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Sample records for child oral-health-related quality

  1. School-Based Health Education Programmes, Health-Learning Capacity and Child Oral Health--related Quality of Life

    Science.gov (United States)

    Freeman, Ruth; Gibson, Barry; Humphris, Gerry; Leonard, Helen; Yuan, Siyang; Whelton, Helen

    2016-01-01

    Objective: To use a model of health learning to examine the role of health-learning capacity and the effect of a school-based oral health education intervention (Winning Smiles) on the health outcome, child oral health-related quality of life (COHRQoL). Setting: Primary schools, high social deprivation, Ireland/Northern Ireland. Design: Cluster…

  2. Does maternal oral health predict child oral health-related quality of life in adulthood?

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    Broadbent Jonathan M

    2011-07-01

    Full Text Available Abstract Background A parental/family history of poor oral health may influence the oral-health-related quality of life (OHRQOL of adults. Objectives To determine whether the oral health of mothers of young children can predict the OHRQOL of those same children when they reach adulthood. Methods Oral examination and interview data from the Dunedin Study's age-32 assessment, as well as maternal self-rated oral health data from the age-5 assessment were used. The main outcome measure was study members' short-form Oral Health Impact Profile (OHIP-14 at age 32. Analyses involved 827 individuals (81.5% of the surviving cohort dentally examined at both ages, who also completed the OHIP-14 questionnaire at age 32, and whose mothers were interviewed at the age-5 assessment. Results There was a consistent gradient of relative risk across the categories of maternal self-rated oral health status at the age-5 assessment for having one or more impacts in the overall OHIP-14 scale, whereby risk was greatest among the study members whose mothers rated their oral health as "poor/edentulous", and lowest among those with an "excellent/fairly good" rating. In addition, there was a gradient in the age-32 mean OHIP-14 score, and in the mean number of OHIP-14 impacts at age 32 across the categories of maternal self-rated oral health status. The higher risk of having one or more impacts in the psychological discomfort subscale, when mother rated her oral health as "poor/edentulous", was statistically significant. Conclusions These data suggest that maternal self-rated oral health when a child is young has a bearing on that child's OHRQOL almost three decades later. The adult offspring of mothers with poor self-rated oral health had poorer OHRQOL outcomes, particularly in the psychological discomfort subscale.

  3. Evaluation of oral health-related quality of life among Sudanese schoolchildren using Child-OIDP inventory

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    Trovik Tordis A

    2010-12-01

    Full Text Available Abstract Background Information on oral health-related quality of life, in addition to clinical measures, is essential for healthcare policy makers to promote oral health resources and address oral health needs. Objectives This paper aimed at evaluating the psychometric properties of the Arabic version of Child-OIDP, estimating the prevalence, severity and causes of oral impacts on daily performances in 12-year-old public and private school attendees in Khartoum State and to identify socio-demographic and clinical correlates of oral impacts as assessed by the Child-OIDP inventory. Methods The Child-OIDP questionnaire was translated into Arabic was administered to a representative sample of 1109 schoolchildren in Khartoum state. Clinical measures employed in this study included DMFT index, Gingival index, Plaque index and Dean's index. A food frequency questionnaire was used to study the sugar-sweetened snack consumption. Results The instrument showed acceptable psychometric properties and is considered as a valid, reliable (Cronbach's alpha 0.73 and practical inventory for use in this population. An impact was reported by 54.6% of the schoolchildren. The highest impact was reported on eating (35.5% followed by cleaning (28.3% and the lowest impacts were on speaking (8.6% and social contact (8.7%. Problems which contributed to all eight impacts were toothache, sensitive teeth, exfoliating teeth, swollen gums and bad breath. Toothache was the most frequently associated cause of almost all impacts in both private and public school attendees. After adjusting for confounders in the 3 multiple variable regression models (whole sample, public and private school attendees, active caries maintained a significant association with the whole sample (OR 2.0 95% CI 1.4-2.6 and public school attendees (OR 3.5 95% CI 2.1-5.6, and higher SES was associated with only public school attendees' Child-OIDP (OR 1.9 95% 1.1-3.1. Conclusion This study showed that the

  4. Validity and reliability of the Arabic short version of the child oral health-related quality of life questionnaire (CPQ 11-14) in Medina, Saudi Arabia.

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    Bhayat, A; Ali, M A M

    2014-08-19

    The Arabic version of the Child Perception Questionnaire for assessing oral health-related quality of life in 11-14 year olds (CPQ 11-14) has been validated previously. This study tested the validity and reliability of a short version of the Arabic CPQ 11-14 in the general population of Medina, Saudi Arabia. A total of 268 schoolchildren completed the questionnaire and were examined to determine the prevalence of caries and malocclusion. The mean total score was 8.53 (SD 8.18), and 7% of children scored zero. There was a significant association between malocclusion and oral symptoms and between DMFT score and functional limitations. The test-retest reliability (0.78) and Cronbach alpha (0.82) were excellent. The construct validity was acceptable for oral health (ρ = 0.37) and overall well-being (ρ = 0.40). The Arabic version of the short form CPQ 11-14 was reliable and valid for this general population of children.

  5. Oral health-related quality of life in children with orofacial clefts.

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    Ward, Jared A; Vig, Katherine W L; Firestone, Allen R; Mercado, Ana; da Fonseca, Marcio; Johnston, William

    2013-03-01

    Objectives : To determine the impact of orofacial clefts on the oral health-related quality of life of affected children and whether the oral health-related quality of life of children with orofacial clefts differs among different age groups. To assess whether the responses of children with orofacial clefts differ from the caregivers' perceptions of their child's oral health-related quality of life and compare with data from a control group. Design : Cross-sectional study. Patients/Setting : A total of 75 subjects with cleft lip and/or cleft palate (mean age, 13.0 years) from the Nationwide Children's Hospital Craniofacial Anomalies Clinic, as well as their caregivers, and 75 control subjects (mean age, 13.9 years). Main Outcome Measure : Self-reported oral health-related quality of life measured with the Child Oral Health Impact Profile, a reliable and valid questionnaire designed for use with children and teenagers. Results : Children with orofacial clefts had statistically significant lower quality of life scores than control subjects had for overall oral health-related quality of life, Functional Well-being, and Social Emotional Well-being. There was a statistically significant difference in the interaction of age group and Social-Emotional Well-being between children with orofacial clefts and control children. No statistically significant differences were found between the responses of children with orofacial clefts and their caregivers' reports. Conclusions : Presence of an orofacial cleft significantly decreases overall oral health-related quality of life, Functional Well-being, and Social-Emotional Well-being in children and adolescents. The negative impact of orofacial clefts on Social-Emotional Well-being is greater in 15- to 18-year-olds than in younger age groups. Children with orofacial clefts and their caregivers had very similar evaluations of the child's oral health-related quality of life.

  6. Oral health-related quality of life of children seeking orthodontic treatment based on child oral health impact profile: A cross-sectional study

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    G Thiruvenkadam

    2015-01-01

    Full Text Available Aims: The aim of this study was to assess oral health-related quality of life (OHRQoL using short form (SF of child oral health impact profile (COHIP in children aged 11-15 years who sought orthodontic treatment. A comparison was done between these children and age-matched peers who never had or sought orthodontic treatment. Methodology: This cross-sectional study included 227 children aged 11-15 years. A total of 110 participants had sought orthodontic treatment at KSR Institute of Dental Science and Research (orthodontic group and 117 participants from a nearby school who had never undergone or sought orthodontic treatment (comparison group. OHRQoL was assessed with the SF of the COHIP, and malocclusion severity was assessed with the index of orthodontic treatment needs. Data presentation and statistical analysis were performed with the Statistical Package for the Social Sciences Software (Version 19, SPSS, Chicago, IL, USA. The Chi-square test and Fischer exact tests were used to analyze the qualitative data. Results: Children with little to borderline treatment needs have a better quality of life when compared to children with definitive treatment needs (P = 0.049. No statistically significant difference in COHIP-SF scores was found between boys and girls (P > 1.000. In the orthodontic group, children with little to borderline treatment needs were 4.8 times (P = 0.037 more likely to report better OHRQoL when compared to children with definitive treatment needs. Conclusion: Children who sought orthodontic treatment had lower quality of life scores than those who never had or never sought treatment.

  7. Oral health status and parental perception of child oral health related quality-of-life of children with autism in Bangalore, India

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    Richa

    2014-01-01

    Full Text Available Background: Children with autism present with the physical-mental impairments and oral problems, which may have an impact on their quality-of-life (QoL. The aim of the following study was to assess oral health status and parental perception of child oral health related quality of life (OHRQoL among children with autism. Materials and Methods: A cross-sectional study was conducted in 4-15-year-old children with autism (n = 135 and children without autism (n = 135. Oral health status was evaluated using Oral Hygiene Index-Simplified (OHI-S, its Miglani′s modification for deciduous teeth, Decayed, missing and filled teeth (DMFT/dmft and Decayed, missing and filled surface (DMFS/dmfs indices. Parents answered the Parental-Caregivers Perception Questionnaire for assessing children′s OHRQoL. Mann-Whitney U, Chi-square test and Pearson′s correlation analysis were performed. Results: Mean OHI-S, DMFT, dmft scores were significantly high among children with autism (2.07 ± 0.83; 0.86 ± 1.22, 1.40 ± 2.48 when compared to children without autism (0.46 ± 0.58; 0.46 ± 1.06, 0.59 ± 1.28 respectively. Out of all domains of OHRQoL, mean score of functional limitations related to teeth problem was significantly higher among children with autism (8.87 ± 5.65 as compared to non-autism group (6.66 ± 4.97. Conclusion: Functional limitations may have a negative impact on oral health status that might influence OHRQoL.

  8. Oral health-related quality of life of children and teens with sickle cell disease

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    Maria Luiza da Matta Felisberto Fernandes

    2016-06-01

    Full Text Available ABSTRACT BACKGROUND: Children with sickle cell disease may have their quality of life affected by oral alterations. However, there is still little data on oral health-related quality of life in these children. The aim of this study was to investigate the influence of sickle cell disease, socioeconomic characteristics, and oral conditions on oral health-related quality of life of children and teens. METHOD: One hundred and six children and teens with sickle cell disease were compared to a similar sample of 385 healthy peers. Data were collected through oral examinations, interviews to assess quality of life (Child Perceptions Questionnaire for children aged 8-10 and 11-14 and questionnaires containing questions on socioeconomic status. RESULTS: There were no statistically significant differences in the total scores of the Child Perceptions Questionnaires or domain scores comparing sickle cell disease patients to control subjects. When sub-scales were compared, oral symptoms and functional limitations had a greater negative impact on the quality of life of adolescents with sickle cell disease (p-value <0.001 and p-value <0.01, respectively when compared to healthy controls. The only statistically significant determinants of negative impact on oral health-related quality of life in the overall sample was home overcrowding (more than two people/room in the younger children's group, and dental malocclusion among teens. CONCLUSION: There was no significant difference in the negative impact on the oral health-related quality of life between the group with sickle cell disease and the control group. Of the oral alterations, there was a significant difference in the oral health-related quality of life between adolescents with sickle cell disease and controls only in relation to malocclusion. Among the socioeconomic characteristics, only overcrowding was significantly associated with a negative impact on oral health-related quality of life.

  9. Oral health-related quality of life of children and teens with sickle cell disease

    OpenAIRE

    2016-01-01

    ABSTRACT BACKGROUND: Children with sickle cell disease may have their quality of life affected by oral alterations. However, there is still little data on oral health-related quality of life in these children. The aim of this study was to investigate the influence of sickle cell disease, socioeconomic characteristics, and oral conditions on oral health-related quality of life of children and teens. METHOD: One hundred and six children and teens with sickle cell disease were compared to a ...

  10. Poster: Oral-Health-Related Quality of Life among Danish adults

    DEFF Research Database (Denmark)

    Christensen, Lisa Bøge; Hede, Børge; Fiehn, Nils-Erik

    Objectives Identify and analyze determinants for oral-health-related quality of life among adults admitted to a Danish research program on general health and lifestyle (DANHES 2007-2008) Materials and methods Study population: 4402 volunteers invited among participants of main study (n=18065) in 12...... Danish cities. Age 18-96 years (average 54) Structured interviews (from main study and dental study) and clinical oral examination Oral-health-related quality of life measured by a 10 item index Non-parametric statistical methods, chi-square, simple and multivariate logistic regression Conclusions...... Regular dental visits and high number of natural teeth are determinants for high level of oral-health-related quality of life Untreated caries, wearing dentures and high caries experience are determinants for reduced oral-health-related quality of life Results 33 persons were edentulous, 7 % wore dentures...

  11. Impact of malocclusion on adolescents' oral health-related quality of life.

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    Abreu, Lucas Guimarães; Melgaço, Camilo Aquino; Bastos Lages, Elizabeth Maria; Paiva, Saul Martins

    2016-01-01

    The aim of this study was to evaluate the impact of malocclusion on the oral health-related quality of life (OHRQoL) of 120 Brazilian adolescents with the Child Perceptions Questionnaire for 11 to 14 year olds (CPQ11-14). Malocclusion was evaluated by 2 calibrated dentists using the Dental Aesthetic Index. Adolescents' sex and age and the families' monthly income were recorded and considered as confounding variables. A total of 117 adolescents completed the CPQ11-14, for a response rate of 97.5%. The multivariate model demonstrated that adolescents diagnosed with malocclusion (n=77) were significantly more likely to report a negative impact on the overall CPQ11-14 score (prevalence ratio [PR] = 1.35; 95% confidence interval [CI] = 1.20-1.51; P adolescents with no malocclusion (n = 40).

  12. Poster Determinants for Oral-Health-Related Quality of Life among Danish adults

    DEFF Research Database (Denmark)

    Christensen, Lisa Bøge; Hede, Børge; Fiehn, Nils-Erik

    Objectives To identify and analyze determinants for oral-health-related quality of life among adults admitted to a Danish research program on general health and lifestyle (DANHES 2007-2008) Materials and methods Study population of the present (dental) study: 4402 volunteers invited among...... participants of main study (n18065) covering 12 different Danish cities. Age 18-96 years (average 54) Structured interviews (from main study and dental study) and clinical oral examination Oral-Health-Related Quality of Life measured by a 10 item index Non-parametric statistical methods, chi-square, simple...... and multivariate logistic regression Data are not representative to the Danish population, however, associations between outcome and independent variables are considered valid. Regular dental visits and high number of natural teeth are determinants for a high level of Oral-Health-Related Quality of Life Untreated...

  13. Oral health-related quality of life and complications after treatment with partial removable dental prosthesis

    DEFF Research Database (Denmark)

    Al-Imam, H; Özhayat, E B; Benetti, A R;

    2016-01-01

    The aims of this study were to measure and describe the oral health-related quality of life (OHRQoL) and to identify the complications caused by partial removable dental prosthesis (RDPs) in patients 1-5 years after treatment. Complications were identified in 65 patients who were treated with 83...

  14. Dental status and oral health-related quality of life. A population-based study

    NARCIS (Netherlands)

    Visscher, C. M.; Lobbezoo, F.; Schuller, A. A.

    2014-01-01

    Oral health-related quality of life (OHRQoL) is associated with tooth wear and tooth loss. This study investigated the association between OHRQoL and dental status (in terms of natural dentition, partial or complete dentures, or edentulism). Sixteen hundred and twenty-two persons who participated in

  15. Parental perceptions of the oral health-related quality of life of autistic children in Saudi Arabia.

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    Pani, Sharat Chandra; Mubaraki, Sarah Ali; Ahmed, Yasmine Tarek; Alturki, Rana Yousef; Almahfouz, Sarah Fahad

    2013-01-01

    The aim of this study was to use parental perception to assess the Oral Health Related Quality of Life (OHRQoL) of children with Autism. A total of 59 families of children with Autism who had an unaffected sibling were cross-matched for age and gender of the affected child with families with no autistic children. The parents were administered the Parental Perception Questionnaire (P-CPQ) and the Family impact scale (FIS) components of and Arabic version of the Child Oral Health Related Quality of Life questionnaire (COHRQL). The P-CPQ scores of Children with Autism were compared with those of their unaffected siblings and those of children from families with no autistic child, while the FIS scores were compared between families with and without an autistic child. Regression models were constructed to show the association of sociodemographic factors on the OHRQoL of autistic children. The results of this study seem to suggest that childhood autism results in a reduced OHRQoL for both the affected child as well as the family. The apparent reduced parental concern with unaffected siblings of autistic children, when compared to parental concern towards children in families with no autistic child is an area that could merit further research.

  16. Parental reports of the oral health-related quality of life of children with cerebral palsy

    OpenAIRE

    Abanto Jenny; Carvalho Thiago S; Bönecker Marcelo; Ortega Adriana OL; Ciamponi Ana L; Raggio Daniela P

    2012-01-01

    Abstract Background The severity of physical and mental impairments and oral problems, as well as socioeconomic factors, may have an impact on quality of life of children with cerebral palsy (CP). The aim of this research was to assess the impact of impairments and oral health conditions, adjusted by socioeconomic factors, on the Oral Health-Related Quality of Life (OHRQoL) of children with CP using their parents as proxies. ...

  17. Relationship among oral habits, orofacial function and oral health-related quality of life in children.

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    Leme, Marina Severi; Souza Barbosa, Taís de; Gavião, Maria Beatriz Duarte

    2013-01-01

    The objective was to evaluate the relationship among oral habits, oral function and oral health-related quality of life (OHRQoL) in children. Three hundred and twenty-eight subjects (8-14 years old) were assessed for orofacial function using the Brazilian version of the Nordic Orofacial Test-Screening (NOT-S). OHRQoL was assessed using the Child Perceptions Questionnaires (Brazilian versions) for the 8-10 (CPQ(8-10)) and 11-14 (CPQ(11-14)) year age groups. The subjects were distributed into a Habit group and a Habit-free group according to domain III (Habits) of the NOT-S. Oral habits were present in 71.3% of the sample (p = .0001), with a higher prevalence in females (62.8%, p = .001). The NOT-S, CPQ(8-10) and CPQ(11-14) scores were higher in the Habit group (P = .0001, P = .009 and p = .001, respectively). Domain I (Sensory Function) was significantly more affected in Habit group subjects (p = .001). The NOT-S scores were positively correlated with the CPQ(8-10) and CPQ(11-14) scores only in the Habit group (r = .32, p = .0003 and r = .30, p = .001, respectively). These results indicate that oral habits can impact OHRQoL. Moreover, orofacial dysfunctions were associated with worse OHRQoL in subjects with oral habits.

  18. Relationship among oral habits, orofacial function and oral health-related quality of life in children

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    Marina Severi Leme

    2013-06-01

    Full Text Available The objective was to evaluate the relationship among oral habits, oral function and oral health-related quality of life (OHRQoL in children. Three hundred and twenty-eight subjects (8–14 years old were assessed for orofacial function using the Brazilian version of the Nordic Orofacial Test-Screening (NOT-S. OHRQoL was assessed using the Child Perceptions Questionnaires (Brazilian versions for the 8–10 (CPQ8-10 and 11–14 (CPQ11-14 year age groups. The subjects were distributed into a Habit group and a Habit-free group according to domain III (Habits of the NOT-S. Oral habits were present in 71.3% of the sample (p = .0001, with a higher prevalence in females (62.8%, p = .001. The NOT-S, CPQ8-10 and CPQ11-14 scores were higher in the Habit group (P = .0001, P = .009 and p = .001, respectively. Domain I (Sensory Function was significantly more affected in Habit group subjects (p = .001. The NOT-S scores were positively correlated with the CPQ8-10 and CPQ11-14 scores only in the Habit group (r = .32, p = .0003 and r = .30, p = .001, respectively. These results indicate that oral habits can impact OHRQoL. Moreover, orofacial dysfunctions were associated with worse OHRQoL in subjects with oral habits.

  19. Validation of an oral health-related quality of life measure for Cambodian children.

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    Turton, Bathsheba J; Thomson, W Murray; Foster Page, Lyndie A; Saub, Roslan B; Razak, Ishak Abdul

    2015-03-01

    This study aimed to determine the impact of dental caries in terms of Oral Health-Related Quality of Life (OHRQoL) for Cambodian children. The Child Perceptions Questionnaires (CPQ) were cross-culturally adapted and validated for the Cambodian population using a sample of 430 Cambodian children. The participants had a high caries burden, with a mean number of decayed-missing-and-filled deciduous tooth surfaces (dmfs) of 8.8 (SD = 11.1) and a mean DMFS of 3.7 (SD = 5.5) for the permanent dentition. Two in 5 children had at least one pulpally involved tooth. There was a significant difference in mean CPQ8-10 and CPQ11-14 scores by caries experience and by global item response for the respective age-groups, with those in the more severe caries categories scoring higher. Similar gradients were apparent with the CPQ11-14 in the 8- to 10-year age-group. The differences in OHRQoL scores by caries experience demonstrate the construct validity of the CPQ11-14 for the 8- to 14-year age-group.

  20. Testing the applicability of a model of oral health-related quality of life.

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    Santos, Camila Mello Dos; Celeste, Roger Keller; Hilgert, Juliana Balbinot; Hugo, Fernando Neves

    2015-09-01

    The aim of this study was to test Wilson & Cleary's conceptual model of the direct and mediated pathways between clinical and non-clinical variables in relation to oral health-related quality of life. A random sample of 578 older people was evaluated. Wilson & Cleary's conceptual model was tested using structural equations modeling including: biological variables, symptom status, functional health, oral health perceptions, oral health-related quality of life. Oral health-related quality of life was assessed with the Oral Health Impact Profile-14 (OHIP-14). In the final model, edentulism was negatively correlated to dissatisfaction of appearance of their dental prostheses (r = -0.25). Worse functional status was correlated with poor oral health perception (r = 0.24). Being aged over 68 (r = 0.25), being a female (r = 0.39) and living in rural areas (r = 0.15) had a direct effect on the edentulism. Age had a direct effect on OHIP-14 (r = -0.15). There was an indirect effect of sex on OHIP-14 via functional status (r = 0.12). The present findings partially support Wilson & Cleary's model framework.

  1. Testing the applicability of a model of oral health-related quality of life

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    Camila Mello dos Santos

    2015-09-01

    Full Text Available The aim of this study was to test Wilson & Cleary’s conceptual model of the direct and mediated pathways between clinical and non-clinical variables in relation to oral health-related quality of life. A random sample of 578 older people was evaluated. Wilson & Cleary’s conceptual model was tested using structural equations modeling including: biological variables, symptom status, functional health, oral health perceptions, oral health-related quality of life. Oral health-related quality of life was assessed with the Oral Health Impact Profile-14 (OHIP-14. In the final model, edentulism was negatively correlated to dissatisfaction of appearance of their dental prostheses (r = -0.25. Worse functional status was correlated with poor oral health perception (r = 0.24. Being aged over 68 (r = 0.25, being a female (r = 0.39 and living in rural areas (r = 0.15 had a direct effect on the edentulism. Age had a direct effect on OHIP-14 (r = -0.15. There was an indirect effect of sex on OHIP-14 via functional status (r = 0.12. The present findings partially support Wilson & Cleary’s model framework.

  2. Evaluating oral health-related quality of life measure for children and preadolescents with temporomandibular disorder

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    Castelo Paula M

    2011-05-01

    Full Text Available Abstract Background Oral health-related quality of life (OHRQoL in children and adolescents with signs and symptoms of temporomandibular disorder (TMD has not yet been measured. This study aimed to evaluate the validity and reliability of OHRQoL measure for use in children and preadolescents with signs and symptoms of TMD. Methods Five hundred and forty-seven students aged 8-14 years were recruited from public schools in Piracicaba, Brazil. Self-perceptions of QoL were measured using the Brazilian Portuguese versions of Child Perceptions Questionnaires (CPQ8-10 (n = 247 and CPQ11-14 (n = 300. A single examiner, trained and calibrated for diagnosis according to the Axis I of the Research Diagnostic Criteria for TMD (RDC/TMD, examined the participants. A self-report questionnaire assessed subjective symptoms of TMD. Intraexaminer reliability was assessed for the RDC/TMD clinical examinations using Cohen's Kappa (κ and intraclass correlation coefficient (ICC. Criterion validity was calculated using the Spearman's correlation, construct validity using the Spearman's correlation and the Mann-Whitney test, and the magnitude of the difference between groups using effect size (ES. Reliability was determined using Cronbach's alpha, alpha if the item was deleted and corrected item-total correlation. Results Intraexaminer reliability values ranged from regular (κ = 0.30 to excellent (κ = 0.96 for the categorical variables and from moderate (ICC = 0.49 to substantial (ICC = 0.74 for the continuous variables. Criterion validity was supported by significant associations between both CPQ scores and pain-related questions for the TMD groups. Mean CPQ8-10 scores were slightly higher for TMD children than control children (ES = 0.43. Preadolescents with TMD had moderately higher scores than the control ones (ES = 0.62; p 8-10 and 0.94 for CPQ11-14. For the overall CPQ8-10 and CPQ11-14 scales, the corrected item-total correlation coefficients ranged from 0

  3. The impact of xerostomia on oral-health-related quality of life among younger adults

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    Broadbent Jonathan M

    2006-11-01

    Full Text Available Abstract Background Recent research has suggested that chronic dry mouth affects the day-to-day lives of older people living in institutions. The condition has usually been considered to be a feature of old age, but recent work by our team produced the somewhat surprising finding that 10% of people in their early thirties are affected. This raises the issue of whether dry mouth is a trivial condition or a more substantial threat to quality of life among younger people. The objective of this study was to examine the association between xerostomia and oral-health-related quality of life among young adults while controlling for clinical oral health status and other potential confounding factors. Methods Cross-sectional analysis of data from a longstanding prospective observational study of a Dunedin (New Zealand birth cohort: clinical dental examinations and questionnaires were used at age 32. The main measures were xerostomia (the subjective feeling of dry mouth, measured with a single question and oral-health-related quality of life (OHRQoL measured using the short-form Oral Health Impact Profile (OHIP-14. Results Of the 923 participants (48.9% female, one in ten were categorised as 'xerostomic', with no apparent gender difference. There was a strong association between xerostomia and OHRQoL (across all OHIP-14 domains which persisted after multivariate analysis to control for clinical characteristics, gender, smoking status and personality characteristics (negative emotionality and positive emotionality. Conclusion Xerostomia is not a trivial condition; it appears to have marked and consistent effects on sufferers' day-to-day lives.

  4. Childhood bruxism: Related factors and impact on oral health-related quality of life.

    Science.gov (United States)

    Antunes, Lívia Azeredo Alves; Castilho, Thuanny; Marinho, Marcello; Fraga, Renato Silva; Antunes, Leonardo Santos

    2016-01-01

    This study aimed to assess childhood bruxism relating associated factors and the bruxism's impact on oral health-related quality of life (OHRQoL). A case-control study was performed with 3- to 6-year-old children obtained from public preschools in Brazil. The case and control groups had 21 and 40 children, respectively. Associations between bruxism and respiratory problems (p = 0.04, OR: 0.33, CI: 0.09 to 1.14), dental wear (p 0.05). The association between presence and absence of impact with bruxism or other variables showed no statistical relationship (p > 0.05). It could be concluded that childhood bruxism is related to respiratory problems, dental wear, dental caries, and malocclusion. Despite being a topic that demands special care in dentistry, bruxism does not significantly affect the OHRQoL.

  5. Oral health-related quality of life in socially endangered persons in Copenhagen, Denmark

    DEFF Research Database (Denmark)

    Øzhayat, Esben Boeskov; Østergaard, Peter; Gotfredsen, Klaus

    2016-01-01

    : The OHRQoL is highly impaired in the socially endangered persons and at least to the level of persons with great tooth loss about to have an RDP. The problems seem to be more handicapping in the socially endangered compared with other patient groups known to have high impairment.......OBJECTIVE: The aims of this study were to investigate and describe the Oral Health Related Quality of Life (OHRQoL) in a socially endangered group of people and to compare the OHRQoL to other patient groups. MATERIAL AND METHODS: About 294 socially endangered persons attending a volunteer clinic...... in Copenhagen Denmark filled in the OHIP-14 questionnaire. The group was compared in mean score and reported problems to a group of patients with tooth loss and about to have a removable dental prosthesis (RDP), a group with tooth loss about to have a fixed dental prosthesis (FDP) and a control group without...

  6. The Impact of Orthognathic Surgery on Oral Health-Related Quality of Life

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    Reza Tabrizi

    2013-12-01

    Full Text Available Introduction: This study aimed to measure the changes in oral health-related quality of life of the patients, referred to Shahid Chamran Hospital in Shiraz before and after the orthognathic surgery. Methods: This prospective study was performed using the 14-item oral health impact profile (OHIP-14 questionnaire. The questionnaires were given both before and four months after the orthognathic surgery to all the patients referred to Shahid Chamran Hospital of Shiraz between 20th of November 2012 and 20th of February 2013. The patients were asked about their motivation for surgery and the responses were classified as functional, esthetic or a combination of functional and esthetic problems. The data achieved from all the questions before and after the surgery were analyzed using repeated measures test. Results: Twenty eight patients including 10 men and 18 women participated in this study. The mean scores of quality of life after the surgery decreased significantly compared to that before the treatment (P

  7. Parental reports of the oral health-related quality of life of children with cerebral palsy

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    Abanto Jenny

    2012-06-01

    Full Text Available Abstract Background The severity of physical and mental impairments and oral problems, as well as socioeconomic factors, may have an impact on quality of life of children with cerebral palsy (CP. The aim of this research was to assess the impact of impairments and oral health conditions, adjusted by socioeconomic factors, on the Oral Health-Related Quality of Life (OHRQoL of children with CP using their parents as proxies. Methods Sixty children, between 6-14 years of age were selected. Their parents answered a children’s OHRQoL instrument (5 domains which combines the Parental-Caregivers Perception Questionnaire (P-CPQ and Family Impact Scale (FIS. The severity of dental caries, type of CP, communication ability, gross motor function, seizures and socioeconomic conditions were assessed. Results Considering the total score of the OHRQoL instrument, only the reduction of communication ability and dental caries severity had a negative impact on the OHRQoL (p  Conclusions The severity of dental caries, communication ability, and family income are conditions strongly associated with a negative impact on OHRQoL of children with CP.

  8. Oral health-related quality-of-life in patients to be treated with fixed or removable partial dental prostheses

    DEFF Research Database (Denmark)

    Øzhayat, Esben Boeskov; Gotfredsen, Klaus

    2013-01-01

    Abstract Objectives. The aims of this study were to measure and describe the Oral Health-Related Quality-of-Life (OHRQoL) in a population about to receive removable dental prostheses (RDP) or fixed dental prostheses (FDP). Materials and methods. The Oral Health Impact Profile 49 (OHIP-49) was com...

  9. Oral health related quality of life among imprisoned Dutch forensic psychiatric patients.

    Science.gov (United States)

    Buunk-Werkhoven, Yvonne A B; Dijkstra, Arie; Schaub, Rob M H; van der Schans, Cees P; Spreen, Marinus

    2010-01-01

    Because dental health and oral pathology may affect forensic psychiatric patients' well being, it is important to be able to assess oral health related quality of life (OH-QoL) in these patients. Two studies were conducted among Dutch forensic psychiatric male patients to assess the psychometric properties and some potential predictors of the Oral Health Impact Profile-14 (OHIP-14) as a measure of OH-QoL. Study 1 involved 40 patients who completed the OHIP-14 before receiving professional dental care and were retested 3 months later. The internal consistency was good, the test-retest correlations were fair, and over the 3 months follow-up no significant changes in OH-QoL were observed. Study 2 consisted of 39 patients who completed an improved version of the original OHIP-14, as well as measures to validate of the OHIP. Dental anxiety and unhealthy dentition jointly explained 26.7% of the variance in OH-QoL, and the better patients performed their oral hygiene behavior, the better their OH-QoL. It is concluded that the Dutch OHIP-14 is a useful instrument, and that nurses, especially in forensic nursing, should pay particularly attention to dental anxiety when encouraging patients to visit OH professionals and to perform adequate oral hygiene self-care.

  10. Oral health-related quality of life in Swedish young adults

    Directory of Open Access Journals (Sweden)

    Gunvi Johansson

    2015-06-01

    Full Text Available The living conditions of young adults in Sweden have changed during the last decades due to the economic and employment situation in society. Although oral health is mainly considered to be good in this age group, their use of dental care has decreased and their priorities and opportunities regarding oral health are little known. The purpose of this study was to describe the views of Swedish young adults on their oral health and oral health-related quality of life (OHRQoL. The design of the study was qualitative, using content analysis. Sixteen young adults, aged 21–29 years, were interviewed. The findings from the interviews were summarized under the theme “Young adults reflected on their OHRQoL in a time perspective” consisting of three categories: “Past experiences, Present situation, and Future prospects.” The OHRQoL of young adults is dependent not only on their own experiences of oral health during childhood and their received dental care but also on their present self-perceived oral health, oral health habits, and social life; together with their expectations of future oral health. The findings in this study indicate that the oral health awareness and needs of young adults, as well as their expectations of oral care, merit further follow-up.

  11. Dimensional structure of the oral health-related quality of life in healthy Spanish workers

    Directory of Open Access Journals (Sweden)

    López Joaquín F

    2010-02-01

    Full Text Available Abstract Background Oral health-related quality of life (OHQoL is conceived as a multidimensional construct. Here our aim was to investigate the dimensional structure of OHQoL as measured by the Spanish versions of the Oral Impacts on Daily Performance (OIDP and the Oral Health Impact Profile (OHIP-14 questionnaires applied simultaneously. Methods We recruited a consecutive sample of 270 healthy Spanish workers visiting the Employment Risk Prevention Centre for a routine medical check-up. OHIP-14 was self-completed by participants but the OIDP was completed in face-to-face interviews. An Exploratory Factor Analysis (EFA was performed to identify the underlying dimensions of the OHQoL construct assessed by both instruments. This factorial structure was later confirmed by Confirmatory Factor Analysis (CFA using several estimators of goodness of fit indices. Results EFA and the CFA identified and respectively confirmed a set of 3 underlying factors in both questionnaires that could be interpreted as functional limitation, pain-discomfort, and psychosocial impacts. The model achieved was seen to fit properly for both instruments, but the factorial structure was clearer for the OIDP. Conclusions The results provide evidence for construct equivalence in the latent factors assessed by both OIDP and OHIP-14, suggesting that OHQoL is a three-dimensional construct. The prevalence of impact on these three factors was coherent between both indicators, pain-discomfort having the highest prevalence, followed by psycho-social impact, and functional limitation.

  12. Oral health-related quality of life in Swedish young adults.

    Science.gov (United States)

    Johansson, Gunvi; Östberg, Anna-Lena

    2015-01-01

    The living conditions of young adults in Sweden have changed during the last decades due to the economic and employment situation in society. Although oral health is mainly considered to be good in this age group, their use of dental care has decreased and their priorities and opportunities regarding oral health are little known. The purpose of this study was to describe the views of Swedish young adults on their oral health and oral health-related quality of life (OHRQoL). The design of the study was qualitative, using content analysis. Sixteen young adults, aged 21-29 years, were interviewed. The findings from the interviews were summarized under the theme "Young adults reflected on their OHRQoL in a time perspective" consisting of three categories: "Past experiences, Present situation, and Future prospects." The OHRQoL of young adults is dependent not only on their own experiences of oral health during childhood and their received dental care but also on their present self-perceived oral health, oral health habits, and social life; together with their expectations of future oral health. The findings in this study indicate that the oral health awareness and needs of young adults, as well as their expectations of oral care, merit further follow-up.

  13. Impact of Prosthetic Care on Oral Health Related Quality of Life - A Follow-Up Study

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    S Geetha

    2013-01-01

    Full Text Available Objective: To measure the impact of the type of prosthetic treatment on oral health related quality of life (OHR QoL using 0ral Health impact Profile-14(0HIP-14. Materials & Method: A follow-up study was conducted amongst 105 patients attending the Department of Prosthodontics of M.R Ambedkar Dental College & Hospital, Bangalore for replacement of missing teeth. Initially, they were interviewed by a single calibrated interviewer to collect demographic details and subsequently, OHIP-14 questionnaire was used to assess their pre- prosthetic and one month post-prosthetic quality of life. Information regarding dentate status and type of prostheses was collected from their case records and based on this information the patients were divided into 3 groups i.e., Complete Denture (CD group, Removable Partial Denture (RPD group and Fixed Partial Denture (FPD group. Analysis of Variance (ANOVA test was used to compare between groups using SPSS version 20. Results: This study revealed that there was improved taste sensation (0.82±0.76, less irritability with others (1.61±0.49, more comfortable to eat (1.42±0.70, less self-conscious (1.48±0.61, had a satisfactory diet (1.58±0.61 and less embarrassment (1.36±0.5 among the CD group as compared RPD and FPD groups. Conclusions: The results indicated that the type of prostheses placed had a major influence on improving OHR QoL among denture users.

