Influences on preschool children's oral health-related quality of life as reported by English and Spanish-speaking parents and caregivers
Abstract
Objective: This study examined young, preschool children's oral health‐related quality of life (OHRQoL) among a community‐based cohort of English and Spanish‐speaking parent–child dyads in North Carolina, and sought to quantify the association of parent/caregiver characteristics, including spoken language, with OHRQoL impacts. Methods: Data from structured interviews with 1,111 parents of children aged 6–23 months enrolled in the Zero‐Out Early Childhood Caries study in 2010–2012 were used. OHRQoL was measured using the overall score (range: 0–52) of the Early Childhood Oral Health Impact Scale (ECOHIS). We examined associations with parents' sociodemographic characteristics, spoken language, self‐reported oral and general health, oral health knowledge, children's dental attendance, and dental care needs. Analyses included descriptive, bivariate, and multivariate methods based upon zero‐inflated negative binomial regression. To determine differences between English and Spanish speakers, language‐stratified model estimates were contrasted using homogeneity χ2 tests. Results: The mean overall ECOHIS score was 3.9 [95% confidence interval (CI) = 3.6–4.2]; 4.7 among English‐speakers and 1.5 among Spanish speakers. In multivariate analyses, caregivers' education showed a positive association with OHRQoL impacts among Spanish speakers [prevalence ratio (PR) = 1.12 (95% CI = 1.03–1.22), for every added year of schooling], whereas caregivers' fair/poor oral health showed a positive association among English speakers (PR = 1.20; 95% CI = 1.02–1.41). Conclusions: The overall severity of ECOHIS impacts was low among this population‐based sample of young, preschool children, and substantially lower among Spanish versus English speakers. Further studies are warranted to identify sources of these differences in – actual or reported – OHRQoL impacts.
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The Latino mortality paradox: a test of the "salmon bias" and healthy migrant hypotheses.
Abraído-Lanza, A., Dohrenwend, B., Ng-Mak, D., & Turner, J. B. (1999) · American Journal of Public Health · doi:10.2105/ajph.89.10.1543 · Cited by 1,185 · see citing works
Validity and Reliability of a Questionnaire for Measuring Child Oral-health-related Quality of Life
Jokovic, A., Locker, D., Stephens, M., Kenny, D., Tompson, B. D., & Guyatt, G. H. (2002) · Journal of Dental Research · doi:10.1177/154405910208100705 · Cited by 842 · see citing works
Pahel, B. T., Rozier, R. G., & Slade, G. D. (2007) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-5-6 · Cited by 658 · see citing works
Self-citationEarly childhood caries and quality of life: child and parent perspectives.
Filstrup, S. L., Briskie, D., da Fonseca, M. A., Lawrence, L., Wandera, A., & Inglehart, M. R. (2003) · PubMed · Cited by 457 · see citing works
Developing and evaluating an oral health-related quality of life index for children; the CHILD-OIDP.
Gherunpong, S., Tsakos, G., & Sheiham, A. (2004) · PubMed · Cited by 434 · see citing works
Questionnaire for measuring oral health-related quality of life in eight- to ten-year-old children.
Jokovic, A., Locker, D., Tompson, B. D., & Guyatt, G. H. (2004) · PubMed · Cited by 333 · see citing works
The National Standards for Culturally and Linguistically Appropriate Services in Health Care
Narayan, M. C. (2002) · Care management journals · doi:10.1891/1521-0987.3.2.77 · Cited by 280 · see citing works
Martins‐Júnior, P. A., Vieira‐Andrade, R. G., Corrêa‐Faria, P., Oliveira‐Ferreira, F., Marques, L. S., & Ramos‐Jorge, M. L. (2012) · Caries Research · doi:10.1159/000345534 · Cited by 261 · see citing works
The Dental Caries Pandemic and Disparities Problem
Edelstein, B. L. (2006) · BMC Oral Health · doi:10.1186/1472-6831-6-s1-s2 · Cited by 253 · see citing works
Validations of the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS)
Martins‐Júnior, P. A., Ramos‐Jorge, J., Paiva, S. M., Marques, L. S., & Ramos‐Jorge, M. L. (2012) · Cadernos de Saúde Pública · doi:10.1590/s0102-311x2012000200015 · Cited by 170 · see citing works
The Ethical Imperative of Addressing Oral Health Disparities: A Unifying Framework
Lee, J. Y., & Divaris, K. (2014) · Journal of Dental Research · doi:10.1177/0022034513511821 · Cited by 170 · see citing works
Self-citationImpact of traumatic dental injuries and malocclusions on quality of life of young children
Aldrigui, J. M., Abanto, J., Carvalho, T. S., Mendes, F. M., Wanderley, M. T., Bönecker, M., & Raggio, D. P. (2011) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-9-78 · Cited by 165 · see citing works
