The influence of normative and subjective oral health status on schoolchildren’s happiness

BMC Oral Health

Thiago Machado Ardenghi¹  José Leopoldo Ferreira Antunes²  Fausto Medeiros Mendes³  Joana Possamai Del Fabro¹  Guilherme Nascimento da Rosa¹  Fernanda Tomazoni¹  Carmela Rampazzo Bresolin³  Simone Tuchtenhagen² 

[1] Department of Stomatology, Federal University of Santa Maria, UFSM, Rua Cel.Niederauer 917/208, Santa Maria, RS, Brazil;Department of Epidemiology, School of Public Health, University of São Paulo, São Paulo, SP, Brazil;Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil

关键词: Quality of life;    Oral health;    Child;    Happiness;   

Others  :  1118146
DOI  :  10.1186/1472-6831-15-15

 received in 2014-08-12, accepted in 2015-01-15,  发布年份 2015

【 摘 要 】

Background

Traditional methods to measure oral health based on clinical standards are limited because they do not consider psychosocial and functional aspects of oral health. It has been recommended that these measures need to be supplemented by data obtained from patients regarding their individual perceptions on oral health-related quality of life (OHRQoL). Happiness is a multidimensional construct comprising both emotional and cognitive domains, and has been defined as “the degree to which an individual judges the overall quality of his or her life as a whole favorably”. It has been associated with several health outcomes, including oral health. The aim of this study was to assess the impact of oral health conditions, oral health-related quality of life (OHRQoL), and socioeconomic factors on the subjective happiness of Brazilian adolescents.

Methods

A cross-sectional study was conducted in 2012 on a representative sample of 12-year-old schoolchildren in Santa Maria-RS, Brazil. The data were collected through dental examinations and structured interviews. The participants underwent an evaluation aimed at detecting dental caries, traumatic dental injuries, malocclusion, and gingival bleeding. They also completed the Brazilian versions of the Child Perceptions Questionnaire-short form (CPQ11–14 – ISF: 16) and the Subjective Happiness Scale (SHS), which was our outcome variable. Socioeconomic conditions were evaluated through a questionnaire that was completed by the participants’ parents. Poisson regression analysis was used to determine the association between the explanatory variables and the outcome. Moreover, a correlation analysis was performed to determine the relationship between the SHS scores and the overall and domain scores of the CPQ11–14 –ISF: 16.

Results

A total of 1,134 children were evaluated. Unadjusted analyses showed that happiness was associated with socioeconomic indicators, the use of dental services, clinical status, and scores on the OHRQoL measure. After adjustment, household overcrowding (RR: 0.96; 95% CI: 0.93-0.98), dental caries (RR: 0.98; 95% CI: 0.97-0.99), malocclusion (RR: 0.98; 95% CI: 0.96-0.99), and the severity associated with the CPQ11-14 (RR: 0.95; 95% CI: 0.93-0.97) still showed a significant association with lower levels of the mean SHS score.

Conclusions

Happiness is influenced by oral conditions, socioeconomic status, and OHRQoL.

