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A systematic review of the impact of parental socio-economic status and home environment characteristics on children's oral health related quality of life.

ABSTRACT: Childhood circumstances such as socio-economic status and family structure have been found to influence psychological, psychosocial attributes and Oral Health Related Quality of Life (OHRQoL) in children. Therefore, the aim of this study was to conduct a systematic review of the published literature to assess the influence of parental Socio-Economic Status (SES) and home environment on children's OHRQoL. A systematic search was conducted in August 2013 using PubMed, Medline via OVID, CINAHL Plus via EBSCO, and Cochrane databases. Studies that have analysed the effect of parental characteristics (SES, family environment, family structure, number of siblings, household crowding, parents' age, and parents' oral health literacy) on children's OHRQoL were included. Quality assessment of the articles was done by the Effective Public Health Practice Project's Quality Assessment Tool for Quantitative studies. Database search retrieved a total of 2,849 titles after removing the duplicates, 36 articles were found to be relevant. Most of the studies were conducted on Brazilian children and were published in recent two years. Early Childhood Oral Health Impact Scale and Children's Perception Questionnaire were the instruments of choice in preschool and school aged children respectively. Findings from majority of the studies suggest that the children from families with high income, parental education and family economy had better OHRQoL. Mothers' age, family structure, household crowding and presence of siblings were significant predictors of children's OHRQoL. However, definitive conclusions from the studies reviewed are not possible due to the differences in the study population, parental characteristics considered, methods used and statistical tests performed.

SUBMITTER: Kumar S

PROVIDER: S-EPMC4000002 | biostudies-literature | 2014 Mar

REPOSITORIES: biostudies-literature

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A systematic review of the impact of parental socio-economic status and home environment characteristics on children's oral health related quality of life.

Kumar Santhosh S Kroon Jeroen J Lalloo Ratilal R

Health and quality of life outcomes 20140321

Childhood circumstances such as socio-economic status and family structure have been found to influence psychological, psychosocial attributes and Oral Health Related Quality of Life (OHRQoL) in children. Therefore, the aim of this study was to conduct a systematic review of the published literature to assess the influence of parental Socio-Economic Status (SES) and home environment on children's OHRQoL. A systematic search was conducted in August 2013 using PubMed, Medline via OVID, CINAHL Plus ...[more]

PMID: 24650192

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Project description:BACKGROUND:Children's oral health status (OHS) can be influenced by their oral health practices and many parental factors. This study aimed to investigate pathways from parental factors to oral health practices and status of children in Hong Kong. METHODS:Using a combination of random and purposive sampling of Hong Kong households, 432 families with children aged 5-7 participated in a cross-sectional survey. Data on socioeconomic status, smoking, and oral health knowledge, attitudes, and practices, as well as OHS of parents and parents' knowledge of and attitudes towards their children's oral health, were collected through a questionnaire. Tooth status, periodontal status, and oral hygiene data were also collected through clinical examination. Correlations of oral health behaviors (OHB) and OHS within families were assessed by confirmatory factor analysis. A conceptual model of the parental influences on children's oral health practices and status was tested by a structural equation model (SEM). Chi-square test, chi-square/df, nonnormed fit index, comparative fit index, and root mean square error of approximation were used to assess the model fit. RESULTS:Fit indexes for confirmatory factor analysis and SEM showed good fit. Positive correlations of OHB and OHS were found within the families that ranged from 0.74 to 0.98 for OHB and 0.30 to 0.43 for OHS. SEM showed better socioeconomic status of mothers led to better oral health knowledge and attitude (γ = 0.75, P < 0.001) and also towards their children's better oral health knowledge and attitude (γ = 0.44, P < 0.01). Parents' attitudes towards their children's oral health (β = 0.40, P = 0.04) and mothers' OHB (β = 0.60, P < 0.001) were positively associated with OHB of children. Positive OHB of children (β = - 0.48, P < 0.01) in turn led to better oral health. CONCLUSIONS:Correlations of OHB and OHS between mothers and children were stronger than those of fathers. Children's OHS was directly affected by their mothers' OHB, which in turn were affected by parents' oral health knowledge, attitudes, and practices.

Project description:The home learning environment plays an important role for children's early competencies development. In particular, the early home literacy environment (HLE) that consists of all literacy resources and interactions in a family that support children's linguistic and literacy learning is closely associated with children's language comprehension and production. A key aspect of the HLE is shared reading that should start early in children's life and should be part of a regular routine in the family. However, parental attitudes toward (shared) reading have hardly been analyzed. In this longitudinal study, we analyzed the associations between parental attitudes toward shared reading and children's linguistic competencies and whether these associations may be mediated by the HLE. Further, we were interested in changes of parental attitudes over time and their association with child and family background characteristics. The sample consisted of N = 133 children with an average age of about 3 years at t1. Children were tested two more times with a 6-month period in-between each assessment. Parental attitudes toward shared reading, socioeconomic status (SES), and the HLE were assessed via parental survey. Children's sentence comprehension, productive language, and grammar were measured with a standardized test battery. Children whose parents had a more positive attitude toward shared reading not only lived in a greater quality HLE but also performed better in the linguistic tests. In a structural equation model, an indirect effect was found showing that the HLE mediated the effect of parental attitudes on children's linguistic competencies. Further, parental attitudes toward shared reading did not change significantly across t1 to t3, and a lower score in the SES scale was associated with a less positive attitude toward shared reading. Consequently, parental attitudes toward shared reading seem to be an important basis for individual differences in the quality of the HLE and also for children's linguistic competencies. As these attitudes vary in the context of different family SES backgrounds, they may be a good target for interventions to support the quality of the HLE and young children's linguistic learning.

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A systematic review of the impact of parental socio-economic status and home environment characteristics on children's oral health related quality of life.

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A systematic review of the impact of parental socio-economic status and home environment characteristics on children's oral health related quality of life.

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