Evidence map›Paper›PMID 34672839›Full record

ArticleJDR clinical and translational research2022

Oral Health Status and Oral Health-Related Quality of Life of First Nations and Metis Children.

J Lee, R J Schroth, M Sturym, D DeMaré, M Rosteski, K Batson, F Chartrand, M F Bertone, T Kennedy, K Hai-Santiago and 3 more

Open access · hybridAbstract read
In one paragraph

Article in JDR clinical and translational research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Indigenous oral health equity: The path forward.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2025
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Oral Health Care Access, Inequity, and Inequality.JDR clinical and translational research · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

J LeeDepartment of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0001-5898-8646
R J SchrothDepartment of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0002-6262-5378
M SturymDepartment of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
D DeMaréDepartment of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
M RosteskiManitoba Metis Federation, Winnipeg, MB, Canada.
K BatsonPine Creek First Nation, Camperville, MB, Canada.
F ChartrandManitoba Metis Federation, Winnipeg, MB, Canada.
M F BertoneSchool of Dental Hygiene, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
T KennedyDepartment of Preventive Dental Science, Dr. Gerald Niznick College of Dentistry, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
K Hai-SantiagoManitoba Health and Seniors Care, Government of Manitoba, Winnipeg, MB, Canada.
Scaling-up Healthy Smile Happy Child TeamHealthy Smile Happy Child, Winnipeg, MB, Canada.
Pine Creek First NationPine Creek First Nation, Camperville, MB, Canada.
Manitoba Metis FederationManitoba Metis Federation, Winnipeg, MB, Canada.
Children's Hospital Research Institute of Manitoba · CAUniversity of Manitoba · CAAssembly of First Nations · CAManitoba Health · CA

Funding

CIHR
6 · The paper itself

Abstract

objectivesTo assess the oral health status and oral health-related quality of life (OHRQoL) of young First Nations and Metis children.

methodsThis cross-sectional study assessed the oral health status of Indigenous children <72 mo of age while their parents/caregivers completed a questionnaire, including the Early Childhood Oral Health Impact Scale (ECOHIS), to assess OHRQoL. Analysis included descriptive statistics, bivariate analyses, and multiple regression. A P value ≤0.05 was considered significant.

resultsOverall, 146 children were recruited with a mean age of 40.1 ± 21.2 (SD) months, and 49% were male. Among First Nations children, 65.4% had early childhood caries (ECC) as compared with 45.2% among Metis children (P = 0.025). However, there was no statistically significant difference in the prevalence of severe ECC (S-ECC) between First Nations and Metis children (60.6% v. 42.9%, P = 0.051). The mean decayed, missing, and filled primary teeth (dmft) score was 4.9 ± 5.3 (range 0-20), and the mean decayed, missing, and filled surfaces (dmfs) score was 14.5 ± 20.4 (range 0-80). The total mean ECOHIS score was 4.4 ± 5.9 (range 0-25), while the mean Child Impact Section and Family Impact Section scores were 2.6 ± 4.0 (range 0-10) and 1.8 ± 2.8 (range 0-8), respectively. Multiple linear regression showed S-ECC was associated with total mean ECOHIS scores (P = 0.02). Higher total mean ECOHIS scores (which indicates poorer OHRQoL) were observed in children with ECC compared with caries-free children (5.8 v. 2.4, P = 0.0001).

conclusionOral health disparities such as ECC and reduced OHRQoL exist among many First Nations and Metis children in Manitoba. This is the first Canadian study exploring the OHRQoL of Indigenous children in addition to their oral health status. KNOWLEDGE TRANSFER STATEMENT: This study is the first to report on the oral health-related quality of life and its relationship to early childhood caries (ECC) among young Canadian First Nations and Metis children. Metis children are just as likely to suffer from severe ECC than First Nations children. The findings of this study have informed community-based and community-developed oral health promotion and ECC prevention activities.

Indexed as

Dental CariesOral HealthAdolescentAdultCanadaChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleMiddle AgedQuality of LifeYoung Adultdental care for childrendental cariesdental health surveyhealth status disparitiesIndigenous peoplespreschool

Identifiers

PMID34672839
PMCPMC9490442
OpenAlexW3205684771

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.