information and authorization.

Author information

Authors and Affiliations

  1. Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil

    Chaiana Piovesan & Renata Saraiva Guedes

  2. Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, Brazil

    José Leopoldo Ferreira Antunes

  3. Department of Stomatology, Universidade Federal de Santa Maria (UFSM), Rua Cel.Niederauer 917/208, Santa Maria, Rio Grande do Sul, 97.015-121, Brazil

    Thiago Machado Ardenghi

Authors
  1. Chaiana Piovesan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. José Leopoldo Ferreira Antunes
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Renata Saraiva Guedes
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Thiago Machado Ardenghi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Thiago Machado Ardenghi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Piovesan, C., Antunes, J.L.F., Guedes, R.S. et al. Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL). Qual Life Res 19, 1359–1366 (2010). https://doi.org/10.1007/s11136-010-9692-7

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-010-9692-7

Keywords

Search

Navigation