  14. Oral health-related quality of life of removable partial denture wearers and related factors.

    Science.gov (United States)

    Shaghaghian, S; Taghva, M; Abduo, J; Bagheri, R

    2015-01-01

    This study aims to investigate the oral health-related quality of life (OHRQoL) in a group of removable partial denture (RPD) wearers in Shiraz (Iran), using the Persian version of the Oral Health Impact Profile (OHIP-14). Two hundred removable partial denture wearers had completed a questionnaire regarding patients' demographic characteristics and denture-related factors. In addition, the OHIP-14 questionnaire was filled out by interviewing the patients. Two measures of interpreting the OHIP-14 scales were utilised: OHIP-14 sum and OHIP-14 prevalence. The relationship of the patients' demographic characteristics and denture-related factors, with their OHRQoL was investigated. The mean OHIP-14 sum and OHIP-14 prevalence of RPD wearers were 13·80 (±10·08) and 44·5%, respectively. The most problematic aspects of OHIP-14 were physical disability and physical pain. Twenty-seven percentage and 24% of participants had reported meal interruption and eating discomfort, respectively. OHIP-14 prevalence and OHIP-14 sum were found to be significantly associated with factors representing RPD wearer's oral health such as self-reported oral health and frequency of denture cleaning. Furthermore, OHIP-14 prevalence and OHIP-14 sum were significantly associated with factors related to frequency of denture use such as hours of wearing the denture during the day and wearing the denture while eating and sleeping. Therefore, it can be concluded that the OHRQoL of the patients of the study was generally not optimal and found to be strongly associated with oral health.

  15. Parental influence on children's answers to an oral-health-related quality of life questionnaire.

    Science.gov (United States)

    Granville-Garcia, Ana Flávia; Gomes, Monalisa Cesarino; Dantas, Laíza Rocha; Dantas, Lívia Rocha; da Silva, Bruno Rafael Cruz; Perazzo, Matheus de França; Siqueira, Maria Betânia Lins Dantas

    2016-01-01

    The aim of the study was to evaluate parental influence on children's answers to an oral health-related quality of life (OHRQoL) questionnaire. A cross-sectional study was conducted with a non-probabilistic sample of 84 pairs of 5-year-olds and parents/guardians. The participants were selected from a primary family healthcare center in Campina Grande, Brazil. First, the children and parents answered respective versions of the Scale of Oral Health Outcomes for Five-Year-Old Children (SOHO-5). Seven days later, the children answered their version of the SOHO-5, without the presence of their parents/guardians, and underwent a clinical exam of dental caries, traumatic dental injury and malocclusion, by a previously calibrated researcher. Statistical analysis involved a comparison of mean scores and the calculation of the intraclass correlation coefficient (ICC). Poisson regression models were used to associate the variables (α = 5%). No significant differences were found between the mean SOHO-5 scores of the children when alone or accompanied by parents/guardians (p > 0.05). The ICC between the answers of the children alone or accompanied was 0.84. White spot (PR = 6.32; 95%CI: 1.36 - 29.40) and cavitated lesions (PR = 9.81; 95%CI: 3.22 - 29.85) had an impact on OHRQoL, according to the children's self-report, whereas cavitated lesions (PR = 90.52; 95%CI: 13.26 - 617.74) and anterior open bite (PR = 1.95; 95%IC: 1.07 - 3.53) remained on the final model, according to the parents' version of the SOHO-5. In conclusion, parents did not influence the children's responses, and dental caries are the oral health problem exerting the greatest impact on the children's OHRQoL.

  16. Dental aesthetics, self-awareness, and oral health-related quality of life in young adults.

    Science.gov (United States)

    Klages, Ulrich; Bruckner, Aladàr; Zentner, Andrej

    2004-10-01

    The aim of the present study was to explore the putative relationship between dental aesthetics and oral health-related quality of life (OHRQoL), taking into consideration the potential direct and moderating influence of private and public self-consciousness. The subjects of this cross-sectional survey were 148 university students. Dental aesthetics were assessed by means of the aesthetic component (AC) of the Index of Orthodontic Treatment Need (IOTN). OHRQoL was estimated using a modification of the scales 'social appearance concern' and 'appearance disapproval', and a novel dental self-confidence scale. In addition, the private and public self-consciousness scales were used. Two-factor analyses of variance were carried out with high and low levels of dental aesthetics and private and public self-consciousness as the independent variables and the OHRQoL scales as the dependent variables. It was found that dental aesthetics had a direct effect on all OHRQoL scale values. Private self-consciousness was related to social appearance concern, while public self-consciousness was associated with both social appearance concern and appearance disapproval. An interaction effect was identified which showed that the impact of dental aesthetics on social appearance concern was stronger in respondents with high private and public self-consciousness than in low scoring subjects. The findings of the study suggest that minor differences in dental aesthetics may have a significant effect on perceived OHRQoL. This effect was more significant in subjects with high self-consciousness.

  17. Impact of molar-incisor hypomineralization on oral health-related quality of life in schoolchildren

    Directory of Open Access Journals (Sweden)

    Neusa Barros DANTAS-NETA

    Full Text Available Abstract This study evaluated the impact of molar–incisor hypomineralization (MIH on oral health-related quality of life (OHRQoL according to the perceptions of schoolchildren and their parents/caregivers. This cross-sectional study consisted of a sample of 594 schoolchildren between 11 and 14 years of age and their parents/caregivers who answered the questionnaires CPQ11–14ISF:16 and P-CPQ, respectively. The main independent variable of this study was MIH of the schoolchildren. Experience of dental caries, malocclusion, and socioeconomic status were treated as confounding variables. Statistical analysis used descriptive analysis and Poisson regression with robust variance. The prevalence of MIH was 18.9%. The overall P-CPQ score ranged from 0 to 35 (average = 7.26 ± 6.84, and the overall CPQ11-14ISF:16 score ranged from 0 to 47 (average = 11.92 ± 7.98. Severe MIH was associated with a greater negative impact of the “functional limitation” domain (RR = 1.41; 95%CI = 1.01–1.97, according to parents’/caregivers’ perceptions. Severe MIH was associated with a greater negative impact of the “oral symptom” domain (RR = 1.30; 95%CI = 1.06–1.60 and functional limitation domain (RR = 1.42; 95%CI = 1.08–1.86, according to the schoolchildren’s perceptions. Schoolchildren with severe MIH had a greater negative impact on the oral symptom and functional limitation domains than those without MIH. According to parents’/caregivers’ perceptions, schoolchildren with severe MIH had a greater negative impact on the functional limitation domain than those without MIH.

  18. Impact of molar-incisor hypomineralization on oral health-related quality of life in schoolchildren.

    Science.gov (United States)

    Dantas-Neta, Neusa Barros; Moura, Lúcia de Fátima Almeida de Deus; Cruz, Priscila Figueiredo; Moura, Marcoeli Silva; Paiva, Saul Martins; Martins, Carolina Castro; Lima, Marina de Deus Moura de

    2016-10-24

    This study evaluated the impact of molar-incisor hypomineralization (MIH) on oral health-related quality of life (OHRQoL) according to the perceptions of schoolchildren and their parents/caregivers. This cross-sectional study consisted of a sample of 594 schoolchildren between 11 and 14 years of age and their parents/caregivers who answered the questionnaires CPQ11-14ISF:16 and P-CPQ, respectively. The main independent variable of this study was MIH of the schoolchildren. Experience of dental caries, malocclusion, and socioeconomic status were treated as confounding variables. Statistical analysis used descriptive analysis and Poisson regression with robust variance. The prevalence of MIH was 18.9%. The overall P-CPQ score ranged from 0 to 35 (average = 7.26 ± 6.84), and the overall CPQ11-14ISF:16 score ranged from 0 to 47 (average = 11.92 ± 7.98). Severe MIH was associated with a greater negative impact of the "functional limitation" domain (RR = 1.41; 95%CI = 1.01-1.97), according to parents'/caregivers' perceptions. Severe MIH was associated with a greater negative impact of the "oral symptom" domain (RR = 1.30; 95%CI = 1.06-1.60) and functional limitation domain (RR = 1.42; 95%CI = 1.08-1.86), according to the schoolchildren's perceptions. Schoolchildren with severe MIH had a greater negative impact on the oral symptom and functional limitation domains than those without MIH. According to parents'/caregivers' perceptions, schoolchildren with severe MIH had a greater negative impact on the functional limitation domain than those without MIH.

  19. What is known about the influence of dentine hypersensitivity on oral health-related quality of life?

    OpenAIRE

    Bekes,Katrin; Hirsch, Christian

    2012-01-01

    Objectives Oral health-related quality of life is a relatively new but rapidly growing concept in dentistry. It is an aspect of dental health addressing the patient’s perception of whether his/her current oral health status has an impact upon his/her actual quality of life. Dentine hypersensitivity (DHS), which is a common condition of transient tooth pain associated with a variety of exogenous stimuli, may disturb the patient during eating, drinking, toothbrushing and sometimes even breathin...

  20. Longitudinal evaluation of the impact of dental caries treatment on oral health-related quality of life among schoolchildren.

    Science.gov (United States)

    de Paula, Janice S; Sarracini, Karin L M; Meneghim, Marcelo C; Pereira, Antônio C; Ortega, Edwin M M; Martins, Natália S; Mialhe, Fábio L

    2015-06-01

    This study aimed to evaluate the impact of dental caries treatment on oral health-related quality of life (OHRQoL) among schoolchildren and the responsiveness of the Child Perceptions Questionnaire (CPQ8-10 ) instrument. Brazilian schoolchildren, 8-10 yr of age, were randomly selected and assigned to two groups--dental caries treatment (DCT) and caries-free (CF)--according to their caries experience [decayed, missing, or filled primary teeth (dmft) and decayed, missing or filled secondary teeth (DMFT) values of ≥ 0]. The CPQ8-10 instrument was administered at baseline and at 4 wk of follow-up (i.e. 4 wk after completion of dental treatment). In the DCT group, increases in CPQ8-10 scores were observed between the baseline and follow-up results. However, longitudinal evaluation of the CF group demonstrated no statistically significant difference in CPQ8-10 scores. Responsiveness of the CPQ8-10 instrument (magnitude of change in CPQ8-10 scores) in the DCT group was greater (effect size >0.7) than in the CF group. The findings of this study show that dental caries treatment has an important impact on OHRQoL of children. The CPQ8-10 was considered an acceptable instrument for longitudinal measurement of changes in OHRQoL.

  1. Oral health-related quality of life in an aging Canadian population

    Directory of Open Access Journals (Sweden)

    Kotzer Robert D

    2012-05-01

    Full Text Available Abstract Background The purpose of the study is to describe the impact of oral health-related quality of life (OHRQoL on the lives of pre-seniors and seniors living in Nova Scotia, Canada. Methods This cross-sectional study involved 1461 participants, grouped by age (pre-seniors [45–64] and seniors [65+] and residential status (long-term care facility [LTC] or community. OHRQoL was measured using the 14-item Oral Health Impact Profile questionnaire (OHIP-14 in a random digit dialing telephone survey (for community residents or a face-to-face interview (for LTC residents. Intra-oral examinations were performed by one of six dentists calibrated to W.H.O. standards. Results Approximately one in four pre-seniors and seniors reported at least one OHRQoL impact ‘fairly/very often’. The most commonly reported impacts were within the dimensions ‘physical pain’ and ‘psychological discomfort’. It was found that 12.2% of LTC residents found it uncomfortable to eat any foods ‘fairly/very’ often compared to 7.7% in the community, and 11.6% of LTC residents reported being self-conscious ‘fairly/very often’ compared to 8.2% in the community. Of those residing in the community, pre-seniors (28.8% reported significantly more impacts than seniors (22.0%; but there were no significant differences in OHRQoL between pre-seniors (21.2% and seniors (25.3% in LTC. Pre-seniors living in the community scored significantly higher than community dwelling seniors on prevalence, extent and severity of OHIP-14 scores. Logistic regression revealed that for the community dwelling sample, individuals living in rural areas in addition to those being born outside of Canada were approximately 2.0 times more likely to report an impact ‘fairly/very often’, whereas among the LTC sample, those having a high school education or less were 2.3 times more likely to report an impact. Conclusions Findings indicate that the oral health and OHRQoL of both pre

  2. Methodological studies of orofacial aesthetics, orofacial function and oral health-related quality of life.

    Science.gov (United States)

    Larsson, Pernilla

    2010-01-01

    Among researchers and in the general population, awareness of the impact of health and health care on the quality of human life is increasing. An important medical and dental research area that addresses this issue is health measurement scales and psychometrics. Such instruments have numerous uses, such as to screen psychosocial aspects in individual patient care, assess perceived health or disease in population surveys, measure outcome in clinical trials, and gather data for cost-utility analyses. Assessing and improving oral health-related quality of life (OHRQoL), orofacial function, and orofacial aesthetics are three major goals in dental care. The overall aim of this thesis was to describe how three assessment tools were developed-using current scientific methodology-to measure these concepts in the Swedish culture. This thesis comprises five studies. In article I, recommended guidelines were used to translate the Oral Health Impact Profile (OHIP), an OHRQoL instrument, into Swedish. A group of 145 consecutive patients comprising five diagnostic groups participated in reliability and validity evaluations of OHIP-S, the Swedish OHIP version. Data supported excellent reliability and acceptable validity. In article II, the Jaw Functional Limitation Scale (JFLS) was developed, and reliability and validity were assessed in 132 consecutive patients from five diagnostic groups. An expert panel identified 52 functional limitation items. Rasch methodology reduced the number of items to 20 and assessed model fit. Three constructs were identified-mastication, vertical jaw mobility, and emotional and verbal expression-and good reliability and validity were found. The JFLS-20 is an organ-specific instrument for assessing functional status of the masticatory system while the shorter JFLS-8 assesses global functional limitation. Article III describes development of the Orofacial Aesthetic Scale (OAS), in particular its conceptual framework, measurement model, and method of

  3. Oral health-related quality of life, sense of coherence and dental anxiety: An epidemiological cross-sectional study of middle-aged women

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    Ulla Wide

    2012-06-01

    Full Text Available Abstract Background Few publications report on the relationship between salutogenesis, as measured by the concept of sense of coherence, and oral health-related quality of life. Even less information is to be found when the behavioural aspect of dental anxiety is added. The aim of the present study was to evaluate how oral health-related quality of life is related to sense of coherence and dental anxiety. Method The study had a cross-sectional design and included 500 randomly selected women in Gothenburg, Sweden, 38 and 50 years of age, from health examinations in 2004–05. The survey included questionnaires covering global questions concerning socio-economic status, oral health/function and dental care behaviour, and tests of oral health-related quality of life, sense of coherence, and dental anxiety. Results High dental anxiety and low sense of coherence predicted low oral health-related quality of life. In addition, socioeconomic status as measured by income, perceived oral functional status as captured by chewing ability and self-reported susceptibility to periodontal disease were also important predictors of oral health-related quality of life. Conclusion Dental anxiety and sense of coherence had an inverse relationship with regard to oral health-related quality of life. These associations were stronger than other risk factors for low oral health-related quality of life.

  4. Impact of Malocclusion on Oral Health-Related Quality of Life among Brazilian Preschool Children: a Population-Based Study

    OpenAIRE

    Carvalho, Anita Cruz; Saul Martins PAIVA; Viegas,Claudia Marina; Scarpelli,Ana Carolina; Ferreira, Fernanda de Morais; Pordeus, Isabela Almeida

    2013-01-01

    The purpose of the present study was to evaluate the impact of malocclusion on Oral Health-Related Quality of Life (OHRQoL) of children and their families. A population-based cross-sectional study was carried out in Belo Horizonte, MG, Brazil. A representative sample of 1069 male and female preschoolers aged 60 to 71 months was randomly selected from public and private preschools and daycare centers. Data were collected using the B-ECOHIS. In addition, a questionnaire addressing socioeconomic...

  5. Can Intensity-Modulated Radiotherapy Preserve Oral Health-Related Quality of Life of Nasopharyngeal Carcinoma Patients?

    Energy Technology Data Exchange (ETDEWEB)

    Pow, Edmond H.N., E-mail: ehnpow@hku.hk [Oral Rehabilitation, University of Hong Kong Faculty of Dentistry, Hong Kong Special Administrative Region (China); Kwong, Dora L.W.; Sham, Jonathan S.T.; Lee, Victor H.F.; Ng, Sherry C.Y. [Department of Clinical Oncology, University of Hong Kong Li Ka Shing Faculty of Medicine, Hong Kong Special Administrative Region (Hong Kong)

    2012-06-01

    Purpose: To investigate the changes in salivary function and oral health-related quality of life for patients with nasopharyngeal carcinoma treated by intensity-modulated radiotherapy (IMRT). Methods and Materials: A total of 57 patients with early-stage nasopharyngeal carcinoma received IMRT. The parotid and whole saliva flow was measured, and the Medical Outcomes Study 36-item short form, European Organization for Research and Treatment of Cancer Quality of Life questionnaire-C30, European Organization for Research and Treatment of Cancer Quality of Life questionnaire 35-item head-and-neck module, and Oral Health Impact Profile questionnaires were completed at baseline and 2, 6, 12, 18, and 24 months after IMRT. Results: Parotid saliva flow recovered fully after 1 year and maintained. Whole saliva flow recovered partially to 40% of baseline. A general trend of deterioration in most quality of life scales was observed after IMRT, followed by gradual recovery. Persistent oral-related symptoms were found 2 years after treatment. Conclusion: IMRT for early-stage nasopharyngeal carcinoma could only partially preserve the whole salivary function and oral health-related quality of life.

  6. Evaluation of oral health related quality of life in patient with mild periodontitis among young male population of Namakkal district

    Directory of Open Access Journals (Sweden)

    Natarajan Shanmuga Sundaram

    2013-01-01

    Full Text Available Aim: The aim of the study is to assess the impact of oral health related quality of life (QOL on patients presenting for scaling and oral prophylaxis using a the oral health-related quality of life (OHRQL questionnaire. Materials and Methods: This prospective study includes a total of 100 male patients of age group 25-35 years, who visited private clinic in Namakkal district, South India. They were assessed for their perceptions of oral health using OHRQL questionnaire before initial periodontal therapy including scaling and root planning. Results: A total of 100 patients (mean age:29 years participated in the study and completed initial periodontal therapy. Before treatment 98% of the patients perceived that their oral health status impacted on their QOL in one or more ways. Bad breath was the most common complaint. Social well-being, personality and psychological function were identified as compromised OHRQL domains. More than 60% of the patients stated their overall general health is affected by periodontal disease. Conclusion: Periodontitis negatively affected QOL in this Namakkal district population of young male patients with mild periodontitis. Conventional non-surgical periodontal therapy and personality development counseling has a potential to ameliorate patient perceptions of oral health and improve their QOL.

  7. The impact of periodontitis on oral health-related quality of life: a review of the evidence from observational studies.

    Science.gov (United States)

    Al-Harthi, L S; Cullinan, M P; Leichter, J W; Thomson, W M

    2013-09-01

    Modern population based oral health management requires a complete understanding of the impact of disease in order to provide efficient and effective oral health care and guidance. Periodontitis is an important cause of tooth loss and has been shown to be associated with a number of systemic conditions. The impact of oral conditions and disorders on quality of life has been extensively studied. However, the impact of periodontitis on quality of life has received less attention. This review summarizes the literature on the impact of periodontitis on oral health-related quality of life (OHRQoL). Relevant publications were identified after searching the MEDLINE and EMBASE electronic databases. Screening of titles and abstracts and data extraction was conducted. Only observational studies were included in this review. Most of the reviewed studies reported a negative impact of periodontitis on OHRQoL. However, the reporting standards varied across studies. Moreover, most of the studies were conducted in developed countries.

  8. Effect of treatment with fixed and removable dental prostheses. An oral health-related quality of life study

    DEFF Research Database (Denmark)

    Øzhayat, Esben Boeskov; Gotfredsen, Klaus

    2012-01-01

    The aim of the study was to evaluate patient-reported effects of treatment with fixed dental prostheses (FDP) and removable dental prostheses (RDP) and relate the change in Oral Health Related Quality of Life (OHRQoL) to the type of treatment and objective dental variables of aesthetics...... and mastication. Additionally, the purpose of the study was to identify aspects of impairment and improvement that the treatments caused. Fixed dental prostheses treatment was performed in 200 patients and RDP treatment in 107 patients. Gender, age, region of replacement, and number of teeth present and replaced...... were obtained. The participants completed the Oral Health Impact Profile 49 (OHIP-49) before and after treatment. A control group with no need for dental treatment also completed the OHIP-49. All participants had a significant improvement in OHRQoL. The improvement was higher for the RDP group than...

  9. Chilean patients’ perception of oral health-related quality of life after third molar surgery

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    Aravena PC

    2016-09-01

    Full Text Available Pedro Christian Aravena,1,2 Felipe Delgado,1 Hugo Olave,1 Carolina Ulloa-Marin,3 Francisco Perez-Rojas4 1School of Dentistry, Faculty of Medicine, 2Institute of Anatomy, Histology and Pathology, Faculty of Medicine, Universidad Austral de Chile, Valdivia, 3Department of Dentistry Based-Evidence, School of Dentistry, Universidad de Chile, Santiago, 4School of Medicine, Universidad Autónoma de Chile, Talca, Chile Objective: To describe the perception of the quality of life in oral health based on the Health-Related Quality of Life instrument in its Spanish version (HRQOL-sp in Chilean patients with third molar extraction surgery. Patients and methods: A cross-sectional study. The HRQOL-sp was administered to dental patients at the Public Hospital in Rio Bueno in southern Chile treated for unilateral third molar extraction between March and June 2014. The instrument was applied by phone survey on the first, third, fifth, and seventh days after surgery. For the ordinal scale, the response was considered interference in the quality of life when patients selected the options “quite a bit of trouble” or “lots of trouble” for oral function and general activity; and selected complications-related signs and symptoms, a pain level score with a Verbal Rating Scale (range 0 to 7, and worst pain perceived. The patient’s sociodemographic data, type of surgery, and the quality of life level were analyzed according to the domains of the HRQOL-sp instrument. Results: A total of 106 patients were selected (age: 20.4±7.39 years; 71.7% women and a total of 127 extracted third molars. On the first day of follow-up, most patients reported interference in their quality of life. The main problems were difficulty opening the mouth (50.94% and swelling (83.02%. The worst symptom perceived was “bad breath” (>31% and the worst pain felt was a mean of 4.31±1.62 on the Verbal Rating Scale. All items gradually reduced until the seventh day. Conclusion: The

  10. Translating Oral Health-Related Quality of Life Measures: Are There Alternative Methodologies?

    Science.gov (United States)

    Brondani, Mario; He, Sarah

    2013-01-01

    Translating existing sociodental indicators to another language involves a rigorous methodology, which can be costly. Free-of-charge online translator tools are available, but have not been evaluated in the context of research involving quality of life measures. To explore the value of using online translator tools to develop oral health-related…

  11. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis

    LENUS (Irish Health Repository)

    Gerritsen, Anneloes E

    2010-11-05

    Abstract Background It is increasingly recognized that the impact of disease on quality of life should be taken into account when assessing health status. It is likely that tooth loss, in most cases being a consequence of oral diseases, affects Oral Health-Related Quality of Life (OHRQoL). The aim of the present study is to systematically review the literature and to analyse the relationship between the number and location of missing teeth and oral health-related quality of life (OHRQoL). It was hypothesized that tooth loss is associated with an impairment of OHRQoL. Secondly, it was hypothesized that location and distribution of remaining teeth play an important role in this. Methods Relevant databases were searched for papers in English, published from 1990 to July 2009 following a broad search strategy. Relevant papers were selected by two independent readers using predefined exclusion criteria, firstly on the basis of abstracts, secondly by assessing full-text papers. Selected studies were grouped on the basis of OHRQoL instruments used and assessed for feasibility for quantitative synthesis. Comparable outcomes were subjected to meta-analysis; remaining outcomes were subjected to a qualitative synthesis only. Results From a total of 924 references, 35 were eligible for synthesis (inter-reader agreement abstracts κ = 0.84 ± 0.03; full-texts: κ = 0.68 ± 0.06). Meta-analysis was feasible for 10 studies reporting on 13 different samples, resulting in 6 separate analyses. All studies showed that tooth loss is associated with unfavourable OHRQoL scores, independent of study location and OHRQoL instrument used. Qualitative synthesis showed that all 9 studies investigating a possible relationship between number of occluding pairs of teeth present and OHRQoL reported significant positive correlations. Five studies presented separate data regarding OHRQoL and location of tooth loss (anterior tooth loss vs. posterior tooth loss). Four of these reported highest impact

  12. Oral health-related quality of life in pediatric patients under general anesthesia

    Science.gov (United States)

    Li, Lanlan; Wang, Hongwei; Han, Xueping

    2017-01-01

    Abstract Our goal was to evaluate how dental treatments under general anesthesia (GA) affect the quality of life by a prospective pair-matched design. Pediatric patients, who had received dental treatments under GA, were enrolled and were asked to complete the Early Childhood Oral Health Impact Scale (ECOHIS) before the treatment and 1 month after the treatment. To shield the observed impacts, a pair-matched control group was performed. Patients in the control group were also required to complete the ECOHIS at these different points in time. In both groups, the items of troubled sleep and oral/dental pain scored highest, whereas avoiding smiling or laughing and avoiding talking scored lowest before the treatment. The total mean score in the 2 groups was 13.1 and 13.7, respectively, and there was no significant statistical difference (P > 0.05). However, the total mean score was 1.9 in the experimental group after the treatment and smaller compared with the control group (1.9 vs. 4.7, P < 0.001). The majority of the items in both groups had an apparent effect size and the total mean effect in the experimental group was greater than that in the control group (85.5% vs. 65.7%, P < 0.001). Therefore, dental treatment under GA could provide better quality of life restoration compared with treatment over multiple visits. PMID:28079793

  13. The impact of malocclusions on oral health-related quality of life in children—a systematic review and meta-analysis

    NARCIS (Netherlands)

    L. Kragt (Lea); B. Dhamo (Brunilda); E.B. Wolvius (Eppo); E.M. Ongkosuwito (Edwin)

    2015-01-01

    textabstractIntroduction: A limited amount of systematic literature reviews on the association between malocclusions and oral health-related quality of life (OHRQOL) summarize inconclusive results. Therefore, we conduct a systematic review and meta-analysis on the association of malocclusions with O

  14. Effect of third molar surgery on oral health-related quality of life in the first postoperative week using Dutch version of oral health impact profile-14

    NARCIS (Netherlands)

    van Wijk, A.; Kieffer, J.M.; Lindeboom, J.H.

    2009-01-01

    Purpose: The present study investigated the effect of third molar surgery on oral health-related quality of life, related to pain and clinical variables, in the first postoperative week using the Dutch version of the 14-item Oral Health Impact Profile. Materials and Methods: A total of 50 patients,

  15. Young children's oral health-related quality of life and dental fear after treatment under general anaesthesia: a randomized controlled trial

    NARCIS (Netherlands)

    M.A. Klaassen; J.S.J. Veerkamp; J. Hoogstraten

    2009-01-01

    During the past decade the research interest in Oral Health-Related Quality of Life (OHRQoL) has been prospering. This study was performed to test (using a randomized controlled trial design) the hypothesis that young children’s OHRQoL improves after oral rehabilitation under general anaesthesia (GA

  16. Measurement of health-related and oral health-related quality of life among individuals with nonsyndromic orofacial clefts: a systematic review and meta-analysis.

    Science.gov (United States)

    Queiroz Herkrath, Ana Paula Corrêa de; Herkrath, Fernando José; Rebelo, Maria Augusta Bessa; Vettore, Mario Vianna

    2015-03-01

    Objective : To compare health-related quality of life and oral health-related quality of life between nonsyndromic individuals with and without cleft lip and/or cleft palate and to identify the most affected quality of life dimensions in individuals with cleft lip and/or palate. Design : Systematic review and meta-analysis were conducted. Of the 314 identified citations, 23 articles were submitted to quality assessment. Data from nine studies on health-related quality of life and six on oral health-related quality of life were extracted for meta-analysis. Main Outcome Measures : Pooled mean differences of health-related quality of life between adults with and without cleft lip and/or palate, pooled means of health-related quality of life dimensions of children and adults with cleft lip and/or palate and oral health-related quality of life dimensions of children and adolescents with cleft lip and/or palate with a 95% confidence interval were calculated. Results : Quality assessment revealed methodological differences between studies. Lack of subgroup stratification and absence of control for confounders were the main limitations. Heterogeneity was detected on the comparison of oral health-related quality of life and health-related quality of life between children with and without cleft lip and/or palate, and oral health-related quality of life between adolescents with and without cleft lip and/or palate. A random-effect model showed a significant difference on health-related quality of life between adults with and without cleft lip and/or palate (mean difference = 0.10; 95% confidence interval, 0.16 to 0.05). Psychological health (mean, 78.9; 95% confidence interval, 70.1 to 87.7) and vitality (mean, 68.1; 95% confidence interval, 48.0 to 88.1) were the most affected health-related quality of life dimensions in children and adults with cleft lip and/or palate, respectively. Means of health-related quality of life dimensions in children and adults with cleft lip and

  17. Oral Health-Related Quality of Life among a large national cohort of 87,134 Thai adults

    Directory of Open Access Journals (Sweden)

    Seubsman Sam-ang

    2011-06-01

    Full Text Available Abstract Background Oral health has been of interest in many low and middle income countries due to its impact on general health and quality of life. But there are very few population-based reports of adult Oral Health Related Quality of Life (OHRQoL in developing countries. To address this knowledge gap for Thailand, we report oral health findings from a national cohort of 87,134 Thai adults aged between 15 and 87 years and residing all over the country. Methods In 2005, a comprehensive health questionnaire was returned by distance learning cohort members recruited through Sukhothai Thammathirat Open University. OHRQoL dimensions included were discomfort speaking, swallowing, chewing, social interaction and pain. We calculated multivariate (adjusted associations between OHRQoL outcomes, and sociodemographic, health behaviour and dental status. Results Overall, discomfort chewing (15.8%, social interaction (12.5%, and pain (10.6% were the most commonly reported problems. Females were worse off for chewing, social interaction and pain. Smokers had worse OHRQoL in all dimensions with Odds Ratios (OR ranging from 1.32 to 1.51. Having less than 20 teeth was strongly associated with difficulty speaking (OR = 6.43, difficulty swallowing (OR = 6.27, and difficulty chewing (OR = 3.26. Conclusions Self-reported adverse oral health correlates with individual function and quality of life. Outcomes are generally worse among females, the poor, smokers, drinkers and those who have less than 20 teeth. Further longitudinal study of the cohort analysed here will permit assessment of causal determinants of poor oral health and the efficacy of preventive programs in Thailand.

  18. Oral hygiene and number of oral mucosal lesion correlate with oral health-related quality of life in elderly communities

    Directory of Open Access Journals (Sweden)

    Dewi Agustina

    2014-03-01

    Full Text Available Background: Quality of life assessment mostly is based on general health. Deterioration of physiologic condition, polypharmacy and the high occurrence of chronic disease in elderly may manifest in oral cavity that can affect oral function, in turn it will affect quality of life of elderly. Purpose: This study was aimed to determine the correlation of oral health status and oral health-related quality of life (OHRQoL in elderly communities of Yogyakarta city. Method: Seventy three elders were subjects of this study. Data of OHRQoL and oral health status were obtained from modification of questionnaire of Dental Impact of Daily Living (DIDL Index and from intraoral examination, respectively. Intraoral examination comprised oral mucosal lesion amount, oral hygiene, DMFT index and periodontal tissue status. The data then were analyzed statistically using Pearson Product Moment Correlation. Result: The results showed that mean of DMFT index was 16.9 and 63% of subjects were found with gingivitis, most subject had moderate oral hygiene and each subject at least had two oral mucosal lesions. Mean score of quality of life was 27.2 and classified as satisfying. Oral hygiene and number of oral mucosal lesion had correlation with OHRQoL with r were -0.236 (Sig. : 0.045 and -0.288 (Sig. : 0.013, respectively. Conclusion: The study suggested that oral hygiene and number of oral mucosal lesion correlate with oral health related-quality of life in elderly communities of Yogyakarta city.Latar belakang: Penilaian kualitas hidup terutama didasarkan pada kesehatan umum. Memburuknya kondisi fisiologis, polifarmasi dan tingginya kejadian penyakit kronis pada lansia dapat termanifestasi di dalam rongga mulut sehingga dapat mempengaruhi fungsi mulut yang pada gilirannya akan mempengaruhi kualitas hidup lansia. Tujuan: Penelitian ini bertujuan untuk meneliti hubungan antara status kesehatan mulut dan kualitas hidup berdasarkan kesehatan mulut pada masyarakat lanjut

  19. Impact of malocclusion on oral health-related quality of life among Brazilian preschool children: a population-based study.

    Science.gov (United States)

    Carvalho, Anita Cruz; Paiva, Saul Martins; Viegas, Claudia Marina; Scarpelli, Ana Carolina; Ferreira, Fernanda Morais; Pordeus, Isabela Almeida

    2013-01-01

    The purpose of the present study was to evaluate the impact of malocclusion on Oral Health-Related Quality of Life (OHRQoL) of children and their families. A population-based cross-sectional study was carried out in Belo Horizonte, MG, Brazil. A representative sample of 1069 male and female preschoolers aged 60 to 71 months was randomly selected from public and private preschools and daycare centers. Data were collected using the B-ECOHIS. In addition, a questionnaire addressing socioeconomic and demographic data was self-administered by the parents/guardians. The criteria used to diagnose malocclusion were based on Foster and Hamilton (1969), Graboswki et al. (2007) and Oliveira et al. (2008). Descriptive, univariate and multiple Poison logistic regression analyses were carried out. The prevalence of malocclusion was observed in 46.2% of the children and deep overbite was the most prevalent type of malocclusion (19.7%), followed by posterior crossbite (13.1%), accentuated overjet (10.5%), anterior open bite (7.9%) and anterior crossbite (6.7%). The impact of malocclusion on OHRQoL was 32.7% among the children and 27.1% among the families. In Poisson multiple regression model adjusted for socioeconomic status, no significant association was found between malocclusion and OHRQoL of the children (PR=1.09, 95% CI: 0.96-1.24) and their families (PR=1.11, 95% CI: 0.94-1.31). It is concluded that children with malocclusion in this sample did not have a negative impact on their OHRQoL and of their families.

  20. Oral health-related quality of life is linked with subjective well-being and depression in early old age.

    Science.gov (United States)

    Hassel, Alexander Jochen; Danner, Daniel; Schmitt, Marina; Nitschke, Ina; Rammelsberg, Peter; Wahl, Hans-Werner

    2011-10-01

    Although a body of research has targeted predictors of well-being and depression in old age, the consideration of oral health-related quality of life (OHRQoL) as a predictor of these major psychosocial endpoints has been rare in the previous literature. The objective of this study was to test whether OHRQoL is associated with well-being and depression, after controlling for relevant confounders; also, the mediating role of subjective health, a major predictor of both well-being and depression, has been explored. OHRQoL was measured by two commonly used assessment instruments, the geriatric oral health assessment index (GOHAI) and oral health impact profile (OHIP); well-being was assessed by the Philadelphia Geriatric Center Morale Scale (PGCMS) and depression by the self-rating depression scale (SDS). We used a subsample of 197 participants from the older cohort (1930-1932) of the Interdisciplinary Longitudinal Study of Adult Development. Regression models and structural equations modeling (SEM) were used for the test for study variable relationships. Both GOHAI and OHIP revealed significant associations to both PGCMS and SDS at the bivariate level. In regression analyses considering gender, household situation, subjective health, and both OHRQoL indicators, only OHIP remained a significant predictor of well-being and depression. In addition, supportive evidence for a mediating role of subjective health regarding the linkage between OHRQoL and an overall latent construct of well-being was found in the SEM analysis. In conclusion, OHRQoL is significantly linked with well-being and depression in old age, while subjective health is able to mediate the relationship. The generally underrated role of OHRQoL with respect to well-being and depression in late adulthood deserves more attention.

  1. Oral Health-Related Quality of Life and Traumatic Dental Injuries in Young Permanent Incisors in Brazilian Schoolchildren: A Multilevel Approach

    OpenAIRE

    2015-01-01

    Background Traumatic dental injury (TDI) during childhood may negatively impact the quality of life of children. Objective To describe the association of oral health-related quality of life (OHRQoL) and domains (oral symptons, functional limitation, emotional- and social-well-being) of children with individual and contextual variables. Methods A cross-sectional study was performed using a representative sample of 1,201 schoolchildren, 8–10 years-old, from public and private schools of Belo Ho...

  2. Impact of malocclusion on oral health-related quality of life in 10–14-year-old children of Mumbai, India

    Directory of Open Access Journals (Sweden)

    Rupinder Bhatia

    2016-01-01

    Full Text Available Aims and Objectives: The aim and objective of this study was to establish the relationship of oral health-related quality of life (OHRQoL as assessed by the Child Perception Questionnaire (CPQ 11–14 with the Index of Orthodontic Treatment Need (IOTN and the child's apprehension with his/her dental appearance and how upset the child would feel if he/she is unable to obtain orthodontic treatment. Materials and Methods: An observational cross-sectional study was conducted among 604 children between the age group of 10–14 years to analyze the effect of malocclusion on the quality of life of children on the basis of impact on oral symptoms, functional limitation, emotional well-being, and social well-being. Malocclusion was evaluated using the IOTN, and the CPQ 11–14 was used to study the OHRQoL in children. The collected data were then subjected to statistical analysis. Statistical Analysis: Spearman's correlation coefficient was used to analyze the data statistically. Results: Out of the 604 children examined, boys showed effect on emotional well-being, whereas girls showed a significant correlation on both emotional and social well-being. There was a statistically significant correlation between IOTN and all the four domains of CPQ scores with respect to the two questions that were added to the CPQ questionnaire. Conclusion: A questionnaire when developed specifically for determining the effect of malocclusion on OHRQoL focusing more on emotional and psychological impact and less on oral symptoms and functional limitation will provide advantages of having limited questions, being less time-consuming, and providing better understanding of the patients' concern.

