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Oral health-related quality of life in caregivers of individuals with Cerebral Palsy: a case–control study

  • É. da S. L. Alvarenga
  • A. M. SilvaEmail author
  • T. A. E. da Silva
  • R. F. de Araújo
  • R. R. Prado Júnior
  • R. F. Mendes
Original Scientific Article
  • 71 Downloads

Abstract

Aim

The object of this study is to evaluate the oral health-related quality of life (OHRQoL) of caregivers of individuals with Cerebral Palsy (CP).

Methods

Ninety-eight caregivers of individuals with CP (SG) and 196 caregivers of individuals without special needs (CG) completed the reduced version of the Oral Health Impact Profile (OHIP-14). In addition, a questionnaire with demographic and socioeconomic questions was used. Groups were matched according to gender, schooling and family income. Fisher’s exact tests, Chi square and Mann–Whitney, and bi/multivariate logistic regression were used (p < 0.05).

Results

The impact on OHRQoL was similar for SG and CG (OHIP-14 total score). For SG, the high negative impact was in the following OHIP domains: “Functional limitation”, “Physical disability”, “Psychological incapacity” and “Disadvantages”. For SG, a higher number of caregivers was single, unemployed, received government financial aid. There was a statistically significant association between the number of children a caregiver has and a negative impact on OHRQoL.

Conclusions

Being a caregiver of children with or without CP had a negative impact of similar magnitude on ORHQoL. The negative impact on OHRQoL of caregivers of children with CP was associated with having a high number of children; the higher the number of children, the greater the negative impact on their OHRQoL.

Keywords

Cerebral Palsy Caregivers Quality of life Oral health 

Notes

Acknowledgements

This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Brasil (CAPES), Finance Code 001. The authors thank Dr. Regina Fátima Fernandes and the CIES management for the availability of the study site.

Compliance with ethical standards

Conflict of interest

The authors declare no conflict of interest.

Ethical aspects

This study was conducted according to the norms of Resolutions 466/2012 and 510/2016 of the National Health Council. It was approved by the Research Ethics Committee of the Federal University of Piauí (CAAE 04306313.3.0000.5214). All the participants of the research were clarified regarding the objectives of the research and signed a Form of Free and Informed Consent.

