Influences on preschool children's oral health‐related quality of life as reported by English and Spanish‐speaking parents and caregivers

Born, Catherine; Divaris, Kimon; Zeldin, Leslie P.; Rozier, R. Gary

doi:10.1111/jphd.12152

Cited by 18 publications

(23 citation statements)

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“…Second, although the ECOHIS is a validated measure of OHRQoL, few studies have evaluated its performance longitudinally [48, 49], and the equivalence of the English and Spanish ECOHIS scores has not been well established for very young children. A previous study suggested some differences between English-and Spanish-speaking samples [28]. Future research is needed to establish the comparability between the English and Spanish ECOHIS.…”

Section: Discussionmentioning

confidence: 99%

“…Subjects were recruited to the ZOE study through a 3-step process described in detail in a previous publication [28]: (1) enrollment of EHS programs, (2) enrollment of parent– child dyads within EHS programs, and (3) enrollment of community-matched parent–child dyads to serve as controls. In step one, all North Carolina EHS programs were invited to participate; all except one were enrolled.…”

Section: Methodsmentioning

confidence: 99%

“…The Spanish language version of ECOHIS has not been as widely used or tested as the English version, but its construct validity and internal consistency were demonstrated in a previous study [41]. A cross-sectional analysis of baseline interviews in the ZOE study found that Spanish-speaking parents reported a lower severity of ECOHIS impacts [28]. Because of the differences between the Spanish- and English-speaking families in the baseline scores, we included interview language (Spanish or English) in the analyses.…”

Section: Methodsmentioning

confidence: 99%

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Enrollment in early head start and oral health-related quality of life

et al. 2017

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Purpose Dental problems in young children are wide-spread and can negatively impact quality of life. We examined the effect of enrollment in North Carolina Early Head Start (EHS)—a federally funded early education program for children under three years of age and their families—on oral health-related quality of life (OHRQoL). Methods In this quasi-experimental study, we interviewed 479 EHS and 699 Medicaid matched parent–child dyads at baseline (children’s average age 10 months) and 24 months later. Parents reported OHRQoL using the Early Childhood Oral Health Impact Scale (ECOHIS), a 0–52 point scale with higher scores representing more negative impacts. We used a marginalized semicontinuous two-part model to estimate: (1) the effect of EHS on the probability of reporting any follow-up impacts (ECOHIS ≥ 1), and (2) the difference in overall mean ECOHIS follow-up scores. We controlled for baseline ECOHIS, language, and EHS and non-EHS group imbalances using a propensity score. Results At follow-up, negative OHRQoL impacts were more often reported by parents of non-EHS than EHS children (45 versus 37%, P < .01). In the adjusted model, EHS parents reported a lower odds of negative OHRQoL impacts (OR 0.70; 95% CI 0.52, 0.94). Mean adjusted ECOHIS scores were not significantly different (EHS: 1.59 ± 3.34 versus non-EHS: 2.11 ± 3.85, P > 0.05). Conclusions This study is the first to demonstrate that families of young children enrolled in EHS report improved OHRQoL compared to their non-enrolled peers. These results highlight the potential effectiveness of improving the quality of life of low-resource families through early childhood education.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Enrollment in early head start and oral health-related quality of life

et al. 2017

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“…The planned recruitment for a large‐scale GWAS of ECC is approximately 6000 children enrolled in Head Start centres across North Carolina, currently undertaken as the ZOE 2.0 study. Detailed enrolment procedures, inclusion and exclusion criteria of the ZOE study, are reported in Born et al . Briefly, participating children were enrolled in Early Head Start programs or living in nearby ‘control’ locations in North Carolina and were examined by a single clinical examiner at the child's preschool or a nearby community location using portable dental equipment.…”

Section: Methodsmentioning

confidence: 99%

Exploring the genomic basis of early childhood caries: a pilot study

Ballantine

Carlson

Zandoná

et al. 2017

Int J Paed Dentistry

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ObjectiveA genetic component in early childhood caries (ECC) is theorized, but no genome‐wide investigations of ECC have been conducted. This pilot study is part of a long‐term research program aimed to: (1) determine the proportion of ECC variance attributable to the human genome and (2) identify ECC‐associated genetic loci.MethodsThe study's community‐based sample comprised 212 children (mean age=39 months; range = 30–52 months; males = 55%; Hispanic/Latino = 35%, African‐American = 32%; American Academy of Pediatric Dentistry definition of ECC prevalence = 38%). Approximately 2.4 million single nucleotide polymorphisms (SNPs) were genotyped using DNA purified from saliva. A P < 5 × 10−8 criterion was used for genome‐wide significance. SNPs with P < 5 × 10−5 were followed‐up in three independent cohorts of 921 preschool‐age children with similar ECC prevalence.Results SNPs with minor allele frequency ≥5% explained 52% (standard error = 54%) of ECC variance (one‐sided P = 0.03). Unsurprisingly, given the pilot's small sample size, no genome‐wide significant associations were found. An intergenic locus on 4q32 (rs4690994) displayed the strongest association with ECC [P = 2.3 × 10−6; odds ratio (OR) = 3.5; 95% confidence interval (CI) = 2.1–5.9]. Thirteen loci with suggestive associations were followed‐up – none showed evidence of association in the replication samples.ConclusionThis study's findings support a heritable component of ECC and demonstrate the feasibility of conducting genomics studies among preschool‐age children.

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“…The parents'/guardians' perception of their childrens' oral health is also very important in this process [28]. Children tend to mimic the behaviors of their parents/ guardians, demonstrating that family relationships are important in oral health [27].…”

Section: G1mentioning

confidence: 99%

Dental caries among preschool children: effects of social inequality and the impact of a university extension project

Bastianini

Gusman

Telles

et al. 2019

RGO, Rev. Gaúch. Odontol.

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Objective The aims of this study were to assess the prevalence of dental caries among preschoolers at public and private schools and to evaluate the associations among the prevalence of the disease, socioeconomic factors, and the impact of a university extension project. Methods Five-year-old preschool children were examined and were divided into three groups: children from private schools who were not receiving regular preventive care (group 1), children from public schools who were not receiving regular preventive care (group 2), children from public schools who were receiving preventive care through a university extension project (group 3). The children were examined for decay-missing-filled index, and their caregivers were interviewed to collect data on socioeconomic factors. Fisher’s and Chi-squared tests were used to analyze the data. Results Group 1 showed better socioeconomic and oral conditions compared with groups 2 and 3. Parents’/guardians’ level of education was associated with the presence of disease in their children; however, income showed no association. Conclusion Dental caries were more prevalent in the group with worse socioeconomic indicators, and although the university extension project had been implemented in one of the groups, it was not able to overcome health inequalities.

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Influences on preschool children's oral health‐related quality of life as reported by English and Spanish‐speaking parents and caregivers

Abstract: 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.

Cited by 18 publications

References 23 publications

Enrollment in early head start and oral health-related quality of life

Enrollment in early head start and oral health-related quality of life

Exploring the genomic basis of early childhood caries: a pilot study

Dental caries among preschool children: effects of social inequality and the impact of a university extension project

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