  3. Effect of presurgical orthopedics on oral-health related quality of life in Chilean children with cleft lip and palate. A pilot study.

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    Pedro Christian Aravena

    2016-11-01

    Full Text Available The aim of this pilot study was to evaluate the effect of Presurgical Orthopedics (PSO on the oral health-related quality of life (OHRQoL in Children with Cleft Lip and Palate (CLP treated in two hospitals in Chile using the Spanish version of the Child Oral Health Impact Profile (COHIP-Sp. Method: Cross-sectional study, involving 42 children with CLP (mean age 12±2.1 years; 28 men who attended their annual checkup at the main Hospital of Valdivia and at the Hospital Fundacion Gantz in Santiago, Chile, between March and April 2016. Those who met the selection criteria were applied the COHIP-Sp scale. Based on their medical records, patients who used PSO as treatment protocol were classified as "PSO". Those who did not receive treatment with the appliance were classified as "Non-PSO". The score of the COHIP-Sp scale and its domains between the two groups was compared (t-test, p<0.05. Results: Twenty-five patients (59.5% used PSO. COHIP-Sp score was 91.7±26.2 points in the PSO group, and 81.2±30.9 points in the Non-PSO group. There was no statistically significant difference (p=0.24. Conclusion: OHRQoL of patients with CLP treated with PSO was similar to that of patients not treated with PSO.

  4. Assessment of oral health-related quality of life in 9-15 year old children with visual impairment in Uttarakhand, India

    Science.gov (United States)

    Singh, Aditi; Dhawan, Preeti; Gaurav, Vivek; Rastogi, Pradeep; Singh, Shilpi

    2017-01-01

    Background: To assess the prevalence of dental diseases among 9–15-year-old visually impaired children and find out its impact on their daily activities using the Child-Oral Impact on Daily Performance (C-OIDP) questionnaire in districts of Uttarakhand, India. Materials and Methods: A total of 423 visually impaired institutionalized children between the age group of 9–15 years were included in the study. Stratified random sampling technique was used to obtain the study population. Dental caries was recorded using dmft for primary dentition and DMFT for permanent dentition, traumatic dental injuries were assessed using traumatic dental injury index, and dentofacial anomalies were recorded using Angle's classification of malocclusion. The Hindi braille version of C-OIDP questionnaire was used to gather information regarding oral health-related quality of life (OHRQoL). Results: There was a high dental caries prevalence of 57.7% in visually impaired children. The prevalence of traumatic dental injuries was 50.6%. Crowding (61.5%) was the most commonly seen dentofacial anomaly and the most commonly perceived oral health problem was toothache. There was less favorable OHRQoL in males as compared to females. Conclusion: There was a high prevalence of dental diseases in this group and higher C-OIDP scores suggestive of unfavorable OHRQoL.

  5. Oral health-related quality of life following non-surgical (routine tooth extraction: A pilot study

    Directory of Open Access Journals (Sweden)

    Wasiu L Adeyemo

    2012-01-01

    Full Text Available Aim: The study was designed to explore the changes in oral health-related quality of life (QoL in the immediate postoperative period following routine (non-surgical dental extraction. Setting and Design: A prospective study carried out at the Oral and Maxillofacial Surgery clinic of the Lagos University Teaching Hospital, Nigeria. Materials and Methods: Subjects attending who required non-surgical removal of one or two teeth under local anesthesia were included in the study. A baseline QoL questionnaire (oral health impact profile-14 [OHIP-14] was filled by each patient just before surgery, and only those who were considered to have their QoL "not affected" (total score 14 or less were included in the study. After the extraction, each subject was given a modified form of "health related QoL" [OHIP-14]-instrument to be completed by the 3 rd day-after surgery, and were given the opportunity to review the questionnaire on the 7 th day postoperative review. Results: Total OHIP-14 scores ranged between 14 and 48 (mean ± SD, 26.2 ± 8.3. Majority of the subjects (60% reported, "a little affected." Only few subjects (5.8% reported, "not at all affected," and about 32% reported, "quite a lot." Summation of OHIP-14 scores revealed that QoL was "affected" in 41 subjects (34.2% and "not affected" in 79 subjects (65.8%. More than 30% of subjects reported that their ability to chew, ability to open the mouth and enjoyment of food were affected following tooth extraction. Few subjects (14-34% reported deterioration in their speech and less than 20% of subjects reported that change in their appearance was "affected." Only few subjects (12.5-15.1% reported sleep and duty impairment. Thirty-percent of subjects reported their inability to keep social activities, and 41% were not able to continue with their favorite sports and hobbies. Multiple regression analysis revealed no significant association between age, sex, indications for extraction, duration of

  6. Oral health related quality of life in pregnant and post partum women in two social network domains; predominantly home-based and work-based networks

    OpenAIRE

    Lamarca, G.A.; Leal, M.D.O.C.; Leao, A.T.; Sheiham, A.; Vettore, M.V.

    2012-01-01

    Abstract Background Individuals connected to supportive social networks have better general and oral health quality of life. The objective of this study was to assess whether there were differences in oral health related quality of life (OHRQoL) between women connected to either predominantly home-based and work-based social networks. Methods A follow-up prevalence study was conducted on 1403 pregnant and post-partum women (mean age of 25.2 ± 6.3 years) living in two cities in the State of Ri...

  7. Oral health-related quality of life in diabetic patients: comparison of the Persian version of Geriatric Oral Health Assessment Index and Oral Health Impact Profile: A descriptive-analytic study

    OpenAIRE

    Nikbin, Ava; Bayani, Mohammadali; Jenabian, Niloofar; Khafri, Soraya; Motallebnejad, Mina

    2014-01-01

    Background Diabetes mellitus is one of the systemic disease which is show important oral manifestation and influence oral health. This study describes how diabetes mellitus affects oral health and oral health-related quality of life. The aim of this study was to evaluate the oral health and oral health-related quality of life of diabetic patients and compare the discriminative capability of Persian versions of two GOHAI and OHIP-14 questionnaires in these patients. Methods A total of 350 pati...

  8. Estimate of Impact on the Oral Health-Related Quality of Life of Older Thai People by the Provision of Dentures through the Royal Project

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    Patcharawan Srisilapanan

    2016-01-01

    Full Text Available Purpose. To estimate the impact of the provision of dentures to Thai older people by the Royal Project on their oral health-related quality of life. Methods. A purposive cross-sectional study of a sample of 812 subjects was conducted. The Oral Impacts on Daily Performances (OIDP measure was used to assess the oral health-related quality of life. Results. Four groups of older people with different tooth types were studied. 216 (26.6% had natural teeth (NT. 189 (23.3% had natural and replaced teeth (NRT. 167 (20.6% had below the minimum number of teeth but had no dentures (Edent and 240 were edentate with complete dentures provided by the Royal Project (ECD (29.6%. Overall, 36.5% had at least one oral impact. Eating was the most affected oral impact. When compared to the group with natural teeth (NT, the Edent group was significantly more likely to report having impacts on eating OR = 6.5 (3.9–10.9, speaking clearly OR = 43.7 (12.7–15.07, emotional stability OR = 16.5 (6.0–45.6, and social contacts OR = 4.6 (2.2–9.5 (p<0.001. Conclusion. Those who are edentulous are much more likely to have an oral impact on their daily performances than those provided dentures. Provision of dentures may lead to improvement of considerable oral impacts.

  9. Impact of traumatic dental injuries on oral health-related quality of life of preschool children: A systematic review and meta-analysis

    Science.gov (United States)

    2017-01-01

    Background Observational studies have suggested that traumatic dental injuries (TDI) can lead to pain, loss of function and esthetic problems, with physical, emotional and social consequences for children and their families. However, population-based studies that investigate the impact of TDI on oral health-related quality of life (OHRQoL) among preschool children are scarce and offer conflicting results. The aim of the systematic review and meta-analysis was to evaluate the impact of TDI on OHRQoL among preschool children (PROSPERO-CRD42015032513). Methods An electronic search of six databases was performed in PubMed (MEDLINE), ISI Web of Science, Scopus, Science Direct, EMBASE and Google Scholar, with no language or publication date restrictions. The eligibility criteria were TDI as the exposure variable, OHRQoL as the outcome and a population of children up to six years of age. RevMan software was used for data analysis. Results are expressed as odds ratios with 95% confidence intervals for the total score of the Early Childhood Oral Health Impact Scale (ECOHIS) as well as the scores of the Child Impact Section (CIS) and Family Impact Section (FIS). The random effect model was chosen and heterogeneity was evaluated using the I2 test. Results 2,013 articles were initially retrieved; 1,993 articles were excluded based on title and abstracts; 10 articles excluded after full-text analysis. Ten studies comprising a population of 7,461 preschool children were included in the systematic review and nine studies were included in the meta-analysis. TDI caused a negative impact on OHRQoL based on the overall ECOHIS (OR: 1.24; 95% CI: 1.08–1.43) and CIS (OR: 1.23; 95% CI: 1.07–1.41), but not the FIS (OR: 1.09; 95% CI: 0.90–1.32). Conclusions TDI negatively impacted on OHRQoL of preschool children. The present findings indicate the need for TDI prevention and treatment programs in early childhood. PMID:28245226

  10. Influence of self-esteem and negative affectivity on oral health related quality of life in patients with partial tooth loss

    DEFF Research Database (Denmark)

    Øzhayat, Esben Boeskov

    2013-01-01

    To meaningfully interpret oral health-related quality of life (OHRQoL) measures, the influence of personality traits must be investigated. Objectives:To investigate and quantify the influence of self-esteem and negative affectivity (NA) on OHRQoL. It was hypothesized that low self-esteem and high...... NA would be associated with worse OHRQoL.Methods: OHRQoL measured by the Oral Health Impact Profile 49 (OHIP-49), self-esteem measured by the Rosenberg Self-Esteem Scale (RSES), NA measured by the Eysenck Personality Inventory Questionnaire (EPI-Q), global oral rating of oral comfort and controlling...... and clinically significantly higher and self-esteem was statistically significantly lower in patients reporting worse oral comfort. Conclusion: NA had the strongest and most clinically meaningful influence, but both NA and self-esteem was found to influence OHRQoL; low self-esteem and high NA was associated...

  11. Influence of negative affectivity and self-esteem on the oral health related quality of life in patients receiving oral rehabilitation

    DEFF Research Database (Denmark)

    Øzhayat, Esben Boeskov

    2013-01-01

    Background: The aim of this study was to investigate if and how the personality traits Negative Affectivity (NA) and self-esteem influenced the Oral Health Related Quality of Life (OHRQoL) in patients receiving oral rehabilitation. Methods: OHRQoL was measured by the Oral Health Impact Profile 49...... (OHIP-49), NA with a short form of the Eysenck Personality Inventory Questionnaire (EPI-Q), and self-esteem with Rosenbergs Self-Esteem Scale (RSES) in 66 patients treated with removable dental prosthesis (RDP). The minimally important difference (MID), effect size (ES), and standard error......L regardless of level of NA and self-esteem. High NA is associated with a large effect, but both high NA and low self-esteem is associated with poorer OHRQoL both before and after treatment....

  12. Association between general and oral health-related quality of life in patients treated for oral cancer

    Science.gov (United States)

    Tsakos, Georgios; Gil-Montoya, José-Antonio; Montero, Javier; Bravo, Manuel

    2015-01-01

    Background Less is known about the association between general health-related quality of life (HRQoL) and oral HRQoL (OHRQoL) among patients with specific diseases. The aim of this study was to assess the association between patient-centered outcome measurements (HRQoL and OHRQoL) of oral cancer patients at least 6 months after treatment. Material and Methods HRQoL was measured with the 12-Item Short Form Health Survey (SF-12); OHRQoL was evaluated using the Oral Health Impact Profile (OHIP-14) and the Oral Impacts on Daily Performances (OIDP). Results Higher OHRQoL scores were associated with lower SF-12 domains scores. The OHIP-14 explained 16.5 % of the total variance of SF-12 Physical Component Summary (PCS) and the OIDP explained 16.1 %. In the SF-12 Mental Component Summary (MCS), the total variance explained was 23.9 % by the OHIP-14 and 21.8 % by the OIDP. Conclusions There was a significant association between long-term OHRQoL and HRQoL in oral and oropharyngeal cancer patients. These results may help to carry out new interventions aiming to improve patient´s life overall. Key words:Mouth neoplasms, quality of life, health status, oral health. PMID:26449436

  13. Investigation of Oral Health Related Quality of Life%口腔健康相关生活质量调查分析

    Institute of Scientific and Technical Information of China (English)

    黄实华; 徐仙星; 郑静

    2013-01-01

    Objective To investigate the impact of oral health-related quality of life (OHRQoL) in patients with o-ral diseases and provide the basis for effective interventions. Methods A total of 297 cases were randomly selected from Wuhan General Hospital of Guangzhou Command and investigated by oral health impact profile (OHIP-49 Chinese version). Results The patients had the highest scores of physical pain and functional limitation in OHIP-49 scale. Patients in different age groups had significantly different scores in functional limitations, physical pain and limited physical ability (P<0. 01). Married patients and unmarried patients had different scores in functional limitations and physical pain (P< 0. 05). Patients with different occupations had different scores in functional limitations (P<0. 01). Conclusion The older the age, the lower the OHRQoL score. Strengthening oral health education and raising oral health level helps to increase OHRQoL.%目的 调查分析患者口腔健康相关生活质量(oral health-related quality of life,OHRQoL)的影响因素,为采取有效的干预措施提供依据.方法 随机选择于作者医院口腔门诊或住院患者297例,测评量表应用中文版口腔健康影响程度量表(oral health impact profile,OHIP-49).结果 OHIP-49量表中生理疼痛、功能限制领域得分最高;不同年龄组患者在功能限制、生理疼痛、生理能力受限领域得分具有统计学差异(P<0.01);已婚患者与未婚患者在功能限制、生理疼痛领域得分具有统计学差异(P<0.05);不同职业类别在功能限制领域得分具有统计学差异(P<0.01).结论年龄越大,OHRQoL得分越低,口腔问题越严重.加强口腔健康宣教,提高口腔健康水平,有助于提高OHRQoL.

  14. Dental pain, use of dental services and oral health-related quality of life in southern Brazil.

    Science.gov (United States)

    Cavalheiro, Charles Henrique; Abegg, Claides; Fontanive, Victor Nascimento; Davoglio, Rosane Silvia

    2016-08-18

    This study aimed at assessing the relationship between dental pain and the reason for using dental services and oral health quality of life in people aged 50 to 74 years in southern Brazil. A cross-sectional population-based study was conducted with 720 individuals aged 50 to 74 years, living in three health districts in the city of Porto Alegre. Dental impacts on daily life and sociodemographic data were assessed using structured interviews. The Oral Impacts on Daily Performance - OIDP instrument was used to measure oral impacts. The information was analyzed by Poisson regression with robust variance adjustment, taking into account cluster sampling. Dental pain was present in 32.5% of those reporting an oral impact on their daily activities. Dental pain most frequently affected talking (37.6%), cleaning teeth and gums (37.0%) and enjoying the companionship of people (36.5%). After adjustments to the multivariate analysis, the reason for dental visits due to dental pain was found to have a high impact on daily activities [RP 1.68 (1.11 - 2.54].

  15. Thermographic monitoring of wound healing and oral health-related quality of life in patients treated with laser (aPDT) after impacted mandibular third molar removal.

    Science.gov (United States)

    Batinjan, G; Zore, Z; Čelebić, A; Papić, M; Gabrić Pandurić, D; Filipović Zore, I

    2014-12-01

    The objective of this study was to assess the impact of low-level laser therapy on wound swelling, wound temperature changes, and oral health-related quality of life (OHRQoL) after surgical removal of impacted lower third molars. Forty patients with impacted lower third molars requiring surgical removal participated in this study; all were Pell-Gregory class IIB or IIC. The patients were divided randomly into two groups for post-extraction therapy. One group received antimicrobial photodynamic therapy (aPDT) and the other received no additional therapy (placebo group). Temperature measurements were done using an infrared thermographic camera on days 3 and 7 postoperative. OHRQoL was assessed in both groups on day 7 using the Oral Health Impact Profile questionnaire translated into Croatian (OHIP-14-CRO). Prior to surgical treatment, there was no difference in patient characteristics between the two groups. A significantly lower temperature and less wound swelling were recorded on day 3 postoperative in the aPDT group compared to the control group (Plower OHIP-14-CRO summary scores (P<0.01). The present study showed beneficial effects of the aPDT modality of low-level laser therapy: postoperative wound swelling was reduced and wound temperature decreased, and OHRQoL was better through the 7-day postoperative period in comparison to the placebo group.

  16. Deep pain sensitivity is correlated with oral-health-related quality of life but not with prosthetic factors in complete denture wearers

    Science.gov (United States)

    COSTA, Yuri Martins; PORPORATTI, André Luís; HILGENBERG-SYDNEY, Priscila Brenner; BONJARDIM, Leonardo Rigoldi; CONTI, Paulo César Rodrigues

    2015-01-01

    ABSTRACT Low pressure Pain Threshold (PPT) is considered a risk factor for Temporomandibular Disorders (TMD) and is influenced by psychological variables. Objectives To correlate deep pain sensitivity of masticatory muscles with prosthetic factors and Oral-Health-Related Quality of Life (OHRQoL) in completely edentulous subjects. Material and Methods A total of 29 complete denture wearers were recruited. The variables were: a) Pressure Pain Threshold (PPT) of the masseter and temporalis; b) retention, stability, and tooth wear of dentures; c) Vertical Dimension of Occlusion (VDO); d) Oral Health Impact Profile (OHIP) adapted to orofacial pain. The Kolmogorov-Smirnov test, the Pearson Product-Moment correlation coefficient, the Spearman Rank correlation coefficient, the Point-Biserial correlation coefficient, and the Bonferroni correction (α=1%) were applied to the data. Results The mean age (standard deviation) of the participants was of 70.1 years (9.5) and 82% of them were females. There were no significant correlations with prosthetic factors, but significant negative correlations were found between the OHIP and the PPT of the anterior temporalis (r=-0.50, 95% CI-0.73 to 0.17, p=0.005). Discussion The deep pain sensitivity of masticatory muscles in complete dentures wearers is associated with OHRQoL, but not with prosthetic factors. PMID:26814457

  17. Deep pain sensitivity is correlated with oral-health-related quality of life but not with prosthetic factors in complete denture wearers

    Directory of Open Access Journals (Sweden)

    Yuri Martins COSTA

    2015-12-01

    Full Text Available ABSTRACT Low pressure Pain Threshold (PPT is considered a risk factor for Temporomandibular Disorders (TMD and is influenced by psychological variables. Objectives To correlate deep pain sensitivity of masticatory muscles with prosthetic factors and Oral-Health-Related Quality of Life (OHRQoL in completely edentulous subjects. Material and Methods A total of 29 complete denture wearers were recruited. The variables were: a Pressure Pain Threshold (PPT of the masseter and temporalis; b retention, stability, and tooth wear of dentures; c Vertical Dimension of Occlusion (VDO; d Oral Health Impact Profile (OHIP adapted to orofacial pain. The Kolmogorov-Smirnov test, the Pearson Product-Moment correlation coefficient, the Spearman Rank correlation coefficient, the Point-Biserial correlation coefficient, and the Bonferroni correction (α=1% were applied to the data. Results The mean age (standard deviation of the participants was of 70.1 years (9.5 and 82% of them were females. There were no significant correlations with prosthetic factors, but significant negative correlations were found between the OHIP and the PPT of the anterior temporalis (r=-0.50, 95% CI-0.73 to 0.17, p=0.005. Discussion The deep pain sensitivity of masticatory muscles in complete dentures wearers is associated with OHRQoL, but not with prosthetic factors.

  18. Association of oral health-related quality of life and nutritional status among elderly population of Satara district, Western Maharashtra, India

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    Parth Patel

    2015-01-01

    Full Text Available Introduction: The major proportion of the population suffering from nutritional deficiency and continues to grow worldwide, especially in developing countries like India, and it is the most common cause of morbidity and mortality. Aim: To evaluate the oral health-related quality of life (OHRQOL and nutrition status and association between nutritional status, and OHRQOL in the elderly. Materials and Methods: A cross-sectional study was conducted among the elderly of Karad city. The elderly were subjected to type 3 oral examination. Data regarding the nutritional status and OHRQOL were obtained using Geriatric Oral Health Assessment Index (GOHAI and mini nutritional assessment (MNA index. Descriptive statistics was used to analyze data using SPSS version 21. Results: The sample included 200 elderly, of which 59% consisted of males, and 41% are females. The majority of study subjects (46% were between age group 61 and 70 years. Among the assessed subjects, nearly 95% of them had total scores of GOHAI between 12 and 57 which require "needed dental care." As per MNA, 3.5% had adequate nutrition, 60% were at risk of malnutrition, and remaining 36.5% of subjects were malnourished. There was a significant correlation between GOHAI and MNA scores. Conclusion: Nutritional status was associated with the poor OHRQOL among the elderly. A strong association was found between mean GOHAI and MNA scores and nutrition status and OHRQOL.

  19. Oral health-related quality of life in partially edentulous patients before and after implant therapy: a 2-year longitudinal study

    Science.gov (United States)

    BRAMANTI, E.; MATACENA, G.; CECCHETTI, F.; ARCURI, C.; CICCIÙ, M.

    2013-01-01

    SUMMARY Objectives. The aim of this study was to measure the Oral Health-Related Quality of Life (OHRQoL) before and after a prosthodontic implant therapy so to determine the physical and psychological impact of implant-supported fixed partial dentures (IFPD) rehabilitation among edentulous patients. Methods. 50 partially edentulous patients aged 40–70 years, treated with IFPD, completed the OHRQoL questionnaire before the implant surgery (Time 0) and 2 years after their whole implant-prosthetic rehabilitation (Time 1). The questionnaire was proposed in a short version of Oral Health Impact Profile (OHIP-14, range 0–56) and analyzed through the ‘additive method’. We evaluated statistical mean, standard deviation, median, variance and mode of all OHIP-14 domains and the statistical significance about oral changes at Time 0 and Time 1 using the Chi-square test (p-values 0.05). Patients with I and IV Kennedy’s class edentulism showed better improvement (p < 0.05). Conclusions. Preoperative and post-treatment assessments of OHRQoL exhibited significant differences. The IFPD treatment had a positive effect on the OHRQoL, which improved better in patients with I and IV Kennedy’s edentulous class. PMID:24175052

  20. One-Year Period Prevalence of Oral Aphthous Ulcers and Oral Health-Related Quality of Life in Patients with Behçet’s Disease

    Directory of Open Access Journals (Sweden)

    Mariko Naito

    2014-01-01

    Full Text Available The aim of this study was to investigate the 1-year period prevalence of oral aphthous ulcers (OAUs and their association with oral health-related quality of life (OHQOL in patients with Behçet’s disease (BD and in the general population. In this cross-sectional study, 675 patients with Behçet’s disease (BD group and 1,097 males and females in the Japanese general population (control group completed both questionnaires on their OAU status during the prior year and the General Oral Health Assessment Index (GOHAI. In the BD group, 84% of patients reported experiencing an OAU during the previous year, and the mean number of OAUs/year was 13. In the control group, 31% of individuals experienced an OAU during the previous year, and the mean number of OAUs/year was one. Multivariate analysis indicated that both BD patients (OR, 6.2; 95% CI, 4.8–8.0 and controls (OR, 2.6; 95% CI, 2.0–3.5 who had OAUs at least twice per year were more likely to have GOHAI scores below the norm than were controls who had fewer than two OAUs per year. The association between HLA-B*51 and OAUs remains unknown. The presence of OAUs has a negative effect on the OHQOL of patients with BD.

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

    Science.gov (United States)

    Kumar, Santhosh; Kroon, Jeroen; Lalloo, Ratilal

    2014-03-21

    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.

  2. Validation of two complementary oral-health related quality of life indicators (OIDP and OSS 0-10 in two qualitatively distinct samples of the Spanish population

    Directory of Open Access Journals (Sweden)

    Albaladejo A

    2008-11-01

    Full Text Available Abstract Background Oral health-related quality of life can be assessed positively, by measuring satisfaction with mouth, or negatively, by measuring oral impact on the performance of daily activities. The study objective was to validate two complementary indicators, i.e., the OIDP (Oral Impacts on Daily Performances and Oral Satisfaction 0–10 Scale (OSS, in two qualitatively different socio-demographic samples of the Spanish adult population, and to analyse the factors affecting both perspectives of well-being. Methods A cross-sectional study was performed, recruiting a Validation Sample from randomly selected Health Centres in Granada (Spain, representing the general population (n = 253, and a Working Sample (n = 561 randomly selected from active Regional Government staff, i.e., representing the more privileged end of the socio-demographic spectrum of this reference population. All participants were examined according to WHO methodology and completed an in-person interview on their oral impacts and oral satisfaction using the OIDP and OSS 0–10 respectively. The reliability and validity of the two indicators were assessed. An alternative method of describing the causes of oral impacts is presented. Results The reliability coefficient (Cronbach's alpha of the OIDP was above the recommended 0.7 threshold in both Validation and Occupational samples (0.79 and 0.71 respectively. Test-retest analysis confirmed the external reliability of the OSS (Intraclass Correlation Coefficient, 0.89; p Conclusion OIDP and OSS are valid and reliable subjective measures of oral impacts and oral satisfaction, respectively, in an adult Spanish population. Exploring simultaneously these issues may provide useful insights into how satisfaction and impact on well-being are constructed.

  3. Pilot survey of oral health-related quality of life: a cross-sectional study of adults in Benin City, Edo State, Nigeria

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    Lugo R Iván

    2005-07-01

    Full Text Available Abstract Background Oral health studies conducted so far in Nigeria have documented prevalence and incidence of dental disease using traditional clinical measures. However none have investigated the use of an oral health-related quality of life (OHRQoL instrument to document oral health outcomes. The aims of this study are: to describe how oral health affects and impacts quality of life (QoL and to explore the association between these affects and the oral health care seeking behavior of adults in Benin City, Edo State, Nigeria. Methods A cross-sectional survey recruited 356 adults aged 18–64 years from two large hospital outpatient departments and from members of a university community. Closed-ended oral health questionnaire with "effect and impact" item-questions from OHQoL-UK© instrument was administered by trained interviewers. Collected data included sociodemographic, dental visits, and effects and impact of oral health on QoL. Univariate and bivariable analyses were done and a chi-square test was used to test differences in proportions. Multivariable analyses using ANOVA examined the association between QoL factors and visits to a dentist. Results Complete data was available for 83% of the participants. About 62% of participants perceived their oral health as affecting their QoL. Overall, 82%, 63%, and 77% of participants perceived that oral health has an effect on their eating or enjoyment of food, sleep or ability to relax, and smiling or laughing, respectively. Some 46%, 36%, and 25% of participants reported that oral health impact their daily activities, social activities, and talking to people, respectively. Dental visits within the last year was significantly associated with eating, speech, and finance (P F = 0.0111. The mean of effects sum score for those with secondary/tertiary education levels (mean = 61.8; 95% CI: 60.6, 62.9 was significantly higher than those with less than secondary level of education (mean = 57.2; 95% CI

  4. Oral health related quality of life in pregnant and post partum women in two social network domains; predominantly home-based and work-based networks

    Directory of Open Access Journals (Sweden)

    Lamarca Gabriela A

    2012-01-01

    Full Text Available Abstract Background Individuals connected to supportive social networks have better general and oral health quality of life. The objective of this study was to assess whether there were differences in oral health related quality of life (OHRQoL between women connected to either predominantly home-based and work-based social networks. Methods A follow-up prevalence study was conducted on 1403 pregnant and post-partum women (mean age of 25.2 ± 6.3 years living in two cities in the State of Rio de Janeiro, Brazil. Women were participants in an established cohort followed from pregnancy (baseline to post-partum period (follow-up. All participants were allocated to two groups; 1. work-based social network group - employed women with paid work, and, 2. home-based social network group - women with no paid work, housewives or unemployed women. Measures of social support and social network were used as well as questions on sociodemographic characteristics and OHRQoL and health related behaviors. Multinomial logistic regression was performed to obtain OR of relationships between occupational contexts, affectionate support and positive social interaction on the one hand, and oral health quality of life, using the Oral Health Impacts Profile (OHIP measure, adjusted for age, ethnicity, family income, schooling, marital status and social class. Results There was a modifying effect of positive social interaction on the odds of occupational context on OHRQoL. The odds of having a poorer OHIP score, ≥4, was significantly higher for women with home-based social networks and moderate levels of positive social interactions [OR 1.64 (95% CI: 1.08-2.48], and for women with home-based social networks and low levels of positive social interactions [OR 2.15 (95% CI: 1.40-3.30] compared with women with work-based social networks and high levels of positive social interactions. Black ethnicity was associated with OHIP scores ≥4 [OR 1.73 (95% CI: 1

  5. Oral Health-Related Quality of Life and Traumatic Dental Injuries in Young Permanent Incisors in Brazilian Schoolchildren: A Multilevel Approach.

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    Fernanda Bartolomeo Freire-Maia

    Full Text Available Traumatic dental injury (TDI during childhood may negatively impact the quality of life of children.To describe the association of oral health-related quality of life (OHRQoL and domains (oral symptons, functional limitation, emotional- and social-well-being of children with individual and contextual variables.A cross-sectional study was performed using a representative sample of 1,201 schoolchildren, 8-10 years-old, from public and private schools of Belo Horizonte, Brazil. The CPQ8-10 was used to assess OHRQoL, dichotomized in low and high impact. Sociodemographic information was collected through questionnaires to parents. Children were examined at schools, using the Andreasen criteria. Individual variables were gender, age, number of residents in home, parents/caregivers' level of education, family income, and TDI (dichotomized into without trauma/mild trauma and severe trauma. Dental caries and malocclusion were considered co-variables. Contextual variables were the Social Vulnerability Index and type of school. Ethical approval and consent forms were obtained. Data were analyzed using SPSS for Windows 19.0 and HLM 6.06, including frequency distribution, chi-squared test and multilevel approach (p < 0.05.The prevalence of a negative impact on OHRQoL in children with severe trauma was 55.9%. The TDI negatively impacted emotional and social domains of OHRQoL. A multilevel analysis revealed a significant difference in OHRQoL according to the type of school and showed that 16% of the total variance was due to contextual characteristics (p < 0.001; ICC = 0.16. The negative impact on OHRQoL was higher in girls (p = 0.009, younger children (p = 0.023, with severe TDI (p = 0.014, those from public schools (p = 0.017 and whose parents had a lower education level (p = 0.001.Severe trauma impacts OHRQoL on emotional and social domains. Contextual dimensions add information to individual variability to explain higher impact, emphasizing socioeconomic

  6.  A CROSS-SECTIONAL STUDY OF ORAL HEALTH AND ORAL-HEALTH-RELATED QUALITY OF LIFE AMONG FRAIL ELDERLY PERSONS ON ADMISSION TO A SPECIAL ORAL-HEALTHCARE PROGRAM IN COPENHAGEN CITY,

    DEFF Research Database (Denmark)

    Christensen, Lisa Bøge; Hede, Borge; Nielsen, Ellen

    2012-01-01

    health-care programme. Clinical data and data from interviews comprising social factors, life-style, dental visit habits, oral hygiene practices and self-perceived oral health were collected. A modified index on perceived dysfunction, discomfort and disability due to oral disorders was used. Results......A cross-sectional study of oral health and oral health-related quality of life among frail elderly persons on admission to a special oral health care programme in Copenhagen City, Denmark Aim: To describe the oral health and the oral-health-related quality of life (OHRQoL) of citizens in Copenhagen...... City on admission to a specific oral health-care programme for disabled elderly persons. Further, to analyse how various factors influence the oral health and the OHRQoL among these patients. Methods: A cross-sectional study of 189 persons (average 85 years) consecutively admitted to a special oral...

  7. Evaluation of the oral health-related quality of life in type 2 diabetic%2型糖尿病患者口腔健康相关生活质量分析

    Institute of Scientific and Technical Information of China (English)

    黄晓雁; 江锦清

    2015-01-01

    目的:采用口腔健康影响程度量表评估2型糖尿病患者口腔健康相关生活质量。方法纳入264位2型糖尿病患者作为研究对象,使用调查者自我评价表和口腔健康影响程度量表-14( oral health impact profile-14,OHIP-14)对研究对象进行问卷调查。结果糖化血红蛋白值>8是影响口腔健康程度的危险因素( OR=0.880,P=0.036)。结论高糖化血红蛋白影响2型糖尿病患者口腔健康状况。%Objective To evaluate the oral health-related quality of life in type 2 diabetic patients with the Chinese version of oral health impact profile-14 ( OHIP-14) . Methods A total of 264 type 2 diabetic patients were recruited. Pa-tients were investigated by both a self-assessment questionnaire and the OHIP-14. Results Glycated hemoglobin values>8 ( OR=0. 880, P=0. 036) is a significant risk factor for the OHIP-14 scores. Conclusion The oral health of type 2 diabetic patients was affected by high glycated hemoglobin values.

  8. Association between gingival bleeding and gingival enlargement and oral health-related quality of life (OHRQoL of subjects under fixed orthodontic treatment: a cross-sectional study

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    Zanatta Fabricio Batistin

    2012-11-01

    Full Text Available Abstract Background There are scarce evidences that evaluated the impact of periodontal disease on oral health-related quality of life (OHRQoL taking marginal gingival alterations into consideration. Thus, this study aimed to verify the association between OHRQoL and gingival enlargement and gingival bleeding in subjects under fixed orthodontic treatment (FOT. Methods 330 participants under FOT for at least 6 months were examined by a single, calibrated examiner for periodontal variables and dental aesthetic index. Socio-economic background, body mass index, time with orthodontic appliances, and use of dental floss were assessed by oral interviews. OHRQoL was evaluated using the oral health impact profile (OHIP-14 questionnaire. The assessment of associations used unadjusted and adjusted Poisson regression models. Results Higher impacts on the OHIP-14 overall were observed in subjects who presented higher levels of anterior gingival enlargement (RR 2.83; 95% CI 2.60-3.09, were non-whites (RR 1.29; 95% CI 1.15-1.45, had household income lower than five national minimum wages (RR 1.85; 95% CI 1.30-2.61, presented body mass index > 25 (RR 1.14; 95% CI 1.01-1.29, and showed a dental aesthetic index > 30 (RR 1.32; 95% CI 1.20-1.46. Conclusions Anterior gingival enlargement seems to influence the OHRQoL in subjects receiving orthodontic treatment.

  9. 正畸治疗对口腔相关生活质量影响的研究%Impact of orthodontic treatment on oral health-related quality of life

    Institute of Scientific and Technical Information of China (English)

    凌爱华; 陈文静

    2012-01-01

    目的 研究正畸治疗对口腔相关生活质量的影响,分析这些影响在不同的人群以及在各个维度中是否存在差异.方法 随机抽取正畸治疗患者182例进行问卷调查,采用《一般情况调查表》、《口腔相关生活质量调查表OHIP-14(中文版)》对患者进行测评,并对他们在量表上的得分进行比较.结果 正畸治疗对口腔生活质量有明显影响,在治疗第1个月时影响最大,对功能障碍、生理疼痛、心理不适、社交障碍等维度的影响均较明显.在性别和安氏分类方面得分没有显著差别,成年组较未成年组在总分及各分维度上均有明显差别,是否拔牙的患者之间在总量表得分、生理疼痛、心理障碍和社交障碍等维度也呈现出显著性差异.结论 正畸治疗影响患者的生活质量,在矫治的第1个月尤为明显,成年人和拔牙患者受到的影响也更为显著.%Objective To assess the impact of the orthodontic treatment to the oral health-related quality of life,and examine the differential impact between patients grouped by different indices on their scale scores and scores on each dimension. Methods A total of 182 randomly selected patients, who were in different stages of orthodontic treatment were asked to complete the scale of general condition, OHIP-14 (Chinese version) . Results Orthodontic treatment had an effect on patients'oral health-related quality (OHRQOL). More impact was found on patients who were in the first month of treatment, especially on physical pain , psychological discomfort and social disability. There was no significant difference on the OHRQOL total scale scores between two gender groups,or Angles classification (P > 0.05). There was significant age differences on the OHRQOL total scale scores and each dimension. The similar differences were also found between patients with or without tooth extraction. Contusions Orthodontic treatment does affect patients'OHRQOL. The impact is

  10. Medical Students'Oral Health Related Quality of Life Survey and Influencing Factors%医学生口腔健康相关生活质量的影响因素调查

    Institute of Scientific and Technical Information of China (English)

    符方满; 王小丹; 高允锁

    2015-01-01

    Objective:To investigate medical college students in Hainan province of oral health related quality of life and its influencing factors .Methods:Self-made general situation questionnaire and oral health impact scale ( OHIP-14 Chinese Edition ) on 762 medical students in Hainan province were cross-sectional surveyed.Results:OHIP-14 of the total average score was(33.15 ±5.53)points,four di-mensions( independent ability was abate;psychological discomfort;physical discomfort;pain and discom-fort)mean scores were:(3.47 ±3.82),(2.78 ±2.53),(2.75 ±2.46),(3.32 ±2.37) points.Dimen-sions of pain and discomfort was not significant difference between gender ,the rest of the dimensional had statistical significance between gender ( P <0 .05 ) .Caries prevalence of 44 .88%, whether the risk of dental caries among the dimension difference had statistics significance (P<0.05).The multiple linear regressions showed that peculiar smell in oral cavity , dental caries , gingival inflammation , often straight teeth and gums often bleeding entered into the regression equation .Conclusion:The effect of medical students'oral health related quality of life factors are diversified ,comprehensive measures should be taken to prevent.%目的:了解海南省医学生口腔健康相关生活质量现状及其影响因素。方法:采用自制的一般情况调查表和口腔健康影响程度量表( OHIP-14中文版)对762名海南省医学生进行横断面调查。结果:①OHIP-14总平均得分为(33.15±5.53)分,4个维度(独立能力减弱;心理不适;身体机能不适;疼痛与不适)平均得分分别为:(3.47±3.82)分,(2.78±2.53)分,(2.75±2.46)分,(3.32±2.37)分。性别间除了维度疼痛与不适项差别无统计学意义外,其余的3维度都有统计学意义( P<0.05)。龋齿患病率为44.88%,是否患龋齿间各维度差别均有统计学意义(P<0.05);②多元

  11. The Italian version of the Mouth Handicap in Systemic Sclerosis scale (MHISS) is valid, reliable and useful in assessing oral health-related quality of life (OHRQoL) in systemic sclerosis (SSc) patients.