【 授权许可】

   
2015 Tuchtenhagen et al.; licensee BioMed Central.

【 参考文献 】

• [1]Fitzpatrick R, Davey C, Buxton MJ, Jones DR: Evaluating patient-based outcome measures for use in clinical trials. Health Technol Assess 1998, 2(i-iv):1-74.
• [2]Locker D, Allen F: What do measures of ‘oral health-related quality of life’ measure? Community Dent Oral Epidemiol 2007, 35:401-11.
• [3]Slade GD, Strauss RP, Atchison KA, Kressin NR, Locker D, Reisine ST: Conference summary: assessing oral health outcomes–measuring health status and quality of life. Community Dent Health 1998, 15:3-7.
• [4]Jokovic A, Locker D, Guyatt G: What do children’s global ratings of oral health and well-being measure? Community Dent Oral Epidemiol 2005, 33:205-11.
• [5]Locker D: Measuring oral health: a conceptual framework. Community Dent Health 1988, 5:3-18.
• [6]Luoto A, Lahti S, Nevanpera T, Tolvanen M, Locker D: Oral-health-related quality of life among children with and without dental fear. Int J Paediatr Dent 2009, 19:115-20.
• [7]Foster Page LA, Thomson WM, Ukra A, Farella M: Factors influencing adolescents’ oral health-related quality of life (OHRQoL). Int J Paediatr Dent 2013, 23:415-23.
• [8]Veenhoven R: Conditions of happiness. 1st edn edition. Dordrecht: D. Reidel; 1984.
• [9]Bloodworth A, McNamee M: Conceptions of well-being in psychology and exercise psychology research: a philosophical critique. Health Care Anal 2007, 15:107-21.
• [10]Kawada T, Kuratomi Y, Kanai T: Lifestyle determinants of depressive feeling and a feeling of unhappiness among workers: a study in Japan. Work 2009, 33:255-60.
• [11]Mojs E, Stanislawska-Kubiak M, Skommer M, Wojciak R: Smoking from the perspective of positive psychology. Przegl Lek 2009, 66:765-7.
• [12]Piqueras JA, Kuhne W, Vera-Villarroel P, van Straten A, Cuijpers P: Happiness and health behaviours in Chilean college students: a cross-sectional survey. BMC Public Health 2011, 11:443. BioMed Central Full Text
• [13]Stubbe JH, de Moor MH, Boomsma DI, de Geus EJ: The association between exercise participation and well-being: a co-twin study. Prev Med 2007, 44:148-52.
• [14]Hirosaki M, Ishimoto Y, Kasahara Y, Konno A, Kimura Y, Fukutomi E, et al.: Self-rated happiness is associated with functional ability, mood, quality of life and income, but not with medical condition in community-dwelling elderly in Japan. Geriatr Gerontol Int 2011, 11:531-3.
• [15]Lloyd K: Health-related quality of life and children’s happiness with their childcare. Child Care Health Dev 2012, 38:244-50.
• [16]Yoon HS, Kim HY, Patton LL, Chun JH, Bae KH, Lee MO: Happiness, subjective and objective oral health status, and oral health behaviors among Korean elders. Community Dent Oral Epidemiol 2013, 41:459-65.
• [17]Honkala S, Honkala E, Al-Sahli N: Do life- or school-satisfaction and self-esteem indicators explain the oral hygiene habits of schoolchildren? Community Dent Oral Epidemiol 2007, 35:337-47.
• [18]Holder MD, Coleman B: The contribution of temperament, popularity, and physical appearance to children’s happiness. J Happiness Stud 2008, 9:279-302.
• [19]IBGE (Ed): In CENSO. 2010. [Instituto Brasileiro de Geografia e Estatística]
• [20]Dumitrescu AL, Kawamura M, Dogaru BC, Dogaru CD: Relation of achievement motives, satisfaction with life, happiness and oral health in Romanian university students. Oral Health Prev Dent 2010, 8:15-22.
• [21]WHO: Oral health surveys, basic methods. 4 ed. 1997.
• [22]O’Brien M: Children’s dental health in the United Kingdom 1993. London: Her Majesty’s Stationary Office; 1994.
• [23]ADA: Acceptance Program Guidelines - Toothbrushes: American Dental Association. 1998.
• [24]Lyubomirsky S, Lepper HS: A measure of subjective happiness: preliminary reliability and construct validation. Soc Indic Res 1999, 46:137-55.
• [25]Rodrigues A, Silva JA: O papel das características sócio-demográficas na felicidade. Psico-USF 2010, 15:113-23.
