Oral health, socio-economic and home environmental factors associated with general and oral-health related quality of life and convergent validity of two instruments

Abstract

BackgroundThe objective of this study was to evaluate the convergent validity between the domains of the Autoquestionnaire Qualité de Vie Enfant image (AUQUEI) and the Child Perceptions Questionnaire instrument (CPQ11–14) among schoolchildren and to assess the difference between socio-economic and clinical variables associated with their scores.MethodsAn analytical cross-sectional study was conducted in Juiz de Fora, Minas Gerais, Brazil, with 515 schoolchildren aged 12 years from 22 public and private schools, selected with the use of a random multistage sampling design. They were clinically examined for dental caries experience (DMFT and dmft index) and orthodontic treatments needs (DAI index) and were asked to complete the Brazilian versions of Child Perception Questionnaire (CPQ11–14) and Autoquestionnaire Qualité de Vie Enfant image (AUQUEI). In addition, a questionnaire was sent to their parents inquiring about their socio-economic status and home characteristics. The convergent validity of the Brazilian versions of CPQ11–14 and AUQUEI instruments was analyzed by Spearman’s correlation coefficients. For comparison between the summarized scores of each questionnaire with regard to the schoolchildren’s socio-environmental and clinical aspects the nonparametric Mann–Whitney was used at level of significance of 5%.ResultsThe mean DMFT index was 1.09 and 125 (24.3%) children had orthodontic treatment needs (DAI ≥ 31). There was a similarity and a weak correlation between the scores of the domains of CPQ11–14 and AUQUEI (r ranged between −0.006 and 0.0296). In addition, a significant difference was found between the scores of the two instruments according to the socio-economic variables (p < 0.05) and presence of teeth with carious lesions (p < 0.05).ConclusionsThe general and oral health-related quality of life instruments AUQUEI and CPQ11–14 were both found to be useful, and significant influence of socio-economic and clinical variables were detected with both instruments.

Influência da saúde bucal sobre a qualidade de vida de adolescentes escolares

“…Fatores como aparência pessoal, sexualidade, emprego e saúde, de um modo geral, motivamno a cuidar da sua saúde bucal (6) . Para tanto, devem ser consideradas as dimensões sociais da saúde bucal e o real impacto dos agravos na qualidade de vida dos indivíduos (7) . A análise de fatores sociodemográficos tornase relevante, visto que condições de saúde bucal são influenciadas não somente por hábitos comportamentais, mas também por questões sociais.…”

Uso e necessidade de prótese dentária em centro de saúde público na cidade de Passo Fundo, Rio Grande do Sul, Brasil

“…Todavia, pesquisas que relacionam a autopercepção de saúde bucal com o edentulismo, mostram que a maioria das pessoas vê sua condição bucal de maneira favorável, mesmo em condições clínicas não satisfatórias (8,9,10,11,12). Isto pode ocorrer porque a autopercepção de saúde bucal é influenciada por determinantes do comportamento como valores, crenças e fatores sociodemográficos (13).…”

Children with orofacial clefts : dental caries and health-related quality of life

“…Consequently high caries experience can influence perceived HRQoL in children. Dental caries has been shown to be strongly associated with low HRQoL in 12-year-old Brazilian children assessed with the generic HRQoL instrument AUQUEI (Paula, Meneghim et al 2015). No correlation was found in Chinese children aged 3-4 years between caries and HRQoL measured with Pediatric Quality Of Life Inventory (PedsQL) except in the subscale of physical functioning (Lee, McGrath et al 2010).…”

“…This is in agreement with Lee et al (2010) showing no difference between 3-5-year-old Chinese caries-free and children with severe caries measuring HRQoL with PedsQL. Conversely, significant lower HRQoL measured with AUQUEI in 12-year-old Brazilian children with caries lesions compared to children without caries lesions has been reported (Paula, Meneghim et al 2015). Additionally, in American 4-10-year-old children with CL/P lower HRQoL measured with PedsQL was correlated with higher caries frequency (Cook, Kerins et al 2016).…”

“…Studies including children with high caries frequency have shown correlation between lower HRQoL and caries (Paula, Meneghim et al 2015, Cook, Kerins et al 2016. Oscarson et al (2007) concluded that caries incidence and prevalence is too low in Sweden to have major influence on young adults' perceived OHRQoL and well-being, despite lower overall OHRQoL between adolescents with high caries experience and no caries experience.…”