    Science.gov (United States)

    Maddali Bongi, S; Del Rosso, A; Miniati, I; Galluccio, F; Landi, G; Tai, G; Matucci-Cerinic, M

    2012-09-01

    In systemic sclerosis (SSc), mouth and face involvement leads to problems in oral health-related quality of life (OHRQoL). Mouth Handicap in Systemic Sclerosis scale (MHISS) is a 12-item questionnaire specifically quantifying mouth disability in SSc, organized in 3 subscales. Our aim was to validate Italian version of MHISS, by assessing its test-retest reliability and internal and external consistency in Italian SSc patients. Forty SSc patients (7 dSSc, 33 lSSc; age and disease duration: 57.27 ± 11.41, 9.4 ± 4.4 years; 22 with sicca syndrome) were evaluated with MHISS. MHISS was translated following a forward-backward translation procedure, with independent translations and counter-translation. Test-retest reliability was evaluated, comparing the results of two administrations, with intraclass correlation coefficient (ICC). Internal consistency was assessed by Cronbach's α and external consistency by comparison with mouth opening. MHISS has a good test-retest reliability (ICC: 0.93) and internal consistency (Cronbach's α:0.99). A good external consistency was confirmed by correlation with mouth opening (rho: -0,3869, p: 0.0137). Total MHISS score was 17.65 ± 5.20, with scores of subscale 1 (reduced mouth opening) of 6.60 ± 2.85 and scores of subscales 2 (sicca syndrome) and 3 (aesthetic concerns) of 7.82 ± 2.59 and 3.22 ± 1.14. Total and subscale 2 scores are higher in dSSc than in lSSc. This result may be due to the higher presence of sicca syndrome in dSSc than in lSSc (p = 0.0109). Our results support validity and reliability in Italian SSc patients of MHISS, specifically measuring SSc OHRQoL.

  12. 复发性阿弗他溃疡患者口腔健康相关生活质量的初步研究%Oral Health- related Quality of Life in Patients with Oral Recurrent Aphthous Ulcer

    Institute of Scientific and Technical Information of China (English)

    左雯鑫; 张向阳; 蔡淦英; 彭宏

    2012-01-01

    Objective; To assess the oral health-related quality of life in patients with oral recurrent aphthous ulcer using the Chinese version of the Oral health impact profile-14 (OHIP-14). Methods: This study included 53 patients with the diagnosis of RAU and 50 healthy controls who completed the questionnaire of OHIP-14 .subsequently the visual analogue scale(VAS) rated the pain they experienced and the interval of recent three months were recorded in RAU patients. Results; The median value of 22. 00 was observed in RAU patients and 7. 50 in healthy controls, there was highly significant association between the OHIP-14 score and interval as well as VAS score(P <0. 01). The frequent negative impacts proportion were in the domains of physical discomfort, physical disability and psychological discomfort in turn. Conclusion: OHIP-14 Chinese version provides the theoretical evidence for e-valuating clinical condition in patients with RAU.%目的:通过口腔健康影响程度量表了解复发性阿弗他溃疡患者口腔健康相关生活质量.方法:采用OHIP-14中文版对复发性阿弗他溃疡患者进行问卷调查,同时记录其总间歇时间和VAS分值,并与普通人群OHQOL进行比较.结果:RAU患者量表得分中位数为22.00,明显高于普通人群中位数7.50(P<0.01),经历负面影响比例占前3位的依次是生理性疼痛、生理障碍和心理不适3个领域,量表得分与总间歇时间呈负相关关系(P<0.01),量表得分与VAS分值间呈正相关关系(P<0.01).结论:RAU患者OHQOL明显低于普通人群,可为RAU病情评估提供参考.

  13. 口腔扁平苔藓患者口腔健康相关生活质量的初步研究%Oral health-related quality of life in patients with oral lichen planus

    Institute of Scientific and Technical Information of China (English)

    左雯鑫; 李晓宇; 陈艳卿; 彭宏

    2012-01-01

    目的 通过口腔健康影响程度量表(OHIP)-14中文版了解口腔扁平苔藓患者口腔健康相关生活质量情况,探讨其应用于口腔扁平苔藓临床诊疗的可靠性和准确性.方法 采用OHIP-14中文版对51例口腔扁平苔藓患者进行问卷调查,同时采用视觉类比标尺(VAS)对疼痛程度进行评分,REU评分系统对病损情况进行评分.通过SPSS 16.0软件对量表的信度和效度进行统计分析.结果 0HIP-14的得分为21.67±9.45,量表的内部一致性Cronbach's α系数为0.901,因子分析提取的5个公因子与量表各领域有密切的逻辑关系,量表得分与REU分值和VAS分值间呈正相关关系(r=-0.608,0.807; P<0.000).结论 OHIP-14中文版评测口腔扁平苔藓患者的口腔健康相关生活质量具有较好的信度和效度,可为病情评估提供参考.%Objective To investigate the oral health-related quality of life in patients with oral lichen planus(OLP) using the Chinese version of the oral health impact profile (OHIP)-14. Methods 51 patients with OLP were included and completed the questionnaire of OHIP-14 subsequently the REU scoring system was utilized to record the local condition and a visual analogue scale (VAS) to rate the pain they experienced. The reliability and validity were analyzed by SPSS 16.0 software. Results The score of OHIP-14 was 21.67±9.45, Cronbach's alpha of the translated scale was 0.901. The items were divided into 5 domains by factor analysis. There was certain logical relation between the items in the same domain. There was highly significant association between the OHIP-14 score and REU score as well as VAS score (r=0.608, 0.807, P<0.000). Conclusion OHIP-14 performs well in patients with OLP, and have good validity and reliability.

  14. Socio-demographic and behavioural correlates of oral hygiene status and oral health related quality of life, the Limpopo - Arusha school health project (LASH: A cross-sectional study

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    Mbawalla Hawa S

    2010-11-01

    Full Text Available Abstract Background Promoting oral health of adolescents is important for improvement of oral health globally. This study used baseline-data from LASH-project targeting secondary students to; 1 assess frequency of poor oral hygiene status and oral impacts on daily performances, OIDP, by socio-demographic and behavioural characteristics, 2 examine whether socio-economic and behavioural correlates of oral hygiene status and OIDP differed by gender and 3 examine whether socio-demographic disparity in oral health was explained by oral health-related behaviours. Methods Cross-sectional study was conducted in 2009 using one-stage cluster sampling design. Total of 2412 students (mean age 15.2 yr completed self-administered questionnaires, whereas 1077 (mean age 14.9 yr underwent dental-examination. Bivariate analyses were conducted using cross-tabulations and chi-square statistics. Multiple variable analyses were conducted using stepwise standardized logistic regression (SLR with odds ratios and 95% Confidence intervals (CI. Results 44.8% presented with fair to poor OHIS and 48.2% reported any OIDP. Older students, those from low socio-economic status families, had parents who couldn't afford dental care and had low educational-level reported oral impacts, poor oral hygiene, irregular toothbrushing, less dental attendance and fewer intakes of sugar-sweetened drinks more frequently than their counterparts. Stepwise logistic regression revealed that reporting any OIDP was independently associated with; older age-groups, parents do not afford dental care, smoking experience, no dental visits and fewer intakes of sugar-sweetened soft drinks. Behavioural factors accounted partly for association between low family SES and OIDP. Low family SES, no dental attendance and smoking experience were most important in males. Low family SES and fewer intakes of sugar-sweetened soft drinks were the most important correlates in females. Socio-behavioural factors

  15. Effect of Cognitive-Behavior Intervention on Well-Being and Oral Health-Related Quality of Life in Patients with Dental Implant%认知行为干预对种植牙患者幸福感及口腔健康相关生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    张振华; 张晓惠

    2016-01-01

    [目的]探讨认知行为干预对种植牙患者幸福感及口腔健康相关生活质量的影响.[方法]选取接受种植修复的患者90例,随机分为观察组和对照组,每组45例.对照组采用义齿种植修复和常规护理,观察组在此基础上给予认知行为干预.比较两组干预前、干预后6、12个月的幸福感指数和口腔健康相关生活质量影响程度量表(OHRQoL-UK)评分.[结果]干预后6、12个月,观察组幸福感指数量表和OHRQoL-UK的评分显著高于对照组(P<0.05).[结论]认知行为干预可通过改变种植牙患者的认知,显著提高患者的幸福感及口腔健康相关生活质量,值得临床推广.%[Objective]To investigate the effect of cognitive-behavior intervention on well-being and oral health-related quality of life in patients with dental implant.[Methods]Ninety patients with dental implant were enrolled in the study and randomly divided into observation group and control group,45 cases in each group .Pa-tients in the control group were given dental implant and routine nursing.Based on it,cases in the observation group were given cognitive-behavior intervention.The scores of Index of Well-being and the UK oral health-related quality of life questionnaire (OHRQoL-UK)were compared between the two groups before and 6,12 months after intervention.[Results]The scores of Index of Well-being and OHRQoL-UK in patients in the observation group were all significantly higher than those of the control group 6,12 months after intervention (P <0.05).[Conclu-sion]Cognitive-behavior intervention could significantly improve the well-being and oral health-related quality of life by changing the cognition of patients with dental implant,and is worthy of clinical promotion.

  16. 老年糖尿病患者口腔健康生活质量与口腔知识掌握程度的相关性研究%The correlation between oral health-related quality of life and oral knowledge in elderly patients with diabetes

    Institute of Scientific and Technical Information of China (English)

    宋欢; 高明霞; 柳韦华

    2016-01-01

    目的:了解老年糖尿病患者口腔健康生活质量现状、口腔知识掌握现状,并分析其相关性。方法采用便利抽样法,抽取泰安市泰山区3个社区139例老年糖尿病患者,使用糖尿病口腔健康知识和生活质量问卷进行调查。结果老年糖尿病患者口腔健康生活质量总分为(33.61±2.91)分,处于中低水平,糖尿病口腔健康知识掌握程度处于较低水平。糖尿病患者口腔健康生活质量与口腔健康知识掌握程度相关系数为0.30( P﹤0.05),呈正相关。结论老年糖尿病患者口腔健康知识和口腔健康生活质量需要改善,且两者关系密切,可通过加强健康教育,改善患者的口腔健康知识掌握情况,从而改善口腔健康生活质量。%Objective:To know the current situation of oral health-related quality of life and oral knowledge in elderly patients with diabetes,and to analyze the correlation between them. Methods:A total of 139 elderly diabetics were recrui-ted from three communities in Taishan District of Taiˊan City by convenience sampling method. They were investigated with Oral Knowledge and Health-related Quality of Life in Elderly Diabetics questionnaire. Results he score of oral health-related quality of life in elderly diabetics was(33. 61 ± 2. 91),which was at a low level;And also the health knowledge. There was a positive correlation between them and the correlation coefficient was 0. 30(P﹤ 0. 05). Conclusion:Oral health knowl-edge and health related quality of life in elderly diabetics need to be improved and they are closely related. Patients oral health knowledge can be improved through strengthening health education,so as to improve the oral health quality of life.

  17. 无托槽隐形矫治初期患者口腔健康相关生活质量初步研究%Preliminary study in the oral health related life quality of patients with bracketless appliance in the early stage of orthodontic treatment

    Institute of Scientific and Technical Information of China (English)

    陈悦娜; 张雪玲; 戚维舒; 李孟欢; 林丽婷

    2016-01-01

    目的:研究无托槽隐形矫治器对患者口腔健康相关生活质量(OH⁃QoL)的影响,为矫治前采取针对性的健康指导提供参考。方法选取佩戴无托槽隐形矫治器≤3副的患者60例,分别在治疗前(T0)及佩戴无托槽隐形矫治器后首次复诊时(T)现场填写口腔健康影响程度量表(OHIP⁃14)中文版并回收,比较无托槽隐形矫治前和矫治初期患者OH⁃QoL的差异。结果采用配对样本t检验比较患者在无托槽隐形矫治前(T0)和佩戴无托槽隐形矫治器初期(T)量表得分,其中影响发音(T0=0.81,T=2.68;t=4.159,P=0.0142)、味觉变差(T0=0.64,T=1.60;t=3.483,P=0.0253)、出现过明显疼痛(T0=0.52,T=2.82;t=6.388,P=0.0031)、吃什么东西都不舒服(T0=0.72,T=1.79;t=6.288, P=0.0033)、不能很好的休息(T0=0.32,T=1.34;t=4.560,P=0.0103),5项的差异均有统计学意义。结论无托槽隐形矫治初期患者的OH⁃QoL与治疗前比较,受到一定程度的不良影响,主要体现在功能限制、生理性疼痛、心理障碍三方面,建议佩戴无托槽隐形矫治器前介入健康指导,预防性降低矫治对患者OH⁃QoL的影响,提高矫治积极性和依从性。%Objective To investigate the oral health related life quality of patients with bracketless appliance before treatment and in the early stage of treatment. To analyze the effect of bracketless appliance on the oral health related life quality of patients and provide reference to oral health instruction on patients before treatment. Methods In this study,60 patients with bracketless appliance undergoing less than 3 aligners were chosen,and they were asked to fill in the Chinese version of oral health impact profile⁃14 (OHIP⁃14) before treatment(T0) and at the first appointment(T). Oral health related life quality of patients before treatment and in the early stage of treatment were compared

  18. 认知行为综合干预对成人正畸患者焦虑水平及口腔健康相关生活质量的影响%The efficacy of cognitive-behavioral intervention on anxiety and oral health-related quality of life in adult orthodontic patients

    Institute of Scientific and Technical Information of China (English)

    夏春鹏; 李克义; 林燕辉; 张彬

    2014-01-01

    Objective To explore the influence of cognitive-behavioral intervention on the anxiety and oral health-related quality of life in adult orthodontic patients.Methods 152 adult orthodontic patients whose MDAS scores were greater than 11 were divided into the intervention group and the control group according Multistage Grouping Process.The former were treated with MBT appliance combined with cognitive-behavioral intervention,and the latter were treated with MBT appliance only.The State-Trait Anxiety Inventory(STAI) was adopted to evaluate anxiety in all patients during orthodontic treatment,and the UK oral health-related quality of life questionnaire(OHRQoL-UK) was adopted to evaluate the oral health-related quality of life in all patients before and after orthodontic treatment,respectively.Results 1.After 3 and 6 months cognitive-behavioral intervention,the scores of SAI in the intervention group(50.37±9.18,35.65±8.92) were significantly reduced compared to the control group(56.62± 10.52,54.13± 10.03) (P<0.01).After 6 months cognitive-behavioral intervention,the scores of TAI in the intervention group(47.92±6.82) were significantly reduced compared to the control group(51.52±7.41) (P <0.05).2.After the orthodontic treatment,the scores of OHRQoL-UK in the intervention group(58.27±13.43) were significantly improved compared to the control group (51.99± 11.69) (P< 0.01).3.The oral health-related quality of life after the orthodontic treatment were significantly related to post-treatment anxiety of adult orthodontic patients(r=-0.192 ~-0.459,P< 0.05).Conclusion Cognitive-behavioral intervention can effectively reduce anxiety and improve the oral health-related life quality in the adult orthodontic patients.%目的 探讨认知行为干预对成人正畸患者焦虑状态及口腔健康相关生活质量的影响.方法 将成人正畸焦虑患者152例采用分段随机分组的方法分为干预组与对照组,两组各76例.干预组采用直丝弓

  19. Setting oral health goals that include oral health-related quality of life measures: a study carried out among adolescents in Thailand Incorporação da qualidade de vida relacionada à saúde bucal em metas de saúde bucal: estudo conduzido em adolescentes tailandeses

    Directory of Open Access Journals (Sweden)

    Sudaduang Krisdapong

    2012-10-01

    Full Text Available The aim of this study was to assess the association between oral diseases and condition-specific oral health-related quality of life (CS-OHRQoL as a basis for proposing OHRQoL-based goals for the population of 15-year-olds in Thailand. Oral examinations and OHRQoL interviews were conducted with 871 15-year-olds as part of the Sixth Thailand National Oral Health Survey. The severity of oral impacts was categorized using "intensity". Associations between oral diseases and CS-OHRQoL were analyzed using chi-square and logistic regression. Thirty-nine percent of 15-year-olds experienced moderate/higher levels oral impacts on quality of life. Compared to those individuals with no tooth decay, adolescents with one or four or more decaying teeth were three and seven times more likely to experience moderate/higher impacts, respectively. Adolescents with extensive gingivitis in 3 or more mouth sextants were twice as likely to experience moderate/higher CS-impacts. Based on these findings, it is proposed that goals should focus on untreated decaying teeth and extensive gingivitis. Oral health goals for 15-year-olds should include specific OHRQoL measures.O objetivo deste estudo foi avaliar a associação entre doença bucal e a condição específica de qualidade de vida associada à saúde bucal (CS-OHRQoL, como base para propor OHRQoL metas para adolescentes tailandeses. Exame clínico bucal e entrevista foram realizados em 871 adolescentes na faixa etária de 15 anos, como parte da 6ª Pesquisa Nacional Tailandesa de Saúde Bucal. A severidade do impacto bucal foi categorizada usando-se a "intensidade". A associação entre doença bucal e CS-OHRQoL foi investigada usando-se o teste qui-quadrado e regressão lógica. Trinta e nove por cento da amostra reportaram impactos bucais de grau moderado/elevado. A probabilidade de reportar um impacto bucal de grau moderado/elevado dos adolescentes com um dente cariado e aqueles com 4 ou mais foi 3 e 7 vezes

  20. Impact of non-surgical periodontal intervention on oral health-related quality of life and periodontal clinical indices%非外科牙周干预对口腔健康相关生活质量及牙周临床指标影响

    Institute of Scientific and Technical Information of China (English)

    路惠捷; 陈铁楼; 张新海; 刘进; 赵海军; 吴织芬; 周以钧

    2015-01-01

    Objective:To investigate the impact of non-surgical periodontal intervention on oral health-related quali-ty of life and periodontal clinical indices. Method:91 cases with severe periodontitis divided into group therapy (76 cases treated with non-surgical procedure) and group control (15 cases treated with 3 % hydrogen peroxide rinsed). All cases used the Chinses 14-item version of the oral health impact profile(OHIP),as well as a demographic questionnaire. This was used to assess oral health-related quality of life (OHRQoL) issues. The questionnaire and clinical inspection were done be-fore therapy(T0) and 1 month(T1) and 12 monthes(T2) after treatment. The periodontal clinical parameters including gin-gival index(GI),plaque index(PLI),probing depth(PD),attachment loss(AL) and periodontal health related symptoms of each group were measured at T0,T1 and T2. Result:Scores of OHIP were significantly associated with age,oral hygiene and smoking habits. There were significant difference of GI,PLI,PD,AL and OHIP score,and also the percentage of periodontal health related symptom between group therapy and control at T1 and T2. The median score of OHIP reduced from 26.7±3.2 at T0 to 13.1±2.1 at T1. Median OHIP scores reduced to 13.7±2.2 at T2 (P6 mm could be reduced from 65.5 % at T0 to 39.6 % at T2 (P <0.01). There were significance difference of percentage of periodontal health related symptoms and the percentage of positive response of the patients on OHIP issue between T1 and T0 or be-tween T2 and T0. The scores of GI,PLI,and PD,ALvalue decreased significantly at T1,T2 than that of T0. Conclusion:The severity of severe periodontitis are asociated with OHIP of Chinese version. Non-surgical periodontal intervention presented significantly improved effects on OHRQoL and periodontal clinical parameters,the effects maintained more than 1 year.%目的:探讨非外科牙周干预对口腔健康相关生活质量及牙周临床指标的影响。方法:91例重症慢

  1. Effects of periodontal health and related factors on the oral health-related quality of life in type 2 diabetic patients with chronic periodontitis%牙周健康对2型糖尿病伴牙周炎患者口腔健康相关生活质量影响分析

    Institute of Scientific and Technical Information of China (English)

    李峥; 朱凌; 沙月琴

    2011-01-01

    目的 采用老年口腔健康评价指数(GOHAI)量表评估2型糖尿病伴牙周炎患者口腔健康相关生活质量状况.方法 对有2型糖尿病病史的患者进行牙周临床检查,将符合慢性牙周炎诊断、全口余留牙数在16颗以上,同时最近一年内未接受牙周治疗的个体,共80人作为研究对象.牙周临床检查包括采用Williams刻度探针检查全牙列菌斑指数、改良出血指数、探诊深度及附着丧失(AL)水平.问卷调查包括GOHAI量表评估及其他项目调查.结果 GOHAI量表结构效度、内容效度、反应度均较佳.牙周临床指标与GOHAI量表显著正相关.对自我口腔健康状况评价不满意、服用降糖药、牙龈炎症重、平均AL水平高的个体口腔健康相关生活质量差.结论 2型糖尿病伴牙周炎患者口腔健康相关生活质量及GOHAI量表负面经历状况受自我口腔健康评价认知、牙周炎症水平影响.%Objective To evaluate the oral health-related quality of life (OHRQOL) in type 2 diabetic patients with chronic periodontitis. Methods A total of 80 type 2 diabetic patients with chronic periodontitis who had at least 16 teeth and never accept any periodontal therapy in latest one year were recruited. The clinical periodontal index such as probing depth, attachment loss(AL), modified bleeding index, plaque index were obtained with a Williams type periodontal probe. All accepted structured questionnaire interview including the evaluation of OHRQOL Results The geriatric oral health assessment index(GOHAI) results demonstrated good content validity, construct validity and responsibility. The periodontal index had positive correlation with the GOHAI scores. Individuals with self-unsatisfied of oral health status, using hypoglycemic drugs, accompanied with serious gingival inflammation and higher AL had relatively poor OHRQOL. Conclusion The OHRQOL of type 2 diabetes with chronic periodontitis and the negative experiences of items

  2. Promoting Oral Health Using Social Media Platforms: Seeking Arabic Online Oral Health Related Information (OHRI).

    Science.gov (United States)

    Almaiman, Sarah; Bahkali, Salwa; Alabdulatif, Norah; Bahkaly, Ahlam; Al-Surimi, Khaled; Househ, Mowafa

    2016-01-01

    Access to oral health care services around the world is limited by a lack of universal coverage. The internet and social media can be an important source for patients to access supplementary oral health related information (OHRI). Online OHRI presents an opportunity to enhance dental public health education about innumerable oral health issues and promote dental self-care. The aim of this study is to estimate the prevalence of social media users among the Saudi population and identify the preferred social media platform for seeking Arabic OHRI and its impact on seekers' knowledge, attitude, and behavior. A total of 2652 Twitter followers were surveyed, using a web-based self-administered questionnaire to collect data on demographic characteristics and online OHRI seeking behavior More than two thirds, 67.7% (n= 1796), of the participants reported they were seeking Arabic online OHRI, while 41.1% of the participants reported they had no preference for using a specific social media platform. These results emphasize the need and importance of supporting the content of social media with trusted and high quality online OHRI resources to promote a high level of public awareness about oral health and dental health services. Further studies in this regard are highly recommended on a larger scale of nationalities to explore the role of social media platform preference in promoting health promotion and dental public health awareness.

  3. Comparison of the children's oral health habits and oral-health-related quality of life following treatment under dental general anesthesia and passive restraint%儿童全麻与单纯束缚下牙齿治疗的短期对比研究

    Institute of Scientific and Technical Information of China (English)

    肖雨萌; 夏斌; 马文利; 张笋; 王建红; 葛立宏

    2014-01-01

    Objective To compare the children's oral health habits and oral-health-related quality of life following treatment under dental general anesthesia(DGA) and passive restraint(PR).Methods In the Department of Pediatric Dentistry,Peking University School and Hospital of Stomatology,twenty eight 2 to 4-year-old patients treated under DGA and thirty five treated under PR were collected in this non-randomized controlled trial.The general information including age and decayed,missed and filled teeth(dmft),dental plaque index was recorded preoperatively.Two questionnaires,questionnaire of oral health habits and early childhood oral health impact scale(ECOHIS) were completed by parents before and 6 months after treatment (including restoration,root canal treatment,stainless steel crown,tooth extraction,etc.).Six months after treatment,dental plaque index and restoration were reexamined.Results The patients were significantly elder in DGA group[(3.1 ±0.6) years old,P<0.05],and the mean dmft was significantly higher(13.1 ±4.1,P<0.001) in DGA group.The postoperative dietary habits and brushing habits significantly improved in PR group,but not in the DGA group.However,according to the results of ECOHIS,the occurrence of pain,the impacts of patients on daily life,psychology and family due to the oral diseases significantly decreased in DGA group(P<0.05),while in PR group,only the occurrence of pain reduced(P<0.05).No statistical difference was found between the two groups in new caries or recurrent caries(PR group:37.1%,DGA group:39.3%),secondary caries(PR group:4.1%,DGA group:2.3%),and failure of the restoration(PR group:1.5%,DGA group:2.7%).Conclusions Each behavior management technique has advantages and drawbacks,and no statistical differences were found in the treatment results between the two techniques.%目的 观察对比儿童全麻与单纯束缚下牙齿治疗术后患者的口腔卫生习惯、口腔健康相关生活质量及短期治疗效果

  4. Oral health-related resources - a salutogenic perspective on Swedish 19-year-olds.

    Science.gov (United States)

    Lindmark, U; Abrahamsson, K H

    2015-02-01

    The aim was to explore health-oriented resources among 19-year-olds and, specifically, how these resources interact with oral health-related attitudes and behaviour. To represent individuals with various psychosocial environments and socioeconomic areas, the participants were selected from different geographical locations of the Public Dental Service clinics in the county of Jönköping, Sweden. A structured questionnaire was distributed, including the instrument 'sense of coherence', for description of the study group, followed by a semi-structured thematized interview. The qualitative method used for sampling and analyses was grounded theory. Data sampling and analysis were performed in parallel procedures and ended up in a sample of ten informants (five women). In the analysis of interview data, a core category was identified, 'Resources of Wealth and Balance in Life - a Foundation for Healthy Choices', describing the central meaning of the informants' perceptions of resources with an essential beneficial impact on oral health. The core category was built on five themes, which in turn had various subthemes, describing different dimensions of resources interacting with beneficial oral health-related attitudes and behaviour: 'Security-building Resources and Support', 'Driving force and Motivation', 'Maturity and Insight', 'Health Awareness' and 'Environmental influences.' The results elucidate personal and environmental health-oriented resources with influence on oral health-related attitudes and behaviours of young individuals. Such beneficial recourses should be recognized by dental personnel to promote oral health.

  5. Oral health-related risk behaviours and attitudes among Croatian adolescents--multiple logistic regression analysis.

    Science.gov (United States)

    Spalj, Stjepan; Spalj, Vedrana Tudor; Ivanković, Luida; Plancak, Darije

    2014-03-01

    The aim of this study was to explore the patterns of oral health-related risk behaviours in relation to dental status, attitudes, motivation and knowledge among Croatian adolescents. The assessment was conducted in the sample of 750 male subjects - military recruits aged 18-28 in Croatia using the questionnaire and clinical examination. Mean number of decayed, missing and filled teeth (DMFT) and Significant Caries Index (SIC) were calculated. Multiple logistic regression models were crated for analysis. Although models of risk behaviours were statistically significant their explanatory values were quite low. Five of them--rarely toothbrushing, not using hygiene auxiliaries, rarely visiting dentist, toothache as a primary reason to visit dentist, and demand for tooth extraction due to toothache--had the highest explanatory values ranging from 21-29% and correctly classified 73-89% of subjects. Toothache as a primary reason to visit dentist, extraction as preferable therapy when toothache occurs, not having brushing education in school and frequent gingival bleeding were significantly related to population with high caries experience (DMFT > or = 14 according to SiC) producing Odds ratios of 1.6 (95% CI 1.07-2.46), 2.1 (95% CI 1.29-3.25), 1.8 (95% CI 1.21-2.74) and 2.4 (95% CI 1.21-2.74) respectively. DMFT> or = 14 model had low explanatory value of 6.5% and correctly classified 83% of subjects. It can be concluded that oral health-related risk behaviours are interrelated. Poor association was seen between attitudes concerning oral health and oral health-related risk behaviours, indicating insufficient motivation to change lifestyle and habits. Self-reported oral hygiene habits were not strongly related to dental status.

  6. Effect of dental education on Peruvian dental students' oral health-related attitudes and behavior.

    Science.gov (United States)

    Sato, Manuel; Camino, Javier; Oyakawa, Harumi Rodriguez; Rodriguez, Lyly; Tong, Liyue; Ahn, Chul; Bird, William F; Komabayashi, Takashi

    2013-09-01

    This study evaluated the effect of dental education on oral health-related attitudes and behavior of students in a five-year dental program in Peru. A survey using the Hiroshima University-Dental Behavioral Inventory (HU-DBI), which consists of twenty dichotomous responses (agree-disagree) regarding oral health behavior and attitudes, was completed by Year 1 and Year 5 dental students at the Universidad Inca Garcilaso de la Vega in Lima, Peru. A total of 153 Year 1 students and 120 Year 5 students responded to the Spanish version of the HU-DBI questionnaire. The data were analyzed using chi-square tests and logistic regression analyses. Compared to the Year 1 students, the Year 5 dental students were more likely to agree with questions such as "I think I can clean my teeth well without using toothpaste" (OR=0.24, 95% CI: 0.10-0.58); "I have used a dye to see how clean my teeth are" (OR=0.19, 95% CI: 0.10-0.36); and "I have had my dentist tell me that I brush very well" (OR=0.34, 95% CI: 0.17-0.69). Overall, the data showed that the curriculum in this dental school in Peru resulted in more positive oral health-related attitudes and behavior among Year 5 dental students compared to those of Year 1 dental students.

  7. Oral health related behaviors among adult Tanzanians: a national pathfinder survey

    Directory of Open Access Journals (Sweden)

    Senkoro Ahadieli R

    2009-09-01

    Full Text Available Abstract Background The oral health education programs which have been organised and delivered in Tanzania were not based on a thorough understanding of behaviours which influence oral health. Therefore, evaluation of these programs became difficult. This study aimed at investigating the oral health related behaviours and their determinants among Tanzanian adults. Methods A national pathfinder cross sectional survey was conducted in 2006 involving 1759 respondents from the six geographic zones of mainland Tanzania. Frequency distributions, Chi square and multiple logistic regression analyses were performed using SPSS version 13.0. Results The rates of abstinence from alcohol for the past 30 days and life time smoking were 61.6% and 16.7% respectively, with males being more likely to smoke (OR 9.2, CI 6.3 -12.9, p Conclusion The findings of this study demonstrated social demographic disparities in relation to oral health related behaviors, while dental pain was associated with low consumption of sugar and high likelihood to take alcohol.

  8. Bacterial diversity in saliva and oral health-related conditions: the Hisayama Study

    Science.gov (United States)

    Takeshita, Toru; Kageyama, Shinya; Furuta, Michiko; Tsuboi, Hidenori; Takeuchi, Kenji; Shibata, Yukie; Shimazaki, Yoshihiro; Akifusa, Sumio; Ninomiya, Toshiharu; Kiyohara, Yutaka; Yamashita, Yoshihisa

    2016-02-01

    This population-based study determined the salivary microbiota composition of 2,343 adult residents of Hisayama town, Japan, using 16S rRNA gene next-generation high-throughput sequencing. Of 550 identified species-level operational taxonomic units (OTUs), 72 were common, in ≥75% of all individuals, as well as in ≥75% of the individuals in the lowest quintile of phylogenetic diversity (PD). These “core” OTUs constituted 90.9 ± 6.1% of each microbiome. The relative abundance profiles of 22 of the core OTUs with mean relative abundances ≥1% were stratified into community type I and community type II by partitioning around medoids clustering. Multiple regression analysis revealed that a lower PD was associated with better conditions for oral health, including a lower plaque index, absence of decayed teeth, less gingival bleeding, shallower periodontal pockets and not smoking, and was also associated with tooth loss. By contrast, multiple Poisson regression analysis demonstrated that community type II, as characterized by a higher ratio of the nine dominant core OTUs, including Neisseria flavescens, was implicated in younger age, lower body mass index, fewer teeth with caries experience, and not smoking. Our large-scale data analyses reveal variation in the salivary microbiome among Japanese adults and oral health-related conditions associated with the salivary microbiome.

  9. Predicting Oral Health-Related Behaviour in the Parents of Preschool Children: An Application of the Theory of Planned Behaviour

    Science.gov (United States)

    Van den Branden, Sigrid; Van den Broucke, Stephan; Leroy, Roos; Declerck, Dominique; Hoppenbrouwers, Karel

    2015-01-01

    Objective: This study aimed to test the predictive validity of the Theory of Planned Behaviour (TPB) when applied to the oral health-related behaviours of parents towards their preschool children in a cross-sectional and prospective design over a 5-year interval. Methods: Data for this study were obtained from parents of 1,057 children born…

  10. Orthodontic treatment reduces the impact on children and adolescents' oral health-related quality of life

    Directory of Open Access Journals (Sweden)

    Eluza Piassi

    2016-01-01

    Conclusions: Malocclusions treatment reduces the impact on children and adolescents' OHRQoL based on evidence assessed in the literature. The level of evidence was moderate to high to detect changes in the impact after orthodontic treatment.

  11. Halitosis and oral health-related quality of life : a case report

    NARCIS (Netherlands)

    Buunk-Werkhoven, Y. A. B.; Dijkstra-le Clercq, M.; Verheggen-Udding, E. L.; de Jong, N.; Spreen, M.

    2012-01-01

    Objectives: This is a clinical case of a 36-year-old Dutch male, patient in the Dr. S. van Mesdag Forensic Psychiatric Centre in Groningen. It demonstrates a short-time effect of a tailored oral hygiene self-care intervention in three sessions over a period of 3 months on halitosis and a patient's o

  12. Do Maternal Oral Health-Related Self-Efficacy and Knowledge Influence Oral Hygiene Behavior of their Children?

    Directory of Open Access Journals (Sweden)

    Raheleh Soltani

    2016-07-01

    Full Text Available Background This study aimed to assess the effects of maternal self-efficacy and oral health-related knowledge on pre-school children oral hygiene behavior. Materials and Methods This cross-sectional study was conducted on 301 mothers with children aged 2–6 years old randomly selection from health centers of Tabriz, Iran.  Data were collected using self-report questionnaires including demographic characteristics, maternal self-efficacy, oral health-related knowledge, and children’s oral hygiene behavior. Data were analyzed using SPSS 16 using one-way ANOVA, Independent samples t-test, and multiple linear regressions at 95% significant level. Results The mean age of children was 4.1(standard deviation [SD] =1.4; range: 2–6 years. The mean score (SD of children oral hygiene behavior was 5.4 (1.9. The mean score (SD of mothers knowledge and self-efficacy were 4.9 (1.8 and 46.6 (14.8, respectively. 44.2% (133/301 of mothers had low self-efficacy and 55.8% (168/301 high self-efficacy. The children oral hygiene behavior was significantly and positively associated with maternal self-efficacy (r = 0.517, P < 0.001 and oral health-related knowledge (r = 0.363, P < 0.001. Conclusion According to the results of this study, mothers’ self-efficacy and knowledge was the strongest predicator of children oral hygiene behavior. So, educational interventions to improve maternal self-efficacy and knowledge may be beneficial for children oral health habits.

  13. Oral health related knowledge and health behavior of parents and school children

    Directory of Open Access Journals (Sweden)

    Lalić Maja

    2013-01-01

    Full Text Available Introduction. The family provides the background for developing behaviors, attitudes and knowledge related to oral health of children. The aim of this study was to compare oral health behavior of parents and their children and to asses the impact of parental behavior on children’s oral health. Material and Methods. This cross-sectional study included 99 parent - child pairs (12 to 15 years old. Data on oral health behavior, knowledge and attitudes regarding oral hygiene, fluorides and nutrition of parents and their children were collected by questionnaires. The parental dental health was assessed according to self-reported data on tooth loss and prosthodontic rehabilitation, while the dental status of children was determined by clinical examination. Results. The parents reported the use of dental floss (p < 0.001 and mouth rinses (p<0.05 more often than their children and they had better knowledge on fluorides. Approximately one third of parents thought they should not control sugar consumption of their child. There was a statistically significant correlation between parental oral hygiene and their habit to control the child in brushing with the child’s oral health status. Conclusion. Oral health education activities directed towards the prevention of risk factors for developing caries should involve both parents and their children, because parental behavior is a significant predictor of children’s oral health.

