ArticlePeerJ2018
Contextual and individual determinants of oral health-related quality of life among five-year-old children: a multilevel analysis.
Article in PeerJ, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Mediation Effect of Dental Caries in the Relationship between Parental Locus of Control and Oral Health-Related Quality of Life.Caries research · 2025Article
- Premature Primary Tooth Loss and Oral Health-Related Quality of Life in Preschool Children.International journal of environmental research and public health · 2022Article
- Diet, Nutrition, and Oral Health: What Influences Mother's Decisions on What to Feed Their Young Children?International journal of environmental research and public health · 2021Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundContextual 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.
methodsA 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.
resultsIn 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.
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