Factors Associated with Oral Health-Related Quality of Life in Preschoolers of Concepción, Chile: A Cross-Sectional Study

Ricardo Cartes-Velásquez; Yanara Nauduam-Elgueta; Gabriela Sandoval-Bustos; Valeria Campos; Roberto Antonio León-Manco; Luis Luengo

Authors

Ricardo Cartes-Velásquez
Yanara Nauduam-Elgueta
Gabriela Sandoval-Bustos
Valeria Campos
Roberto Antonio León-Manco
Luis Luengo

Keywords:

Quality of Life, Child, Preschool, Oral Health, Dental Caries

Abstract

Objective: To identify the factors associated with Oral Health-Related Quality of Life (OHRQoL) in preschool children of Concepción, Chile. Material and Methods: A cross-sectional study was conducted in a sample of enrolled preschoolers who attend public schools in Concepción, Chile. To measure OHRQoL, the chilean version of the Early Childhood Oral Health Impact Scale (ECOHIS) was used; sociodemographic variables of the children and their parents were also recorded, as well as variables regarding the last visit to the dentist. To determine differences in the ECOHIS score for categorical variables, ANOVA and t-test were used, while Pearson's r was used to correlate ECOHIS with quantitative variables (p<0.05). Results: A total of 175 children were surveyed, with a distribution of 89 boys and 86 girls aged 56-to-79 months. The total score of the ECOHIS had a mean of 4.48 ±5.96, with a score between 0-38. Statistically significant associations were with parent's educational attainment (r=-0.159), dmft (r=0.380), OHI-S debris (r=0.174) and reason for the last visit to the dentist, the highest average in the ECOHIS scores was registered in the urgency reason. Conclusion: Oral health status, dental service utilization and educational level are associated with the OHRQoL of preschoolers of Concepción.

References

International Society for Quality of Life Research. Dictionary of quality of life and health outcomes measurement. Isoqol, Nancy Mayo, Milwaukee (WI), USA. 2015.

Haraldstad K, Wahl A, Andenæs R, Andersen JR, Andersen MH, Beisland E, et al. A systematic review of quality of life research in medicine and health sciences. Qual Life Res 2019; 28(10):2641-50. https://doi.org/10.1007/s11136-019-02214-9

Bakas T, McLennon SM, Carpenter JS, Buelow JM, Otte JL, Hanna KM, et al. Systematic review of health-related quality of life models. Health Quality Life Outcomes 2012; 10(1):1-2. https://doi.org/10.1186/1477-7525-10-134

Hescot P. The new definition of oral health and relationship between oral health and quality of life. Chin J Dent Res 2017; 20(4):189-92. https://doi.org/10.3290/j.cjdr.a39217

Haag DG, Peres KG, Balasubramanian M, Brennan DS. Oral conditions and health-related quality of life: a systematic review. J Dent Res 2017; 96(8):864-74. https://doi.org/10.1177/0022034517709737

Åkesson M, Wärnberg-Gerdin E, Söderström U, Lindahl B, Johansson I. Health-related quality of life and prospective caries development. BMC Oral Health 2016; 16(1):1-2. https://doi.org/10.1186/s12903-016-0166-3

Sun L, Wong HM, McGrath CP. Relationship between the severity of malocclusion and oral health related quality of life: a systematic review and meta-analysis. Oral Health Prev Dent 2017; 15(6):503-17. https://doi.org/10.3290/j.ohpd.a38994

Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res 2011; 90(11):1264-70. https://doi.org/10.1177/0022034511399918

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 Inv 2019; 23(1):65-79. https://doi.org/10.1007/s00784-018-2406-1

Campos V, Bastías C, Orellana M, Sáez K, Cartes-Velásquez R. Comparative analysis of oral health outcomes for five-year-old children (SOHO-5) scale and early childhood oral health impact scale (ECOHIS) in Chilean’s preschoolers. J Stomatol 2021; 74(2):110-15. https://doi.org/10.5114/jos.2021.106262

Núñez-Contreras J, Hofer-Durán P, Sinsay-Schmeisser J, Zaror C. Impacto de las condiciones sociodemográficas y orales en la calidad de vida relacionada a la salud oral en preescolares de Temuco, Chile. Int J Odontostomatol 2021; 15(2):503-12. https://doi.org/10.4067/S0718-381X2021000200503 [In Spanish].