  14. Iowa Child Care Quality Rating System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Iowa's Child Care Quality Rating System prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile is divided into the following categories: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for Family Child Care Programs;…

  15. Analysing Maternal Employment and Child Care Quality

    NARCIS (Netherlands)

    Akgündüz, Yusuf

    2014-01-01

    The contributions in this thesis revolve around mothers' employment and child care quality. The first topic of interest is how mothers' employment is affected by modern child care services and parental leave entitlements. There is already an extensive literature on the effects of modern social polic

  16. Changes in oral health related knowledge, attitudes and behaviours following school based oral health education and atraumatic restorative treatment in rural Tanzania

    Directory of Open Access Journals (Sweden)

    Anne Nordrehaug Åstrøm

    2012-05-01

    Full Text Available Objectives: The following questions were addressed; to what extent is sugar consumption, tooth brushing, and oral health related attitudes and knowledge subject to change following a combined atraumatic restorative treatment (ART /oral health education (OHE program? Are changes in intended sugar avoidance associated with changes in cognitions as specified by the Theory of Planned Behaviour (TPB? Are changes in oral health related knowledge associated with changes in attitudes and oral health behaviour?Method: A total of 1306 (follow-up prevalence 73.8% primary school students in Kilwa, Tanzania completed interviews before and after a combined ART/OHE program. Post intervention at 6 months follow-up assessed changes in oral health related knowledge, attitudes, and behaviours. Complete baseline and follow-up interviews were obtained from 221 and 1085 students who received ART/OHE and OHE only at schools, respectively.Results: Improvement was obtained with attitudes towards sugar avoidance, knowledge, and tooth brushing (effect sizes in the range 0.1-0.3. Within individual changes did not differ significantly between students receiving ART/ OHE and OHE only. Change scores of intended sugar avoidance associated in the expected direction with changes in sugar consumption. Attitudes and norms with respect to sugar avoidance deteriorated and improved among subjects who respectively decreased and increased intended sugar avoidance. Tooth brushing increased in students who improved oral knowledge.Conclusion: School based ART/OHE improved pupils’ tooth brushing, knowledge, and attitudes, but had no effect on sugar consumption. This study provided support for the validity of the TPB in predicting changes in intended sugar avoidance and reported sugar intake.

  17. Predictors of mother–child interaction quality and child attachment security in at-risk families

    OpenAIRE

    2014-01-01

    Child healthy development is largely influenced by parent–child interaction and a secure parent–child attachment is predictively associated with positive outcomes in numerous domains of child development. However, the parent–child relationship can be affected by several psychosocial and socio-demographic risk factors that undermine its quality and in turn play a negative role in short and long term child psychological health. Prevention and intervention programs that support parenting skills ...

  18. Oral health-related knowledge, attitudes and habits in relation to perceived oral symptoms among 12-year-old school children.

    Science.gov (United States)

    Mattila, Marja-Leena; Tolvanen, Mimmi; Kivelä, Johanna; Pienihäkkinen, Kaisu; Lahti, Satu; Merne-Grafström, Marina

    2016-07-01

    Objective The aim of the study was to investigate oral health-related knowledge, attitudes and habits and their relationship to perceived oral symptoms among 12-year-olds and differences between boys and girls. Material and methods The study population consisted of children (n = 588) in 15 randomly selected elementary schools in Turku, Finland. Associations between oral health-related habits, knowledge and attitudes with perceived oral symptoms and gender differences were evaluated with χ(2)-test, Mann-Whitney U-test and logistic regression analysis. Results Oral health promoting habits but not knowledge or attitudes associated significantly with absence of oral symptoms. Girls reported a higher percentage of several health promotional habits than boys. Girls reported more frequently gingival bleeding and less frequently dental calculus than boys did. The most common oral symptom was gingival bleeding. Conclusions The present findings suggest some gender-related differences in oral health habits, attitudes, as well as perceived oral symptoms in 12-year-olds. There seems, however, not to be gender differences in relation to knowledge or the association of health habits with perceived oral symptoms. It is important to maintain health promotion at schools and additional efforts should be aimed at translating knowledge into action.

  19. Predictors of mother-child interaction quality and child attachment security in at-risk families.

    Science.gov (United States)

    De Falco, Simona; Emer, Alessandra; Martini, Laura; Rigo, Paola; Pruner, Sonia; Venuti, Paola

    2014-01-01

    Child healthy development is largely influenced by parent-child interaction and a secure parent-child attachment is predictively associated with positive outcomes in numerous domains of child development. However, the parent-child relationship can be affected by several psychosocial and socio-demographic risk factors that undermine its quality and in turn play a negative role in short and long term child psychological health. Prevention and intervention programs that support parenting skills in at-risk families can efficiently reduce the impact of risk factors on mother and child psychological health. This study examines predictors of mother-child interaction quality and child attachment security in a sample of first-time mothers with psychosocial and/or socio-demographic risk factors. Forty primiparous women satisfying specific risk criteria participated in a longitudinal study with their children from pregnancy until 18 month of child age. A multiple psychological and socioeconomic assessment was performed. The Emotional Availability Scales were used to measure the quality of emotional exchanges between mother and child at 12 months and the Attachment Q-Sort served as a measure of child attachment security at 18 months. Results highlight both the effect of specific single factors, considered at a continuous level, and the cumulative risk effect of different co-occurring factors, considered at binary level, on mother-child interaction quality and child attachment security. Implication for the selection of inclusion criteria of intervention programs that support parenting skills in at-risk families are discussed.

  20. Child Care in the American South: Poverty, Costs, and Quality

    Science.gov (United States)

    Collins, Vikki K.

    2012-01-01

    High-quality child care has been shown to improve the academic success and life adjustments of children living in poverty. During the past decade, many American states have adopted voluntary Quality Rating and Improvement (QRI) systems in an attempt to increase the level of quality in child care. Using data compiled by the National Association of…

  1. I Am Your Child. Quality Child Care: Making the Right Choice for You and Your Child. [Videotape].

    Science.gov (United States)

    I Am Your Child Foundation, Beverly Hills, CA.

    Finding the right child care is often challenging for parents, but it is one of the most important decisions a parent will ever make. This videotape is intended to help parents with the process of evaluating child care options. The 30-minute video is presented in seven parts. Part 1, "Choosing Child Care," discusses why quality child…

  2. Tennessee Star-Quality Child Care Program: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Tennessee's Star-Quality Child Care Program prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4)…

  3. Differential Susceptibility to Parenting and Quality Child Care

    Science.gov (United States)

    Pluess, Michael; Belsky, Jay

    2010-01-01

    Research on differential susceptibility to rearing suggests that infants with difficult temperaments are disproportionately affected by parenting and child care quality, but a major U.S. child care study raises questions as to whether quality of care influences social adjustment. One thousand three hundred sixty-four American children from…

  4. Effects of Quality Improvement System for Child Care Centers

    Science.gov (United States)

    Ma, Xin; Shen, Jianping; Kavanaugh, Amy; Lu, Xuejin; Brandi, Karen; Goodman, Jeff; Till, Lance; Watson, Grace

    2011-01-01

    Using multiple years of data collected from about 100 child care centers in Palm Beach County, Florida, the authors studied whether the Quality Improvement System (QIS) made a significant impact on quality of child care centers. Based on a pre- and postresearch design spanning a period of 13 months, QIS appeared to be effective in improving…

  5. "Who Says What Is Quality?": Setting Quality Standards for Family Child Care

    Science.gov (United States)

    Modigliani, Kathy

    2011-01-01

    This article tells the story of the 4-year consensus-building process to design quality standards for the field of family child care. Working with the National Association for Family Child Care, the Family Child Care Project at Wheelock College was funded to create an accreditation system for home-based child care programs using innovative methods…

  6. Predictors of mother-child interaction quality and child attachment security in at-risk families

    Directory of Open Access Journals (Sweden)

    Simona eDe Falco

    2014-08-01

    Full Text Available Child healthy development is largely influenced by parent-child interaction and a secure parent-child attachment is predictively associated with positive outcomes in numerous domains of child development. However, the parent-child relationship can be affected by several psychosocial and socio-demographic risk factors that undermine its quality and in turn play a negative role in short and long term child psychological health. Prevention and intervention programs that support parenting skills in at-risk families can efficiently reduce the impact of risk factors on mother and child psychological health. This study examines predictors of mother-child interaction quality and child attachment security in a sample of first-time mothers with psychosocial and/or socio-demographic risk factors. Forty primiparous women satisfying specific risk criteria participated in a longitudinal study with their children from pregnancy until 18 month of child age. A multiple psychological and socioeconomic assessment was performed. The Emotional Availability Scales were used to measure the quality of emotional exchanges between mother and child at 12 months and the Attachment Q-Sort served as a measure of child attachment security at 18 months. Results highlight both the effect of specific single factors, considered at a continuous level, and the cumulative risk effect of different co-occurring factors, considered at binary level, on mother-child interaction quality and child attachment security. Implication for the selection of inclusion criteria of intervention programs that support parenting skills in at-risk families are discussed.

  7. Dental health awareness, attitude, oral health-related habits, and behaviors in relation to socio-economic factors among the municipal employees of Mysore city

    Directory of Open Access Journals (Sweden)

    B R Chandra Shekar

    2011-01-01

    Full Text Available Objective: To assess the dental health awareness, attitude, oral health-related habits, and behaviors in relation to socioeconomic factors among the municipal employees of Mysore city. Study Design and Methodology: This study was cross-sectional in nature and involved completion of a predesigned structured questionnaire. The questionnaire included multiple option questions to collect information on awareness on dental diseases, visit to dentist, reasons for visit, reasons for not visiting dentist on routine basis, oral hygiene practices, and deleterious oral habits. Modified Kuppuswamy scale with readjustment of per capita income was used to classify individuals into different socioeconomic status (SES categories. Data were entered onto a personal computer and analysis was done using SPSS version 14. Results: Awareness on dental diseases was 100% in upper SES and nil (0% in the lower SES. Visit to dentist in the last 1 year was 100% in the upper SES and 32.3% in the lower SES. The prevalence of smoking, pan-chewing, and alcohol consumption was high in lower SES than in upper SES. Oral hygiene practices were better among the subjects in upper class than the lower ones. Conclusion: A direct relation was noted between the favorable dental health awareness, attitude, oral hygiene behavior, and SES.

  8. Bridging the Acculturation Gap: Parent-Child Relationship Quality as a Moderator in Mexican American Families

    Science.gov (United States)

    Schofield, Thomas J.; Parke, Ross D.; Kim, Young; Coltrane, Scott

    2008-01-01

    The authors examined the degree to which disparities in parent and child acculturation are linked to both family and child adjustment. With a sample of 1st- and 2nd-generation Mexican American children, acculturation and parent-child relationship quality at 5th grade, and parent-child conflict, child internalizing, and child externalizing at 7th…

  9. A Profile Approach to Child Care Quality, Quantity, and Type of Setting: Parent Selection of Infant Child Care Arrangements

    Science.gov (United States)

    Sosinsky, Laura Stout; Kim, Se-Kang

    2013-01-01

    Building on prior variable-oriented research which demonstrates the independence of the associations of child care quality, quantity, and type of setting with family factors and child outcomes, the current study identifies four profiles of child care dimensions from the NICHD Study of Early Child Care and Youth Development. Profiles accounted for…

  10. School Quality, Child Wellbeing and Parents' Satisfaction

    Science.gov (United States)

    Gibbons, Stephen; Silva, Olmo

    2011-01-01

    Child wellbeing at school and enjoyment of the learning environment are important economic outcomes, in particular because a growing body of research shows they are strongly linked to later educational attainments and labour market success. However, the standard working assumption in the economics of education is that parents choose schools on the…

  11. Narrative Structure and Emotional References in Parent-Child Reminiscing: Associations with Child Gender, Temperament, and the Quality of Parent-Child Interactions

    Science.gov (United States)

    Bost, Kelly K.; Choi, Eunsil; Wong, Maria S.

    2010-01-01

    The present research examined child gender, temperament, and the quality of parent-child interactions as predictors of narrative style and references to emotion during mother-child and father-child reminiscing. Although models predicting parents' narrative styles were non-significant, results revealed significant interactions between parental…

  12. Pornography, Religion, and Parent-Child Relationship Quality.

    Science.gov (United States)

    Perry, Samuel L; Snawder, Kara J

    2017-01-06

    Frequent pornography use is often negatively associated with marital quality. Recent research has argued that this negative association is particularly strong for those who are embedded in religious communities, likely due to the greater stigma and shame associated with viewing pornography. In order to test and extend this theory, the current study examined how religious service attendance moderates the link between parents' pornography consumption and four measures of parent-child relationship quality. Analyses of 2006 Portraits of American Life Study data (N = 2610) revealed that greater pornography viewing predicted negative outcomes on two out of four measures of parent-child relationship quality, while religious service attendance was associated with more positive parent-child relationship outcomes. Interaction effects, however, affirmed that the negative association between porn viewing frequency and three parent-child relationship outcomes was stronger for participants who attended religious services more often. Analyzing fathers (N = 771) and mothers (N = 904) separately revealed that the observed relationships held more consistently for fathers than mothers. Evidence for directionality was presented by incorporating re-interview data from 2012. While pornography use may be negatively associated with some aspects of parent-child relationship quality, this association was particularly strong for those embedded within religious communities, possibly owing to greater attendant guilt and shame.

  13. Marital satisfaction and quality of father-child interactions: the moderating role of child gender.

    Science.gov (United States)

    Bernier, Annie; Jarry-Boileau, Véronique; Lacharité, Carl

    2014-01-01

    The authors aimed to investigate the prospective links between normative variation in fathers' marital satisfaction and the observed quality of father-toddler interactions, as well as the moderating role of child gender in these associations. Sixty-three fathers reported on their marital satisfaction when their children were 15 months of age, and were observed interacting with their child at 18 months. The results suggested that marital satisfaction was positively associated with the quality of father-son interactions, while no relations emerged among fathers of girls. These findings reiterate the importance of marital relationships for the quality of fathers' parenting, while reaffirming previous suggestions that the role of child gender in the marriage-parenting connections requires further investigation.

  14. Oral-health-related quality of life in patients with cancer: cultural adaptation and the psychometric testing of the Persian version of EORTC QLQ-OH17

    NARCIS (Netherlands)

    Yekaninejad, M.S.; Pakpour, A.H.; Tadakamadla, J.; Kumar, S.; Mosavi, S.H.; Fridlund, B.; Bottomley, A.; Aaronson, N.K.

    2015-01-01

    Purpose: To evaluate the validity, reliability, responsiveness to treatment, and gender invariance of the Persian version of the European Organization for Research and Treatment of Cancer Oral Health Questionnaire (QLQ-OH17) among Iranian cancer patients. Methods: Cancer patients (n = 729) from thre

  15. Different aspects of oral health, dental treatment needs and oral health-related quality of life In Lithuanian patients with haemophilia – a case control study

    OpenAIRE

    Žaliūnienė, Rūta

    2016-01-01

    Haemophilia is a life-threatening inherited bleeding disorder. A rather common complication occurring in patients with haemophilia is excessive and spontaneous bleeding after dental procedures particularly after tooth extraction. There were no previous Lithuanian studies evaluating different aspects of oral health and its related determinants among haemophilia patients. The present study estimated caries experience, dental treatment experience, unmet dental treatment needs, presence of fu...

  16. A Count for Quality: Child Care Center Directors on Rating and Improvement Systems

    Science.gov (United States)

    Schulman, Karen; Matthews, Hannah; Blank, Helen; Ewen, Danielle

    2012-01-01

    Quality Rating and Improvement Systems (QRIS)--a strategy to improve families' access to high-quality child care--assess the quality of child care programs, offer incentives and assistance to programs to improve their ratings, and give information to parents about the quality of child care. These systems are operating in a growing number of…

  17. Process Dimensions of Child Care Quality and Academic Achievement: An Instrumental Variables Analysis

    Science.gov (United States)

    Auger, Anamarie; Farkas, George; Duncan, Greg; Burchinal, Peg; Vandell, Deborah Lowe

    2012-01-01

    Child care quality is usually measured along two dimensions--structural and process. In this paper the authors focus on process quality--the quality of child care center instructional practices and teacher interactions with students. They use an instrumental variables technique to estimate the effect of child care center process quality on…

  18. Links between Marital Quality, the Mother-Child Relationship and Child Behavior: A Multi-Level Modeling Approach

    Science.gov (United States)

    Mark, Katharine M.; Pike, Alison

    2017-01-01

    We investigated the association between marital quality and child behavior, assessing mother-child relationship quality as a potential mediator. The sample included 78 mothers with two target children (mean ages = 9.82 and 12.05 years, respectively). Mothers reported on their children's behavior as well as their marital quality, while each child…

  19. Parental Perceptions of Child Care Quality in Centre-Based and Home-Based Settings: Associations with External Quality Ratings

    Science.gov (United States)

    Lehrer, Joanne S.; Lemay, Lise; Bigras, Nathalie

    2015-01-01

    The current study examined how parental perceptions of child care quality were related to external quality ratings and considered how parental perceptions of quality varied according to child care context (home-based or centre-based settings). Parents of 179 4-year-old children who attended child care centres (n = 141) and home-based settings…

  20. Virginia Star Quality Initiative: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Virginia's Star Quality Initiative prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators…

  1. The Ups and Downs of Child Care: Variations in Child Care Quality and Exposure across the Early Years

    Science.gov (United States)

    Hynes, Kathryn; Habasevich-Brooks, Tara

    2008-01-01

    There is considerable policy interest in understanding the role of child care in children's development. Yet little research has examined whether individual children experience changes in child care quality across their early years, and less has included children's varying levels of exposure to care in analyses of child care trajectories. Using…

  2. 45 CFR 98.51 - Activities to improve the quality of child care.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Activities to improve the quality of child care... the quality of child care. (a) No less than four percent of the aggregate funds expended by the Lead...) Activities to improve the quality of child care services may include, but are not limited to: (i)...

  3. Relating Child Care during Infancy to Externalizing and Internalizing Behaviors in Toddlerhood: How Specific Features of Child Care Quality Matter Depending on a Child's Gender and Temperament

    Science.gov (United States)

    Lemay, Lise; Bigras, Nathalie; Bouchard, Caroline

    2014-01-01

    This study explored whether the relationships between specific features of child care quality and externalizing and internalizing behaviors in 24-month-old children are moderated by gender and temperament. Questionnaires were used to record children's gender and measure their temperament. Child care quality was observed with the "Échelles…

  4. The Nonprofit Advantage: Producing Quality in Thick and Thin Child Care Markets

    Science.gov (United States)

    Cleveland, Gordon; Krashinsky, Michael

    2009-01-01

    Nonprofit child care centers are frequently observed to produce child care which is, on average, of higher quality than care provided in commercial child care centers. In part, this nonprofit advantage is due to different input choices made by nonprofit centers--lower child--staff ratios, better-educated staff and directors, higher rates of…

  5. Money Matters for Early Education: The Relationships among Child Care Quality, Teacher Characteristics, and Subsidy Status

    Science.gov (United States)

    St.Clair-Christman, JeanMarie; Buell, Martha; Gamel-McCormick, Michael

    2011-01-01

    Child care is the first out-of-home learning opportunity for many children. For low-income children, a high-quality child care placement can provide many of the experiences and skills that help build a foundation for later school success. Among the many measures of child care quality, some closely linked to later success in school are those…

  6. Child Care and Mothers' Mental Health: Is High-Quality Care Associated with Fewer Depressive Symptoms?

    Science.gov (United States)

    Gordon, Rachel A.; Usdansky, Margaret L.; Wang, Xue; Gluzman, Anna

    2011-01-01

    Finding high-quality child care may pose financial and logistical challenges and create ongoing emotional strains for some mothers. We use the Study of Early Child Care and Youth Development to ask (a) are child-care settings that mothers select on the basis of their own perceptions of quality rated more highly by independent observers (and more…

  7. Food quality assessment in parent–child dyads

    DEFF Research Database (Denmark)

    Bech-Larsen, Tino; Jensen, Birger Boutrup

    2011-01-01

    When the buyer and the consumer of a food product are not identical, the risk of discrepancies between food quality expectations and experience is even higher than when the buyer is also the consumer. In such situations the interpersonal aspects of food quality formation become the focus of atten...... parental knowledge of their children’s quality assessments significantly affect the willingness to pay. Accordingly, interaction between parents and children should be promoted when developing, testing and marketing new and healthier food products for children....... of attention. The purpose of this article is to discuss the interpersonal aspects of food quality formation, and to explore these in the context of parents buying new types of healthier in-between meals for their children. To pursue this we introduce the concept of dyadic quality assessment and apply...... it to a hall-test of children’s and parents’ quality formation and to the latter’s willingness to pay for such products. The findings show poor congruence between parent and child quality evaluations due to the two parties emphasising different quality aspects. Results also indicate, however, that improved...

  8. Mediators of maternal depression and family structure on child BMI: parenting quality and risk factors for child overweight.

    Science.gov (United States)

    McConley, Regina L; Mrug, Sylvie; Gilliland, M Janice; Lowry, Richard; Elliott, Marc N; Schuster, Mark A; Bogart, Laura M; Franzini, Luisa; Escobar-Chaves, Soledad L; Franklin, Frank A

    2011-02-01

    Risk factors for child obesity may be influenced by family environment, including maternal depression, family structure, and parenting quality. We tested a path model in which maternal depression and single parent status are associated with parenting quality, which relates to three risk factors for child obesity: diet, leisure, and sedentary behavior. Participants included 4,601 5th-grade children and their primary caregivers who participated in the Healthy Passages study. Results showed that associations of maternal depression and single parenthood with child BMI are mediated by parenting quality and its relation to children's leisure activity and sedentary behavior. Interventions for child obesity may be more successful if they target family environment, particularly parenting quality and its impact on children's active and sedentary behaviors.

  9. Quality in Family Child Care Settings: The Relationship between Provider Educational Experiences and Global Quality Scores in a Statewide Quality Rating and Improvement System

    Science.gov (United States)

    Hallam, Rena A.; Bargreen, Kaitlin N.; Ridgley, Robyn

    2013-01-01

    This study is a secondary analysis of a statewide sample of licensed family child care providers in the Tennessee Child Care Evaluation and Report Card Program ("N"?=?1,145) that describes the general quality of family child care programs in the state and examines the relationships between provider education and global quality. Study…

  10. Quality of Child Care Using the Environment Rating Scales: A Meta-Analysis of International Studies

    Science.gov (United States)

    Vermeer, Harriet J.; van IJzendoorn, Marinus H.; Cárcamo, Rodrigo A.; Harrison, Linda J.

    2016-01-01

    The current study provides a systematic examination of child care quality around the globe, using the Environment Rating Scales (ERS). Additional goals of this study are to examine associations between ERS process quality and structural features (group size, caregiver-child ratio) that underpin quality and between ERS and more proximal aspects of…

  11. The influence of culture on the oral health-related beliefs and behaviours of elderly chinese immigrants: a meta-synthesis of the literature.

    Science.gov (United States)

    Smith, André; MacEntee, Michael I; Beattie, B Lynn; Brondani, Mario; Bryant, Ross; Graf, Peter; Hornby, Kathryn; Kobayashi, Karen; Wong, Sabrina T

    2013-03-01

    Neglect of the mouth can lead to impairment, disability, and discomfort; as a result, it can have a negative impact on quality of life in old age. Some minority groups in North America shoulder a disproportionate burden of dental impairment compared to people of European origins, possibly because of different cultural beliefs and a distrust of Western oral healthcare. This paper explores these factors in elderly Chinese immigrants through a meta-synthesis of selected literature that reveals a dynamic interplay of traditional Chinese beliefs about oral health, immigration, and structural factors mediating access to Western dentistry. It also identifies several conceptual issues and gaps in knowledge, offers avenues of research including the cross-cultural application of two recent models of oral health, and discusses various strategies for improving access to dental services for minority populations.

  12. Timing of High-Quality Child Care and Cognitive, Language, and Preacademic Development

    Science.gov (United States)

    Li, Weilin; Farkas, George; Duncan, Greg J.; Burchinal, Margaret R.; Vandell, Deborah Lowe

    2013-01-01

    The effects of high- versus low-quality child care during 2 developmental periods (infant-toddlerhood and preschool) were examined using data from the National Institute of Child Health and Human Development Study of Early Child Care. Propensity score matching was used to account for differences in families who used different combinations of child…

  13. Child Care Quality and Children's Cortisol in Basque Country and the Netherlands

    Science.gov (United States)

    Vermeer, Harriet J.; Groeneveld, Marleen G.; Larrea, Inaki; van IJzendoorn, Marinus H.; Barandiaran, Alexander; Linting, Marielle

    2010-01-01

    A cross-country comparison of children's cortisol levels at child care was performed in relation to their cortisol levels at home and the quality and quantity of child care they received. Participants were toddlers visiting child care centers in Spanish Basque Country (N = 60) and the Netherlands (N = 25) with substantial variation in structural…

  14. Determinants of child-parent agreement in quality-of-life reports

    DEFF Research Database (Denmark)

    White-Koning, Melanie; Arnaud, Catherine; Dickinson, Heather O

    2007-01-01

    OBJECTIVES: The differences between child self-reports and parent proxy reports of quality of life in a large population of children with cerebral palsy were studied. We examined whether child characteristics, severity of impairment, socioeconomic factors, and parental stress were associated...... with parent proxy reports being respectively higher or lower than child self-reports of quality of life. METHODS: This study was conducted in 2004-2005 and assessed child quality of life (using the Kidscreen questionnaire, 10 domains, each scored 0-100) through self-reports and parent proxy reports of 500...... negatively influenced parents' perception of their child's quality of life, whereas the main factor explaining parents' ratings of children's quality of life higher than the children themselves is self-reported severe child pain. CONCLUSIONS: This study shows that the factors associated with disagreement...

  15. Child-Oral impacts on daily performances: A socio dental approach to assess prevalence and severity of oral impacts on daily performances in South Indian school children of Bangalore city: A cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Neha Agrawal

    2014-01-01

    Full Text Available Background: Oral disorders can have a negative impact on the functional, social and psychological well-being of children and their families. Oral health and dental treatment may have an impact on eating, speaking and appearance, thereby affecting quality of life. Thus, there has been a greater focus on the measurement of quality of life as a complement to the clinical measures. Objective: The aim was to assess the prevalence, characteristics and severity of oral impacts in south Indian school children using Child-Oral Impacts on Daily Performances (Child-OIDP index as a measure of oral health related quality of life. Methodology: A cross-sectional study was undertaken among the six government, and six private school children aged 11-12 years, of Karnataka, South India randomly selected as cluster, and all their 563 children were invited to participate. A cross culturally adapted and validated oral health-related quality of life measure; Child-OIDP was used to assess oral impacts. Results: The common perceived oral health problems were tooth ache reported by 342 children, a sensitive tooth reported by 230 children, tooth decay - hole in the tooth reported by 226 children. Eating was the most common performance affected (68.3%. The severity of impacts was high for eating and cleaning mouth and low for the study and social contact performances. Conclusion: The study reveals that oral health impacts on quality of life of school children of Karnataka aged 11-12 years. Oral impacts were prevalent, but not severe. The impacts mainly related to difficulty eating. Toothache, a sensitive tooth, tooth decay and bleeding gums contributed largely to the incidence of oral impacts.

  16. Relationship-Focused Child Care Practices: Quality of Care and Child Outcomes for Children in Poverty

    Science.gov (United States)

    Owen, Margaret Tresch; Klausli, Julia F.; Mata-Otero, Ana-Maria; Caughy, Margaret O'Brien

    2008-01-01

    Research Findings: Child care delivery practices promoting continuous, primary caregiver-child relationships (relationship-focused child care) were evaluated for 223 preschool-age children (45% African American, 55% Latino) attending child care centers serving low-income children. Both relationship-focused and non-relationship-focused centers were…

  17. Parent Experiences with State Child Care Subsidy Systems and Their Perceptions of Choice and Quality in Care Selected

    Science.gov (United States)

    Raikes, Helen; Torquati, Julia; Wang, Cixin; Shjegstad, Brinn

    2012-01-01

    Research Findings: This study investigated parents' experiences using Child Care and Development Fund and other state-dispersed child care subsidies, reasons for choosing their current child care program, and perceptions of the quality of child care received from their current program. A telephone survey of 659 parents receiving child care…

  18. Child Care Quality and Children's Cognitive and Socio-Emotional Development: An Australian Longitudinal Study

    Science.gov (United States)

    Gialamas, Angela; Mittinty, Murthy N.; Sawyer, Michael G.; Zubrick, Stephen R.; Lynch, John

    2014-01-01

    There is growing evidence that high-quality non-parental child care can contribute to children's learning, development and successful transition to school. Research examining the quality of child care and the effect on children's development is not well documented outside the USA. We used data from the Longitudinal Study of Australian Children to…

  19. Child Health-Related Quality of Life and Parental Social Capital in Greece: An Exploratory Study

    Science.gov (United States)

    El-Dardiry, Giulia; Dimitrakaki, Christine; Tzavara, Chara; Ravens-Sieberer, Ulrike; Tountas, Yannis

    2012-01-01

    In this paper, we examined dimensions of child health-related quality of life in Greece in relation to parental assessments of neighbourhood social capital and social support networks. For the analysis, two main measures were used: (1) child self-reported health-related quality of life in ten dimensions, as measured by the KIDSCREEN questionnaire;…

  20. Vermont STep Ahead Recognition System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Vermont's STep Ahead Recognition System (STARS) prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for All Child Care Programs;…

  1. Measuring health-related quality of life for child maltreatment: a systematic literature review

    Directory of Open Access Journals (Sweden)

    Prosser Lisa A

    2007-07-01

    Full Text Available Abstract Background Child maltreatment causes substantial morbidity and mortality in the U.S. Morbidity associated with child maltreatment can reduce health-related quality of life. Accurately measuring the reduction in quality of life associated with child maltreatment is essential to the economic evaluation of educational programs and interventions to reduce the incidence of child maltreatment. The objective of this study was to review the literature for existing approaches and instruments for measuring quality-of-life for child maltreatment outcomes. Methods We reviewed the current literature to identify current approaches to valuing child maltreatment outcomes for economic evaluations. We also reviewed available preference-based generic QOL instruments (EQ-5D, HUI, QWB, SF-6D for appropriateness in measuring change in quality of life due to child maltreatment. Results We did not identify any studies that directly evaluated quality-of-life in maltreated children. We identified 4 studies that evaluated quality of life for adult survivors of child maltreatment and 8 studies that measured quality-of-life for pediatric injury not related to child maltreatment. No study reported quality-of-life values for children younger than age 3. Currently available preference-based QOL instruments (EQ-5D, HUI, QWB, SF-6D have been developed primarily for adults with the exception of the Health Utilities Index. These instruments do not include many of the domains identified as being important in capturing changes in quality of life for child maltreatment, such as potential for growth and development or psychological sequelae specific to maltreatment. Conclusion Recommendations for valuing preference-based quality-of-life for child maltreatment will vary by developmental level and type of maltreatment. In the short-term, available multi-attribute utility instruments should be considered in the context of the type of child maltreatment being measured. However

  2. The Impact of Child Care Subsidy Use on Child Care Quality

    Science.gov (United States)

    Ryan, Rebecca M.; Johnson, Anna; Rigby, Elizabeth; Brooks-Gunn, Jeanne

    2011-01-01

    In 2008, the federal government allotted $7 billion in child care subsidies to low-income families through the state-administered Child Care and Development Fund (CCDF), now the government's largest child care program (US DHHS, 2008). Although subsidies reduce costs for families and facilitate parental employment, it is unclear how they impact the…

  3. Children's Cortisol and the Quality of Teacher-Child Relationships in Child Care

    Science.gov (United States)

    Lisonbee, Jared A.; Mize, Jacquelyn; Payne, Amie Lapp; Granger, Douglas A.

    2008-01-01

    Teacher-child relationships were examined as predictors of cortisol change in preschool children. Saliva for assays was collected from one hundred and ninety-one 4-year-olds (101 boys) in the mornings and afternoons on 2 days at child care, and before and after a series of challenging tasks and a teacher-child interaction session outside the…

  4. The Impact of Regulations on the Supply and Quality of Care in Child Care Markets

    Science.gov (United States)

    Joseph Hotz, V.; Xiao, Mo

    2011-01-01

    We examine the impact of state child care regulations on the supply and quality of care in child care markets. We exploit panel data on both individual establishments and local markets to control for state, time, and, where possible, establishment-specific fixed effects to mitigate the potential bias due to policy endogeneity. We find that the imposition of regulations reduces the number of center-based child care establishments, especially in lower income markets. However, such regulations increase the quality of services provided, especially in higher income areas. Thus, there are winners and losers from the regulation of child care services. PMID:24991060

  5. Assessing the Validity of the Qualistar Early Learning Quality Rating and Improvement System as a Tool for Improving Child-Care Quality

    Science.gov (United States)

    Zellman, Gail L.; Perlman, Michal; Le, Vi-Nhuan; Setodji, Claude Messan

    2008-01-01

    As a result of the generally low quality of child care in the United States and the increased emphasis on accountability in education policy, quality rating systems (QRSs) are proliferating in the child-care arena. QRSs assess child-care providers on multiple dimensions of quality and integrate these assessments into an easily understood summary…

  6. Better Kid Care Program Improves the Quality of Child Care: Results from an Interview Study

    Science.gov (United States)

    Ostergren, Carol S.; Riley, David A.; Wehmeier, Jenny M.

    2011-01-01

    More high quality child care is needed in the United States. This article evaluates the Better Kid Care (BKC) program produced by Pennsylvania State University Extension. Child care staff in Wisconsin were interviewed about changes they had made in their early childhood programs following participation in the BKC program. Findings show that 2…

  7. Child Care Quality in the Netherlands over the Years: A Closer Look

    Science.gov (United States)

    Helmerhorst, Katrien O. W.; Riksen-Walraven, J. Marianne A.; Gevers Deynoot-Schaub, Mirjam J. J. M.; Tavecchio, Louis W. C.; Fukkink, Ruben G.

    2015-01-01

    Research Findings: We assessed the quality of child care in a nationally representative sample of 200 Dutch child care centers using the Infant/Toddler Environment Rating Scale-Revised and/or Early Childhood Environment Rating Scale-Revised and compared it with a previous assessment in 2005. The Caregiver Interaction Profile (CIP) scales were used…

  8. Work characteristics and parent-child relationship quality : the mediating role of temporal involvement

    NARCIS (Netherlands)

    Roeters, A.; Lippe, T. van der; Kluwer, E.S.

    2010-01-01

    This study investigated whether the amount and nature of parent-child time mediated the association between parental work characteristics and parent-child relationship quality. We based hypotheses on the conflict and enrichment approaches, and we tested a path model using self-collected data on 1,00

  9. Pathways between Social Support, Family Well Being, Quality of Parenting, and Child Resilience: What We Know

    Science.gov (United States)

    Armstrong, Mary I.; Birnie-Lefcovitch, Shelly; Ungar, Michael T.

    2005-01-01

    We contribute to the theoretical and research knowledge base regarding the pathways between parental social support, family well being, quality of parenting, and the development of child resilience in families with a child with serious emotional problems. Little conceptual development has been done that provides a theoretical framework for…

  10. Child-Care Subsidies: Do They Impact the Quality of Care Children Experience?

    Science.gov (United States)

    Johnson, Anna D.; Ryan, Rebecca M.; Brooks-Gunn, Jeanne

    2012-01-01

    The federal child-care subsidy program represents one of the government's largest investments in early care and education, but little is known about whether it increases low-income children's access to higher quality child care. This study used newly available nationally representative data on 4-year-old children (N = 750) to investigate whether…

  11. Child care quality in the Netherlands over the years: A closer look

    NARCIS (Netherlands)

    Helmerhorst, K.O.W.; Riksen-Walraven, J.M.A.; Gevers Deynoot-Schaub, M.J.J.M.; Tavecchio, L.W.C.; Fukkink, R.G.

    2015-01-01

    Research Findings: We assessed the quality of child care in a nationally representative sample of 200 Dutch child care centers using the Infant/Toddler Environment Rating Scale–Revised and/or Early Childhood Environment Rating Scale–Revised and compared it with a previous assessment in 2005. The Car

  12. Child care quality in The Netherlands over the years: a closer look

    NARCIS (Netherlands)

    Helmerhorst, K.O.W.; Riksen - Walraven, J.M.A.; Gever Deynoot-Schaub, M.J.J.M.; Tavecchio, L.W.C.; Fukkink, R.G.

    2015-01-01

    Research Findings: We assessed the quality of child care in a nationally representative sample of 200 Dutch child care centers using the Infant/Toddler Environment Rating Scale-Revised and/or Early Childhood Environment Rating Scale-Revised and compared it with a previous assessment in 2005. The Car

  13. Stability of maternal discipline practices and the quality of mother-child interaction during toddlerhood.

    Science.gov (United States)

    Huang, Keng-Yen; Caughy, Margaret O'Brien; Lee, Li-Ching; Miller, Therese; Genevro, Janice

    2009-07-01

    This study examined the stability of maternal punitive/high-power discipline (PD) and inductive/authoritative discipline (ID) over the second and third years of life and the effect of maternal discipline on quality of mother-child interactions. Data from a longitudinal sample with 179 mother-toddler dyads were analyzed, and selected factors (i.e., child sex, temperament) that might moderate the association between maternal discipline and quality of mother-child interactions were also examined. Maternal discipline, quality of mother-child interactions, and temperamental moderators were measured at 16-18 months (Time 1) and 34-37 months (Time 2). Results showed that the stability of maternal use of discipline strategies over the toddler years was moderate. Lower maternal use of PD, higher maternal use of ID, and higher preference/reliance on ID (relative to PD) were associated with higher quality of mother-child interactions. Moderation effects of child temperament were also found. High ID and PD were associated with low quality of mother-child relationships in non-temperamentally difficult children but not in temperamentally difficult children.

