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An Assessment of Pediatric Dental Caries and Family Quality of Life in an Informal Amazonian Community Cover

An Assessment of Pediatric Dental Caries and Family Quality of Life in an Informal Amazonian Community

Open Access
|Aug 2021

Figures & Tables

Table 1

Summary of the Parental-Caregiver Perceptions Questionnaire (P-CPQ) and Family Impact Scale (FIS).

NUMBER OF QUESTIONSRANGE
Global rating20–8
    Q1: Rate the health of the child’s teeth, lips, jaw, and mouth: “Excellent” = 0, “Very good” = 1, “Good” = 2, “Fair” = 3, “Poor” = 4
    Q2: Indicate how much the child’s overall well-being is affected by the condition of his/her teeth, lips, jaw, or mouth: “Not at all” = 0, “Very little” = 1, “Some” = 2, “A lot” = 3, “Very much” = 4
P-CPQ Subscales310–124
P-CPQ Subscales
    Oral symptoms60–24
    Functional limitations80–32
    Emotional well-being70–28
    Social well-being100–40
    How often in the last three months has the child experienced symptoms or discomfort due to the condition of their teeth, lips, mouth, and jaws: “Never” = 0, “Once or twice” = 1, “Sometimes” = 2, “Often” = 3, “Every day or almost every day” = 4
FIS Total scale140–56
FIS Subscales
    Parental/family activity50–20
    Parental emotions40–16
    Family conflict40–16
    Financial burden10–4
    During the last three months, how often(has there been disagreement or conflict in your family)because of your child’s condition’: “Never” = 0, “Once or twice” = 1, “Sometimes” = 2, “Often” = 3, “Every day or almost every day” = 4
Table 2

Demographics and dental health status of child and caregiver.

TOTAL N N (%)
All Children n66 (100%)
Sex
    Male32 (48.5%)
    Female34 (51.5%)
Child Age categories
    0 to 5 years14 (21.2%)
    6 to 11 years30 (45.5%)
    12 to 18 years22 (33.3%)
DFT/dft categories
    0 to 4 teeth24 (36.4%)
    5 to 9 teeth24 (36.4%)
    10 to 20 teeth18 (27.3%)
Untreated dental decay*64 (96.9%)
All Caregivers35 (100%)
Caregiver age categories
    18 to 30 years11 (31.4%)
    31 to 40 years12 (34.3%)
    41 to 76 years12 (34.3%)
Caregiver DFT categories
    0 to 6 teeth12 (34.3%)
    7 to 11 teeth12 (34.3%)
    > 11 teeth9 (25.7%)
    Missing data2 (5.7%)
Surveys completed by
    Mother29 (82.9%)
    Other caregiver6 (17.1%)
Mean ± SD; Median (IQR)
Child age, yr, mean ± SD, median (IQR)9.4 ± 4.4; 9.0 (6.0, 13.0)
Child DFT/dft, mean ± SD, median (IQR)6.8 ± 4.5; 6.5 (3.0, 10.0)
Caregiver age, yr, mean ± SD, median (IQR)37.7 ± 13.3; 35.0 (29.0, 42.0)
DFT, mean ± SD, median (IQR)8.7 ± 4.7; 9.0 (5.0, 11.5)

[i] DFT/dft: Decayed filled teeth.

* Primary or permanent dentition.

Table 3

P-CPQ and FIS scores and correlation of scores with child DFT/dft.