• [26]Jokovic A, Locker D, Stephens M, Kenny D, Tompson B, Guyatt G: Validity and reliability of a questionnaire for measuring child oral-health-related quality of life. J Dent Res 2002, 81:459-63.
• [27]Torres CS, Paiva SM, Vale MP, Pordeus IA, Ramos-Jorge ML, Oliveira AC, et al.: Psychometric properties of the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14) - short forms. Health Qual Life Outcomes 2009, 7:43. BioMed Central Full Text
• [28]Foster Page LA, Thomson WM, Jokovic A, Locker D: Validation of the Child Perceptions Questionnaire (CPQ 11–14). J Dent Res 2005, 84:649-52.
• [29]Piovesan C, Antunes JL, Guedes RS, Ardenghi TM: Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL). Qual Life Res 2010, 19:1359-66.
• [30]de Paula Junior DF, Santos NC, da Silva ET, Nunes MF, Leles CR: Psychosocial impact of dental esthetics on quality of life in adolescents. Angle Orthod 2009, 79:1188-93.
• [31]Marques LS, Ramos-Jorge ML, Paiva SM, Pordeus IA: Malocclusion: esthetic impact and quality of life among Brazilian schoolchildren. Am J Orthod Dentofacial Orthop 2006, 129:424-7.
• [32]Onyeaso CO, Aderinokun GA: The relationship between dental aesthetic index (DAI) and perceptions of aesthetics, function and speech amongst secondary school children in Ibadan, Nigeria. Int J Paediatr Dent 2003, 13:336-41.
• [33]Peres KG, Barros AJ, Anselmi L, Peres MA, Barros FC: Does malocclusion influence the adolescent’s satisfaction with appearance? A cross-sectional study nested in a Brazilian birth cohort. Community Dent Oral Epidemiol 2008, 36:137-43.
• [34]Scapini A, Feldens CA, Ardenghi TM, Kramer PF: Malocclusion impacts adolescents’ oral health-related quality of life. Angle Orthod 2013, 83:512-8.
• [35]Liu Z, McGrath C, Hagg U: The impact of malocclusion/orthodontic treatment need on the quality of life. A systematic review. Angle Orthod 2009, 79:585-91.
• [36]Pattussi MP, Marcenes W, Croucher R, Sheiham A: Social deprivation, income inequality, social cohesion and dental caries in Brazilian school children. Soc Sci Med 2001, 53:915-25.
• [37]Wilkinson RG, Pickett KE: The problems of relative deprivation: why some societies do better than others. Soc Sci Med 2007, 65:1965-78.
• [38]Wilkinson RG, Pickett KE: Income inequality and socioeconomic gradients in mortality. Am J Public Health 2008, 98:699-704.
• [39]Lynch J: Income inequality and health: expanding the debate. Soc Sci Med 2000, 51:1001-5. discussion 1009–1010
• [40]Celeste RK, Nadanovsky P: How much of the income inequality effect can be explained by public policy? Evidence from oral health in Brazil. Health Policy 2010, 97:250-8.
• [41]Piovesan C, Marquezan M, Kramer PF, Bonecker M, Ardenghi TM: Socioeconomic and clinical factors associated with caregivers’ perceptions of children’s oral health in Brazil. Community Dent Oral Epidemiol 2011, 39:260-7.
• [42]Hervas G, Vazquez C: Construction and validation of a measure of integrative well-being in seven languages: the Pemberton Happiness Index. Health Qual Life Outcomes 2013, 11:66. BioMed Central Full Text
• [43]Menezes AM, Murray J, Laszlo M, Wehrmeister FC, Hallal PC, Goncalves H, et al.: Happiness and depression in adolescence after maternal smoking during pregnancy: birth cohort study. PLoS One 2013, 8:e80370.
• [44]Ruiz-Aranda D, Extremera N, Pineda-Galan C: Emotional intelligence, life satisfaction and subjective happiness in female student health professionals: the mediating effect of perceived stress. J Psychiatr Ment Health Nurs 2014, 21:106-13.
• [45]Veronese G, Castiglioni M, Tombolani M, Said M: ‘My happiness is the refugee camp, my future Palestine’: optimism, life satisfaction and perceived happiness in a group of Palestinian children. Scand J Caring Sci 2012, 26:467-73.
• [46]Yue XD, Liu KW, Jiang F, Hiranandani NA: Humor styles, self-esteem, and subjective happiness. Psychol Rep 2014, 115:517-25.