  14. Non-cognitive Child Outcomes and Universal High Quality Child Care

    DEFF Research Database (Denmark)

    Datta Gupta, Nabanita; Simonsen, Marianne

    2010-01-01

    universal preschool programs and family day care vis-à-vis home care. We find that, compared to home care, being enrolled in preschool at age three does not lead to significant differences in child outcomes at age seven no matter the gender or the mother's level of education. Family day care, on the other...... hand, seems to significantly deteriorate outcomes for boys whose mothers have a lower level of education. Finally, longer hours in non-parental care lead to poorer child outcomes.......Exploiting a rich panel data child survey merged with administrative records along with a pseudoexperiment generating variation in the take-up of preschool across municipalities, we provide evidence of the effects on non-cognitive child outcomes of participating in large scale publicly provided...

  15. Evaluating the Quality of the Child Care in Finland

    Science.gov (United States)

    Hujala, Eeva; Fonsen, Elina; Elo, Janniina

    2012-01-01

    In this study we examine parents' and teachers' perceptions of the early childhood education and care (ECEC) quality in Finland. The study is based on the paradigm of inclusionary quality and the assessment is based on the quality evaluation model. The parents and teachers assess the quality to be good. The strength of the quality was the effect…

  16. The Quality of Early Childhood Educators: Children's Interaction in Greek Child Care Centers

    Science.gov (United States)

    Rentzou, Konstantina; Sakellariou, Maria

    2011-01-01

    Though quality in early childhood education and care has attracted last decades enormous research interest there is still not a unanimous agreement about its definition. Yet, almost all definitions attempted include interaction, group size, adult:child ratio and early childhood educators' level of education, as important indices of quality.…

  17. Quality of Parent-Child Relations in Adolescence and Later Adult Parenting Outcomes

    Science.gov (United States)

    Friesen, Myron D.; Woodward, Lianne J.; Horwood, L. John; Fergusson, David M.

    2013-01-01

    Data from the Christchurch Health and Development Study, a 30-year prospective longitudinal study, were used to examine the associations between the quality of parent-child relations in adolescence and adult parenting behaviour 15 years later. At ages 14 and 15 years, cohort members were interviewed about the quality of their relationship with…

  18. Delaware Stars for Early Success. QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Delaware's Stars for Early Success prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators…

  19. North Carolina Star Rated License System: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of North Carolina's Star Rated License System prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4)…

  20. Kentucky STARS for KIDS NOW: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Kentucky's STARS for KIDS NOW prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for…

  1. Pennsylvania Keystone STARS: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of Pennsylvania's Keystone STARS prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4) Indicators for…

  2. The Association between Child Autism Symptomatology, Maternal Quality of Life, and Risk for Depression

    Science.gov (United States)

    Zablotsky, Benjamin; Anderson, Connie; Law, Paul

    2013-01-01

    Parents raising children with autism spectrum disorders (ASDs) have been shown to experience high levels of stress and report a lower quality of life. The current study examined the association between child autism symptomatology, mother's quality of life, and mother's risk for depression in a sample of 1,110 mothers recruited from a…

  3. Bullying, Victimization, School Performance, and Mother-Child Relationship Quality: Direct and Transactional Associations

    Directory of Open Access Journals (Sweden)

    Kostas A. Fanti

    2013-01-01

    Full Text Available The current investigation examines longitudinal differences between bullies, victims, and bully victims in terms of the quality of their relationship with their parents and school performance. We also investigate the transactional association between the quality of the parent-child relationship and bullying behavior, after taking into account the longitudinal association among bullying, victimization, and school performance. The sample consisted of 895 mothers and their children who participated in the NICHD Study of Early Child Care. According to the findings, children in the cooccurring bully victim group were at higher risk to experience continuous conflict with their mothers and to perform worse academically. The findings also offer support for the hypothesized transactional association between bullying and parent-child conflict and closeness. Further, a positive longitudinal transactional association between victimization and parent-child closeness was identified. Finally, school performance was positively related to victimization but was unrelated to bullying behavior.

  4. Quality of the parent-child interaction in young children with type 1 diabetes mellitus

    DEFF Research Database (Denmark)

    Nieuwesteeg, Anke M; Pouwer, Frans; van Bakel, Hedwig Ja

    2011-01-01

    BACKGROUND: In young children with type 1 diabetes mellitus (T1DM) parents have full responsibility for the diabetes-management of their child (e.g. blood glucose monitoring, and administering insulin). Behavioral tasks in childhood, such as developing autonomy, and oppositional behavior (e....... This interference, the negotiations, and the parent's responsibility for diabetes may negatively affect the quality of parent-child interaction. Nevertheless, there is little knowledge about the quality of interaction between parents and young children with T1DM, and the possible impact this may have on glycemic......-child interactional behaviors. Next, we apply the observational tool on a larger scale for further evaluation of the instrument (N = 120). The parents are asked twice (with two years in between) to fill out questionnaires about psychosocial functioning of their child with T1DM. Furthermore, glycemic control (HbA1c...

  5. Quality Child Care Supports the Achievement of Low-Income Children: Direct and Indirect Pathways Through Caregiving and the Home Environment

    OpenAIRE

    McCartney, Kathleen Ann; Dearing, Eric; Beck A. Taylor; Bud, Kristen L.

    2007-01-01

    Existing studies of child care have not been able to determine whether higher quality child care protects children from the effects of poverty, whether poverty and lower quality child care operate as dual risk factors, or whether both are true. The objective of the current study was to test two pathways through which child care may serve as a naturally occurring intervention for low-income children: a direct pathway through child care quality to child outcomes, and an indirect pathway through...

  6. Valuation of Child Health-Related Quality of Life in the United States.

    Science.gov (United States)

    Craig, Benjamin M; Greiner, Wolfgang; Brown, Derek S; Reeve, Bryce B

    2016-06-01

    Many economic analyses fail to incorporate evidence on child health-related quality of life because of a paucity of quality-adjusted life year (QALY) estimates. This health valuation study is the first to summarize the EQ-5D-Y on a QALY scale. Drawn from a nationally representative panel, 5207 adult respondents were asked to choose between two losses in child health-related quality of life. Based on their choices, a 1-year increase in child pain/discomfort from 'some' to 'a lot' equals a loss of 4 QALYs (95% CI, 3.8-4.4). Likewise, a 1-year increase in child anxiety/depression from 'a bit' to 'very worried, sad, or unhappy' equals a loss of 2 QALYs (95% CI, 1.9-2.2). These findings enable the integration of child-reported outcomes with adult preferences to inform economic analysis. Results inform both clinical practice and resource allocation decisions by enhancing understanding of difficult tradeoffs in child-reported outcomes. Copyright © 2015 John Wiley & Sons, Ltd.

  7. Non-cognitive Child Outcomes and Universal High Quality Child Care

    DEFF Research Database (Denmark)

    Datta Gupta, Nabanita; Simonsen, Marianne

    universal pre-school programs and family day care vis-à-vis home care. We find that, compared to home care, being enrolled in pre-school at age three does not lead to significant differences in child outcomes at age seven no matter the gender or mother's level of education. Family day care, on the other...... hand, seems to significantly deteriorate outcomes for boys whose mothers have a lower level of education. Finally, increasing hours in family day care from 30-40 hours per week to 40-50 hours per week and hours in pre-school from 20-30 hours per week to 30-40 hours per week leads to significantly......Exploiting a rich panel data child survey merged with administrative records along with a pseudo-experiment generating variation in the take-up of pre-school across municipalities, we provide evidence of the effects on non-cognitive child outcomes of participating in large scale publicly provided...

  8. Effect of quality of family environment on the child's adaptation capabilities

    Directory of Open Access Journals (Sweden)

    Ivana Kreft

    2008-08-01

    Full Text Available The aim of the paper was to investigate how the quality of family environment is related to the child's adaptation capabilities. Child's adaptation was evaluated with a special assessment called SPP-3 (Systematic Psychological Assessment of a 3-year Old Child, that screens the population of 3-year olds to look for inadequate adaptation patterns. I assumed that in families where parents have higher education and where the environment is more stimulating children will show more effective and adaptive behaviour. Seventy-five children and parents who attended the psychological assessment in their regional hospitals first concluded the psychological examination (SPP-3 and then filled-in two questionnaires: The Family Environment Questionnaire (Zupančič, Podlesek, & Kavčič, 2004 and The Home Literacy Environment Questionnaire (Marjanovič Umek, Podlesek, & Fekonja, 2005. The results showed that quality of family environment does effect the child's adaptive capabilities and is associated with parental level of education. Of special importance for the child's socialization is the parents' ability to use effective control (to have consistent and clear demands. Hypothesis that the level of parental education affects the child's adaptation capabilities was not confirmed. Perhaps the parents' relations with the child are of greater importance, and these are probably not related to parents' education. The results show that child's adaptation capabilities are associated with parenting methods, so preventive psychological counselling may also be used to help parents choose more effective methods in order to allow the child to develop effective adaptive behaviour.

  9. An Assessment of the Validity of the ECERS-R with Implications for Measures of Child Care Quality and Relations to Child Development

    Science.gov (United States)

    Gordon, Rachel A.; Fujimoto, Ken; Kaestner, Robert; Korenman, Sanders; Abner, Kristin

    2013-01-01

    The Early Childhood Environment Rating Scale-Revised (ECERS-R) is widely used to associate child care quality with child development, but its validity for this purpose is not well established. We examined the validity of the ECERS-R using the multidimensional Rasch partial credit model (PCM), factor analyses, and regression analyses with data from…

  10. Threshold Analysis of Association between Child Care Quality and Child Outcomes for Low-Income Children in Pre-Kindergarten Programs

    Science.gov (United States)

    Burchinal, Margaret; Vandergrift, Nathan; Pianta, Robert; Mashburn, Andrew

    2010-01-01

    Over the past five decades, the federal government and most states have invested heavily in providing publicly-funded child care and early education opportunities for 3- and 4-year-old children from low-income families. Policy makers and parents want to identify "the level" or "threshold" in quality of teacher-child interaction…

  11. Predicting Child Outcomes from Preschool Quality in Portugal

    Science.gov (United States)

    Abreu-Lima, Isabel M. P.; Leal, Teresa B.; Cadima, Joana; Gamelas, Ana Madalena

    2013-01-01

    The main purpose of this study is to analyze whether quality of preschool classrooms relates to 4- and 5-year-old children developmental outcomes. The study was conducted in 60 classrooms in Porto Metropolitan Area, Portugal. Children (N = 215) were evaluated in the literacy, math, and behavior domains. Preschool quality was assessed through…

  12. One Small Step at a Time: Implementing Continuous Quality Improvement in Child and Youth Mental Health Services

    Science.gov (United States)

    Chovil, Nicole

    2009-01-01

    Continuous quality improvement (CQI) is increasingly being adopted by health care, including child and youth mental health services. As part of the commitment to ongoing quality improvement, child and youth mental health teams in the Fraser region in British Columbia undertook CQI projects over a one year period (2007-2008). The projects covered a…

  13. Predictors of Global Quality in Family Child Care Homes: Structural and Belief Characteristics

    Science.gov (United States)

    Hughes-Belding, Kere; Hegland, Susan; Stein, Amanda; Sideris, John; Bryant, Donna

    2012-01-01

    Research Findings: With a substantial number of young children receiving care in family child care settings, an examination of the characteristics, both structural and attitudinal, that predict program quality is warranted. The current study examines gaps in the research by examining both structural characteristics and provider beliefs that…

  14. Parents' and Providers' Views of Important Aspects of Child Care Quality. Publication #2015-13

    Science.gov (United States)

    Sosinsky, Laura; Halle, Tamara; Susman-Stillman, Amy; Cleveland, Jennifer; Li, Weilin

    2015-01-01

    The Maryland-Minnesota Child Care Research Partnership brought together two states committed to examining critical issues in early care and education and using research findings to inform policy with an interdisciplinary team of researchers experienced in conducting studies on (1) subsidy policy; (2) quality improvement strategies; and (3)…

  15. Differential effects of early child care quality on children's socio-emotional development

    NARCIS (Netherlands)

    Broekhuizen, Martine

    2015-01-01

    Drawing on Bronfenbrenner’s bioecological theory, the aim of this dissertation was to investigate whether effects of early child care quality on children’s socio-emotional development depended on children’s individual and contextual characteristics. Chapter 2 and 3 examined whether associations betw

  16. The Child Quantity-Quality Trade-Off During the Industrial Revolution in England

    DEFF Research Database (Denmark)

    Klemp, Marc; Weisdorf, Jacob L.

    We take Gary Becker's child quantity-quality trade-off hypothesis to the historical record, investigating the causal link from family size to the literacy status of offspring using data from Anglican parish registers, c. 1700-1830. Extraordinarily forhistorical data, the parish records enable us...

  17. The Child Quantity-Quality Trade-Off During the Industrial Revolution in England

    DEFF Research Database (Denmark)

    Klemp, Marc; Weisdorf, Jacob L.

    We take Gary Becker's child quantity-quality trade-off hypothesis to the historical record, investigating the causal link from family size to the literacy status of offspring using data from Anglican parish registers, c. 1700-1830. Extraordinarily forhistorical data, the parish records enable us ...

  18. The proxy problem: Child report versus parent report in health-related quality of life research

    NARCIS (Netherlands)

    Theunissen, N.C.M.; Vogels, T.G.C.; Koopman, H.M.; Verrips, G.H.W.; Zwinderman, K.A.H.; Verloove-Vanhorick, S.P.; Wit, J.M.

    1998-01-01

    This study evaluates the agreement between child and parent reports on children's health-related quality of life (HRQoL) in a representative sample of 1,105 Dutch children (age 8-11 years old). Both children and their parents completed a 56 item questionnaire (TACQOL). The questionnaire contains sev

  19. Parent-Child Relationships and Quality of Life: Resilience Among Childhood Cancer Survivors

    Science.gov (United States)

    Orbuch, Terri L.; Parry, Carla; Chesler, Mark; Fritz, Jennifer; Repetto, Paula

    2005-01-01

    According to The Resiliency Model of Family Stress, Adjustment, and Adaptation, certain family strengths can promote positive outcomes for children undergoing adverse or stressful circumstances. We proposed that chief among these potential strengths are high quality parent-child relationships. Data from self-report questionnaires from 190…

  20. Principals' Responses to the Teacher Quality Provision of the No Child Left behind Act of 2001

    Science.gov (United States)

    Flynn, Michael Lawrence

    2012-01-01

    Since the passage of the No Child Left Behind legislation in 2002, principals have been held accountable for fulfilling a segment of it known as the Teacher Quality provision. This study examines how principals with varying levels of capacity to address the problem were either successful or unsuccessful in meeting the mandate using a wide variety…

  1. Social Capital, Human Capital and Parent-Child Relation Quality: Interacting for Children's Educational Achievement?

    Science.gov (United States)

    von Otter, Cecilia; Stenberg, Sten-Åke

    2015-01-01

    We analyse the utility of social capital for children's achievement, and if this utility interacts with family human capital and the quality of the parent-child relationship. Our focus is on parental activities directly related to children's school work. Our data stem from a Swedish cohort born in 1953 and consist of both survey and register data.…

  2. The Cerebral Palsy Quality of Life for Children (CP QOL-Child): Evidence of Construct Validity

    Science.gov (United States)

    Chen, Kuan-Lin; Wang, Hui-Yi; Tseng, Mei-Hui; Shieh, Jeng-Yi; Lu, Lu; Yao, Kai-Ping Grace; Huang, Chien-Yu

    2013-01-01

    The Cerebral Palsy Quality of Life for Children (CP QOL-Child) is the first health condition-specific questionnaire designed for measuring QOL in children with cerebral palsy (CP). However, its construct validity has not yet been confirmed by confirmatory factor analysis (CFA). Hence, this study assessed the construct validity of the caregiver…

  3. Oral Health-Quality of Life Predictors Depend on Population

    NARCIS (Netherlands)

    Buunk-Werkhoven, Yvonne A. B.; Dijkstra, Arie; van der Schans, Cees P.

    2009-01-01

    In the framework of the development and evaluation of oral health interventions that take into account people's oral health-related quality of life (OH-QoL), it is important to know what determinants and effects of OH-QoL are. Because the processes involved in the experience of OH-QoL may differ for

  4. Do Intervention Programs in Child Care Promote the Quality of Caregiver-Child Interactions? A Meta-Analysis of Randomized Controlled Trials.

    Science.gov (United States)

    Werner, Claudia D; Linting, Mariëlle; Vermeer, Harriet J; Van IJzendoorn, Marinus H

    2016-02-01

    This meta-analysis reports on the effectiveness of targeted interventions focusing on child care professionals to improve child care quality, caregiver interaction skills, and child social-emotional development. Within randomized controlled trials, interventions are moderately effective in improving overall caregiver-child interactions (k = 19, Hedges' g = 0.35) and in improving child care quality on the classroom level (k = 11; Hedges' g = 0.39), the caregiver level (k = 10; Hedges' g = 0.44), and the child level (k = 6; Hedges' g = 0.26). Based on these findings, the implementation of evidence-based targeted interventions on a larger scale than currently exists may lead to better social-emotional development for children under the age of 5 years. There remains, however, an urgent need for more and larger randomized controlled trials with a solid design and high quality measures in order to shed more light on which child care components for which children are most critical in supporting children's socio-emotional development.

  5. Child care quality and cognitive development: trajectories leading to better preacademic skills.

    Science.gov (United States)

    Côté, Sylvana M; Mongeau, Chantal; Japel, Christa; Xu, Qian; Séguin, Jean R; Tremblay, Richard E

    2013-01-01

    The associations between trajectories of child care quality from ages 2 to 4 years and children's cognitive performance at 4 years (n = 250) were tested. Distinct quality trajectories were identified: low and high ascending Teaching and Interactions trajectory; low and high Provision for Learning trajectory. Membership in the high ascending Teaching and Interactions trajectory was associated with better numeracy (effect size [ES] = .39, confidence interval [CI] = .21-.66), receptive vocabulary (ES = .41, CI = .14-.68), and school readiness (ES = .32, CI = .06-.58). The results suggest that a pattern of increasing quality of teacher-child interactions during the preschool years, particularly with regard to supporting the development of language, has a moderate impact on children's cognitive development.

  6. La calidad del cuidado infantil: Un resumen para padres (Child Care Quality: An Overview for Parents). ERIC Digest.

    Science.gov (United States)

    Patten, Peggy; Ricks, Omar Benton

    Many parents want to know how important the quality of care is to children's social, emotional, and academic development. This Digest synthesizes some major recent research on child care quality. First, the Digest explains what features contribute to quality of care. The Digest also explains the differences between studies of how quality is…

  7. The potential of the Child Health Utility 9D Index as an outcome measure for child dental health

    Science.gov (United States)

    2014-01-01

    Background The Child Health Utility 9D (CHU9D) is a relatively new generic child health-related quality of life measure (HRQoL)—designed to be completed by children—which enables the calculation of utility values. The aim is to investigate the use of the CHU9D Index as an outcome measure for child dental health in New Zealand. Method A survey was conducted of children aged between 6 and 9 years attending for routine dental examinations in community clinics in Dunedin (New Zealand) in 2012. The CHU9D, a HRQoL, was used, along with the Child Perceptions Questionnaire (CPQ), a validated oral health-related quality of life (OHRQoL) measure. Socio-demographic characteristics (sex, age, ethnicity and household deprivation) were recorded. Dental therapists undertook routine clinical examinations, with charting recorded for each child for decayed, missing and filled deciduous teeth (dmft) at the d3 level. Results One hundred and forty 6-to-9-year-olds (50.7% female) took part in the study (93.3% participation rate). The mean d3mft was 2.4 (SD = 2.6; range 0 to 9). Both CHU9D and CPQ detected differences in the impact of dental caries, with scores in the expected direction: children who presented with caries had higher scores (indicating poorer OHRQoL) than those who were free of apparent caries. Children with no apparent caries had a higher mean CHU9D score than those with caries (indicating better HRQoL). The difference for the CPQ was statistically significant, but for CHU9D the difference was not significant. When the two indices were compared, there was a significant difference in mean CHU9D scores by the prevalence of CPQ and subscale impacts with children experiencing no impacts having mean CHU9D scores closer to 1.0 (representing perfect health). Conclusion The CHU9D may be useful in dental research. Further exploration in samples with different caries experience is required. The use of the CHU9D in child oral health studies will enable the calculation of

  8. Quality reform and "the learning pre-school child" in the making

    DEFF Research Database (Denmark)

    Krejsler, John B.

    2012-01-01

    The article argues that Early Childhood Education & Care (ECEC) is being redesigned based on quality reform discourse with references to global knowledge economy across Nordic countries and the EU. This takes place in policy processes that extend from transnational agents like the OECD and EU to ...... playing, and the learning pre-school child emerges. Put together, this situation represents a paradigmatic challenge to professionals and the struggle about their autonomy and discretion....

  9. Pedagogy and Quality in Indian Slum School Settings: A Bernsteinian Analysis of Visual Representations in the Integrated Child Development Service

    Science.gov (United States)

    Chawla-Duggan, Rita

    2016-01-01

    This paper focuses upon the micro level of the pre-school classroom, taking the example of the Indian Integrated Child Development Service (ICDS), and the discourse of "child-centred" pedagogy that is often associated with quality pre-schooling. Through an analysis of visual data, semi-structured and film elicitation interviews drawn…

  10. Quality of Life of Families with Children Who Have Severe Developmental Disabilities: A Comparison Based on Child Residence

    Science.gov (United States)

    McFelea, Joni Taylor; Raver, Sharon

    2012-01-01

    This study measured the quality of life of two groups of families with children who had severe developmental disabilities-families whose child lived at home and families whose child lived in a residential facility. Participants were 54 primary caregivers of children who had severe intellectual disabilities and who lacked the ability to both…

  11. Long-Term Effects of Child Death on Parents' Health-Related Quality of Life: A Dyadic Analysis

    Science.gov (United States)

    Song, Jieun; Floyd, Frank J.; Seltzer, Marsha Mailick; Greenberg, Jan S.; Hong, Jinkuk

    2010-01-01

    This study examines the long-term effects of child death on bereaved parents' health-related quality of life (HRQoL). Using data from the Wisconsin Longitudinal Study, we compared 233 bereaved couples and 229 comparison couples (mean age = 65.11 years) and examined the life course effects of child death on parents' HRQoL. Variations in bereavement…

  12. The Relation of Parent-Child Interaction Qualities to Social Skills in Children with and without Autism Spectrum Disorders

    Science.gov (United States)

    Haven, Erin L.; Manangan, Christen N.; Sparrow, Joanne K.; Wilson, Beverly J.

    2014-01-01

    This study examined associations between parent-child interactions and the development of social skills in 42 children (21 typically developing and 21 with autism spectrum disorders) between the ages of 3 years, 0 months and 6 years, 11 months. We expected that positive parent-child interaction qualities would be related to children's social…

  13. Partners in Quality: Tools for Administrators in Child Care Settings. Standards for Quality Child Care Programs, Standards of Practice for Administrators/Directors = Partenaires pour la qualite: Outils pour les gestionnaires des divers milieux de garde d'enfants. Normes pour les services de garde de qualite, Normes professionnelles pour les gestionnaires.

    Science.gov (United States)

    Doherty, Gillian

    Partners in Quality is a research and development project sponsored by the Canadian Child Care Federation and its affiliates to explore how child care providers, parents, and other partners can work together to support and improve quality in child care. This booklet, in both English and French, supplements a series to support child care providers…

  14. Child- and family impacts of infants’ oral conditions in Tanzania and Uganda– a cross sectional study

    Directory of Open Access Journals (Sweden)

    Masumo Ray

    2012-09-01

    Full Text Available Abstract Background Early childhood dental caries impacts on the quality of life of children and their families. This study set out to assess the psychometric properties of an oral health related quality of life, OHRQoL, measure, based on items emanating from the Child-and Family impact sections of the Early Childhood Oral Health Impact Scale (ECOHIS, in Kiswahili and Luganda speaking communities. It was hypothesized that the Child- and Family impact scores would discriminate between children with and without clinically defined dental problems and reported good and bad oral health. Method Kiswahili and Luganda versions of the Child- and Family impact scores were derived through translation in pilot studies. Totals of 1221 and 816 child/caretaker pairs attending health care facilities in Manyara, Tanzania and Kampala, Uganda, were recruited into the study. After caretakers completed the interview, their children underwent oral clinical examination. Results Internal consistency reliability (Cronbach’s alpha was > 0.80 with respect to the Child impact score and 0.79 regarding the Family impact score. Multiple variable logistic- and Poisson regression analyses revealed that the Kiswahili and Luganda versions of the Child- and Family impact score associated in the expected direction with child’s oral diseases as with their reported health and oral health status. In Manyara, multiple logistic regression revealed that the ORs of reporting Child impacts were 1.8 (95% CI 1.0-3.4 and 2.2 (1.3-3.4 among caretakers who confirmed linear hypoplasia and teething symptoms, respectively. In Kampala, the ORs for reporting Child impacts were 2.3 (95% CI 1.3-3.9, 1.7 (95% CI 1.1-2.5, 1.6 (95% CI 1.2-2.3 and 2.7 (95% CI 1.3-5.8 among those who confirmed teeth present, hypoplasia, teething symptoms and tooth bud extractions, respectively. The odds ratios for reporting Family impacts were 2.7 (95% CI 1.5-4.7, 1.5 (95% CI 1.1- 2.1 and 4.6 (95% CI 2.0-10.7 if

  15. CONCEPT OF LIFE QUALITY OF FAMILIES WITH EARLY AGE CHILD WITH ENDANGERED DEVELOPMENT DUE TO DISABILITY

    Directory of Open Access Journals (Sweden)

    Šándorová Zdenka

    2014-05-01

    Full Text Available In the Czech Republic, there is a trend nowadays in supporting families caring for a child vulnerable due to disability. A network of services offering support to these families is growing. Causes of this fact can be found at three different levels, on the child and family side, but also at the support system. Concept of a life quality, and it´s various dimensions for this target group, have been neglected until recently. Present time, however, introduces significant changes in an approach to this issue and the concept of life quality in general is getting to the fore within the interagency scope and the social policy. In this particular case it presents a complex construct comprising many subunits. We can look at them from a variety of perspectives and operate with them in many different ways. This paper solves a view at this concept unusually at the background of the specific activities of Early Care Centre in Pardubice. For the paper processing qualitative research strategies have been used – description of organization´s material and quantitative survey (evaluation questionnaire for the year 2012. Particular aim of this paper is to describe activities of Early Care Centre in Pardubice which affect the concept of life quality of families with child (early age vulnerable due to disability. Results analysis of the evaluation survey which is aimed to identify some of quality indicators of service provided in 2012 also at the Centre for Early Intervention in Pardubice and comparison with the material of the National Centre of social services transformation support - A system of services for children and young people with disabilities and their families (Bačáková, 2013. Results evaluate the life quality concept for families with children in early age with the endangered development due to disability from the position of the family, support and assistance provider and support and assistance evaluator. The conclusion summarizes the problem

  16. Discriminative ability of the generic and condition-specific Child-Oral Impacts on Daily Performances (Child-OIDP by the Limpopo-Arusha School Health (LASH Project: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Masalu Joyce R

    2011-05-01

    Full Text Available Abstract Background Generic and condition-specific (CS oral-health-related quality-of-life (OHRQoL instruments assess the impacts of general oral conditions and specific oral diseases. Focusing schoolchildren from Arusha and Dar es Salaam, in Tanzania, this study compared the discriminative ability of the generic Child OIDP with respect to dental caries and periodontal problems across the study sites. Secondly, the discriminative ability of the generic-and the CS Child OIDP attributed to dental caries, periodontal problems and malocclusion was compared with respect to various oral conditions as part of a construct validation. Methods In Arusha, 1077 school children (mean age 14.9 years, range 12-17 years and 1601 school children in Dar es Salaam (mean age 13.0 years, range 12-14 years underwent oral clinical examinations and completed the Kiswahili version of the generic and CS Child-OIDP inventories. The discriminative ability was assessed as differences in overall mean and prevalence scores between groups, corresponding effect sizes and odd ratios, OR. Results The differences in the prevalence scores and the overall mean generic Child-OIDP scores were significant between the groups with (DMFT > 0 and without (DMFT = 0 caries experience and with (simplified oral hygiene index [OHI-S] > 1 and without periodontal problems (OHI-S ≤ 1 in Arusha and Dar es Salaam. In Dar es Salaam, differences in the generic and CS Child-OIDP scores were observed between the groups with and without dental caries, differences in the generic Child-OIDP scores were observed between the groups with and without periodontal problems, and differences in the CS Child-OIDP scores were observed between malocclusion groups. The adjusted OR for the association between dental caries and the CS Child-OIDP score attributed to dental caries was 5.4. The adjusted OR for the association between malocclusion and CS Child-OIDP attributed to malocclusion varied from 8.8 to 2

  17. Impact of dental caries on quality of life among preschool children: emphasis on the type of tooth and stages of progression.

    Science.gov (United States)

    Ramos-Jorge, Joana; Alencar, Bruna Mota; Pordeus, Isabela Almeida; Soares, Maria Eliza da Consolação; Marques, Leandro Silva; Ramos-Jorge, Maria Letícia; Paiva, Saul Martins

    2015-04-01

    The aim of this cross-sectional study was to evaluate the impact of dental caries on the quality of life of preschool children and their parents/caretakers, with an emphasis on the type of tooth and stage of progression. A randomly selected sample of preschool children, 3-5 yrs of age, underwent an oral examination for the assessment of dental caries using the International Caries Detection and Assessment System II (ICDAS II) criteria. Parents/caretakers answered two questionnaires, one on the oral health-related quality of life (OHRQoL) of the child [the Early Childhood Oral Health Impact Scale (ECOHIS)], and the other on the socio-economic characteristics of the family. Statistical analyses were performed using the chi-square test, Kruskal-Wallis test, Mann-Whitney U-test, and Poisson regression. A total of 451 preschool children participated in the study. The majority of carious lesions exhibited severe decay (60.6%) and were found in both anterior (incisors/canines) and posterior (molars) teeth. The final Poisson model revealed negative impacts on quality of life from more advanced stages of dental caries, both in incisors/canines and molars. Child's age and household income were also associated with impact on quality of life. Carious lesions in more advanced stages of progression in anterior and posterior teeth were associated with a negative impact on the quality of life of preschool children.

  18. Quality assessment of child care services in primary health care settings of Central Karnataka (Davangere District

    Directory of Open Access Journals (Sweden)

    Rashmi

    2010-01-01

    Full Text Available Background: Infectious disease and malnutrition are common in children. Primary health care came into being to decrease the morbidity. Quality assessment is neither clinical research nor technology assessment. It is primarily an administrative device used to monitor performance to determine whether it continues to remain within acceptable bounds. Aims and Objectives: To assess the quality of service in the delivery of child health care in a primary health care setting. To evaluate client satisfaction. To assess utilization of facilities by the community. Materials and Methods: Study Type: Cross-sectional community-based study. Quality assessment was done by taking 30-50%, of the service provider. Client satisfaction was determined with 1 Immunization and child examination-90 clients each. Utilization of services was assessed among 478 households. Statistical Analysis: Proportions, Likert′s scale to grade the services and Chi-square. Results: Immunization service: Identification of needed vaccine, preparation and care was average. Vaccination technique, documentation, EPI education, maintenance of cold chain and supplies were excellent. Client satisfaction was good. Growth monitoring: It was excellent except for mother′s education andoutreach educational session . Acute respiratory tract infection care: History, physical examination, ARI education were poor. Classification, treatment and referral were excellent. Client satisfaction was good. Diarrheal disease care: History taking was excellent. But examination, classification, treatment, ORT education were poor. Conclusion: Mothers education was not stressed by service providers. Service providers′ knowledge do not go with the quality of service rendered. Physical examination of the child was not good. Except for immunization other services were average.

  19. Enhancing early child care quality and learning for toddlers at risk: the responsive early childhood program.

    Science.gov (United States)

    Landry, Susan H; Zucker, Tricia A; Taylor, Heather B; Swank, Paul R; Williams, Jeffrey M; Assel, Michael; Crawford, April; Huang, Weihua; Clancy-Menchetti, Jeanine; Lonigan, Christopher J; Phillips, Beth M; Eisenberg, Nancy; Spinrad, Tracy L; de Villiers, Jill; de Villiers, Peter; Barnes, Marcia; Starkey, Prentice; Klein, Alice

    2014-02-01

    Despite reports of positive effects of high-quality child care, few experimental studies have examined the process of improving low-quality center-based care for toddler-age children. In this article, we report intervention effects on child care teachers' behaviors and children's social, emotional, behavioral, early literacy, language, and math outcomes as well as the teacher-child relationship. The intervention targeted the use of a set of responsive teacher practices, derived from attachment and sociocultural theories, and a comprehensive curriculum. Sixty-five childcare classrooms serving low-income 2- and 3-year-old children were randomized into 3 conditions: business-as-usual control, Responsive Early Childhood Curriculum (RECC), and RECC plus explicit social-emotional classroom activities (RECC+). Classroom observations showed greater gains for RECC and RECC+ teachers' responsive practices including helping children manage their behavior, establishing a predictable schedule, and use of cognitively stimulating activities (e.g., shared book reading) compared with controls; however, teacher behaviors did not differ for focal areas such as sensitivity and positive discipline supports. Child assessments demonstrated that children in the interventions outperformed controls in areas of social and emotional development, although children's performance in control and intervention groups was similar for cognitive skills (language, literacy, and math). Results support the positive impact of responsive teachers and environments providing appropriate support for toddlers' social and emotional development. Possible explanations for the absence of systematic differences in children's cognitive skills are considered, including implications for practice and future research targeting low-income toddlers.

  20. Korean version of child perceptions questionnaire and dental caries among Korean children.

    Science.gov (United States)

    Shin, Hye-Sun; Han, Dong-Hun; Shin, Myung-Seop; Lee, Hyun-Jin; Kim, Mi-Sun; Kim, Hyun-Duck

    2015-01-01

    Although dental caries has been a major oral health problem for children, the association between dental caries and oral health related quality of life has been still controversial. This study aims to evaluate the association between the Korean version of the Child Perceptions Questionnaire (K-CPQ) and dental caries among Korean children. Eight hundred one school children aged 8 to 14 years participated in this study. After the K-CPQ was validated we performed an association study. The K-CPQ was self-reported. Dental caries were evaluated by dentists using the World Health Organization Index. Correlation analyses (intraclass correlation coefficient, Cronbach's alpha and Pearson's correlation coefficient [r]) and linear regression models (partial r) including age, gender and type of school were applied. Untreated deciduous dental caries was associated with the K-CPQ(8-10) overall score (partial r = 0.15, P caries (FT) was associated with the K-CPQ11-14 overall domain (partial r = 0.14, P = 0.002) as well as with the oral symptoms domain (partial r = 0.16, P = 0.001). This association was highlighted among public school children. Our data indicate that K-CPQ was independently associated with dental caries. The K-CPQ could be a practical tool to evaluate the subjective oral health among Korean children aged 8 to 14.

  1. Associations between Child and Teacher Characteristics and Quality of Teacher-Child Relationships: The Case of Hungary

    Science.gov (United States)

    Koles, Bernadett; O'Connor, Erin E.; Collins, Brian A.

    2013-01-01

    The purpose of the current study was to investigate variations in teacher-child relationships in childcare classrooms in Budapest, Hungary (N = 172 children in 43 classrooms), and to examine whether variations were associated with child and/or teacher characteristics. In addition, cultural variation was examined with reference to an American…

  2. New Mexico Look for the STARS--AIM HIGH: QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of New Mexico's Look for the STARS--AIM HIGH prepared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for Center-Based Programs; (4)…

  3. Validity and reliability of the Child Perceptions Questionnaires applied in Brazilian children

    Directory of Open Access Journals (Sweden)

    Gavião Maria

    2009-05-01

    Full Text Available Abstract Background The Child Perceptions Questionnaires (CPQ8–10 and CPQ11–14 are indicators of child oral health-related quality of life. The aim of this study was to assess the validity and reliability of the self-applied CPQ8–10 and CPQ11–14 in Brazilian children, after translations and cultural adaptations in the Brazilian Portuguese language. Methods Schoolchildren were recruited from general populations for pre-testing (n = 80, validity (n = 210, and test-retest reliability (n = 50 studies. They were also examined for dental caries, gingivitis, fluorosis, and malocclusion. Results Children with greater dental caries experience in primary dentition had higher impacts on CPQ domains. Girls had higher scores for CPQ8–10 domains than boys. Mean CPQ11–14 scores were highest for 11-year-old children and lowest for 14-year-old children. Construct validity was supported by significant associations between the CPQ8–10 and CPQ11–14 scores and the global rating of oral health (r = 0.38, r = 0.43 and overall well-being (r = 0.39, r = 0.60, respectively. The Cronbach's alpha was 0.95 for both questionnaires. The test-retest reliabilities of the overall CPQ8–10 and CPQ11–14 scores were both excellent (ICC = 0.96, ICC = 0.92. Conclusion The Brazilian Portuguese version of CPQ8–10 and CPQ11–14 was valuable and reliable for use in the Brazilian child population, although discriminant validity was sporadic due to the fact that impacts are mediated by others factors, such personal, social, and environmental variables.

