The influence of normative and subjective oral health status on schoolchildren's happiness

规范和主观口腔健康状况对学童幸福感的影响

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作者:Simone Tuchtenhagen, Carmela Rampazzo Bresolin, Fernanda Tomazoni, Guilherme Nascimento da Rosa, Joana Possamai Del Fabro, Fausto Medeiros Mendes, José Leopoldo Ferreira Antunes, Thiago Machado Ardenghi

Background

Traditional

Conclusions

Happiness is influenced by oral conditions, socioeconomic status, and OHRQoL.

Methods

A cross-sectional study was conducted in 2012 on a representative sample of 12-year-old schoolchildren in Santa Maria-RS, Brazil. The data were collected through dental examinations and structured interviews. The participants underwent an evaluation aimed at detecting dental caries, traumatic dental injuries, malocclusion, and gingival bleeding. They also completed the Brazilian versions of the Child Perceptions Questionnaire-short form (CPQ11-14-ISF: 16) and the Subjective Happiness Scale (SHS), which was our outcome variable. Socioeconomic conditions were evaluated through a questionnaire that was completed by the participants' parents. Poisson regression analysis was used to determine the association between the explanatory variables and the outcome. Moreover, a correlation analysis was performed to determine the relationship between the SHS scores and the overall and domain scores of the CPQ11-14-ISF: 16.

Results

A total of 1,134 children were evaluated. Unadjusted analyses showed that happiness was associated with socioeconomic indicators, the use of dental services, clinical status, and scores on the OHRQoL measure. After adjustment, household overcrowding (RR: 0.96; 95% CI: 0.93-0.98), dental caries (RR: 0.98; 95% CI: 0.97-0.99), malocclusion (RR: 0.98; 95% CI: 0.96-0.99), and the severity associated with the CPQ11-14 (RR: 0.95; 95% CI: 0.93-0.97) still showed a significant association with lower levels of the mean SHS score. Conclusions: Happiness is influenced by oral conditions, socioeconomic status, and OHRQoL.

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