Oral health-related quality of life among Belgrade adolescents
Abstract
Background/Aim. Adolescents are vulnerable group in term of acquisition of oral health-related knowledge, habits and attitudes. That is why the aim of this study was to investigate the associations between dental status, dental anxiety and oral health-related behavior and oral health-related quality of life as captured by Oral Impacts on Daily Performances (OIDP) index. Methods. This cross-sectional survey included representative sample of 404 adolescents (15 years old), randomly recruited from high schools in Belgrade, Serbia. The adolescents were interviewed using Serbian versions of eight-item OIDP index, Hiroshima University Dental Behavior Inventory (HU-DBI) and modified Corah’s Dental Anxiety Scale (MDAS). Three previously trained and calibrated dentists examined the subjects in the classrooms to determine the oral health status of adolescents [the Decayed, missing, filled teeth (DMFT) index and visual signs of gingivitis]. Results. At least one oral impact was reported in 49.50% of adolescents. Most frequently, oral health problems affected eating (26.73%), tooth cleaning (27.47%) and sleep and relaxation (16.83%). In comparison with adolescents without oral impacts, the adolescents with at least one oral impact reported, had higher DMFT score, more often reported problems with bleeding gums, usage of hard toothbrush, worries about the color of their teeth and seeing the dentist because of the symptoms. Logistic regression showed that dental anxiety (MDAS score), dental behavior (HU-DBI score) and worrying about the color of the teeth significantly affected OIDP score. Conclusion. Oral health-related quality of life among adolescents was affected by their behavior and dental anxiety levels. Implementing public health policies that target adolescents with poor oral health or bad habits might be helpful in improving their oral health-related quality of life.
References
Brukiene V, Aleksejūniene J. An overview of oral health promotion in adolescents. Int J Paediatr Dent 2009; 19(3): 163−71.
Kawabata K, Kawamura M, Miyagi M, Aoyama H, Iwamoto Y. The dental health behavior of university students and test-retest reliability of the HU-DBI. J Dent Health 1990; 67(40): 474−5.
Komabayashi T, Kawamura M, Kim K, Wright FA, Declerck D, Goiâs MC, et al. The hierarchical cluster analysis of oral health attitudes and behaviour using the Hiroshima University: Den-tal Behavioural Inventory (HU-DBI) among final year dental students in 17 countries. Int Dent J 2006; 56(5): 310−6.
Kumar S, Motwani K, Dak N, Balasubramanyam G, Duraiswamy P, Kulkarni S. Dental health behaviour in relation to caries status among medical and dental undergraduate students of Udaipur district, India. Int J Dent Hyg 2010; 8(2): 86−94.
Adulyanon S, Vourapukjaru J, Sheiham A. Oral impacts affecting daily performance in a low dental disease Thai population. Community Dent Oral Epidemiol 1996; 24(6): 385−9.
Stancić I, Kulić J, Tihacek-Sojić L, Stojanović Z. Applicability of a Serbian version of the "Oral Impacts on Daily Performance (OIDP)" index: Assessment of oral health-related quality of life. Vojnosanit Pregl 2012; 69(2): 175−80. (Serbian)
Kawamura M, Sasahara H, Kawabata K, Iwamoto Y, Konishi K, Wright FA. Relationship between CPITN and oral health be-haviour in Japanese adults. Aust Dent J 1993; 38(5): 381−8.
Humphris GM, Morrison T, Lindsay SJ. The Modified Dental Anxiety Scale: validation and United Kingdom norms. Com-munity Dent Health 1995; 12(3): 143−50.
Maes L, Vereecken C, Vanobbergen J, Honkala S. Tooth brushing and social characteristics of families in 32 countries. Int Dent J 2006; 56(3): 159−67.
Ministry of Health of the Republic of Serbia. National Health Survey Serbia, 2006. Final report. Belgrade: Ministry of Health of the Republic of Serbia; 2007.
Watt RG, Marinho VC. Does oral health promotion improve oral hygiene and gingival health. Periodontol 2000 2005; 37: 35−47.
Petersen PE. The World Oral Health Report 2003: Continuous improvement of oral health in the 21st century: The approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003; 31(Suppl 1): 3−24.
Schiffner U, Hoffmann T, Kerschbaum T, Micheelis W. Oral health in German children, adolescents, adults and senior citizens in 2005. Community Dent Health 2009; 26(1): 18−22.
Oulis CJ, Tsinidou K, Vadiakas G, Mamai-Homata E, Polychrono-poulou A, Athanasouli T. Caries prevalence of 5, 12 and 15-year-old Greek children: a national pathfinder survey. Community Dent Health 2012; 29(1): 29−32.
Vrbic V. Reasons for the caries decline in Slovenia. Community Dent Oral Epidemiol 2000; 28(2): 126−32.
Đorđević S, Ivanović T, Žuža A, Nogo-Živanović D, Kulić L. Preva-lence of Caries and Gingivitis among School Children in the Municipality of Foča. Stom Glas S 2012; 59(1): 22−6.
Åstrøm A, Okullo I. Validity and reliability of the Oral Impacts on Daily Performance (OIDP) frequency scale: A cross-sectional study of adolescents in Uganda. BMC Oral Health 2003; 3(1): 5.
Masalu JR, Astrøm AN. Applicability of an abbreviated version of the oral impacts on daily performances (OIDP) scale for use among Tanzanian students. Community Dent Oral Epidemiol 2003; 31(1): 7−14.
Andersson P, Hakeberg M, Karlberg G, Östberg A. Clinical corre-lates of oral impacts on daily performances. Int J Dent Hy-giene 2010; 8: 219−26.
Ostberg A, Jarkman K, Lindblad U, Halling A. Adolescents' per-ceptions of oral health and influencing factors: A qualitative study. Acta Odontol Scand 2002; 60(3): 167−73.
Krisdapong S, Prasertsom P, Rattanarangsima K, Adulyanon S, Shei-ham A. Using associations between oral diseases and oral health-related quality of life in a nationally representative sample to propose oral health goals for 12-year-old children in Thailand. Int Dent J 2012; 62(6): 320−30.
Gherunpong S, Tsakos G, Sheiham A. A sociodental approach to assessing dental needs of children: Concept and models Int J Paediatr Dent 2006; 16(2): 81−8.