ArticleBMC public health2025
Associations between childhood adversity and adult oral health-related quality of life, the HUNT4 Survey.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- Bullying as an Adverse Childhood Experience?-State of the Art.Children (Basel, Switzerland) · 2026Review
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Authors and funding
10 authors.
Funding
Abstract
backgroundAdverse childhood experiences (ACEs) negatively impact health outcomes, including oral health. However, the relationship between ACEs and oral health-related quality of life (OHRQoL) has not been thoroughly explored in adult populations. This study aimed to assess the association between ACE exposure and OHRQoL in a population-based sample of adults.
methodsThe study sample was drawn from the fourth Trøndelag Health Study (HUNT4) in Norway and included 6156 adults who answered questions on ACEs and OHRQoL, assessed using the validated 14-item Oral Health Impact Profile (OHIP-14). Six types of ACEs were evaluated: sexual, physical, and psychological abuse, bully victimization, parental divorce, and parental death. The relationship between ACE exposure and OHIP-14 was estimated using negative binomial regression models, adjusting for potential confounders, and presented as a ratio of means (RM) with 95% confidence intervals (CIs).
resultsA total of 36.6% of participants reported experiencing at least one ACE. Those exposed to any ACE had worse OHRQoL, with higher mean OHIP-14 scores than those without ACE (3.46 vs. 2.28, p < 0.001). Exposure to any ACE was linked to higher mean scores across all four subdimensions: oral function, orofacial pain, orofacial appearance, and psychosocial impact. A dose-response relationship was observed, where one additional ACE was associated with an increase in mean OHIP-14 total score (RM 1.21, 95% CI 1.15-1.27). Specific ACEs, excluding parental death, were associated with a 15-58% higher mean total score, indicating a reduced OHRQoL.
conclusionsThe findings suggest that exposure to ACEs is linked with poorer OHRQoL in adulthood. These results emphasize the long-lasting association of childhood adversity with oral health and highlight the importance of considering ACEs in the prevention and management of oral health issues among vulnerable populations.
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