Document Type : Original Article
Authors
1 Professor, Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Assistant Professor, Department of Public Health, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Assistant Professor, Occupational Environment Research Center & Dept. of Health Education and Health Promotion, School of Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
4 Assistant Professor, Department of Health Education and Health Promotion, School of Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
Abstract
Background: Oral Health related Quality of Life (OHQoL) as a multi-dimensional concept indicates person’s satisfaction with his/her oral health in terms of various dimensions. This study was carried out to examine impact of oral health on the quality of life of 12 year-old children in Rafsanjan and its relationship with their oral health behaviors.
Methods:This descriptive-longitudinal study was conducted on 571 sixth grade elementary students from 8 selected schools of Rafsanjan/ Iran in 2017-18. A three-part questionnaire including demographic characteristics, oral health behaviors and 35 items taken from the standard 35-item OHQoL questionnaire was employed as data collecting tools. Data were analyzed using SPSS-16 Software, one-way ANOVA, independent t- test, and Chi-square at significance level of 0.05.
Results:The mean score of OHQoL index was 30.43±18.1 and there was a significant relationship between the OHQoL index and tooth brushing behavior (P=0.03), tooth brushing duration (p <0.001), using toothpaste (p <0.001), daily and regular snacks consumption (P=0.01), and regular dentist visit (P=0.04); however, this relationship was not significant in terms of dental floss use and frequency of tooth brushing (P>0.05). The highest impact of oral health on children's quality of life was in terms of oral symptoms, functional impairment and emotional health dimensions, respectively.
Conclusion:Despite the optimum mean score associated to oral health-related quality of life, students’ health had been affected in terms of oral symptoms, functional impairment and emotional health and this variable was itself affected by oral health behaviors such as tooth brushing and regular dentist visiting to receive services. Accordingly, planning, implementing and evaluating interventions for other stakeholders, such as families and school authorities, are recommended.
Keywords
- Bianco A, Fortunato L, Nobile CG, Pavia M. Prevalence and determinants of oral impacts on daily performance: results from a survey among school children in Italy. Eur J Public Health 2010; 20(5):595-600.
- Montero-Martin J, Bravo-Perez M, Albaladejo-Martinez A, Hernandez-Martin LA, Rosel-Gallardo EM. Validation the oral health impact profile (OHIP-14sp) for adults in Spain. Med Oral Patol Oral Cir Bucal 2009; 14(1):44-50.
- World Health Organization. Oral health. [cited 2018 Sep 20] Available from: https://www.who.int/news-room/fact-sheets/detail/oral-health.
- Bright MA, Alford SM, Hinojosa MS, Knapp C, Fernandez‐Baca DE. Adverse childhood experiences and dental health in children and adolescents. Community Dent Oral Epidemiol 2015; 43(3):193-9.
- World Health Organization (Regional Office for Europe). Oral health. [cited 2017 Mar 25] Available from: http://www.euro.who.int/en/health-topics/disease-prevention/oral-health.
- Bayat-Movahed S, Samadzadeh H, Ziyarati L, Memary N, Khosravi R, Sadr-Eshkevari PS. Oral health of Iranian children in 2004: a national pathfinder survey of dental caries and treatment needs. East Mediterr Health J 2011; 17(3):243-9.
- Tomson WM, Broder HL. Oral-health-related quality of life in children and adolescents. Pediatr Clin North Am 2018; 65(5):1073-84.
- Agbaje HO, Kolawole KA, Otuyemi OD. Evaluation of early changes in oral health-related quality of life amongst Nigerian patients undergoing fixed orthodontic appliance therapy. Int Orthod 2018; 16(3):571-85.
- Daly B, Newton T, Batchelor P, Jones K. Oral health care needs and oral health‐related quality of life (OHIP‐14) in homeless people. Community Dent Oral Epidemiol 2010; 38(2):136-44.
- Khadem P, Hajiahmadi M, Jabarifar SE, Mirani K. Validity and reliability of Persian translation of the Child Perception Questionnaire (CPQ11-14) in 11‒14 year-old children in Isfahan. Journal of Isfahan Dental School 2012; Specila Issue 7(5):777-84. [In Persian].
- U.S. Fooa And Drug Administration. Patient-reported outcomes measures: use in medical products development to support labeling claims. [cited 2017 Mar 25] Available from: https://www.fda.gov/regulatory-information/search-fda-guidance-documents/patient-reported-outcome-measures-use-medical-product-development-support-labeling-claims.
