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      Family Affluence Based Inequality in Oral Health-Related Quality of Life in a Population of Lithuanian Adolescents

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          Abstract

          Background: The social inequalities in oral health have had increasing attention in recent years. The present study aimed to explore the impact of family affluence on Oral Health-Related Quality of Life (OHRQoL) among Lithuanian adolescents aged 11–18 years. Methods: The cross-sectional, population-based study included a representative sample of 881 adolescents aged 11–18 years (mean = 15.55; SD = 1.51) randomly selected from 20 schools in Lithuania. The schoolchildren completed questionnaires to evaluate their OHRQoL using a Lithuanian version of the Child Perceptions Questionnaire (CPQ). The adolescents’ family affluence was indirectly assessed by inquiring whether they possessed various modern life items. In dental examination, the severity of malocclusion was predetermined by the Index of Complexity, Outcome, and Need (ICON). The relationship among variables was examined employing the negative binomial regression and the path analysis. Results: The sum score of CPQ as a whole and the sum scores of all four domains were significantly associated with family affluence, indicating higher OHRQoL among adolescents from more affluent families. The severity of malocclusion had a significant association with emotional and social well-being domains of OHRQoL only. Conclusion: This study evidences the family affluence based inequality in OHRQoL among Lithuanian adolescents.

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          Validity and Reliability of a Questionnaire for Measuring Child Oral-health-related Quality of Life

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            The impact of malocclusion on the quality of life among children and adolescents: a systematic review of quantitative studies.

            Among child and adolescent patients, persistent but untreated malocclusions may or may not have psychological and social impacts on the individual's quality of life.
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              Validation of the Child Perceptions Questionnaire (CPQ11-14)

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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                14 June 2019
                June 2019
                : 16
                : 12
                : 2106
                Affiliations
                [1 ]Department of Preventive Medicine, Faculty of Public Health, Medical Academy, Lithuanian University of Health Sciences, Tilžės street 18, LT-47181 Kaunas, Lithuania
                [2 ]Department of Orthodontics, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, A.Lukšos-Daumanto street 6, LT-50106 Kaunas, Lithuania; aiste.kavaliauskiene@ 123456lsmuni.lt (A.K.); antanas.sidlauskas@ 123456lsmuni.lt (A.Š.)
                Author notes
                [* ]Correspondence: apolinaras.zaborskis@ 123456lsmuni.lt ; Tel.: +370-37242920
                Article
                ijerph-16-02106
                10.3390/ijerph16122106
                6616952
                31197104
                f16d55ee-e410-4489-a77c-0d3dc1ce6c74
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 16 May 2019
                : 12 June 2019
                Categories
                Article

                Public health
                social inequality in health,oral health-related quality of life,child perceptions questionnaire,malocclusion,family affluence,adolescents,lithuania

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