Oral health-related quality of life in 4-16-year-olds with and without juvenile idiopathic arthritis.
Adolescent
Child
Dental caries
Juvenile idiopathic arthritis
Oral health
Quality of life
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
06 09 2022
06 09 2022
Historique:
received:
28
02
2022
accepted:
19
08
2022
entrez:
6
9
2022
pubmed:
7
9
2022
medline:
9
9
2022
Statut:
epublish
Résumé
Few studies have investigated oral health-related quality of life (OHRQoL) in young individuals with juvenile idiopathic arthritis (JIA). Aims were to investigate whether OHRQoL differs between children and adolescents with JIA compared to controls without JIA, while adjusting for socio-demographic-, behavioral- and oral health-related covariates. Furthermore, to explore whether socio-behavioral and oral health-related covariates of OHRQoL vary according to group affiliation and finally, specifically for individuals with JIA, to investigate whether disease-specific features associate with OHRQoL. We hypothesized that participants with JIA have poorer OHRQoL compared to participants without JIA. In this comparative cross-sectional study participants with JIA (n = 224) were matched to controls without JIA (n = 224). OHRQoL was assessed according to Early Childhood Oral Health Impact Scale (ECOHIS) (4-11-years-olds) and the child version of Oral Impacts on Daily Performances (Child-OIDP) (12-16-years-olds). JIA-specific characteristics were assessed by pediatric rheumatologists and socio-demographic, behavioral and self-reported oral health information collected by questionnaires. Index teeth were examined for caries by calibrated dentists. Multiple variable analyses were performed using logistic regression, reporting odds ratio (OR) and 95% confidence interval (CI). Two-way interactions were tested between group affiliation and the socio-behavioral- and oral health-related variables on the respective outcome variables. In total, 96 participants with JIA and 98 controls were evaluated according to ECOHIS, corresponding numbers for Child-OIDP was 125 and 124. Group affiliation was not associated with impaired ECOHIS or Child-OIDP in adjusted analyses (OR = 1.95, 95% CI 0.94-4.04 and OR = 0.99, 95% CI 0.46-2.17, respectively). Female adolescents with JIA were more likely than males to report oral impacts according to Child-OIDP. Continued activity or flare was found to adversely affect Child-OIDP, also self-reported outcome measures in JIA associated with Child-OIDP. This study did not provide consistent evidence to confirm the hypothesis that children and adolescents with JIA are more likely to have impaired OHRQoL compared to their peers without JIA. However, female adolescents with JIA were more likely than males to report impacts on OHRQoL. Furthermore, within the JIA group, adolescents with continued disease activity, flare or reporting pain, physical disability, had higher risk than their counterparts of impaired OHRQoL.
Sections du résumé
BACKGROUND
Few studies have investigated oral health-related quality of life (OHRQoL) in young individuals with juvenile idiopathic arthritis (JIA). Aims were to investigate whether OHRQoL differs between children and adolescents with JIA compared to controls without JIA, while adjusting for socio-demographic-, behavioral- and oral health-related covariates. Furthermore, to explore whether socio-behavioral and oral health-related covariates of OHRQoL vary according to group affiliation and finally, specifically for individuals with JIA, to investigate whether disease-specific features associate with OHRQoL. We hypothesized that participants with JIA have poorer OHRQoL compared to participants without JIA.
METHODS
In this comparative cross-sectional study participants with JIA (n = 224) were matched to controls without JIA (n = 224). OHRQoL was assessed according to Early Childhood Oral Health Impact Scale (ECOHIS) (4-11-years-olds) and the child version of Oral Impacts on Daily Performances (Child-OIDP) (12-16-years-olds). JIA-specific characteristics were assessed by pediatric rheumatologists and socio-demographic, behavioral and self-reported oral health information collected by questionnaires. Index teeth were examined for caries by calibrated dentists. Multiple variable analyses were performed using logistic regression, reporting odds ratio (OR) and 95% confidence interval (CI). Two-way interactions were tested between group affiliation and the socio-behavioral- and oral health-related variables on the respective outcome variables.
RESULTS
In total, 96 participants with JIA and 98 controls were evaluated according to ECOHIS, corresponding numbers for Child-OIDP was 125 and 124. Group affiliation was not associated with impaired ECOHIS or Child-OIDP in adjusted analyses (OR = 1.95, 95% CI 0.94-4.04 and OR = 0.99, 95% CI 0.46-2.17, respectively). Female adolescents with JIA were more likely than males to report oral impacts according to Child-OIDP. Continued activity or flare was found to adversely affect Child-OIDP, also self-reported outcome measures in JIA associated with Child-OIDP.
CONCLUSIONS
This study did not provide consistent evidence to confirm the hypothesis that children and adolescents with JIA are more likely to have impaired OHRQoL compared to their peers without JIA. However, female adolescents with JIA were more likely than males to report impacts on OHRQoL. Furthermore, within the JIA group, adolescents with continued disease activity, flare or reporting pain, physical disability, had higher risk than their counterparts of impaired OHRQoL.
Identifiants
pubmed: 36068497
doi: 10.1186/s12903-022-02400-1
pii: 10.1186/s12903-022-02400-1
pmc: PMC9450232
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
387Informations de copyright
© 2022. The Author(s).