References

  1. Aran A, Shalev RS, Biran G, Gross-Tsur V. Parenting style impacts on quality of life in children with cerebral palsy. J Pediatr. 2007;151(1):56–60.CrossRefPubMedGoogle Scholar
  2. Barbosa CS, Marchini AMPS, Marchini L. General and oral health-related quality of life among caregivers of Parkinson’s disease patients. Geriatr Gerontol Int. 2013;13:429–36.CrossRefPubMedGoogle Scholar
  3. Bax M, Goldstein M, Rosenbaum P, et al. Proposed definition and classification of cerebral palsy. Dev Med Child Neurol. 2005;47:571–6.CrossRefPubMedGoogle Scholar
  4. Bearden DR, Monokwane B, Khurana E, et al. Pediatric Cerebral Palsy in botswana: etiology, outcomes, and comorbidities. Pediatr Neurol. 2016;59:23–9.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Brennan DS, Spencer EAJ, Roberts-Thomson KF. Tooth loss, chewing ability and quality of life. Qual Life Res. 2008;17:227–35.CrossRefPubMedGoogle Scholar
  6. Carvalho RB, Mendes RF, Prado Júnior RR, Neto JMM. Oral health and oral motor function in children with Cerebral Palsy. Spec Care Dent. 2011;31(2):58–62.CrossRefGoogle Scholar
  7. Davis E, Shelly A, Waters E, et al. The impact of caring for a child with cerebral palsy: quality of life for mothers and fathers. Child Care Health Dev. 2010;36:63–73.CrossRefPubMedGoogle Scholar
  8. Du RY, McGrath C, Yiu CKY, King NM. Health and oral health-related quality of life among preschool children with cerebral palsy. Qual Life Res. 2010;19(9):1367–71.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Gaber A, Galarneau C, Feine JS, Emami E. Rural-urban disparity in oral health-related quality of life. Community Dent Oral Epidemiol. 2018;46:132–42.CrossRefPubMedGoogle Scholar
  10. Jain M, Kaira L, Sikka G. How do age and tooth loss affect oral health impacts and quality of life? A study comparing two state samples of Gujarat and Rajasthan. J Dent. 2013;9(2):135–44.Google Scholar
  11. Kaya K, Unsal-Delialioglu S, Ordu-Gokkaya NK, et al. Musculo-skeletal pain, quality of life and depression in mothers of children with Cerebral Palsy. Disabil Rehabil. 2010;32(20):1666–72.CrossRefPubMedGoogle Scholar
  12. Locker D, Allen F. What do measures of ‘oral health-related quality of life’ measure? Community Dent Oral Epidemiol. 2007;35(6):401–11.CrossRefPubMedGoogle Scholar
  13. Machry RV, Knorst JK, Tomazoni F, Ardenghi TM. School environment and individual factors influence oral health related quality of life in Brazilian children. Braz Oral Res. 2018;32:e63.CrossRefPubMedGoogle Scholar
  14. Mahajan A. Selection bias: selection of controls as a critical issue in the interpretation of results in a case control study. Indian J Med Res. 2015;142(6):768.CrossRefPubMedPubMedCentralGoogle Scholar
  15. Martinez-Beneyto Y, Montero-Martin J, Garcia-Naves F, et al. Influence of a preventive program on the oral health-related quality of life (OHRQoL) of European pregnant women: a cohort study. Odontology. 2019;107(1):10–6.CrossRefPubMedGoogle Scholar
  16. Mugno D, Ruta L. Impairment of quality of life in parents of children and adolescents with pervasive developmental disorder. Health Qual Life Outcomes. 2007;9:1–9.Google Scholar
  17. Oliveira BH, Nadanovsky P. Psychometric properties of the Brazilian version of the oral health impact profile-short form. Community Dent Oral Epidemiol. 2005;33(4):307–14.CrossRefPubMedGoogle Scholar
  18. Ozkan Y. Child’s quality of life and mother’s burden in spastic cerebral palsy: a topographical classification perspective. J Int Med Res. 2018;46(8):3131–7.CrossRefPubMedPubMedCentralGoogle Scholar
  19. Polack S, Adams M, O’banion D, et al. Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life. Dev Med Child Neurol. 2018;60(9):914–21.CrossRefPubMedGoogle Scholar
  20. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of Cerebral Palsy. Dev Med Child Neurol. 2007;109:8–14.Google Scholar
  21. Santos MTBR, Biancardi M, Guare RO, Jardim JR. Caries prevalence in patients with Cerebral Palsy and the burden of caring for them. Spec Care Dent. 2010;30(5):206–10.CrossRefGoogle Scholar
  22. Santos MTBR, Biancardi M, Celiberti P, Guare RO. Dental caries in cerebral palsied individuals and their caregivers’ quality of life. Child Care Health Dev. 2009;35(4):475–81.CrossRefGoogle Scholar
  23. Slade G. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol. 1997;25:284–90.CrossRefPubMedGoogle Scholar
  24. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health. 1994;11:3–11.PubMedGoogle Scholar
  25. Strom H, Kreuter M, Rosberg S. Quality of life in parents/caretakers of children with cerebral palsy in Kampong Cham, Cambodia. J Trop Pediatr. 2012;58:303–6.CrossRefPubMedGoogle Scholar
  26. van Lieshout P, Candundo H, Martino R, et al. Onset factors in cerebral palsy: a systematic review. Neurotoxicology. 2017;61:47–53.CrossRefPubMedGoogle Scholar
  27. World Health Organization. Oral health surveys: basic methods. 4th ed. Geneva: WHO; 1997.Google Scholar
  28. Wu J, Zhang J, Hong Y. Quality of life of primary caregivers of children with cerebral palsy: a comparison between mother and grandmother caregivers in Anhui province of China. Child Care Health Dev. 2017;43(5):718–24.CrossRefPubMedGoogle Scholar
  29. Yu SJ, Chen P, Zhu GX. Relationship between implantation of missing anterior teeth and oral health-related quality of life. Qual Life Res. 2013;22(7):1613–20.CrossRefPubMedGoogle Scholar

Copyright information

© European Academy of Paediatric Dentistry 2019

Authors and Affiliations

  1. 1.Postgraduate Program in DentistryFederal University of Piauí, UFPITeresinaBrazil

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