  4. Translation, Adaptation and Initial Validation of Food Allergy Quality of Life Questionnaire: Child form in Greek.

    Science.gov (United States)

    Morou, Zoe; Lyrakos, Georgios N; Papadopoulos, Nikolaos G; Douladiris, Nikolaos; Tatsioni, Athina; Dimoliatis, Ioannis D K

    2016-06-23

    The aim of the study is to determine the reliability and validity of the Greek version of the Food Allergy Quality of life Questionnaire-Child Form (FAQLQ-CF). After linguistic validation, the Greek FAQLQ-CF, Food Allergy Independent Measure (FAIM) and Pediatric Quality of Life Inventory (PedsQL™) were used by a physician to interview children diagnosed with food allergy and aged 8-12 via telephone. Cronbach's alpha was used to evaluate reliability, and factor analysis to assess construct validity. The correlation between FAQLQ-CF and FAIM was moderate (rho=0.509, P minimal clinical importance difference = 0.5; PGreek FAQLQ-CF is a reliable, valid, discriminant tool for interviewing food allergic children aged 8-12, detecting those in need for immediate care.

  5. Narrative quality and disturbance pre- and post-emotion-focused therapy for child abuse trauma.

    Science.gov (United States)

    Mundorf, Elisabeth S; Paivio, Sandra C

    2011-12-01

    This study predicted that the quality of trauma narratives written before and following emotion-focused therapy for child abuse trauma would be positively associated with psychological disturbance before and following therapy. Narratives for 37 clients were coded for emotion words, temporal orientation, incoherence, and depth of experiencing. At pretreatment, negative emotion words and experiencing were correlated with abuse resolution, r(35) = -.36, and r(35) = -.34, respectively. At posttreatment, narrative incoherence was correlated with trauma symptoms, r(35) = .33, whereas present-future orientation and experiencing were correlated with abuse resolution, r(35) = -.37, and r(35) = -.31, respectively. Pretreatment incoherence was associated with posttreatment trauma symptoms, r(35) = .42, and pretreatment depth of experiencing was associated with posttreatment abuse resolution, r(35) = -.37. Results support narrative quality as an index of trauma disturbance.

  6. How to assess quality of life in child and adolescent psychiatry.

    Science.gov (United States)

    Ravens-Sieberer, Ulrike; Karow, Anne; Barthel, Dana; Klasen, Fionna

    2014-06-01

    This article provides an overview of the conceptual foundations of measuring health-related quality of life (HRQoL) in children and adolescents in child and adolescent psychiatry, and of the current state of research in this field. The available procedures for determining quality of life are presented according to their areas of use and their psychometric characteristics. The internationally available generic instruments for measuring HRQoL in children are identified and assessed in terms of their strengths and weaknesses with regard to selected criteria. As a result, seven generic HRQoL instruments and two utility procedures have been identified which satísfy the following criteria: (i) psychometric qualíty; (ii) age-appropriate measurement; (iii) versions for self-reporting and external rating; and (iv) cross-cultural measurement. The identified instruments satisfy the individual criteria to different degrees. They are increasingly being used in health services research, treatment studies, and epidemiological research; however, they are not yet widely used as part of the clinical routine in child and adolescent psychiatrics.

  7. Quality of the parent-child interaction in young children with type 1 diabetes mellitus: study protocol

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    Aanstoot Henk-Jan

    2011-04-01

    Full Text Available Abstract Background In young children with type 1 diabetes mellitus (T1DM parents have full responsibility for the diabetes-management of their child (e.g. blood glucose monitoring, and administering insulin. Behavioral tasks in childhood, such as developing autonomy, and oppositional behavior (e.g. refusing food may interfere with the diabetes-management to achieve an optimal blood glucose control. Furthermore, higher blood glucose levels are related to more behavioral problems. So parents might need to negotiate with their child on the diabetes-management to avoid this direct negative effect. This interference, the negotiations, and the parent's responsibility for diabetes may negatively affect the quality of parent-child interaction. Nevertheless, there is little knowledge about the quality of interaction between parents and young children with T1DM, and the possible impact this may have on glycemic control and psychosocial functioning of the child. While widely used global parent-child interaction observational methods are available, there is a need for an observational tool specifically tailored to the interaction patterns of parents and children with T1DM. The main aim of this study is to construct a disease-specific observational method to assess diabetes-specific parent-child interaction. Additional aim is to explore whether the quality of parent-child interactions is associated with the glycemic control, and psychosocial functioning (resilience, behavioral problems, and quality of life. Methods/Design First, we will examine which situations are most suitable for observing diabetes-specific interactions. Then, these situations will be video-taped in a pilot study (N = 15. Observed behaviors are described into rating scales, with each scale describing characteristics of parent-child interactional behaviors. Next, we apply the observational tool on a larger scale for further evaluation of the instrument (N = 120. The parents are asked

  8. Maternal stress and family quality of life in response to raising a child with autism: from preschool to adolescence.

    Science.gov (United States)

    McStay, Rebecca L; Trembath, David; Dissanayake, Cheryl

    2014-11-01

    While the impact of raising a child with an Autism Spectrum Disorder (ASD) is well documented, with mothers reporting higher levels of stress than mothers of children with other disabilities, positive maternal outcomes have also been identified. What remains unclear, however, is the role of child age on maternal outcomes. We sought to clarify the role of child age in maternal stress and family quality of life (FQoL) in mothers raising a child with ASD. Participants included 140 mothers of children aged 3-16 years grouped to represent four key stages of childhood (preschool, early school years, middle school, early high school). Using a cross-sectional design, mothers completed questionnaires assessing potential risk (e.g., child problem behaviour, symptom severity) and protective (e.g., family characteristics) factors attributed to maternal outcomes. The results revealed significant age related group differences in child internalising behaviour and ASD symptomatology between the early and middle school years. Lower levels of adaptive social behaviour in older age groups were also found. Although mothers of older children reported significantly less support from professionals than mothers of younger children, no significant age effects were found to contribute to maternal reports of stress or FQoL. The current findings support the view that mothers appear to demonstrate stable levels of stress and FQoL despite fluctuations in key child variables and a reduction in supports, across age, highlighting the ongoing nature of maternal needs and heightened levels of child symptomatology during adolescence.

  9. Teasing Apart the Child Care Conundrum: A Factorial Survey Analysis of Perceptions of Child Care Quality, Fair Market Price and Willingness to Pay by Low-Income, African American Parents

    Science.gov (United States)

    Shlay, Anne B.; Tran, Henry; Weinraub, Marsha; Harmon, Michelle

    2005-01-01

    Child care quality plays a crucial role in children's social and cognitive development. While child care quality is a critical issue for all children, it matters more for low-income children. Policy makers have increased the emphasis on allowing parents, not government, to make decisions about the type of care they want for their children. Yet…

  10. Health-related quality of life of child and adolescent retinoblastoma survivors in the Netherlands

    Directory of Open Access Journals (Sweden)

    Bezemer Pieter D

    2007-12-01

    Full Text Available Abstract Background To assess health-related quality of life (HRQoL in children (8–11 years and adolescents (12–18 years who survived retinoblastoma (RB, by means of the KIDSCREEN self-report questionnaire and the proxy-report version. Methods This population-based cross-sectional study (participation rate 70% involved 65 RB survivors (8–18 years and their parents. Child/adolescents' and parents' perception of their youth's HRQoL was assessed using the KIDSCREEN, and the results were compared with Dutch reference data. Relations with gender, age, marital status of the parents, and visual acuity were analyzed. Results RB survivors reported better HRQoL than did the Dutch reference group on the dimensions "moods and emotions" and "autonomy". Increased ratings of HRQoL in RB survivors were mainly seen in perceptions of the younger children and adolescent girls. RB survivors with normal visual acuity scored higher on "physical well-being" than visually impaired survivors. Age was negatively associated with the dimensions "psychological well-being", "self-perception" (according to the child and parent reports and "parent relations and home life" (according to the child. "Self-perception" was also negatively associated with visual acuity (according to the child. Only parents of young boys surviving RB reported lower on "autonomy" than the reference group, and parents of low visual acuity and blind RB survivors reported higher on "autonomy" than parents of visually unimpaired survivors. Survivors' perceptions and parents' perceptions correlated poorly on all HRQoL dimensions. Conclusion RB survivors reported a very good HRQoL compared with the Dutch reference group. The perceptions related to HRQoL differ substantially between parents and their children, i.e. parents judge the HRQoL of their child to be relatively poorer. Although the results are reassuring, additional factors of HRQoL that may have more specific relevance, such as psychological

  11. Perceived Impact of Dental Pain on the Quality of Life of Preschool Children and Their Families.

    Science.gov (United States)

    Clementino, Marayza Alves; Gomes, Monalisa Cesarino; Pinto-Sarmento, Tássia Cristina de Almeida; Martins, Carolina Castro; Granville-Garcia, Ana Flávia; Paiva, Saul Martins

    2015-01-01

    The aim of the present study was to evaluate the perceived impact of dental caries and dental pain on oral health-related quality of life (OHRQoL) among preschool children and their families. A cross-sectional study was conduct with 843 preschool children in Campina Grande, Brazil. Parents/caregivers answered a questionnaire on socio-demographic information, their child's general/oral health and history of dental pain. The Brazilian version of the Early Childhood Oral Health Impact Scale was administered to determine the perceived impact of caries and dental pain on OHRQoL. The children underwent an oral examination. Logistic regression for complex sample was used to determine associations between the dependent and independent variables (OR: Odds ratio, α = 5%). The independents variables that had a p-value perceived impact on OHRQOL for children. Poor perception of oral health was significant predictor of the perceived impact on OHRQOL for family (OR=7.397, 95%CI: 2.190-24.987). Dental caries was not associated with a perceived impact on the ORHQoL of either the children or their families. However, order of child birth and dental pain were indicators of impact of OHRQoL on preschool children and poor perception of oral health was indicators of impact on families.

  12. Teacher-Child Relationship Quality and Academic Achievement in Elementary School: Does Gender Matter?

    Science.gov (United States)

    McCormick, Meghan P.; O'Connor, Erin E.

    2015-01-01

    Using data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development (N = 1,364) and 2-level hierarchical linear models with site fixed effects, we examined between- and within-child associations between teacher-child relationship closeness and conflict and standardized measures of children's…

  13. Perceived Impact of Dental Pain on the Quality of Life of Preschool Children and Their Families.

    Directory of Open Access Journals (Sweden)

    Marayza Alves Clementino

    Full Text Available The aim of the present study was to evaluate the perceived impact of dental caries and dental pain on oral health-related quality of life (OHRQoL among preschool children and their families. A cross-sectional study was conduct with 843 preschool children in Campina Grande, Brazil. Parents/caregivers answered a questionnaire on socio-demographic information, their child's general/oral health and history of dental pain. The Brazilian version of the Early Childhood Oral Health Impact Scale was administered to determine the perceived impact of caries and dental pain on OHRQoL. The children underwent an oral examination. Logistic regression for complex sample was used to determine associations between the dependent and independent variables (OR: Odds ratio, α = 5%. The independents variables that had a p-value <0.20 in the bivariate analysis were selected for the multivariate model. The prevalence of dental caries and dental pain was 66.3% and 9.4%, respectively. Order of birth of the child, being the middle child (OR: 10.107, 95%CI: 2.008-50.869 and youngest child (OR: 3.276, 95%CI: 1.048-10.284 and dental pain (OR: 84.477, 95%CI: 33.076-215.759 were significant predictors of the perceived impact on OHRQOL for children. Poor perception of oral health was significant predictor of the perceived impact on OHRQOL for family (OR=7.397, 95%CI: 2.190-24.987. Dental caries was not associated with a perceived impact on the ORHQoL of either the children or their families. However, order of child birth and dental pain were indicators of impact of OHRQoL on preschool children and poor perception of oral health was indicators of impact on families.

  14. The VIDA Programme – Innovative Practices of Professional Development on Quality and Child Outcomes

    DEFF Research Database (Denmark)

    Jensen, Bente; Iannone, Rosa Lisa

    2016-01-01

    This case study describes the VIDA programme (knowledge-based efforts for socially disadvantaged children in daycare), an innovative professional development programme for those working with 3-6-year-old children in Denmark. The case study is part of WP3’s work on ‘Professional Development: Impact...... of innovation as “the development of new concepts, strategies and tools that support groups in achieving the objective of improved well-being”. Three research questions are explored: 1) How is the innovative approach to ECEC professional development conceptualised and translated into practice in the VIDA...... programme period (2010-2013) and beyond?; 2) What is the impact of the VIDA approach to professional development on i) educators’ practices regarding high quality ECEC (output), ii) child outcomes (outcome), and iii) improved practice at the municipal level (impact in a broader sense)?; and 3) Which factors...

  15. Experimental impacts of a teacher professional development program in Chile on preschool classroom quality and child outcomes.

    Science.gov (United States)

    Yoshikawa, Hirokazu; Leyva, Diana; Snow, Catherine E; Treviño, Ernesto; Barata, M Clara; Weiland, Christina; Gomez, Celia J; Moreno, Lorenzo; Rolla, Andrea; D'Sa, Nikhit; Arbour, Mary Catherine

    2015-03-01

    We assessed impacts on classroom quality and on 5 child language and behavioral outcomes of a 2-year teacher professional-development program for publicly funded prekindergarten and kindergarten in Chile. This cluster-randomized trial included 64 schools (child N = 1,876). The program incorporated workshops and in-classroom coaching. We found moderate to large positive impacts on observed emotional and instructional support as well as classroom organization in prekindergarten classrooms after 1 year of the program. After 2 years of the program, moderate positive impacts were observed on emotional support and classroom organization. No significant program impacts on child outcomes were detected at posttest (1 marginal effect, an increase in a composite of self-regulation and low problem behaviors, was observed). Professional development for preschool teachers in Chile can improve classroom quality. More intensive curricular approaches are needed for these improvements to translate into effects on children.

  16. Quality of Parent-Child Relationship, Family Conflict, Peer Pressure, and Drinking Behaviors of Adolescents in an Asian Context: The Case of Singapore

    Science.gov (United States)

    Choo, Hyekyung; Shek, Daniel

    2013-01-01

    Analyzing data from a probability sample representative of secondary school students in Singapore (N = 1,599), this study examined the independent impact between the quality of mother-child relationship, the quality of father-child relationship and family conflict on the frequency of drinking and drunkenness, and whether each dyadic parent-child…

  17. Does Higher Quality Early Child Care Promote Low-Income Children's Math and Reading Achievement in Middle Childhood?

    Science.gov (United States)

    Dearing, Eric; McCartney, Kathleen; Taylor, Beck A.

    2009-01-01

    Higher quality child care during infancy and early childhood (6-54 months of age) was examined as a moderator of associations between family economic status and children's (N = 1,364) math and reading achievement in middle childhood (4.5-11 years of age). Low income was less strongly predictive of underachievement for children who had been in…

  18. Quebec's Child Care Services: What Are the Mechanisms Influencing Children's Behaviors across Quantity, Type, and Quality of Care Experienced?

    Science.gov (United States)

    Lemay, Lise; Bigras, Nathalie; Bouchard, Caroline

    2015-01-01

    The objective of this study was to examine how quantity, type, and quality of care interact in predicting externalizing and internalizing behaviors of 36-month-old children attending Quebec's educational child care from their first years of life. To do so, the authors examined two hypothesized models: (1) a mediation model where quantity, type,…

  19. Effects of Home Environment and Center-Based Child Care Quality on Children's Language, Communication, and Literacy Outcomes

    Science.gov (United States)

    Pinto, Ana Isabel; Pessanha, Manuela; Aguiar, Cecilia

    2013-01-01

    This study examined the joint effects of home environment and center-based child care quality on children's language, communication, and early literacy development, while also considering prior developmental level. Participants were 95 children (46 boys), assessed as toddlers (mean age = 26.33 months; Time 1) and preschoolers (mean age = 68.71…

  20. NDTAC Practice Guide: Quality Education Services Are Critical for Youth Involved with the Juvenile Justice and Child Welfare Systems

    Science.gov (United States)

    Gonsoulin, Simon; Clark, Heather Griller; Rankin, Victoria E.

    2015-01-01

    This National Evaluation and Technical Assistance Center for the Education of Children and Youth Who are Neglected, Delinquent, or At-Risk (NDTAC) practice guide examines the principle that quality education services are critical for youth involved with the juvenile justice and child welfare systems. This principle asserts that, to address the…

  1. Predicting the Quality of Mother-Child Reminiscing Surrounding Negative Emotional Events at 42 and 48 Months Old

    Science.gov (United States)

    Laible, Deborah; Murphy, Tia Panfile; Augustine, Mairin

    2013-01-01

    Researchers have speculated that a number of factors likely predict the quality of reminiscing between preschool children and their mothers. This study was designed to investigate three such factors, including child temperament, maternal personality, and maternal caregiving representations. Seventy mothers and their preschool children were…

  2. Current evolutionary adaptiveness of psychiatric disorders: Fertility rates, parent-child relationship quality, and psychiatric disorders across the lifespan.

    Science.gov (United States)

    Jacobson, Nicholas C

    2016-08-01

    This study sought to evaluate the current evolutionary adaptiveness of psychopathology by examining whether these disorders impact the quantity of offspring or the quality of the parent-child relationship across the life span. Using the National Comorbidity Survey, this study examined whether DSM-III-R anxiety, posttraumatic stress, depressive, bipolar, substance use, antisocial, and psychosis disorders predicted later fertility and the quality of parent-child relationships across the life span in a national sample (N = 8,098). Using latent variable and varying coefficient models, the results suggested that anxiety in males and bipolar pathology in males and females were associated with increased fertility at younger ages. The results suggested almost all other psychopathology was associated with decreased fertility in middle to late adulthood. The results further suggested that all types of psychopathology had negative impacts on the parent-child relationship quality (except for antisocial pathology in males). Nevertheless, for all disorders, the impact of psychopathology on both fertility and the parent-child relationship quality was affected by the age of the participant. The results also showed that anxiety pathology is associated with a high-quantity, low-quality parenting strategy followed by a low-quantity, low-quality parenting strategy. Further, the results suggest that bipolar pathology is associated with an early high-quantity and a continued low-quality parenting strategy. Posttraumatic stress, depression, substance use, antisocial personality, and psychosis pathology are each associated with a low-quantity, low-quality parenting strategy, particularly in mid to late adulthood. These findings suggest that the evolutionary impact of psychopathology depends on the developmental context. (PsycINFO Database Record

  3. How Do Age and Tooth Loss Affect Oral Health Impacts and Quality of Life?A Study Comparing Two State Samples of Gujarat and Rajasthan

    Directory of Open Access Journals (Sweden)

    A. Mathur

    2012-01-01

    Full Text Available Objective: Age and tooth loss are expected to have a complex relationship with oral health-related quality of life. So the purpose of this study was to explain the impact of age and tooth loss on oral health-related quality of life using the short form 14-item oral health impact profile (OHIP-14 among two population samples of Gujarat and Rajasthan.Materials and Methods: A cross-sectional questionnaire-based survey was conducted among 1441 subjects collected from two major cities of Gujarat and Rajasthan. Both questionnaire approaches using OHIP-14 scale and clinical examination were conducted in accordance with WHO criteria using type III procedure on the same day. Chi square test, ANOVA and stepwise multiple regression analysis were applied using SPSS software version 15.0.Results: With the increase of age, OHIP mean score in both states increased, but that among Rajasthan state was higher, depicting poor oral health. Whereas, in the remaining 23-27 number of teeth both states showed higher OHIP mean, however again the score was much higher among Rajasthan subjects showing worse oral hygiene. Hence, overall all mean OHIP score for Gujarat was lower indicating good oral health; whereas, that among Rajasthan was higher indicating poor oral health-related quality of life.Conclusion: Both age and tooth loss are associated with each other, but they have an independent effect on the oral health-related quality of life. Thus, all studied populations with complete natural dentition showed good oral health-related quality of life.

  4. Validating the Cerebral Palsy Quality of Life for Children (CP QOL-Child) questionnaire for use in Chinese populations.

    Science.gov (United States)

    Wang, H-Y; Cheng, C-C; Hung, J-W; Ju, Y-H; Lin, J-H; Lo, S-K

    2010-12-01

    The purpose of this study was to examine the psychometric properties of the Chinese version of Cerebral Palsy Quality of Life for Children (CP QOL-Child) questionnaire. We performed forward (into Chinese) and backward translation of the CP QOL-Child for: (1) the primary caregiver form (for parents of children with CP aged 4-12 years); and (2) the child self-report form (for children with cerebral palsy aged 9-12 years). Psychometric properties assessed included test-retest reliability, internal consistency, item discrimination, construct validity, and concordance between the forms of questionnaire. The Chinese CP QOL-Child was completed by 145 caregivers and 44 children. Excellent test-retest reliability and internal consistency were obtained. Item discrimination analysis revealed a majority of the items have moderate to good discriminating power. Confirmatory factor analysis demonstrated distinguishable domain structure as on the original English version. Significant associations were found between lower QOL and more severe motor disability. Consistent with the English version, the highest correlation between the primary caregiver and child forms on QOL was in the domain of functioning. Results of this study indicate that the Chinese CP QOL-Child appears to be valid for use in Mandarin-Chinese speaking children with cerebral palsy.

  5. Dental caries and social factors: impact on quality of life in Brazilian children

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    Milene Torres MARTINS

    2015-01-01

    Full Text Available The objective of this study was to evaluate the impact of dental caries and social determinants in the Oral Health Related Quality of Life (OHRQoL of children in Belo Horizonte, Brazil. This is a population-based cross-sectional study with a representative sample of 1,204 children aged 8 to 10 years randomly selected from 19 public and private schools. The children were clinically examined at school by two trained and calibrated examiners (Kappa = 0.78 - 1.00. The Decayed, Missing and Filled Teeth Index (DMF-T and dmf-t was used for the diagnosis of dental caries. The social factors were determined by parents’/caregivers’ schooling, household income, number of people in the household, type of school, and by the Social Vulnerability Index. The Brazilian version of the Child Perceptions Questionnaire for ages 8 to 10 years was used to assess the impact on quality of life. A total of 278 (23.1% out of 1,204 children had at least one cavitated carious lesion and 47.0% presented a negative impact on OHRQoL. In the final multivariate Poisson’s regression model, household income and presence of untreated dental caries were statistically associated with a negative impact on OHRQoL (p < 0.001.Children with dental caries and from low-income families had a higher negative impact on OHRQoL.

  6. Dental caries and social factors: impact on quality of life in Brazilian children.

    Science.gov (United States)

    Martins, Milene Torres; Sardenberg, Fernanda; Vale, Míriam Pimenta; Paiva, Saul Martins; Pordeus, Isabela Almeida

    2015-01-01

    The objective of this study was to evaluate the impact of dental caries and social determinants in the Oral Health Related Quality of Life (OHRQoL) of children in Belo Horizonte, Brazil. This is a population-based cross-sectional study with a representative sample of 1,204 children aged 8 to 10 years randomly selected from 19 public and private schools. The children were clinically examined at school by two trained and calibrated examiners (Kappa = 0.78 - 1.00). The Decayed, Missing and Filled Teeth Index (DMF-T and dmf-t) was used for the diagnosis of dental caries. The social factors were determined by parents'/caregivers' schooling, household income, number of people in the household, type of school, and by the Social Vulnerability Index. The Brazilian version of the Child Perceptions Questionnaire for ages 8 to 10 years was used to assess the impact on quality of life. A total of 278 (23.1%) out of 1,204 children had at least one cavitated carious lesion and 47.0% presented a negative impact on OHRQoL. In the final multivariate Poisson's regression model, household income and presence of untreated dental caries were statistically associated with a negative impact on OHRQoL (p caries and from low-income families had a higher negative impact on OHRQoL.

  7. Investment in Child Quality over Marital States. Discussion Paper No. 1320-07

    Science.gov (United States)

    Brown, Meta; Flinn, Christopher J.

    2007-01-01

    Policies governing divorce and parenting, such as child support orders and enforcement, child custody regulations, and marital dissolution requirements, can have a large impact on the welfare of parents and children. Recent research has produced evidence on the responses of divorce rates to unilateral divorce laws and child support enforcement. In…

  8. Quality of life among Malaysian mothers with a child with Down syndrome.

    Science.gov (United States)

    Geok, Chan Kim; Abdullah, Khatijah Lim; Kee, Ling How

    2013-08-01

    The purpose of this paper is to examine the quality of life (QOL) among mothers with a child with Down syndrome using The World Health Organization Quality of Life scale instrument. A convenience sample of 161 mothers was accessed through the various institutions which provide interventional or educational programmes to children with disabilities within two of the regions of the Borneo State of Malaysia (Sarawak). Nearly half of the group of mothers perceived their QOL as neither poor nor good (n = 73). An overall QOL score of 14.0 ± 1.84 was obtained. The highest and lowest domain scores were found for social relationship domain (Mean = 14.9 ± 2.1) and environmental support domain (Mean = 13.3 ± 2.1) respectively. Correlation analysis of selected background variables (i.e. locality, education, income and marital status) and overall QOL indicated rho (161) = 0.22-0.28 (P policy-makers and care professionals in their practice.

  9. A longitudinal investigation of the role of quantity and quality of child-directed speech in vocabulary development.

    Science.gov (United States)

    Rowe, Meredith L

    2012-01-01

    Quantity and quality of caregiver input was examined longitudinally in a sample of 50 parent-child dyads to determine which aspects of input contribute most to children's vocabulary skill across early development. Measures of input gleaned from parent-child interactions at child ages 18, 30, and 42months were examined in relation to children's vocabulary skill on a standardized measure 1year later (e.g., 30, 42, and 54months). Results show that controlling for socioeconomic status, input quantity, and children's previous vocabulary skill; using a diverse and sophisticated vocabulary with toddlers; and using decontextualized language (e.g., narrative) with preschoolers explains additional variation in later vocabulary ability. The differential effects of various aspects of the communicative environment at several points in early vocabulary development are discussed.

  10. Quality of Health Management Information System for Maternal & Child Health Care in Haryana State, India

    Science.gov (United States)

    Sharma, Atul; Rana, Saroj Kumar; Prinja, Shankar; Kumar, Rajesh

    2016-01-01

    Background Despite increasing importance being laid on use of routine data for decision making in India, it has frequently been reported to be riddled with problems. Evidence suggests lack of quality in the health management information system (HMIS), however there is no robust analysis to assess the extent of its inaccuracy. We aim to bridge this gap in evidence by assessing the extent of completeness and quality of HMIS in Haryana state of India. Methods Data on utilization of key maternal and child health (MCH) services were collected using a cross-sectional household survey from 4807 women in 209 Sub-Centre (SC) areas across all 21 districts of Haryana state. Information for same services was also recorded from HMIS records maintained by auxiliary nurse midwives (ANMs) at SCs to check under- or over-recording (Level 1 discordance). Data on utilisation of MCH services from SC ANM records, for a subset of the total women covered in the household survey, were also collected and compared with monthly reports submitted by ANMs to assess over-reporting while report preparation (Level 2 discordance) to paint the complete picture for quality and completeness of routine HMIS. Results Completeness of ANM records for various MCH services ranged from 73% for DPT1 vaccination dates to 94.6% for dates of delivery. Average completeness level for information recorded in HMIS was 88.5%. Extent of Level 1 discordance for iron-folic acid (IFA) supplementation, 3 or more ante-natal care (ANC) visits and 2 Tetanus toxoid (TT) injections was 41%, 16% and 2% respectively. In 48.2% cases, respondents from community as well as HMIS records reported at least one post-natal care (PNC) home visit by ANM. Extent of Level 2 discordance ranged from 1.6% to 6%. These figures were highest for number of women who completed IFA supplementation, contraceptive intra-uterine device insertion and provision of 2nd TT injection during ANC. Conclusions HMIS records for MCH services at sub-centre level

  11. Integrating community outreach into a quality improvement project to promote maternal and child health in Ghana.

    Science.gov (United States)

    Cofie, Leslie E; Barrington, Clare; Akaligaung, Akalpa; Reid, Amy; Fried, Bruce; Singh, Kavita; Sodzi-Tettey, Sodzi; Barker, Pierre M

    2014-01-01

    Quality improvement (QI) is used to promote and strengthen maternal and child health services in middle- and low-income countries. Very little research has examined community-level factors beyond the confines of health facilities that create demand for health services and influence health outcomes. We examined the role of community outreach in the context of Project Fives Alive!, a QI project aimed at improving maternal and under-5 outcomes in Ghana. Qualitative case studies of QI teams across six regions of Ghana were conducted. We analysed the data using narrative and thematic techniques. QI team members used two distinct outreach approaches: community-level outreach, including health promotion and education efforts through group activities and mass media communication; and direct outreach, including one-on-one interpersonal activities between health workers, pregnant women and mothers of children under-5. Specific barriers to community outreach included structural, cultural, and QI team-level factors. QI efforts in both rural and urban settings should consider including context-specific community outreach activities to develop ties with communities and address barriers to health services. Sustaining community outreach as part of QI efforts will require improving infrastructure, strengthening QI teams, and ongoing collaboration with community members.

  12. Effects of parent-child affective quality during high school years on subsequent substance use.

    Directory of Open Access Journals (Sweden)

    Ekaterina S. Ralston

    2012-04-01

    Full Text Available The literature indicates that the quality of affective relationships between youth and parents is associated with lower levels of a range of problem behaviors during childhood, early and late adolescence. While the protective effect of parental monitoring on substance use in the high school and post high school years has been demonstrated, there is a knowledge gap concerning effects of parent-child affective quality (PCAQ during the same periods. We tested a conceptual theoretical model to examine the effects of PCAQ on substance use following high school. The sample was from a RCT that assessed adolescents in rural Iowa from the seventh grade through two years after high school (N=456. We specified direct effects of PCAQ in 12th grade on drunkenness, smoking and illicit drug use during the two years immediately following high school graduation. We also specified the effects of early substance use initiation (alcohol, tobacco and marijuana use reported at baseline on later use. The direct effect of PCAQ in 12th grade on substance use was significant for all substances during at least one of the two years past graduation (ypg. Results were: drunkenness 1 ypg, β=-.126, p<.05; smoking 1 ypg, β=-.119, p<.05; 2 ypg, β=-.146, p<.05; illicit drug use 2 ypg, β=-.165, p<.05. Some significant indirect effects of PCAQ at baseline, via PCAQ at 12th grade, were found. Results also indicated significant direct effects of early initiation on two of the three substances, albeit with a different pattern of effects over time for each substance by years post high school. Importantly, while early initiation remains the strongest predictor of long-term tobacco and illicit drug use, results show how PCAQ might reduce its harmful effects.

  13. Impacts on quality of life related to dental caries in a national representative sample of Thai 12- and 15-year-olds.

    Science.gov (United States)

    Krisdapong, S; Prasertsom, P; Rattanarangsima, K; Sheiham, A

    2013-01-01

    Dental caries is generally given the highest priority in national oral health services for school-aged populations. Yet, there is no study exploring the impacts on quality of life specifically related to dental caries in national samples of school-aged children. This study assessed prevalence and characteristics of oral impacts attributed to dental caries on quality of life and compared them with overall oral health impacts. In addition, associations of oral impacts attributed to dental caries and dental caries status were investigated. A national representative sample of 1,063 12- and 811 15-year-olds completed a sociodemographic and behavioural questionnaire, and were orally examined and interviewed about oral health-related quality of life using the Child-OIDP or OIDP indexes, respectively. Associations of condition-specific impacts (CS impacts) attributed to dental caries with components of DMF were investigated using χ(2) tests and multivariate logistic regressions. CS impacts attributed to dental caries were reported by nearly half the children and such impacts accounted for half of overall oral impacts from all oral conditions. The majority of impacts were of little intensity and affected only 1-2 daily performances, particularly performances on Eating, Emotional stability and Cleaning teeth. CS impacts were significantly positively associated with number of decayed teeth, and strongly associated with severe decay.

  14. Applicability of an abbreviated version of the Child-OIDP inventory among primary schoolchildren in Tanzania

    Directory of Open Access Journals (Sweden)

    Mtaya Matilda

    2007-07-01

    Full Text Available Abstract Background There is a need for studies evaluating oral health related quality of life (OHRQoL of children in developing countries. Aim to assess the psychometric properties, prevalence and perceived causes of the child version of oral impact on daily performance inventory (Child-OIDP among school children in two socio-demographically different districts of Tanzania. Socio-behavioral and clinical correlates of children's OHRQoL were also investigated. Method One thousand six hundred and one children (mean age 13 yr, 60.5% girls attending 16 (urban and rural primary schools in Kinondoni and Temeke districts completed a survey instrument in face to face interviews and participated in a full mouth clinical examination. The survey instrument was designed to measure a Kiswahili translated and culturally adapted Child-OIDP frequency score, global oral health indicators and socio-demographic factors. Results The Kiswahili version of the Child-OIDP inventory preserved the overall concept of the original English version and revealed good reliability in terms of Cronbach's alpha coefficient of 0.77 (Kinondoni: 0.62, Temeke: 0.76. Weighted Kappa scores from a test-retest were 1.0 and 0.8 in Kinondoni and Temeke, respectively. Validity was supported in that the OIDP scores varied systematically and in the expected direction with self-reported oral health measures and socio-behavioral indicators. Confirmatory factor analyses, CFA, confirmed three dimensions identified initially by Principle Component Analysis within the OIDP item pool. A total of 28.6% of the participants had at least one oral impact. The area specific rates for Kinondoni and Temeke were 18.5% and 45.5%. The most frequently reported impacts were problems eating and cleaning teeth, and the most frequently reported cause of impacts were toothache, ulcer in mouth and position of teeth. Conclusion This study showed that the Kiswahili version of the Child-OIDP was applicable for use among

  15. Qualitative observation instrument to measure the quality of parent-child interactions in young children with type 1 diabetes mellitus

    DEFF Research Database (Denmark)

    Nieuwesteeg, Anke M; Hartman, Esther E; Pouwer, Frans

    2014-01-01

    BACKGROUND: In young children with type 1 diabetes mellitus (T1DM), parents have complete responsibility for the diabetes-management. In toddlers and (pre)schoolers, the tasks needed to achieve optimal blood glucose control may interfere with normal developmental processes and could negatively...... affect the quality of parent-child interaction. Several observational instruments are available to measure the quality of the parent-child interaction. However, no observational instrument for diabetes-specific situations is available. Therefore, the aim of the present study was to develop a qualitative...... behaviors in a qualitative observation instrument; (d) evaluating usability and reliability. Next, we examined preliminary validity (total n = 77) by testing hypotheses about correlations between the observation instrument for diabetes-specific situations, a generic observation instrument and a behavioral...

  16. The impact of family intactness on family functioning, parental control and parent-child relational qualities in a Chinese context

    Directory of Open Access Journals (Sweden)

    Daniel Tan Lei Shek

    2015-01-01

    Full Text Available The current study investigated the differences between intact and non-intact families in family processes, including systematic family functioning, parental behavioral control, parental psychological control, and parent-child relational qualities. The participants were 3,328 Secondary One students, with a mean age of 12.59 years, recruited from 28 secondary schools in Hong Kong. Four validated scales were used to assess family processes. Results showed that adolescents in non-intact families perceived relatively poorer family functioning, lower level of paternal and maternal behavioral control, lower level of paternal psychological control and poorer parent-child relational qualities than did adolescents in intact families. This generally indicated that family processes were poorer in non-intact families, compared with those in intact families. The theoretical and practical implications of the findings were discussed.

  17. Racial Socialization Messages and the Quality of Mother/Child Interactions in African American Families.

    Science.gov (United States)

    Frabutt, James M.; Walker, Angela M.; MacKinnon-Lewis, Carol

    2002-01-01

    Examined linkage between mothers' provision of racial socialization messages and communication, warmth, negativity, child monitoring, and involvement. Found that mothers with moderate frequency of proactive responses to discrimination items exhibited the most positivity, were most involved, monitored their child's activities the most, and…

  18. A Policy Analysis of Child Care Subsidies: Increasing Quality, Access, and Affordability

    Science.gov (United States)

    Moodie-Dyer, Amber

    2011-01-01

    Changing family dynamics over the past four decades, including rises in the numbers of working mothers and single-parent families, have created an increased need for affordable child care. Government response to this need has involved a number of stop-and-start policy approaches, which have led to a fractured child care system that makes it…

  19. Providing High Quality Care in Low-Income Areas of Maryland: Definitions, Resources, and Challenges from Parents and Child Care Providers' Perspectives. Publication #2012-45

    Science.gov (United States)

    Forry, Nicole; Simkin, Shana; Wessel, Julia; Rodrigues, Katherine

    2012-01-01

    Early life experiences are critical to a child's development. Research has shown that, for a variety of reasons, children born into low-income families are at a disadvantage when compared to their higher-income peers. Fortunately, research has also shown a positive association between high quality child care and the academic and social-emotional…

  20. Do We Care More about Our Cars than about Our Children? High-Quality Child Care: Luxury Option or Standard Equipment?

