Table 4.
Variable |
Impact on family’s OHRQoL |
Bivariate |
Multivariate |
|||
---|---|---|---|---|---|---|
Present n (%) | Absent n (%) |
Unadjusted |
Adjusted |
|||
PR* |
PR † |
|||||
p-value |
p-value |
|||||
(95% CI) | (95% CI) | |||||
Sex |
|
|
|
|
|
|
Female |
106 (26.0) |
301 (74.0) |
|
1.00 |
- |
- |
Male |
115 (26.4) |
321 (73.6) |
0.913 |
1.013 (0.807-1.270) |
- |
- |
Age |
|
|
|
|
|
|
3 years |
66 (24.0) |
209 (76.0) |
|
1.00 |
- |
- |
4 years |
85 (25.4) |
249 (74.6) |
0.681 |
1.060 (0.802-1.402) |
- |
- |
5 years |
70 (29.9) |
164 (70.1) |
0.133 |
1.246 (0.935-1.662) |
- |
- |
1
st
level | ||||||
Type of preschool |
|
|
|
|
|
|
Public |
131 (28.7) |
325 (71.3) |
0.074 |
1.235 (0.980-1.557) |
- |
- |
Private |
90 (23.3) |
297 (76.7) |
|
1.00 |
- |
- |
Mother’s schooling |
|
|
|
|
|
|
≤ 8 years of study |
117 (30.2) |
271 (69.8) |
0.019 |
1.311 (1.045-1.644) |
- |
- |
> 8 years of study |
104 (23.0) |
348(77.0) |
|
1.00 |
- |
- |
Monthly household income |
|
|
|
|
|
|
≤ 1 minimum salary |
132 (29.9) |
310 (70.1) |
0.023 |
1.318 (1.039-1.673) |
- |
- |
> 1 minimum salary |
82 (22.7) |
280 (77.3) |
|
1.00 |
- |
- |
Parent’s/guardian’s age |
|
|
|
|
|
|
≤ 30 years |
120 (28.4) |
302 (71.6) |
0.080 |
1.232 (0.975-1.557) |
- |
- |
> 30 years |
93 (23.1) |
310 (76.9) |
|
1.00 |
- |
- |
Number of residents in home |
|
|
|
|
|
|
< 6 |
176 (25.2) |
523 (74.8) |
|
1.00 |
- |
- |
≥ 6 |
43 (33.3) |
86 (66.7) |
0.046 |
1.324 (1.005-1.744) |
- |
- |
Birth order |
|
|
|
|
|
|
Only child |
55 (20.9) |
208 (79.1) |
|
1.00 |
- |
- |
Oldest child |
39 (31.7) |
84 (68.3) |
0.020 |
1.516 (1.068-2.152) |
- |
- |
Middle child |
27 (26.0) |
77 (74.0) |
0.290 |
1.241 (0.832-1.853) |
- |
- |
Youngest child |
98 (28.1) |
251 (71.9) |
0.046 |
1.343 (1.006-1.792) |
- |
- |
2
nd
level | ||||||
Perception of general health |
|
|
|
|
|
|
Good |
157 (23.1) |
523 (76.9) |
|
1.00 |
- |
- |
Poor |
61 (38.4) |
98 (61.6) |
<0.001 |
1.662 (1.307-2.113) |
- |
- |
Perception of oral health |
|
|
|
|
|
|
Good |
88 (15.7) |
472 (84.3) |
|
1.00 |
|
1.00 |
Poor |
133 (47.2) |
149 (52.8) |
<0.001 |
3.001 (2.389-3.770) |
<0.001 |
2.116 (1.624-2.757) |
3
rd
level | ||||||
Dental caries |
|
|
|
|
|
|
Absent |
35 (12.4) |
248 (87.6) |
|
1.00 |
- |
- |
Present |
186 (33.2) |
374 (66.8) |
<0.001 |
2.686 (1.928-3.742) |
- |
- |
Cavitated lesions |
|
|
|
|
|
|
Absent/white spots |
55 (12.5) |
386 (87.5) |
|
1.00 |
|
1.00 |
Cavitated anterior teeth |
14 (24.1) |
44 (75.9) |
0.013 |
1.935 (1.152-3.252) |
0.079 |
1.586 (0.949-2.651) |
Cavitated posterior teeth |
73 (39.7) |
111 (60.3) |
<0.001 |
3.181 (2.345-4.315) |
<0.001 |
2.380 (1.679-3.372) |
Cavitated anterior and posterior teeth |
79 (49.4) |
81 (50.6) |
<0.001 |
3.959 (2.954-5.306) |
<0.001 |
2.809 (2.009-3.926) |
TDI |