Références
Psychol Bull. 1994 May;115(3):424-43
pubmed: 8016286
J Clin Med. 2020 Apr 19;9(4):
pubmed: 32325846
J Rheumatol. 2004 Nov;31(11):2290-4
pubmed: 15517647
Rheumatology (Oxford). 2018 Aug 1;57(8):1381-1389
pubmed: 29697850
Open Access Rheumatol. 2019 Nov 01;11:237-252
pubmed: 31807093
Pain Res Manag. 2012 Nov-Dec;17(6):391-6
pubmed: 23248812
Community Dent Oral Epidemiol. 2017 Jun;45(3):216-224
pubmed: 28083880
J Rheumatol. 2004 Feb;31(2):390-2
pubmed: 14760812
Arthritis Care Res (Hoboken). 2011 Jul;63(7):929-36
pubmed: 21717596
J Am Dent Assoc. 2016 Dec;147(12):915-917
pubmed: 27886668
Spec Care Dentist. 2015 Nov-Dec;35(6):272-8
pubmed: 26255878
J Rheumatol. 1983 Feb;10(1):61-5
pubmed: 6842487
Clin Exp Rheumatol. 2017 Sep-Oct;35 Suppl 107(5):123-126
pubmed: 28967364
Community Dent Health. 2004 Jun;21(2):161-9
pubmed: 15228206
Int J Dent Hyg. 2020 Nov;18(4):396-402
pubmed: 32594620
Lancet. 2007 Mar 3;369(9563):767-778
pubmed: 17336654
Eur J Orthod. 2019 Mar 29;41(2):117-124
pubmed: 29878100
Pediatrics. 2007 Sep;120(3):e510-20
pubmed: 17766495
BMC Oral Health. 2021 Aug 25;21(1):417
pubmed: 34433437
Clin Oral Investig. 2019 Jan;23(1):65-79
pubmed: 29569021
Int J Dent Hyg. 2008 May;6(2):100-7
pubmed: 18412721
Int J Dent Hyg. 2008 May;6(2):108-13
pubmed: 18412722
Health Qual Life Outcomes. 2007 Jan 30;5:6
pubmed: 17263880
J Dent Res. 2011 Nov;90(11):1264-70
pubmed: 21422477
BMC Oral Health. 2020 Jan 15;20(1):14
pubmed: 31941482
Int J Environ Res Public Health. 2021 Dec 09;18(24):
pubmed: 34948611
Stomatologija. 2012;14(4):108-13
pubmed: 23455979
Zdr Varst. 2020 Apr 06;59(2):65-74
pubmed: 32952705
Health Qual Life Outcomes. 2014 Mar 21;12:41
pubmed: 24650192
BMC Oral Health. 2019 Dec 19;19(1):285
pubmed: 31856793
J Oral Biol Craniofac Res. 2020 Oct-Dec;10(4):776-781
pubmed: 33145155
Pediatr Rheumatol Online J. 2018 Jul 13;16(1):47
pubmed: 30005677
Rheumatology (Oxford). 2015 Nov;54(11):1964-9
pubmed: 26078219
Arthritis Res Ther. 2019 Jul 8;21(1):168
pubmed: 31287015
Rheumatology (Oxford). 2000 May;39(5):550-5
pubmed: 10852988
Community Dent Oral Epidemiol. 2021 Apr;49(2):95-102
pubmed: 33368600
Community Dent Oral Epidemiol. 2002 Dec;30(6):438-48
pubmed: 12453115
Int J Paediatr Dent. 2021 May;31(3):383-393
pubmed: 32941667
Eur J Public Health. 2010 Oct;20(5):595-600
pubmed: 19892850
Int Dent J. 2012 Dec;62(6):278-91
pubmed: 23252585
J Ir Dent Assoc. 2008 Feb-Mar;54(1):29-36
pubmed: 18405212
Clin Oral Investig. 2019 Dec;23(12):4449-4454
pubmed: 30993536
Ann Rheum Dis. 2018 Jun;77(6):819-828
pubmed: 29643108
Arthritis Care Res (Hoboken). 2019 Jul;71(7):961-969
pubmed: 30055093
J Public Health Dent. 2010 Spring;70(2):167-70
pubmed: 20002874
J Evid Based Dent Pract. 2012 Sep;12(3 Suppl):265-82
pubmed: 23040353
Lancet Child Adolesc Health. 2018 May;2(5):360-370
pubmed: 30169269
Community Dent Oral Epidemiol. 1998 Apr;26(2):87-94
pubmed: 9645401
Clin Exp Rheumatol. 2001 Jul-Aug;19(4 Suppl 23):S1-9
pubmed: 11510308
Joint Bone Spine. 2014 Mar;81(2):112-7
pubmed: 24210707
Arthritis Rheum. 2007 Feb 15;57(1):35-43
pubmed: 17266064
J Public Health Dent. 2003 Spring;63(2):67-72
pubmed: 12816135
J Rheumatol. 2010 Jul;37(7):1534-41
pubmed: 20551105
J Public Health Dent. 2000 Spring;60(2):72-81
pubmed: 10929564
BMC Public Health. 2020 Mar 30;20(1):423
pubmed: 32228542
BMC Pediatr. 2020 Oct 22;20(1):489
pubmed: 33092562
J Dent Res. 2002 Jul;81(7):459-63
pubmed: 12161456
Indian J Dent Res. 2020 May-Jun;31(3):396-402
pubmed: 32769273
Dent J (Basel). 2019 Oct 01;7(4):
pubmed: 31581530