Language of Interview, Self-Rated Health, and the Other Latino Health Puzzle
Viruell‐Fuentes, E. A., Morenoff, J. D., Williams, D. R., & House, J. S. (2010) · American Journal of Public Health · doi:10.2105/ajph.2009.175455 · Cited by 154 · see citing works
Oral health-related quality of life in Hong Kong preschool children
Wong, H. M., McGrath, C. P. J., King, N. M., & Lo, E. C. M. (2011) · Caries Research · doi:10.1159/000330231 · Cited by 135 · see citing works
Mothers’ Caries Increases Odds of Children’s Caries
Weintraub, J. A., Prakash, P., Shain, S. G., Laccabue, M., & Gansky, S. A. (2010) · Journal of Dental Research · doi:10.1177/0022034510372891 · Cited by 119 · see citing works
Finlayson, T. L., Siefert, K., Ismail, A. I., Delva, J., & Sohn, W. (2005) · PubMed · Cited by 109 · see citing works
Influence of maternal dental anxiety on oral health–related quality of life of preschool children
Goettems, M. L., Ardenghi, T. M., Romano, A. R., Demarco, F. F., & Torriani, D. D. (2010) · Quality of Life Research · doi:10.1007/s11136-010-9816-0 · Cited by 105 · see citing works
Abanto, J., Tello, G., Bonini, G. C., Oliveira, L. B., Murakami, C., & Bönecker, M. (2014) · International Journal of Paediatric Dentistry · doi:10.1111/ipd.12092 · Cited by 95 · see citing works
Caregivers' oral health literacy and their young children's oral health-related quality-of-life
Divaris, K., Lee, J. Y., Baker, A. D., & Vann, W. F. (2011) · Acta Odontologica Scandinavica · doi:10.3109/00016357.2011.629627 · Cited by 92 · see citing works
Self-citationTomar, S. L., & Reeves, A. F. (2009) · Academic Pediatrics · doi:10.1016/j.acap.2009.09.018 · Cited by 91 · see citing works
Klaassen, M. A., Veerkamp, J. S. J., & Hoogstraten, J. (2009) · European Journal Of Oral Sciences · doi:10.1111/j.1600-0722.2009.00627.x · Cited by 91 · see citing works
Lee, G. H. M., McGrath, C. P. J., Yiu, C. K. Y., et al. (2010) · Community Dentistry And Oral Epidemiology · doi:10.1111/j.1600-0528.2010.00543.x · Cited by 82 · see citing works
Pani, S. C., BADEA, L., MIRZA, S., & ELBAAGE, N. (2011) · International Journal of Paediatric Dentistry · doi:10.1111/j.1365-263x.2011.01185.x · Cited by 44 · see citing works
Influence of Caregivers and Children’s Entry Into the Dental Care System
Divaris, K., Lee, J. Y., Baker, A. D., Gizlice, Z., Rozier, R. G., DeWalt, D. A., & Vann, W. F. (2014) · PEDIATRICS · doi:10.1542/peds.2013-2932 · Cited by 43 · see citing works
Self-citationAssociation between parental guilt and oral health problems in preschool children
Carvalho, T. S., Abanto, J., Mendes, F. M., et al. (2012) · Brazilian Oral Research · doi:10.1590/s1806-83242012000600012 · Cited by 32 · see citing works
Agili, D. E. A., Jm, B., & Greene-McIntyre, M. (2006) · PubMed · Cited by 29 · see citing works
Masumo, R. M., Bårdsen, A., Mashoto, K. O., & Åstrøm, A. N. (2012) · BMC Research Notes · doi:10.1186/1756-0500-5-538 · Cited by 21 · see citing works
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Burgette, J. M., Preisser, J. S., & Rozier, R. G. (2018) · The Journal of the American Dental Association · doi:10.1016/j.adaj.2018.07.019 · Cited by 9 · see citing works
Self-citation
- Authors
- Born, C. D., Divaris, K., Zeldin, L. P., & Rozier, R. G.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Born, Catherine D.
- ORCID
- Divaris, Kimon
- Venue
- Journal of Public Health Dentistry
- Publisher
- Wiley
- Published
- 2016-03-16
- Volume
- 76
- Issue
- 4
- Pages
- 276-286
- ISSN
- 0022-4006 (ISSN-L)
- 1752-7325
- OpenAlex
- W2298103524
- Cited by
- 19
- References
- 27
- Citations by year
- 2025: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 6 · 2018: 4 · 2017: 4
- FWCI
- 6.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Public Health Dentistry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Dental and Craniofacial Research (R01DE018236)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Health Professions › Emergency Medical Services › Pediatric health and respiratory diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › HIV/AIDS oral health manifestations
- Keywords
- oral health-related quality of life, preschool children, Spanish-speaking families, language barriers, caregiver education, early childhood caries, ECOHIS, dental care needs, dental attendance, oral health knowledge, parent-child dyads
- MeSH terms
- Child, Preschool, Cross-Sectional Studies, Female, Hispanic or Latino, Humans, Interviews as Topic, Language, Male, North Carolina, Oral Health, Parents, Prospective Studies, Quality of Life, Socioeconomic Factors, Caregivers
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