MEAN ± SD, MEDIAN (IQR)CORRELATION
Parental-Caregiver Perceptions Questionnaire
    Global Rating of Oral Health (0–4)3.0 ± 0.7, 3.0 (3.0, 3.0)0.08
    Global Rating of Overall Well-Being (0–4)2.5 ± 1.1, 3.0 (2.0, 3.0)0.06
Total P-CPQ (0–124)33.4 ± 20.0, 33.0 (17.0, 45.0)0.03
    Oral Symptoms (0–24)9.9 ± 5.7, 9.0 (6.0, 12.5)–0.13
    Functional Limitations (0–32)9.2 ± 6.8, 10.0 (3.0, 12.5)–0.05
    Emotional Well-Being (0–28)7.2 ± 4.9, 7.0 (4.0, 10.0)0.14
    Social Well-Being (0–40)7.1 ± 6.7, 7.0 (1.5, 9.5)0.14
Family Impact Scale
Total FIS (0–56)12.5 ± 7.9, 11.0 (8.0, 18.0)0.30*
    Parental/Family Activity (0–20)5.2 ± 4.1, 4.0 (2.0, 7.5)0.26
    Parental Emotions (0–16)4.4 ± 2.9, 4.0 (2.0, 7.5)0.09
    Family Conflict (0–16)1.9 ± 2.6, 0.0 (0.0, 2.0)0.25
    Financial Burden (0–4)1.0 ± 1.1, 1.0 (0.0, 2.0)0.26

[i] * Significant at p < 0.05.

N = 64 children with DFT/dft scores and oral health related quality of life data.

P-CPQ: Parental-Caregiver Perceptions Questionnaire.

FIS: Family Impact scale.

Table 4

Regression analysis of child’s DFT/dft.

MEAN (SD) OR CORRELATION*UNADJUSTED MODEL†ADJUSTED MODEL‡
ESTIMATE(95% CI)P VALUEESTIMATE(95% CI)P VALUE
Children
Gender
    Male6.8 (4.7)ReferenceReference
    Female6.9 (4.4)0.2 (–1.9, 2.3)0.860.1 (–2.0, 2.2)0.94
Age
    0 to 5 years7.4 (4.4)ReferenceReference
    6 to 11 years6.9 (4.8)–0.4 (–3.6, 2.8)0.80–0.4 (–3.3, 2.5)0.80
    12 to 18 years6.4 (4.3)–0.9 (–4.1, 2.2)0.550.2 (–2.8, 3.1)0.91
Caregivers
Age
    18 to 30 years8.5 (4.0)ReferenceReference
    31 to 40 years5.2 (4.0)–3.3 (–6.3, –0.3)0.03*–3.8 (–6.5, –1.1)<0.01*
    >40 years7.6 (5.2)–0.9 (–4.2, 2.4)0.600.2 (–2.6, 3.1)0.87
DFT
    0 to 6 teeth5.1 (4.4)ReferenceReference
    7 to 11 teeth7.9 (3.6)2.8 (0.4, 5.1)0.02*2.6 (0.7, 4.4)< 0.01*
    >11 teeth8.8 (5.1)3.7 (0.3, 7.1)0.03*2.8 (-0.2, 5.8)0.07
Surveys completed by
    Mother6.6 (6.3)ReferenceReference
    Other caregiver7.1 (4.2)0.4 (–4.1, 4.9)0.85–2.0 (–5.3, 1.4)0.26
OHRQoL
Total P-CPQR = 0.030.01 (–0.06, 0.07)0.86–0.06 (–0.13, 0.00)0.06
Total FISR = 0.300.18 (0.01, 0.35)0.04*0.31 (0.10, 0.53)<0.01*

[i] N = 66 for child gender, age; N = 64 for caregiver age and gender, P-CPQ and FIS; N = 58 for caregiver DFT

N = 58.

* Significant at p < 0.05.

DFT/dft: Decayed filled teeth.

P-CPQ: Parental-Caregiver Perceptions Questionnaire.

FIS: Family Impact scale.

DOI: https://doi.org/10.5334/aogh.3331 | Journal eISSN: 2214-9996
Language: English
Published on: Aug 20, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Marc Horton, Sahar Zolfaghari, Eduardo Bernabé, Leann Andrews, Jorge Alarcón, Mauro Echevarría, Joseph Zunt, Ana Lucia Seminario, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.