Oral Health-Related Quality-of-Life According to Dental Caries Severity, Body Mass Index and Sociodemographic Indicators in Children with Special Health Care Needs

This study aimed to assess the impact of dental caries’ severity, body mass index (BMI), and sociodemographic factors on oral health-related quality of life (OHRQoL) for special health care needs (SHCN) children and the suitability of their caregivers as proxies to determine OHRQoL. This cross-secti...

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Autores principales: Rawan Rasheed Alwattban, Lama Saleh Alkhudhayr, Sanaa Najeh Al-Haj Ali, Ra’fat Ibrahim Farah
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/32b15c9b53f34ed28b817122abec7ba3
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spelling oai:doaj.org-article:32b15c9b53f34ed28b817122abec7ba32021-11-11T17:29:08ZOral Health-Related Quality-of-Life According to Dental Caries Severity, Body Mass Index and Sociodemographic Indicators in Children with Special Health Care Needs10.3390/jcm102148112077-0383https://doaj.org/article/32b15c9b53f34ed28b817122abec7ba32021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4811https://doaj.org/toc/2077-0383This study aimed to assess the impact of dental caries’ severity, body mass index (BMI), and sociodemographic factors on oral health-related quality of life (OHRQoL) for special health care needs (SHCN) children and the suitability of their caregivers as proxies to determine OHRQoL. This cross-sectional study recruited 107 pairs of SHCN children and their caregivers and asked them to complete a questionnaire on sociodemographic issues as well as the Arabic version of the early childhood oral health impact scale (A-ECOHIS). This was followed by a dental examination. Dental caries was measured using the dmft/DMFT index, while caries’ severity was also determined. The children’s height and weight were measured, and BMI (kg/m<sup>2</sup>) was recorded. Data were analyzed statistically using <i>t</i>-test, one-way ANOVA, and Poisson regression models. Our results revealed that the A-ECOHIS score was 10.93, while the OHRQoL was affected in 95.3% of children. The most-reported item was ‘pain in the teeth, mouth, or jaws’ (48.7%). By regression analysis, caries-free children (Odds Ratio (OR): 0.650) or those who had moderate caries (OR: 0.551) were less likely to have a negative impact on their OHRQoL than those with severe caries. Additionally, those whose caregivers had a maximum primary education (OR: 0.656) or whose occupation was in the health sector (OR: 0.721) were less likely to have a negative impact on their OHRQoL. Those who were ≤ 6 years old (OR: 1.188) were more likely to have a negative impact. BMI did not have a significant impact on the OHRQoL of the children. Further, we detected a significant positive correlation between children’s dmft/DMFT scores and the A-ECOHIS scores reported by the mothers. Given these variables, which included dental caries’ severity, but not BMI, and caregivers’ education level and occupation, plus the child’s age group, we found a significant impact on the OHRQoL. However, we found that mothers were better proxies for their children’s OHRQoL.Rawan Rasheed AlwattbanLama Saleh AlkhudhayrSanaa Najeh Al-Haj AliRa’fat Ibrahim FarahMDPI AGarticlebody mass indexchildrendental cariesoral healthquality of lifespecial health care needsMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4811, p 4811 (2021)
institution DOAJ
collection DOAJ
language EN
topic body mass index
children
dental caries
oral health
quality of life
special health care needs
Medicine
R
spellingShingle body mass index
children
dental caries
oral health
quality of life
special health care needs
Medicine
R
Rawan Rasheed Alwattban
Lama Saleh Alkhudhayr
Sanaa Najeh Al-Haj Ali
Ra’fat Ibrahim Farah
Oral Health-Related Quality-of-Life According to Dental Caries Severity, Body Mass Index and Sociodemographic Indicators in Children with Special Health Care Needs
description This study aimed to assess the impact of dental caries’ severity, body mass index (BMI), and sociodemographic factors on oral health-related quality of life (OHRQoL) for special health care needs (SHCN) children and the suitability of their caregivers as proxies to determine OHRQoL. This cross-sectional study recruited 107 pairs of SHCN children and their caregivers and asked them to complete a questionnaire on sociodemographic issues as well as the Arabic version of the early childhood oral health impact scale (A-ECOHIS). This was followed by a dental examination. Dental caries was measured using the dmft/DMFT index, while caries’ severity was also determined. The children’s height and weight were measured, and BMI (kg/m<sup>2</sup>) was recorded. Data were analyzed statistically using <i>t</i>-test, one-way ANOVA, and Poisson regression models. Our results revealed that the A-ECOHIS score was 10.93, while the OHRQoL was affected in 95.3% of children. The most-reported item was ‘pain in the teeth, mouth, or jaws’ (48.7%). By regression analysis, caries-free children (Odds Ratio (OR): 0.650) or those who had moderate caries (OR: 0.551) were less likely to have a negative impact on their OHRQoL than those with severe caries. Additionally, those whose caregivers had a maximum primary education (OR: 0.656) or whose occupation was in the health sector (OR: 0.721) were less likely to have a negative impact on their OHRQoL. Those who were ≤ 6 years old (OR: 1.188) were more likely to have a negative impact. BMI did not have a significant impact on the OHRQoL of the children. Further, we detected a significant positive correlation between children’s dmft/DMFT scores and the A-ECOHIS scores reported by the mothers. Given these variables, which included dental caries’ severity, but not BMI, and caregivers’ education level and occupation, plus the child’s age group, we found a significant impact on the OHRQoL. However, we found that mothers were better proxies for their children’s OHRQoL.
format article
author Rawan Rasheed Alwattban
Lama Saleh Alkhudhayr
Sanaa Najeh Al-Haj Ali
Ra’fat Ibrahim Farah
author_facet Rawan Rasheed Alwattban
Lama Saleh Alkhudhayr
Sanaa Najeh Al-Haj Ali
Ra’fat Ibrahim Farah
author_sort Rawan Rasheed Alwattban
title Oral Health-Related Quality-of-Life According to Dental Caries Severity, Body Mass Index and Sociodemographic Indicators in Children with Special Health Care Needs
title_short Oral Health-Related Quality-of-Life According to Dental Caries Severity, Body Mass Index and Sociodemographic Indicators in Children with Special Health Care Needs
title_full Oral Health-Related Quality-of-Life According to Dental Caries Severity, Body Mass Index and Sociodemographic Indicators in Children with Special Health Care Needs
title_fullStr Oral Health-Related Quality-of-Life According to Dental Caries Severity, Body Mass Index and Sociodemographic Indicators in Children with Special Health Care Needs
title_full_unstemmed Oral Health-Related Quality-of-Life According to Dental Caries Severity, Body Mass Index and Sociodemographic Indicators in Children with Special Health Care Needs
title_sort oral health-related quality-of-life according to dental caries severity, body mass index and sociodemographic indicators in children with special health care needs
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/32b15c9b53f34ed28b817122abec7ba3
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