Association of siblings’ presence and oral health-related quality of life among children: a cross-sectional study

Liu, Min; Yun, Qingping; Zhao, Mei; Chen, Wei; Zhang, Hui; Hou, Wei; Chang, Chun

doi:10.1186/s12903-021-01526-y

Cited by 8 publications

(3 citation statements)

References 45 publications

(55 reference statements)

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“…The difference could be explained by socioeconomic-related inequality in dental utilization in different places [37]. In addition, we also identified that a higher education level of the mother, higher family income [14], better parental oral health perception and behaviours [15], and single children in the family [38] were associated with a higher rate of PDV, which is consistent with earlier research. This finding proved that there were social inequalities in utilizing early preventive dental care in Western China.…”

Section: Discussionsupporting

confidence: 90%

Effects of early preventive dental visits and its associations with dental caries experience: a cross-sectional study

Houser

Tian

et al. 2022

BMC Oral Health

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Objectives Limited information is known about preventive dental visits (PDVs) before seven years of age among children in China. This study aimed to examine the early PDV rate, identify the impact of PDV on dental caries and untreated dental caries, and explore the factors related to PDV among Chinese sampled children under seven years old. Methods A cross-sectional survey was conducted in five selected primary health care facilities in Chengdu, China, from May to August 2021. Parent–child dyads during regular systematic medical management were recruited to participate. Children's dental caries were identified through dental examinations and documented as decayed, missing and filled teeth index (dmft) by trained primary care physicians. Dental-related information was collected through a questionnaire. Zero-inflated negative binomial (ZINB) regression was used to test the effect of early PDV on the dmft value, and logistic regression was used to analyse impact factors on the early PDV. Results A total of 2028 out of 2377 parent–child dyads were qualified for analysis. Half of the children (50.4%) were male, with a mean age of 4.8 years. Among all the children, 12.1% had their first dental visit for preventive purposes, 34.4% had their first dental visit for symptomatic purposes, and more than half had never visited a dentist. The results showed that a lower dmft value (adjusted OR: 0.69, 95% CI: 0.48–0.84), a higher rate of caries-free (aOR: 6.5, 95% CI: 3.93–10.58), and a lower rate of untreated dental caries (aOR: 0.40, 95% CI: 0.21–0.76) were associated with early PDV utilization. Children who had a higher rate of PDV were positively associated with living in a family with better parental behaviours (aOR: 2.30, 95% CI: 1.71–3.08), better parental oral health perception (aOR: 1.23, 95% CI: 1.06–1.32), fathers who had no untreated caries (aOR: 0.68, 95% CI: 0.47–0.97), families with higher socioeconomic status (aOR: 1.09, 95% CI: 1.04–1.16), and dental health advice received from well-child care physicians (aOR: 1.47, 95% CI: 1.08–2.00). Conclusions Early PDV was associated with a lower rate of dental caries prevalence and untreated dental caries among sampled children younger than seven in Western China. Underutilization and social inequities existed in PDV utilization. Public health strategies should be developed to increase preventive dental visits and eliminate social disparities that prevent dental care utilization.

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Section: Discussionsupporting

confidence: 90%

Effects of early preventive dental visits and its associations with dental caries experience: a cross-sectional study

Houser

Tian

et al. 2022

BMC Oral Health

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“…Thus, it can be assumed that there is no statistical signi cance of the relationship between DMFT and social domain. A negative association between BOP, DC and children's OHRQoL was found in some literatures (24, 49) However, previous studies showed that BOP or DC were not related to children's OHRQoL (49,50), similar conclusion was reached in this study. One possible explanation for these counterintuitive results was that the perception of OHRQoL has a subjective component and thus, varies from one cultural background to another (51).…”

Section: Discussionsupporting

confidence: 89%

Region-specific lifestyle and subjective perception are associated with oral health-related quality of life among Tibetan adolescents: a cross-sectional study

