Sociodemographic disparities in oral health-related quality of life of schoolchildren in rural and urban areas.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Community dental health Pub Date : 2023-08-31 DOI:10.1922/CDH_00051Nora06

A D Nora, N C de Castro, L S Alves, C H C Moreira, J E A Zenkner

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引用次数: 0

Abstract

Objective: To assess the association between residence place, socioeconomic conditions and oral health-related quality of life (OHRQoL) among schoolchildren from southern Brazil.

Methods: Participants were 9-14-year-old schoolchildren from rural and urban municipal schools from Rosário do Sul, Brazil. The Child Perceptions Questionnaire (CPQ11-14) was used to assess OHRQoL. A structured questionnaire collected data on sociodemographic condition (family income), residence place (urban or rural), use of dental services, and behavioral variables. Clinical oral examination recorded the presence of missing teeth and the gingival bleeding index. Multilevel Poisson regression analysis with a hierarchical approach assessed the association between predictors and CPQ11-14 scores. Rate ratios (RR) and 95% confidence intervals (CI) were estimated.

Results: A total of 373 schoolchildren were included (rural area=122; urban area=251), with a mean CPQ11-14 score of 11.83, ranging from 0 to 42. Low-income schoolchildren living in rural areas had 15% higher CPQ11-14 scores than high-income schoolchildren living in urban areas. In urban areas, family income predicted OHRQoL, with low-income schoolchildren having 9% higher CPQ11-14 scores than high-income children. In rural areas, schoolchildren with low household income had 19% higher CPQ11-14 scores than high-income children.

Conclusion: Schoolchildren from low-income families had a poorer OHRQoL irrespective of their area of residence (rural or urban). The association between family income and OHRQoL was more pronounced among children living in rural areas.

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农村和城市地区学童口腔健康相关生活质量的社会人口差异。

目的:评估巴西南部学童居住地、社会经济条件与口腔健康相关生活质量(OHRQoL)之间的关系。方法:研究对象为巴西Rosário do Sul地区农村和城市市立学校的9-14岁小学生。采用儿童认知问卷(CPQ11-14)评估OHRQoL。一份结构化问卷收集了社会人口状况(家庭收入)、居住地(城市或农村)、牙科服务使用情况和行为变量的数据。临床口腔检查记录缺牙情况及牙龈出血指数。多层次泊松回归分析评估了预测因子与CPQ11-14评分之间的关系。估计比率比(RR)和95%置信区间(CI)。结果:共纳入小学生373人(农村地区122人;城市面积=251)，CPQ11-14平均得分为11.83，范围为0 ~ 42。生活在农村地区的低收入学生的CPQ11-14分数比生活在城市地区的高收入学生高15%。在城市地区，家庭收入可以预测OHRQoL，低收入儿童的CPQ11-14分数比高收入儿童高9%。在农村地区，低收入家庭儿童的CPQ11-14分数比高收入家庭儿童高19%。结论:低收入家庭学童的OHRQoL较差，与居住地区(农村或城市)无关。家庭收入与OHRQoL之间的关联在农村地区儿童中更为明显。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.