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- The oral health impact profile and well-being on mothers and preschool childrenPublication . Esteves Da Silva Souza, Bianca; Arrais De Campos, Lucas; Marôco, J. P.; Alvares Duarte Bonini Campos, JulianaObjectives to verify the contribution of mothers’ oral health impact profile to their children’s oral health profile and the contribution of mothers’ well-being and the caries index (dmft) to children’s well-being. Methods This is a cross-sectional observational study. Mothers and pre-school children enrolled in public schools in the municipality of Araraquara-SP took part. The Oral Health Impact Profile Questionnaire (OHIP-14), Satisfaction with Life Scale (SWLS), Early Childhood Oral Health Impact Scale (ECOHIS) and the Autoquestionnaire Qualité de Vie Enfant Imagé (AUQEI) were used. To diagnose caries, a clinical examination was carried out to calculate the dmft index. Path analysis was carried out and the path coefficients were estimated (β) and evaluated using the z-test (α=5%). Results 443 children took part (5.19±0.64 years; 52.4% boys) with an mean dmft of 1.31±2.19. The mean age of the mothers was 33.4±7.01 years. There was a significant impact of dmft and maternal well-being on the child’s subjective well-being (s2 explained=43%). The mothers’ oral health impact profile and the child’s caries experience had a significant influence on both the child (OHIP: β=0.22; p<0.001; dmft: β=0.48; p<0.001) and the family (OHIP: β=0.29; p<0.001; dmft: β=0.32; p<0.001). The child’s dmft (β=-0.10; p=0.005) and the mothers’ subjective well-being (β=-0.61; p<0.001) had a significant impact on the child’s subjective well-being. Conclusion The mothers’ oral health impact profile and the child’s caries experience had an impact on both the child and the family. Mothers’ subjective well-being and caries experience should be considered when assessing the subjective well-being of Brazilian preschool children
- Use of oral health impact Profile-14 (OHIP-14) in different contexts. What Is being measured?Publication . Campos, Lucas; Peltomäki, Timo; Maroco, João; Alvares Duarte Bonini Campos, JulianaThe Oral Health Impact Profile-14 (OHIP-14) has been used to assess the impact that oral health problems can have on an individual’s life. Different theoretical models were proposed to evaluate the results. The aims of this study were to evaluate the fit of different factorial models of the OHIP-14 to non-dental patients (NDP) and dental patients (DP) samples from Brazil and Finland and to estimate the differential functioning of the items in the OHIP-14 between the samples. Two studies were conducted, one in Brazil and the other in Finland, composed of five samples (Brazil—Sample 1 (S1): DP, n = 434, age: 25.3 [SD = 6.3] years; S2: NDP, n = 1486, age: 24.7 [SD = 5.6] years; S3: DP, n = 439, age: 29.0 [SD = 6.7] years; Finland—S4: DP, n = 482, age: 26.3 [SD = 5.4] years; S5: NDP, n =·2425, age: 26.7 [DP = 5.5] years). The fit of the OHIP-14 models to the data was estimated using a confirmatory strategy (validity based on the internal structure). Differential item functioning (DIF) between samples was estimated. For NDP from both countries, the response pattern severely violated the normality assumption in six items of the OHIP-14, indicating that the instrument does not fit for these samples. For DP, the model with the best fit was unifactorial, which deals with the estimation of the general impact of oral health on an individual’s life, without addressing specific dimensions. Configural invariance was refuted between samples. DIF indicated that the characteristic of the sample (NDP and DP) in both countries interfered in the response given to the items, with the response level being more adequate for the latent PD trait. The validity of data related to the impact of oral health problems on an individual’s life was confirmed through a unifactorial model. OHIP-14 works properly in DP samples and was limited in NDP samples, being also influenced by cultural context and age.