Non-Cochrane · aetiology · PM33092562
The Association of Oral Health Status, demographic characteristics and socioeconomic determinants with Oral health-related quality of life among children: a systematic review and Meta-analysis.
Moghaddam Ladan Fattah, Vettore Mario Vianna, Bayani Azadeh, et al. · BMC pediatrics · 2020 · PubMed · doi:10.1186/s12887-020-02371-8
Full textEvery question was extracted from the full text, figures and supplements by two independent LLM extractors, disagreements adjudicated. Rows cite where in the review the value comes from.
Questions
10
current version
GRADE rated
0
No studies
0
Included studies
21
linked below
No studies 0 · 0%Ungraded 10 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Children aged 3-12 years (PECO participants) | Children aged 3-12 years across 11 studies (n=11); sample sizes 103-1134 participants |
| Intervention | Exposures (PECO): oral health measures (orthodontic treatment needs, dental caries, periodontal disease) and sociodemographic factors (children's age, gender, family income, maternal education) | Orthodontic treatment need (n=3), dental caries (n=6), periodontal disease (n=3), younger age 3-5y (n=2), female gender (n=3), low family income (n=4), low maternal education (n=4) |
| Comparison | Reference/unexposed categories (PECO comparison stated verbatim as 'non-children groups') | Reference categories: no orthodontic need; caries-free; no periodontal disease; children >5 years; boys; income >=$70; maternal education >6 years |
| Outcomes | Oral health-related quality of life (OHRQoL) via validated questionnaires | Poor OHRQoL (validated OHRQoL instruments, e.g. CPQ11-14) |
| Study designs | Epidemiological studies reporting coefficients/odds ratios; only medium- or high-quality studies (>=3 points on JBI Critical Appraisal Checklist for observational studies) included | 11 studies: 9 cross-sectional, 1 cohort, 1 case-control; 6 high quality and 5 moderate quality (JBI Critical Appraisal Checklist) |
| Timing | Not specified (publications up to December 2019) | Included studies published 2009-2019 |
Search date: Up to December 2019. Databases: PsycINFO; PubMed; SciELO; Scopus; Web of Science; Cochrane Library
Questions and results
Orthodontic treatment need vs No orthodontic treatment need
Population: Children aged 3-12 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Poor oral health-related quality of life (OHRQoL) Orthodontic treatment need was associated with modestly higher odds of poor OHRQoL (OR 1.13, 95% CI 1.07-1.18; 3 studies; ungraded). Source: Results 'Orthodontic treatment need and OHRQoL'; Fig. 2 (forest plot) · same question in other reviews | OR 1.13 [1.07, 1.18] | 3 studies | Ungraded |
Higher dental caries experience vs Caries-free children
Population: Children aged 3-12 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Poor oral health-related quality of life (OHRQoL) Higher dental caries experience was associated with substantially higher odds of poor OHRQoL (OR 1.66, 95% CI 1.43-1.88; 6 studies; high heterogeneity I2=83.5%; ungraded). Source: Results 'Dental caries and OHRQoL'; Fig. 3 (forest plot) · same question in other reviews | OR 1.66 [1.43, 1.88] | 6 studies | Ungraded |
Periodontal disease (present) vs No periodontal disease
Population: Children aged 3-12 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Poor oral health-related quality of life (OHRQoL) Periodontal disease was associated with higher odds of poor OHRQoL (OR 1.15, 95% CI 1.12-1.18; 3 studies; no heterogeneity; ungraded). Source: Results 'Periodontal disease and OHRQoL'; Fig. 4 (forest plot) · same question in other reviews | OR 1.15 [1.12, 1.18] | 3 studies | Ungraded |
Younger children's age (3-5 years) vs Older children (>5 years)
Population: Children aged 3-12 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Poor oral health-related quality of life (OHRQoL) Age 3 years Children aged 3 years had higher odds of poor OHRQoL than older children (OR 2.00, 95% CI 1.42-2.57; 2 studies; ungraded). Source: Results 'Children's age and OHRQoL among children'; Fig. 5 (forest plot) · same question in other reviews | OR 2.00 [1.42, 2.57] | 2 studies | Ungraded |
Poor oral health-related quality of life (OHRQoL) Age 4 years Children aged 4 years had higher odds of poor OHRQoL than older children (OR 2.13, 95% CI 1.50-2.76; 2 studies; ungraded). Source: Results 'Children's age and OHRQoL among children'; Fig. 6 (forest plot) · same question in other reviews | OR 2.13 [1.50, 2.76] | 2 studies | Ungraded |
Female gender (girls) vs Male gender (boys)
Population: Children aged 3-12 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Poor oral health-related quality of life (OHRQoL) Girls had modestly higher odds of poor OHRQoL than boys (OR 1.13, 95% CI 1.09-1.17; 3 studies; ungraded). Source: Results 'Gender and OHRQoL'; Fig. 8 (forest plot) · same question in other reviews | OR 1.13 [1.09, 1.17] | 3 studies | Ungraded |
Low family income (<$70/month) vs Higher family income (>=$70/month)
Population: Children aged 3-12 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Poor oral health-related quality of life (OHRQoL) Children from low-income families had higher odds of poor OHRQoL (OR 1.16, 95% CI 1.11-1.21; 4 studies; ungraded). Source: Results 'Family income and OHRQoL'; Fig. 9 (forest plot) · same question in other reviews | OR 1.16 [1.11, 1.21] | 4 studies | Ungraded |