Duan

Tang

Zhang

et al. 2023

Preprint

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Background Research on the predictors of oral health-related quality of life (OHRQoL) in Tibetan adolescents is limited. The aim of this study was to investigate the OHRQoL of Tibetan adolescents in Ganzi, Sichuan, and to determine whether the region-specific lifestyle, subjective perception and objective conditions of oral health could predict Tibetan adolescents’ OHRQoL. Methods A cross-sectional survey of Tibetan adolescents aged 11–15 years was conducted in Ganzi, Sichuan. Relevant data was collected via a self-reported questionnaire and a complete oral examination. The OHRQoL was measured using the standardized Child Oral Impacts on Daily Performances (sC-OIDP) scores. Binary logistic regression was used to explore the association between region-specific lifestyle, subjective perception, objective conditions and OHRQoL. Results Four hundred and eighty-five Tibetan adolescents participated in the study. The sC-OIDP ranged from 39.44 to 99.70 (mean55.41 ± SD11.19) with 288 (59.38%) adolescents reported an sC-OIDP above 50. It was revealed that Tibetan adolescents living at a higher altitude of 3300m than 1400m were more likely to report a poorer OHRQoL (OR = 1.880, 95%CI 1.101–3.209, P = .021). Also, buttered tea consumption by adolescents (OR = 2.284, 1.200-4.348, P = .012) or by mother (OR = 2.278, 1.171–4.432, P = .015) and boarding student (OR = 1.761, 1.180–2.626, P = .006) were significantly associated with poorer OHRQoL. Regarding the subjective perception, adolescents that rated a bad or very bad oral health (OR = 4.360, 2.341–8.120, P < .001) was more likely to have poorer OHRQoL compared to those with good or very good oral health. Furthermore, self-reported dental pain was significantly related to poorer OHRQoL (OR = 2.836, 1.836–4.382, P < .001). Interestingly, objective conditions, such as BOP, DC and DMFT were not related to OHRQoL. Conclusion Region-specific lifestyle and subjective perception on oral health were the key predictors affecting the OHRQoL of Tibetan adolescents. To improve OHRQoL, it is recommended to weigh the pros and cons of buttered tea and take moderate consumption among adolescents and their mothers and improve communication of students in boarding school with their parents can boost self-confidence. Additionally, developing good oral hygiene habits and keeping more healthy teeth to prevent dental pain is equally important for improving OHRQoL.

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“…For students living in rural areas before university, larger sibship size meant higher likelihoods of sexual initiation after using pornography, never or rarely using contraception, and even severe health consequences, such as unintended pregnancy and diagnosis with STI(s). Our analysis supplemented the sibling effect in China, while the previous literature concentrated on physical health status [ 48 , 49 ] and academic achievements [ 18 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Sibship Size and Birth Order on Sexual and Reproductive Health among Sexually Active Young People in China

Yuan

Cao

2022

Children

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Only children are more prevalent among young people today in China due to the globally renowned one-child policy since the 1980s, but the association between sibship size and the sexual activity of youth needs to be further clarified. The aim of this study was to explore the effect of siblings, being an only child, and birth order on the sexual and reproductive health (SRH) of young people. Data were utilized from 11,044 sexually active college/university students who participated in a large-scale national survey. Overall, numerous undergraduates nationally identified as only children (43.5%); for non-only children, 32.4% were oldest children, 10.5% were middle children, and 13.6% were youngest children. For both sexes, having more siblings was related to having risky sexual debuts and less contraceptive use. Furthermore, young men and young people born in rural areas with more siblings were more likely to have severe health outcomes, such as unwanted pregnancy and sexually transmitted infection(s). Finally, being an only child protected youth from risky sexual behaviors and adverse health outcomes. For students with siblings, middle children were more inclined to risky sexual initiation and low frequency of contraception compared to first-borns. Our analysis provides the first evidence of one child and sibling effects on SRH in China and has significant implications for promoting SRH in the context of encouraging childbirth.

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Association of siblings’ presence and oral health-related quality of life among children: a cross-sectional study

Cited by 8 publications

References 45 publications

Effects of early preventive dental visits and its associations with dental caries experience: a cross-sectional study

Effects of early preventive dental visits and its associations with dental caries experience: a cross-sectional study

Region-specific lifestyle and subjective perception are associated with oral health-related quality of life among Tibetan adolescents: a cross-sectional study

Effects of Sibship Size and Birth Order on Sexual and Reproductive Health among Sexually Active Young People in China

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