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

Research

Janice S Paula¹  Antônio C Pereira¹  Fábio L Mialhe¹  Glaucia MB Ambrosano¹  Isabel CG Leite²  Anderso B Almeida² 

[1] Department of Community Dentistry, Division of Health Education and Health Promotion, Piracicaba Dental School, University of Campinas -UNICAMP, P.O. BOX 52, 13414-903, Piracicaba, SP, Brazil;Department of Public Health, Medicine School, Federal University of Juiz de Fora (UFJF), Juiz de Fora, MG, Brazil;

关键词: Oral Health;    Orthodontic Treatment;    Oral Health Condition;    Dental Trauma;    Monthly Family Income;   

DOI  :  10.1186/1477-7525-10-6

 received in 2011-02-18, accepted in 2012-01-13,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe objective this study was to investigate the influence of clinical conditions, socioeconomic status, home environment, subjective perceptions of parents and schoolchildren about general and oral health on schoolchildren's oral health-related quality of life (OHRQoL).MethodsA sample of 515 schoolchildren, aged 12 years was randomly selected by conglomerate analysis from public and private schools in the city of Juiz de Fora, Brazil. The schoolchildren were clinically examined for presence of caries lesions (DMFT and dmft index), dental trauma, enamel defects, periodontal status (presence/absence of bleeding), dental treatment and orthodontic treatment needs (DAI). The SiC index was calculated. The participants were asked to complete the Brazilian version of Child Perceptions Questionnaire (CPQ11-14) and a questionnaire about home environment. Questions were asked about the presence of general diseases and children's self-perception of their general and oral health status. In addition, a questionnaire was sent to their parents inquiring about their socioeconomic status (family income, parents' education level, home ownership) and perceptions about the general and oral health of their school-aged children. The chi-square test was used for comparisons between proportions. Poisson's regression was used for multivariate analysis with adjustment for variances.ResultsUnivariate analysis revealed that school type, monthly family income, mother's education, family structure, number of siblings, use of cigarettes, alcohol and drugs in the family, parents' perception of oral health of schoolchildren, schoolchildren's self perception their general and oral health, orthodontic treatment needs were significantly associated with poor OHRQoL (p < 0.001). After adjusting for potential confounders, variables were included in a Multivariate Poisson regression. It was found that the variables children's self perception of their oral health status, monthly family income, gender, orthodontic treatment need, mother's education, number of siblings, and household overcrowding showed a strong negative effect on oral health-related quality of life.ConclusionsIt was concluded that the clinical, socioeconomic and home environment factors evaluated exerted a negative impact on the oral health-related quality of life of schoolchildren, demonstrating the importance of health managers addressing all these factors when planning oral health promotion interventions for this population.

【 授权许可】

Unknown   
© Paula et al; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.