- Reflection Paper on the Regulatory Guidance for the Use of Health-Related Quality of Life (HRQL) Measures in the Evaluation of Medicinal Products. London: European Medicines Agency Pre-authorisation Evaluation of Medicines for Human Use, EMEA, 2006. Available from: https://www.ema.europa.eu/en/documents/scientific-guideline/reflection-paper-regulatory-guidance-use-healthrelated-quality-life-hrql-measures-evaluation_en.pdf
- Ghaffari M, Nasirzadeh M, Rakhshanderou S, Ramezankhani A. Unacceptable status of oral and dental health-related knowledge among Iranian primary school students. Bioscience Biotechnology Research Communications 2017; Special Issue(1):260-6.
- Ghaffari M, Nasirzadeh M, Rakhshanderou S, Ramezankhani A. Some of the strongest predisposing factors on the behavior of tooth brushing among iranian school age children. International Journal of Pediatrics 2017; 5(4):4783-91.
- Jabarifar SE, Birjandi N, Khadem P, Farsam T, Falinezhad F, Moshref Javadi F. Relationship between quality of life and oral health in 18-45 year-old subjects referring to Khorasgan School of Dentistry in 2010-11. Journal of Isfahan Dental School 2012; 8(1):68-74. [In Persian].
- Ghaffari M, Rakhshanderou S, Ramezankhani A, Noroozi M, Armoon B. Exploration of brushing behavior among university students in Iran: a qualitative research. Int J Adolesc Med Health 2018.
- Duijster D, de Jong-Lenters M, Verrips E, van Loveren C. Establishing oral health promoting behaviours in children–parents’ views on barriers, facilitators and professional support: a qualitative study. BMC Oral Health 2015; 15:157.
- American Dental Association (ADA). American Dental Association statement on regular brushing and flossing to help prevent oral infections. [cited 2018 Aug 22] Available From: https://www.ada.org/en/press-room/news-releases/2013-archive/august/american-dental-association-statement-on-regular-brushing-and-flossing-to-help-prevent-oral.
- Bianco A, Fortunato L, Nobile CG, Pavia M. Prevalence and determinants of oral impacts on daily performance: results from a survey among school children in Italy. Eur J Public Health 2010; 20(5):595-600.
- Van den Branden S, Van den Broucke S, Leroy R, Declerck D, Hoppenbrouwers K. Effects of time and socio-economic status on the determinants of oral health-related behaviors of parents of preschool children. Eur J Oral Sci 2012; 120(2):153-60.
- Ravera E, Sanchez GA, Squassi AF, Bordoni N. Relationship between dental status and family, school and socioeconomic level. Acta Odontol Latinoam 2012; 25(1):140-9.
- Bekiroglu N, Bakkal M, Ozbay G, Karadeniz PG, Kargul B. Validity and reliability of Child Perception Questionnaire (CPQ11–14) by Rasch Analysis in Turkish children. Pediatric Dental Journal 2017; 27(1):14-20.
- Zaror C, Pardo Y, Espinoza-Espinoza G, Pont À, Muñoz-Millán P, Martínez-Zapata MJ, et al. Assessing oral health-related quality of life in children and adolescents: a systematic review and standardized comparison of available instruments. Clin Oral Investig 2019; 23(1):65-79.
- Ghaffari M, Rakhshanderou S, Ramezankhani A, Buunk-Werkhoven Y, Noroozi M, Armoon B. Are educating and promoting interventions effective in oral health? a systematic review. Int J Dent Hyg 2018; 16(1):48-58.
- Ghaffari M, Rakhshanderou S, Ramezankhani A, Noroozi M, Armoon B. Oral health education and promotion programmes: meta-analysis of 17-year intervention. Int J Dent Hyg 2018; 16(1):59-67.
- Suvarna R, Rai K, Hegde AM. Knowledge and oral health attitudes among parents of children with congenital heart disease. Int J Clin Pediatr Dent 2011; 4(1):25-28.
- Khanduri N, Singhal N, Mitra M, Rohatgi S. Knowledge, attitude, and practices of parents toward their children's oral health: a questionnaire survey in Bhairahawa (Nepal). International Journal of Pedodontic Rehabilitation 2018; 3(2):59-61.
- Agostini BA, Machry RV, Teixeira CR, Piovesan C, Oliveira MD, Bresolin CR, et al. Self-perceived oral health influences tooth brushing in preschool children. Braz Dent J 2014; 25(3):248-52.
- Vernon LT, Da Silva AP, Seacat JD. In defense of flossing: part ii-can we agree it's premature to claim flossing is ineffective to help prevent periodontal diseases? J Evid Based Dent Pract 2017; 17(3):149-58.
- Ruff RR, Senthi S, Susser SR, Tsutsui A. Oral health, academic performance, and school absenteeism in children and adolescents: a systematic review and meta-analysis. J Am Dent Assoc 2019; 150(2):111-21.
- Dhawan P, Singh A, Agarwal A, Aeran H. Psychometric properties of Hindi version of child oral impact on daily performances (C-OIDP) index amongst school children in North India. J Oral Biol Craniofac Res 2019; 9(1):10-3.
)