González E, Ugalde C, Valenzuela L, Guajado G. Aplicación de la escala de impacto en la salud oral en preescolares chilenos. Rev Clin Period Implantol Rehab Oral 2018; 11(1):9-12. https://doi.org/10.4067/S0719-01072018000100009 [In Spanish].

Cornejo-Ovalle M, Fajreldin V, Werlinger F, Candia O, Cruces G, Farfán J, et al. Mesas de trabajo intersectorial y política de salud oral enfocada a la niñez. Rev Clin Period Implantol Rehab Oral 2015; 8(3):261-2. https://doi.org/10.1016/j.piro.2015.09.005 [In Spanish].

Cartes-Velasquez R, Moraga J. Pautas de chequeo, parte III: STROBE y ARRIVE. Rev Chil Cir 2016; 68(5):394-9. https://doi.org/10.1016/j.rchic.2015.12.003 [In Spanish].

Zaror C, Alata-Acevedo C, Espinoza G, Muñoz-Millan P, Muñoz S, Martinez-Zapata M, et al. Cross-cultural adaptation and psychometric evaluation of the early childhood oral health impact scale (ECOHIS) in Chile an population. Health Qual Life Outcomes 2018; 16(1):1-11. https://doi.org/10.1186/s12955-018-1057-x

Campos V, Luengo L. Dental examiners consistency in applying different oral health indices in permanent dentition for a population-based study. Int J Med Surg Sci 2018; 5(3):95-9. https://doi.org/10.32457/ijmss.2018.024

Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007; 35(3):170-8. https://doi.org/10.1111/j.1600-0528.2007.00347.x

Greene JG, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc 1964; 68(1):7-13.

Zaror C, Matamala-Santander A, Ferrer M, Rivera-Mendoza F, Espinoza-Espinoza G, Martínez-Zapata MJ. Impact of early childhood caries on oral health-related quality of life: A systematic review and meta-analysis. Int J Dent Hyg 2022; 20(1):120-35. https://doi.org/10.1111/idh.12494

Espinoza-Espinoza G, Pineda P, Atala-Acevedo C, Muñoz-Millán P, Muñoz S, Weits A, et al. Prevalencia y severidad de caries dental en los niños beneficiarios del programa de salud oral asociados a escuelas de Chile. Int J Odontostomat 2021; 15(1):166-74. https://doi.org/10.4067/S0718-381X2021000100166 [In Spanish].

Darville P, Rodríguez J. Institucionalidad, Financiamiento y Rendición de cuentas en Educación. Serie estudios de finanzas publicas, DIPRES, Ministerio de Hacienda. 2007. [In Spanish].

Mishra A, Pandey RK, Chopra H, Arora V. Oral health awareness in school-going children and its significance to parent's education level. J Indian Soc Pedod Prev Dent 2018; 36(2):120-4. https://doi.org/10.4103/JISPPD.JISPPD_1172_17

Baskaradoos JK, Althunayan MF, Alessa JA, Alobaidy SS, Alwakeel RS, Alshubaiki AH, et al. Relationship between Caregivers' Oral Health Literacy and their Child's Caries Experience. Community Dent Health 2019; 36(2):111-7. https://doi.org/10.1922/CDH_4444Baskaradoss07

Delgado B, Cornejo-Ovalle M, Jadue H, Huberman J. Determinantes Sociales y equidad de acceso en la salud dental de Chile. Cient Dent 2013; 10(2):101-9. [In Spanish].

Cartes-Velásquez R. Salud bucal en Chile, situación actual y desafíos futuros. Odontol Sanmarquina 2020; 23(2):189-96. https://doi.org/10.15381/os.v23i2.17764 [In Spanish].

García-Cárdenas J, Silva-Oyarzún G, Cartes-Velásquez R. Calidad de vida relacionada con salud bucal en niños y ansiedad dental de sus cuidadores. Revisión de la literatura. Rev KIRU 2021; 18(2):103-9. [In Spanish].