|
|
|
|
|
|
Absent |
143 (25.9) |
410 (74.1) |
|
1.00 |
- |
- |
Present |
74 (25.9) |
212 (74.1) |
0.996 |
1.001 (0.786-1.274) |
- |
- |
Type of TDI |
|
|
|
|
|
|
Discolouration |
32 (33.0) |
65 (67.0) |
0.080 |
1.322 (0.968-1.805) |
0.054 |
1.326 (0.995-1.766) |
Avulsion and/or luxation |
4 (36.4) |
7 (63.6) |
0.352 |
1.457 (0.660-3.217) |
0.006 |
2.448 (1.288-4.653) |
Enamel + dentine fracture |
9 (21.4) |
33 (78.6) |
0.614 |
0.858 (0.474-1.554) |
0.877 |
1.048 (0.582-1.885) |
Enamel fracture and without trauma |
172 (25.0) |
517 (75.0) |
|
1.00 |
|
1.00 |
Malocclusion |
|
|
|
|
|
|
Absent |
81 (27.6) |
212 (72.4) |
0.386 |
1.110 (0.877-1.405) |
- |
- |
Present |
136 (24.9) |
410 (75.1) |
|
1.00 |
- |
- |
Anterior crossbite |
|
|
|
|
|
|
Absent |
207 (25.5) |
606 (74.5) |
|
1.00 |
- |
- |
Present |
9 (39.1) |
14 (60.9) |
0.107 |
1.537 (0.911-2.593) |
- |
- |
Anterior open bite |
|
|
|
|
|
|
Absent |
166 (25.7) |
481 (74.3) |
0.950 |
1.009 (0.759-1.341) |
- |
- |
Present |
45 (25.4) |
132 (74.6) |
|
1.00 |
- |
- |
Posterior crossbite |
|
|
|
|
|
|
Absent |
548 (74.9) |
184 (25.1) |
|
1.00 |
- |
- |
Unilateral |
27 (29.0) |
66 (71.0) |
0.408 |
1.155 (0.821-1.625) |
- |
- |
Bilateral |
5 (55.6) |
4 (44.4) |
0.009 |
2.210 (1.216-4.017) |
- |
- |
Increased overbite |
|
|
|
|
|
|
Absent |
185 (27.8) |
481 (72.2) |
0.006 |
1.688 (1.164-2.449) |
- |
- |
Present |
26(16.5) |
132(83.5) |
|
1.00 |
- |
- |
Increased overjet |
|
|
|
|
|
|
Absent |
128 (27.2) |
342 (72.8) |
0.298 |
1.133 (0.896-1.432) |
- |
- |
Present | 88 (24.0) | 278 (76.0) | 1.00 | - | - |
*Unadjusted Poisson regression for independent variables and impact on family’s quality of life.
**Variables incorporated in multivariate model (p < 0.20): sex, age, type of preschool, mother’s schooling, monthly household income, parent’s/guardian’s age, number of residents in home, child’s birth order, parent’s/caregiver’s perception of child’s general health, parent’s/caregiver’s perception of child’s oral health, dental caries, untreated dental caries, traumatic dental injury, type of traumatic dental injury, malocclusion, anterior crossbite, posterior crossbite and increased overbite.
***For dental caries, the cut-off point was code ≥ 2; for cavitated lesions, absent/white spots (codes ≤ 2) and cavitated tooth (codes ≥ 3) were considered.
†Hierarchical Poisson regression: Level 1 adjusted for child’s characteristics and socio-demographic variables; Level 2 adjusted for child’s characteristics, socio-demographic variables and parent’s/caregiver’s perception of child’s health; Level 3 adjusted for child’s characteristics, socio-demographic variables, parent’s/caregiver’s perception of child’s health and oral health problems (dental caries, traumatic dental injuries and malocclusion).