Poor OHRQoL Population: Children Age 5 years was associated with higher odds of poor OHRQoL than age older than 5 years. Source: Fig. 7; Children's age and OHRQoL among children · same question in other reviews | OR 3.68 [2.20, 5.17] | 1 study | Ungraded |
Low maternal education (<=6 years of schooling) vs Higher maternal education (>6 years)
Population: Children aged 3-12 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Poor oral health-related quality of life (OHRQoL) Lower maternal education was associated with poor OHRQoL (OR 1.12, 95% CI 1.00-1.23; 4 studies; high heterogeneity; CI lower bound at the null; ungraded). Source: Results 'Maternal education and OHRQoL'; Fig. 10 (forest plot) · same question in other reviews | OR 1.12 [1.00, 1.23] | 4 studies | Ungraded |
All exposure-OHRQoL estimates pooled for publication-bias correction (meta-trim sensitivity); specific exposure set not defined in source vs Not specified
Population: Children aged 3-12 years
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Poor oral health-related quality of life (OHRQoL) Trim-and-fill adjusted (publication-bias corrected), random-effects A trim-and-fill sensitivity analysis pooling every exposure estimate gave an overall OR of 0.17 (95% CI 0.13-0.21) after correcting for significant publication bias (Fig. 13); this combined estimate spans heterogeneous exposures and is a publication-bias sensitivity result (ungraded). Source: Results 'Publication bias'; Fig. 12 (funnel/Egger) and Fig. 13 (meta-trim plot) · same question in other reviews | OR 0.17 [0.13, 0.21] | NR | Ungraded |
Included primary studies 21
Open as a trial list| Study | Also included by | Outcomes it informs here | Trial PICO | Results |
|---|---|---|---|---|
| Paula 2012 matched by author and year (probable) | 2 other reviews | not stated | not extracted yet | not extracted yet |
| Abanto 2011 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Abanto et al. 2011 Impact of oral diseases and disorders on oral health-related quality of life of preschool children. PMID:21029148 | this review only | not stated | not extracted yet | not extracted yet |
| Chaffee 2017 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Chaffee et al. 2017 Oral health-related quality-of-life scores differ by socioeconomic status and caries experience. PMID:28083880 | this review only | not stated | not extracted yet | not extracted yet |
| de Paula 2013 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| de Paula et al. 2013 The impact of socioenvironmental characteristics on domains of oral health-related quality of life in Brazilian schoolchildren. PMID:23356655 | this review only | not stated | not extracted yet | not extracted yet |
| Du et al. 2020 Health- and oral health-related quality of life among preschool children with autism spectrum disorders. PMID:31802429 | this review only | not stated | not extracted yet | not extracted yet |
| Gatto 2019 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Gatto et al. 2019 The relationship between oral health-related quality of life, the need for orthodontic treatment and bullying, among Brazilian teenagers. PMID:31116290 | this review only | not stated | not extracted yet | not extracted yet |
| Martins-Junior 2013 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Martins-Junior et al. 2013 Impact of early childhood caries on the oral health-related quality of life of preschool children and their parents. PMID:23257929 | this review only | not stated | not extracted yet | not extracted yet |
| Nanayakkara 2013 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Nanayakkara et al. 2013 Ethnic and socio-economic disparities in oral health outcomes and quality of life among Sri Lankan preschoolers: a cross-sectional study. PMID:24228941 | this review only | not stated | not extracted yet | not extracted yet |
| Paula et al. 2012 The influence of oral health conditions, socioeconomic status and home environment factors on schoolchildren's self-perception of quality… PMID:22244092 | this review only | not stated | not extracted yet | not extracted yet |
| Piovesan 2010 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Piovesan et al. 2010 Impact of socioeconomic and clinical factors on child oral health-related quality of life (COHRQoL). PMID:20571918 | this review only | not stated | not extracted yet | not extracted yet |
| Shearer 2011 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Shearer et al. 2011 Does maternal oral health predict child oral health-related quality of life in adulthood? PMID:21736754 | this review only | not stated | not extracted yet | not extracted yet |
| Tomazoni 2014 matched by author and year (probable) | this review only | not stated | not extracted yet | not extracted yet |
| Tomazoni et al. 2014 Association of gingivitis with child oral health-related quality of life. PMID:24942231 | this review only | not stated | not extracted yet | not extracted yet |
Overlap with other reviews
Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match).