    Science.gov (United States)

    Koshansky, Deborah

    1997-01-01

    Reviews research showing that there is a level of quality below which children's development is compromised. Uses analogies of options available to consumers when buying cars to designate features of quality child care. Argues that high-quality care should be available to all children. (AMC)

  1. Self-Reported Oral Health and Quality of Life in the Elderly

    Directory of Open Access Journals (Sweden)

    Mohammad Ali Morowatisharifabad

    2016-12-01

    Full Text Available Introduction: Given growing elderly population and high prevalence of oral and dental diseases in this age group, this study was conducted to investigate oral health status and related quality of life among older adults in Yazd located in central Iran. Methods: The cross sectional study was carried out on 210 elderly people aged ≥ 60 years under the guise of Yazd health care centers who entered the study via cluster random sampling. Oral health was assessed by DMFT index; and self-reported oral and dental health scale was also tested. Further, to measure the oral health-related quality of life, the Geriatric Oral Health Assessment Index was applied. Data were then analyzed by SPSS software through descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient. Results: The mean score of age for the studied population was 67.22 ± 5.62 years. Of whom 60.48 % were women, 79.05 % were married and 42.4% were edentulous. The oral health-related quality of life mean score was 42.46 ± 5.76 (possible rang 12-60 and the DMFT index mean score was 20.33 ± 4.76. The correlation of oral health-related quality of life score with age (r=-0.213, p=0.002 and DMFT index (r= -0.542, p<0.001 was inversely significant. Further, that had a direct significant correlation with self-reported oral health score(r= 0.302, p<0.001. Conclusion: Elderly people's oral health-related quality of life, self-reported oral and dental health status was not desirable. These factors have significant relationships with each other so that increase in DMFT index was associated with decrease in self-reported oral and dental health. 

  2. Malocclusion and quality of life in Brazilian preschoolers.

    Science.gov (United States)

    Sousa, Raulison V; Clementino, Marayza A; Gomes, Monalisa C; Martins, Carolina C; Granville-Garcia, Ana F; Paiva, Saul M

    2014-06-01

    The aim of the present study was to assess the impact of malocclusion on oral health-related quality of life (OHRQoL) among preschool children and their families. This study involved 732 preschoolers. Parents/caregivers filled out the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS) and a questionnaire addressing sociodemographic data. Overbite, overjet, and crossbite were recorded during the clinical examination. Bivariate and multiple Poisson regression analyses were performed and prevalence ratio (PR) were calculated (α = 5%). The prevalence of negative impact from malocclusion on OHRQoL was 27.6% among the children and 22.3% among the families. Mother's schooling (PR = 1.37; 95% CI: 1.10-1.70), parent's/caregiver's assessment of child's oral health (PR = 2.07; 95% CI: 1.60-2.58), history of toothache (PR = 3.84; 95% CI: 2.34-6.30), and visits to the dentist (PR = 0.59; 95% CI: 0.37-0.94) remained significantly associated with OHRQoL in the final model for the children, whereas parent's/caregiver's assessment of child's oral health (PR = 2.32; 95% CI: 1.71-3.14) and history of toothache (PR = 2.28; 95% CI: 1.69-3.09) remained significantly associated with OHRQoL for the families. Malocclusion was not associated with a negative impact on OHRQoL. In contrast, parents'/caregivers' perceptions regarding the oral health of their children and a history of toothache were predictors of a negative impact on the OHRQoL.

  3. Postpartum Depression Frequency and Quality of Life Among a Group of Mothers Having a Child Aged 2 Weeks-18 Months

    Directory of Open Access Journals (Sweden)

    Elif Durukan

    2011-11-01

    Full Text Available Objective: The aim was to determine the frequency of postpartum depression (PPD, its correlates and the effect on the quality of life.Material and Methods: This study was conducted among 708 mothers having a child aged 2 weeks-18 months. A questionnaire on descriptive features and PPD risk factors; Edinburgh Postpartum Depression Scale and WHOQOL-BREF quality of life scale were used for the data collection. Results: The rate of PPD frequency was 15%. The gestational age, mental problems and anxiety during pregnancy, emotional changes in the premenstrual period, past depression/PPD history, depression/PPD history in the family, satisfaction with the marriage, thinking that the baby affected the marriage adversely were the factors related with PPD. The quality of life was lower in women with PPD than those without PPD.Conclusion: The frequency of PPD is quite high and PPD is decreasing the quality of life of the mother.

  4. Perceived parental control processes, parent-child relational qualities and psychological well-being of Chinese adolescents in intact and non-intact families in Hong Kong.

    Science.gov (United States)

    Shek, Daniel T L; Lee, Tak Yan

    2007-01-01

    This paper examines whether Chinese adolescents' perceptions (N = 3,017) of parental behavioral control (parental knowledge, expectation, monitoring, discipline, and demandingness as well as parental control based on indigenous Chinese concepts), parental psychological control, parent-child relational qualities (perceived parental trust, child's trust of the parents, child's readiness to communicate with the parents, and child's satisfaction with parental control), and adolescent psychological well-being (hopelessness, mastery, life satisfaction and self-esteem) differed in intact and non-intact families. Results showed that relative to non-intact families, parental behavioral control processes were higher and parent-child relational qualities were better in intact families. In contrast, parental psychological control was higher in non-intact families than in intact families. Finally, the psychological well-being of adolescents in non-intact families was poorer than that of adolescents in intact families.

  5. On the links between employment, partnership quality, and the desire to have a first child: The case of West Germany

    Directory of Open Access Journals (Sweden)

    Ina Berninger

    2011-04-01

    Full Text Available We examine the impact of precarious work (low income and job security satisfaction on the intention to have a first child. We consider a direct and an indirect effect; the latter is mediated by partners' conflict behaviour, conflict level, and partnership quality. We assume that a satisfactory partnership is positively associated with the intention to have a first child. The analyses are based on a subsample of the German Generations and Gender Survey. For men we found a direct effect of income and an indirect effect of job security satisfaction on childbearing intentions, whereas for women no direct and only a weak indirect impact of precarious work could be observed.

  6. Does everyone have a name? Psychological distress and quality of life among child holocaust survivors with lost identity.

    Science.gov (United States)

    Amir, M; Lev-Wiesel, R

    2001-10-01

    Knowing one's identity, name, and biological parents is considered essential to personality development and psychological well-being. This study assessed post-traumatic stress disorder (PTSD) symptoms, subjective quality of life (QoL), psychological distress, and potency in a group of adults who were children during the Holocaust (child Holocaust survivors) and who did not know their true identity. Twenty-three such survivors were compared to 23 child Holocaust survivors who knew their identity. Results showed that survivors with lost identity had lower physical, psychological, and social QoL and higher somatization, depression, and anxiety scores than did survivors with known identity. The findings suggest that the psychological consequences of not knowing one's identity are long-lasting.

  7. [Quality management and practice-oriented research in a clinic-network of mother-/father-child rehabilitation centres].

    Science.gov (United States)

    Otto, F; Arnhold-Kerri, S

    2010-04-01

    The Research Network Prevention and Rehabilitation for Mothers and Children is an association of currently 24 rehabilitation centres for mothers, fathers and their children, and a scientific team at the Hannover Medical School. The Research Network combines practice-oriented research on mother and child health with the further development of treatment programmes and the implementation of internal quality management in mother-/father-child rehabilitation centres in accordance with DIN EN ISO 9001. The present paper describes the concept of the Research Network and the work contents addressed over the last three years. The advantages and disadvantages of this association and the changes initiated in practice were evaluated from the point of view of 19 quality managers of the participating clinics. The data were collected by means of semi-structured interviews, and a qualitative content analysis was performed in order to quantify the responses. The concept of the Research Network has proven successful. In the view of the quality managers of the clinics, implementation of DIN EN ISO 9001 has lead to structuring of the processes, improved internal communication, and increased motivation in the team. The major obstacles were the lack of time and human resources. In all clinics, the participation in practice-related research projects und scientifically monitored concept development has contributed to optimizing everyday practice. The exchange between the quality managers in external quality circle meetings was of central importance. The conjunction of internal quality management, practice-related research and concept development in a network can be recommended also for other associations of clinics, health centres or medical practices.

  8. Shedding Further Light on the Effects of Various Types and Quality of Early Child Care on Infant-Mother Attachment Relationship: The Haifa Study of Early Child Care.

    Science.gov (United States)

    Sagi, Abraham; Koren-Karie, Nina; Gini, Motti; Ziv, Yair; Joels, Tirtsa

    2002-01-01

    The Haifa Study of Early Child Care examined the unique contribution of various child-care-related correlates to infant-mother attachment. Findings indicated that, after controlling for other potential contributing variables (including mother characteristics, mother-child interaction, and mother- father relationship), center care adversely…

  9. Associations between Parents' Marital Functioning, Maternal Parenting Quality, Maternal Emotion and Child Cortisol Levels

    Science.gov (United States)

    Pendry, Patricia; Adam, Emma K.

    2007-01-01

    Associations between family functioning and children's stress hormone levels are explored, by examining how aspects of the interparental relationship (parents' marital satisfaction and parent conflict styles), the mother-child relationship (maternal involvement and warmth) and maternal emotional functioning (depression, anxiety and self-esteem)…

  10. Preventable infant mortality and quality of health care: maternal perception of the child's illness and treatment

    Directory of Open Access Journals (Sweden)

    Hadad Salime

    2002-01-01

    Full Text Available This study used a qualitative methodology to analyze the discourse of mothers from Greater Metropolitan Belo Horizonte, Minas Gerais, Brazil, whose infant children had died from what were considered avoidable causes (diarrhea, malnutrition, and pneumonia, seeking to elucidate the factors associated with utilization of health care services. Identification of the illness by the mother was related to perception of specific alterations in the child's state of health. Analysis of the alterations helped identify the principal characteristics ascribed to each alteration and their relationship to the search for treatment. The authors also studied the mother's assessment of treatment received at health care facilities; 43.0% of the cases involved problems related to the structure of health care services or the attending health care professionals. In 46.0% of the cases, mothers associated the child's death with flaws in the health care service. The study group showed a variety of interpretations of illness, often distinct from the corresponding biomedical concepts. The fact that attending health care personnel overlooked or underrated the mother's perception of the illness and the lack of communications between health care personnel and the child's family had an influence on the child's evolution and subsequent death.

  11. District of Columbia Going for the Gold Tiered Rate Reimbursement System. QRS Profile. The Child Care Quality Rating System (QRS) Assessment

    Science.gov (United States)

    Child Trends, 2010

    2010-01-01

    This paper presents a profile of District of Columbia's Going for the Gold Tiered Rate Reimbursement Systemp repared as part of the Child Care Quality Rating System (QRS) Assessment Study. The profile consists of several sections and their corresponding descriptions including: (1) Program Information; (2) Rating Details; (3) Quality Indicators for…

  12. Clinical findings, dental treatment, and improvement in quality of life for a child with Rothmund-Thomson syndrome.

    Science.gov (United States)

    De Oliveira, Katharina Morant Holanda; Silva, Raquel Assed Bezerra; Carvalho, Fabricio Kitazono; Silva, Lea Assed Bezerra; Nelson-Filho, Paulo; Queiroz, Alexandra Mussolino

    2016-01-01

    The purpose of this study was to report the clinical findings, dental treatment, and improvement in quality of life for a child with Rothmund-Thomson syndrome. The patient had alopecia, delayed speech, low weight and height, cholestasis, and iron deficiency anemia. Furthermore, there were carious lesions and darkened spots on all primary molars. Microdontia of a premolar was observed at the radiographic examination. The patient and family had no commitment to her oral health and dental treatment at first appointments. Oral hygiene instructions, composite restorations, endodontic treatments, teeth extractions, and stainless steel crown installations were performed. The patient was followed up for 7 years through the present due to other possible future clinical findings associated with the syndrome. An improvement in social aspects was observed after removal of toothache and improved esthetics. Such patients need continuous periodic services, which contributes to improving the quality of life in both buccal and general aspects.

  13. Clinical findings, dental treatment, and improvement in quality of life for a child with Rothmund-Thomson syndrome

    Directory of Open Access Journals (Sweden)

    Katharina Morant Holanda De Oliveira

    2016-01-01

    Full Text Available The purpose of this study was to report the clinical findings, dental treatment, and improvement in quality of life for a child with Rothmund-Thomson syndrome. The patient had alopecia, delayed speech, low weight and height, cholestasis, and iron deficiency anemia. Furthermore, there were carious lesions and darkened spots on all primary molars. Microdontia of a premolar was observed at the radiographic examination. The patient and family had no commitment to her oral health and dental treatment at first appointments. Oral hygiene instructions, composite restorations, endodontic treatments, teeth extractions, and stainless steel crown installations were performed. The patient was followed up for 7 years through the present due to other possible future clinical findings associated with the syndrome. An improvement in social aspects was observed after removal of toothache and improved esthetics. Such patients need continuous periodic services, which contributes to improving the quality of life in both buccal and general aspects.

  14. Clinical findings, dental treatment, and improvement in quality of life for a child with Rothmund-Thomson syndrome

    Science.gov (United States)

    De Oliveira, Katharina Morant Holanda; Silva, Raquel Assed Bezerra; Carvalho, Fabricio Kitazono; Silva, Lea Assed Bezerra; Nelson-Filho, Paulo; Queiroz, Alexandra Mussolino

    2016-01-01

    The purpose of this study was to report the clinical findings, dental treatment, and improvement in quality of life for a child with Rothmund-Thomson syndrome. The patient had alopecia, delayed speech, low weight and height, cholestasis, and iron deficiency anemia. Furthermore, there were carious lesions and darkened spots on all primary molars. Microdontia of a premolar was observed at the radiographic examination. The patient and family had no commitment to her oral health and dental treatment at first appointments. Oral hygiene instructions, composite restorations, endodontic treatments, teeth extractions, and stainless steel crown installations were performed. The patient was followed up for 7 years through the present due to other possible future clinical findings associated with the syndrome. An improvement in social aspects was observed after removal of toothache and improved esthetics. Such patients need continuous periodic services, which contributes to improving the quality of life in both buccal and general aspects. PMID:27307676

  15. Configurations of Adolescents' Peer Experiences : Associations With Parent-Child Relationship Quality and Parental Problem Behavior

    NARCIS (Netherlands)

    Kretschmer, Tina; Sentse, Miranda; Meeus, Wim; Verhulst, Frank C.; Veenstra, Rene; Oldehinkel, Albertine J.

    2016-01-01

    Adolescents' peer experiences embrace behavior, relationship quality, status, and victimization, but studies that account for multiple dimensions are rare. Using latent profile modeling and measures of peer behavior, relationship quality, peer status, and victimization assessed from 1,677 adolescent

  16. Measuring the quality of teacher-child interaction in autistic disorder

    Directory of Open Access Journals (Sweden)

    Claudio Longobardi

    2012-12-01

    Full Text Available The teacher-child relationship fulfils critical functions for the well being of the child, affecting emotive development, academic achievements, behavioral conducts and relationships with peers. The goal of the presented study is to compare the perceptions of the class teacher and of the support teacher concerning their relationship with subjects with autistic spectrum disorders (ASD; N=14; Mean age =90.07 months; SD=19.36 and with children of the control group (4 classmates per every subject of the experimental group, for a total of 56 pupils, Mean age = 80.36 months; SD=18.33. The perception by the teacher of the class, concerning the relationship with children with ASD, is characterized by higher levels of Conflict, and lower levels of Closeness, if compared with perceptions about the relationship with children of the control group (Conflict: t=-3.317; df= 14.931; p<0.01; Closeness: t= 5.638; df = 65; p < 0.001. The perception of the two teachers only correlates with regards to the Conflict dimension (r=0.769; p < 0.01. In reference to the child's adaptive skills only the social skills scale correlates with the Closeness. This is true in the perception of the support teacher (r=0.598; p<0.05. Finally, we take into account how the perception of the relationship relates with the socio-personal and professional data of the teachers and with the social features of the children.

  17. Perceptions of Parent-Child Attachment Relationships and Friendship Qualities: Predictors of Romantic Relationship Involvement and Quality in Adolescence.

    Science.gov (United States)

    Kochendorfer, Logan B; Kerns, Kathryn A

    2017-02-17

    Relationships with parents and friends are important contexts for developing romantic relationship skills. Parents and friends may influence both the timing of involvement and the quality of romantic relationships. Three models of the joint influence of parents and friends (direct effects model, mediation model, and moderator model) have been proposed. The present study uses data from a longitudinal study (n = 1012; 49.8% female; 81.1% Caucasian) to examine how attachment and friendship quality at age 10 years predict romantic relationship involvement and quality at ages 12 and 15 years. The results supported the direct effects model, with attachment and friendship quality uniquely predicting different romantic relationship outcomes. The findings provide further support for the important influence of family and friends on early romantic relationships.

  18. Fear of abandonment as a mediator of the relations between divorce stressors and mother-child relationship quality and children's adjustment problems.

    Science.gov (United States)

    Wolchik, Sharlene A; Tein, Jenn-Yun; Sandler, Irwin N; Doyle, Kathryn W

    2002-08-01

    This study examines whether fear of abandonment mediates the prospective relations between divorce stressors and mother-child relationship quality and adjustment problems of children of divorce. Participants were 216 children, ages 8-12, and their primary residential mothers. Children reported on divorce stressors and fear of abandonment; mothers and children reported on mother-child relationship quality and internalizing and externalizing problems. Structural equation models indicated that Time 1 fear of abandonment mediated the relation between Time 1 divorce stressors and Time 2 internalizing and externalizing problems. Time 1 fear of abandonment also mediated the relation between Time 1 mother-child relationship quality and Time 2 internalizing and externalizing problems. Implications of these results for understanding variability in children's postdivorce adjustment problems and interventions for divorced families are discussed.

  19. Child Emotion Regulation and Attentional Control in Pre-Kindergarten: Associations with Parental Stress, Parenting Practices, and Parent-Child Interaction Quality

    Science.gov (United States)

    Mathis, Erin; Bierman, Karen

    2012-01-01

    This study focuses on three aspects of parenting that have been linked theoretically and empirically with the development of child emotion regulation and attention control skills in early childhood: 1) parental stress and distress, 2) the degree of warmth and sensitivity evident in the parent-child relationship, and 3) parental support for the…

  20. Violence Exposure and Adjustment in Inner-City Youth: Child and Caregiver Emotion Regulation Skill, Caregiver?Child Relationship Quality, and Neighborhood Cohesion as Protective Factor

    Science.gov (United States)

    Kliewer, Wendy; Cunningham, Jera Nelson; Diehl, Robyn; Parrish, Katie Adams; Walker, Jean M.; Atiyeh, Cynthia; Neace, Brooke; Duncan, Larissa; Taylor, Kelli; Mejia, Roberto

    2004-01-01

    This short-term, longitudinal interview study used an ecological framework to explore protective factors within the child, the caregiver, the caregiver?child relationship, and the community that might moderate relations between community violence exposure and subsequent internalizing and externalizing adjustment problems and the different patterns…

  1. Impact of Caregiving for a Child With Cancer on Parental Health Behaviors, Relationship Quality, and Spiritual Faith: Do Lone Parents Fare Worse?

    Science.gov (United States)

    Wiener, Lori; Viola, Adrienne; Kearney, Julia; Mullins, Larry L; Sherman-Bien, Sandra; Zadeh, Sima; Farkas-Patenaude, Andrea; Pao, Maryland

    2016-09-01

    Caregiving stress has been associated with changes in the psychological and physical health of parents of children with cancer, including both partnered and single parents. While parents who indicate "single" on a demographic checklist are typically designated as single parents, a parent can be legally single and still have considerable support caring for an ill child. Correspondingly, an individual can be married/partnered and feel alone when caring for a child with serious illness. In the current study, we report the results from our exploratory analyses of parent self-reports of behavior changes during their child's treatment. Parents (N = 263) of children diagnosed with cancer were enrolled at 10 cancer centers. Parents reported significant worsening of all their own health behaviors surveyed, including poorer diet and nutrition, decreased physical activity, and less time spent engaged in enjoyable activities 6 to 18 months following their child's diagnosis. More partnered parents found support from friends increased or stayed the same since their child's diagnosis, whereas a higher proportion of lone parents reported relationships with friends getting worse. More lone parents reported that the quality of their relationship with the ill child's siblings had gotten worse since their child's diagnosis. Spiritual faith increased for all parents.

  2. Caregiving burden and parent-child quality of life outcomes in neurodevelopmental conditions: the mediating role of behavioral disengagement.

    Science.gov (United States)

    Carona, Carlos; Silva, Neuza; Crespo, Carla; Canavarro, Maria Cristina

    2014-12-01

    The aim of this study was to analyze the direct and indirect effects, via parents' behavioral disengagement coping, of caregiving burden on the quality of life (QL) of parents and their children with neurodevelopmental conditions. Self-completion questionnaires on the target variables were administered to a sample of 156 parents who had a child with a neurodevelopmental condition, namely epilepsy (n = 65) and cerebral palsy (n = 91). Structural equation modeling was used to test a mediation model and ascertain direct and indirect effects among study variables. Significant direct effects of caregiving burden on parents' and their children's QL were found. Additionally, caregiving burden had a significant indirect effect on parents' QL, via behavioral disengagement, but not on their children's QL. Finally, this model was found to be invariant across conditions and patients' age groups. Caregiving burden may be elected as a strategic intervention target to improve parent-child QL outcomes in neuropediatric settings. Parents should be encouraged to avoid or reduce behavioral disengagement coping in relation to their caregiving stress, and alternatively adopt active coping strategies that may positively affect their children's QL and impede or attenuate the deleterious effects of caregiving burden on their own QL.

  3. Countdown to 2015: Tracking Maternal and Child Health Intervention Targets Using Lot Quality Assurance Sampling in Bauchi State Nigeria.

    Directory of Open Access Journals (Sweden)

    Dele Abegunde

    Full Text Available Improving maternal and child health remains a top priority in Nigeria's Bauchi State in the northeastern region where the maternal mortality ratio (MMR and infant mortality rate (IMR are as high as 1540 per 100,000 live births and 78 per 1,000 live births respectively. In this study, we used the framework of the continuum of maternal and child care to evaluate the impact of interventions in Bauchi State focused on improved maternal and child health, and to ascertain progress towards the achievement of Millennium Development Goals (MDGs 4 and 5.At baseline (2012 and then at follow-up (2013, we randomly sampled 340 households from 19 random locations in each of the 20 Local Government Areas (LGA of Bauchi State in Northern Nigeria, using the Lot Quality Assurance Sampling (LQAS technique. Women residents in the households were interviewed about their own health and that of their children. Estimated LGA coverage of maternal and child health indicators were aggregated across the State. These values were then compared to the national figures, and the differences from 2012 to 2014 were calculated.For several of the indicators, a modest improvement from baseline was found. However, the indicators in the continuum of care neither reached the national average nor attained the 90% globally recommended coverage level. The majority of the LGA surveyed were classifiable as high priority, thus requiring intensified efforts and programmatic scale up.Intensive scale-up of programs and interventions is needed in Bauchi State, Northern Nigeria, to accelerate, consolidate and sustain the modest but significant achievements in the continuum of care, if MDGs 4 and 5 are to be achieved by the end of 2015. The intentional focus of LGAs as the unit of intervention ought to be considered a condition precedent for future investments. Priority should be given to the re-allocating resources to program areas and regions where coverage has been low. Finally, systematic

  4. Stressors, Quality of the Child-Caregiver Relationship, and Children's Mental Health Problems After Parental Death: The Mediating Role of Self-System Beliefs

    Science.gov (United States)

    Wolchik, Sharlene A.; Tein, Jenn-Yun; Sandler, Irwin N.; Ayers, Tim S.

    2006-01-01

    Investigated whether three self-system beliefs, fear of abandonment, coping efficacy, and self-esteem, mediated the relations of stressors and caregiver-child relationship quality with concurrent and prospective internalizing and externalizing problems in a sample of children who had experienced parental death in the previous 2.5 years. The…

  5. Parentally Bereaved Children's Grief: Self-System Beliefs as Mediators of the Relations between Grief and Stressors and Caregiver-Child Relationship Quality

    Science.gov (United States)

    Wolchik, Sharlene A.; Ma, Yue; Tein, Jenn-Yun; Sandler, Irwin N.; Ayers, Tim S.

    2008-01-01

    We investigated whether 3 self-system beliefs--fear of abandonment, coping efficacy, and self-esteem--mediated the relations between stressors and caregiver-child relationship quality and parentally bereaved youths' general grief and intrusive grief thoughts. Cross-sectional (n = 340 youth) and longitudinal (n = 100 youth) models were tested. In…

  6. The Instructional and Emotional Quality of Parent-Child Book Reading and Early Head Start Children's Learning Outcomes

    Science.gov (United States)

    Cline, Keely Dyan; Edwards, Carolyn Pope

    2013-01-01

    Research Findings: The objective of this study was to understand how two dimensions of parent-child book-reading quality--instructional and emotional--interact and relate to learning in a sample of low-income infants and toddlers. Participants included 81 parents and their children from Early Head Start programs in the rural Midwest. Correlation…

  7. Parentally Bereaved Children’s Grief: Self-system Beliefs as Mediators of the Relations between Grief and Stressors and Caregiver-child Relationship Quality

    OpenAIRE

    2008-01-01

    We investigated whether three self-system beliefs -- fear of abandonment, coping efficacy, and self-esteem -- mediated the relations between stressors and caregiver-child relationship quality and parentally bereaved youths’ general grief and intrusive grief thoughts. Cross-sectional (n=340 youth) and longitudinal (n=100 youth) models were tested. In the cross-sectional model, fear of abandonment mediated the effects of stressors and relationship quality on both measures of grief and coping ef...

  8. The associations between psychological factors,clinical subgroup of orofacial pain and oral health-related quality of life%精神因素及疼痛的临床分组对口腔健康相关生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    郑军; 王春美

    2010-01-01

    目的 探讨影响香港老年口腔颌面部疼痛人群口腔健康相关生活质量(OHRQOL)的相关因素.方法 本研究为横断面研究.研究对象为在香港医院管理局/香港大学家庭医学部注册,有口腔颌面部疼痛的香港居民,年龄55~70岁.OHRQOL由香港中文版14条口腔健康影响程度量表(OHIP-14)评估.精神因素采用颞下颌关节紊乱综合征(TMD))研究用诊断标准(RDC/TMD)中使用的抑郁(Depression))及躯体化(NPS)分量表进行评估.调查受访者在过去1个月中各种口腔颌面部疼痛的程度、频率等情况.了解受访者看牙医的习惯并对受访者进行标准的临床检查.采用向前逐步回归的方法分析影响OHRQOL的主要因素.结果 共100人次参加了本研究.口腔健康影响程度量表总分(OHIP-ADD)的均数为10.1(SD 9.7).回归分析显示中等或重度的抑郁(OR=7.1,P<0.001)及牙或骨来源的口腔颌面部疼痛(OR=4.8,P=0.016)与较差的OHRQOL显著相关.结论 在有口腔颌而部痛症的香港老年人中,OHRQOL与精神因素和痛症的临床分组显著相关.本研究结果对口腔颌而部疼痛的防治提供必要的理论依据.

  9. Perceived parental control processes, parent-child relational qualities, and psychological well-being in chinese adolescents with and without economic disadvantage.

    Science.gov (United States)

    Shek, Daniel T L

    2005-06-01

    The author assessed the relationships between poverty and perceived parenting style, parent-child relationships, and adolescent psychological well-being in Chinese secondary school students (N = 3,017). Participants completed questionnaires designed to assess (a) the degree to which their parents used monitoring, discipline, and other techniques to control their behavior; (b) the extent to which their parents attempted to control them in a way that undermined their psychological development; (c) the parent-child relational qualities, such as the child's readiness to communicate with the parents and perceived mutual trust; and (d) the child's psychological well-being. Although adolescents with economic disadvantage did not differ from adolescents without economic disadvantage on the maternal variables (except on parental knowledge and parental monitoring), adolescents whose families were receiving public assistance generally perceived paternal behavioral control and father-child relational qualities to be more negative than did adolescents who were not receiving public assistance. The author found psychological well-being (shown by hopelessness, mastery, life satisfaction, self-esteem) of adolescents experiencing economic disadvantage to be weaker than that of adolescents not experiencing economic disadvantage.

  10. Early Childhood Education and Care in the Netherlands : Quality, Curriculum, and Relations with Child Development

    NARCIS (Netherlands)

    Slot, P.L.

    2014-01-01

    The studies reported in this dissertation are part of the national cohort study pre-COOL to evaluate the developmental and educational effects of early childhood education and care (ECEC) provisions in the Netherlands. More specifically, we evaluated the quality of a large representative sample of E

  11. Longitudinal Associations between Perceived Parent-Child Relationship Quality and Depressive Symptoms in Adolescence

    Science.gov (United States)

    Branje, Susan J. T.; Hale, William W., III; Frijns, Tom; Meeus, Wim H. J.

    2010-01-01

    This longitudinal study examined bidirectional paths between perceived parent-adolescent relationship quality and depressive symptoms, as well as the moderating role of sex, age, and personality type. 1313 Dutch adolescents (51% girls) from two cohorts (923 12-year olds and 390 16-year olds at Wave 1) reported on their personality, depressive…

  12. Parenting a child with phenylketonuria or galactosemia: implications for health-related quality of life

    NARCIS (Netherlands)

    ten Hoedt, A.E.; Maurice-Stam, H.; Boelen, C.C.A.; Rubio-Gozalbo, M.E.; van Spronsen, F.J.; Wijburg, F.A.; Bosch, A.M.; Grootenhuis, M.A.

    2011-01-01

    Parents of children with chronic disorders have an impaired health-related quality of life (HRQoL) compared to parents of healthy children. Remarkably, parents of children with a metabolic disorder reported an even lower HRQoL than parents of children with other chronic disorders. Possibly, the unce

  13. Parenting a child with phenylketonuria or galactosemia : implications for health-related quality of life

    NARCIS (Netherlands)

    ten Hoedt, Amber E.; Maurice-Stam, Heleen; Boelen, Carolien C. A.; Rubio-Gozalbo, M. Estela; van Spronsen, Francjan J.; Wijburg, Frits A.; Bosch, Annet M.; Grootenhuis, Martha A.

    2011-01-01

    Parents of children with chronic disorders have an impaired health-related quality of life (HRQoL) compared to parents of healthy children. Remarkably, parents of children with a metabolic disorder reported an even lower HRQoL than parents of children with other chronic disorders. Possibly, the unce

  14. Child and parent perceived food-induced gastrointestinal symptoms and quality of life in children with functional gastrointestinal disorders.

    Science.gov (United States)

    Carlson, Michelle J; Moore, Carolyn E; Tsai, Cynthia M; Shulman, Robert J; Chumpitazi, Bruno P

    2014-03-01

    It is unknown whether children with functional gastrointestinal (GI) disorders identify specific foods that exacerbate their GI symptoms. The objectives of this study were to determine the perceived role of food on GI symptoms and to determine the impact of food-induced symptoms on quality of life (QOL) in children with functional GI disorders. Between August and November 2010, 25 children ages 11 to 17 years old with functional GI disorders and a parent completed a food symptom association questionnaire and validated questionnaires assessing FGID symptoms and QOL. In addition, children completed a 24-hour food recall, participated in focus groups to identify problematic foods and any coping strategies, and discussed how their QOL was affected. Statistical analyses were conducted using χ2, t test, Mann-Whitney U test, Wilcoxon signed rank, and Spearman's ρ. Children identified a median of 11 (range=2 to 25) foods as exacerbating a GI symptom, with the most commonly identified foods being spicy foods, cow's milk, and pizza. Several coping strategies were identified, including consuming smaller portions, modifying foods, and avoiding a median of 8 (range=1 to 20) foods. Children reported that food-induced symptoms interfered with school performance, sports, and social activities. Although the parent's assessment of their child's QOL negatively correlated with the number of perceived symptom-inducing foods in their child, this relationship was not found in the children. Findings suggest that specific foods are perceived to exacerbate GI symptoms in children with functional GI disorders. In addition, despite use of several coping strategies, food-induced symptoms can adversely impact children's QOL in several important areas.

  15. Cortisol Patterns at Home and Child Care: Afternoon Differences and Evening Recovery in Children Attending Very High Quality Full-Day Center-Based Child Care

    Science.gov (United States)

    Watamura, Sarah E.; Kryzer, Erin M.; Robertson, Steven S.

    2008-01-01

    Previous work has found that many young children show different patterns of production of the hormone cortisol, which is sensitive to stress and challenge, on days when they are at child care compared with days when they are at home. At home, preschool age children typically show a decreasing pattern of cortisol production across the day which is…

  16. Punishment for bedwetting is associated with child depression and reduced quality of life.

    Science.gov (United States)

    Al-Zaben, Faten Nabeel; Sehlo, Mohammad Gamal

    2015-05-01

    This study assessed the relationship between parental punishment and depression as well as quality of life in children with primary monosymptomatic nocturnal enuresis (PMNE). A consecutive sample of 65 children (7-13 years) with PMNE and 40 healthy children, selected as controls (Group III), were included in the study. The children with PMNE were further sub-classified into two groups: Group I, which included children who received parental punishment for enuresis and Group II, which comprised children who were not punished for bedwetting. Depression and health-related quality of life (HRQL) were assessed among the three groups. The number of wet nights per week was significantly increased in Group I compared with Group II (Ppunishment (B=0.55, P=.008), as well as the frequency (B=0.73, Ppunishment (B=0.33, P=.02) were strong predictors of increased depressive symptom severity. It was also found that prior punishment (B=-0.42, P=.01) and the frequency (B=-0.62, Ppunishment (B=-0.34, P=.02) were strong predictors for poor psychosocial HRQL. Overall, parental punishment has a poor outcome in children with PMNE.

  17. Concordance between couples reporting their child's quality of life and their decision making in pediatric oncology palliative care.

    Science.gov (United States)

    Tomlinson, Deborah; Hendershot, Eleanor; Bartels, Ute; Maloney, Anne-Marie; Armstrong, Christine; Wrathall, Glynis; Sung, Lillian

    2011-01-01

    In children 18 years and younger with cancer and no reasonable chance for cure the authors used a cross-sectional study design to (1) describe concordance between fathers' and mothers' evaluation of quality of life (QoL) and (2) determine parental correlation for how factors such as hope, anticipated QoL, and prolonged survival time influence decisions between supportive care alone versus aggressive chemotherapy. Both parents of 13 children performed PedsQL 4.0 Generic Core Scales, Acute Cancer Module, and Multidimensional Fatigue Scale. Concordance was assessed using intraclass correlation coefficient (ICC). Parents reported preferences of supportive care versus aggressive chemotherapy in a hypothetical scenario and rated factors that influenced decision making. Concordance was variable across QoL domains, better for physical health (ICC = 0.46), nausea (ICC = 0.61), general fatigue (ICC = 0.50), and sleep/rest fatigue (ICC = 0.76). Correlation was variable between parents on the influence of factors on their decision, with particularly poor correlation for importance of hope (r = -0.24). Variable concordance was reported between parental assessment of child QoL and factors influencing their decision making, suggesting parents may have different perspectives in decision making and that understanding both is important in clinical care.

  18. Child Care Subsidies and Child Development

    Science.gov (United States)

    Herbst, Chris M.; Tekin, Erdal

    2010-01-01

    Child care subsidies are an important part of federal and state efforts to move welfare recipients into employment. One of the criticisms of the current subsidy system, however, is that it overemphasizes work and does little to encourage parents to purchase high-quality child care. Consequently, there are reasons to be concerned about the…

  19. Parenting a child with phenylketonuria or galactosemia: implications for health-related quality of life.

    Science.gov (United States)

    ten Hoedt, Amber E; Maurice-Stam, Heleen; Boelen, Carolien C A; Rubio-Gozalbo, M Estela; van Spronsen, Francjan J; Wijburg, Frits A; Bosch, Annet M; Grootenhuis, Martha A

    2011-04-01

    Parents of children with chronic disorders have an impaired health-related quality of life (HRQoL) compared to parents of healthy children. Remarkably, parents of children with a metabolic disorder reported an even lower HRQoL than parents of children with other chronic disorders. Possibly, the uncertainty about the course of the disease and the limited life expectancy in many metabolic disorders are important factors in the low parental HRQoL. Therefore, we performed a cross-sectional study in parents of children with phenylketonuria (PKU, OMIM #261600) and galactosemia (OMIM #230400), metabolic disorders not affecting life expectancy, in order to investigate their HRQoL compared to parents of healthy children and to parents of children with other metabolic disorders. A total of 185 parents of children with PKU and galactosemia aged 1-19 years completed two questionnaires. Parents of children with PKU or galactosemia reported a HRQoL comparable to parents of healthy children and a significantly better HRQoL than parents of children with other metabolic disorders. Important predictors for parental mental HRQoL were the psychosocial factors emotional support and loss of friendship. As parental mental functioning influences the health, development and adjustment of their children, it is important that treating physicians also pay attention to the wellbeing of the parents. The insight that emotional support and loss of friendship influence the HRQoL of the parents enables treating physicians to provide better support for these parents.

  20. ["... so that Theo knows what he should do better". Client orientation in social-therapeutic child group work--an experiential report of quality management at a child guidance clinic].

    Science.gov (United States)

    Bobzien, Monika; Hausmann, Verena; Kornder, Theo; Manz-Gill, