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Type:	Artigo de Periódico
Title:	Contextual and individual determinants of oral health-related quality of life among five-year-old children: a multilevel analysis
Authors:	Monalisa da Nóbrega Cesarino Gomes Érick Tássio Barbosa Neves Matheus de França Perazzo Saul Martins de Paiva Fernanda de Morais Ferreira Ana Flávia Granville-Garcia
Abstract:	Background: Contextual factors may influence oral health-related quality of life (OHRQoL) in children. The aim of the present study was to evaluate the influence of individual and contextual determinants of OHRQoL based on the perceptions of children. Methods: A cross-sectional study was conducted with a representative sample of 769 five-year-old children from public and private preschools in a city in the countryside of northeast Brazil. Parents/caregivers answered questionnaires addressing psychological aspects, sociodemographic data and aspects of the child’s oral health. The children answered the child version of the Scale of Oral Health Outcomes for five-year-old children and were submitted to oral examinations. Variables related to the context were obtained from the schools and official municipal publications. Unadjusted and adjusted multilevel Poisson regression models were used to investigate associations between variables. Results: In the adjusted analysis, parent’s/caregiver’s schooling, household income, parent’s/caregiver’s age, a history of dental pain, dental caries and its consequences and traumatic dental injury were considered individual determinants of OHRQoL according to the children’s self-reports. After the incorporation of the contextual determinants, the association between parent’s/caregiver’s schooling and OHRQoL lost its significance. Type of school was the context variable that remained associated with OHRQoL. Discussion: Besides the clinical and sociodemographic individual characteristics, characteristics of the school environment in which the child studies are associated with self-reported impacts on OHRQoL.
Subject:	Quality of life Dental caries Malocclusion Tooth injuries Child, preschool
language:	eng
metadata.dc.publisher.country:	Brasil
Publisher:	Universidade Federal de Minas Gerais
Publisher Initials:	UFMG
metadata.dc.publisher.department:	FAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
Rights:	Acesso Aberto
metadata.dc.identifier.doi:	https://doi.org/10.7717/peerj.5451
URI:	http://hdl.handle.net/1843/55795
Issue Date:	Aug-2018
metadata.dc.url.externa:	https://peerj.com/articles/5451/
metadata.dc.relation.ispartof:	PeerJ
Appears in Collections:	Artigo de Periódico

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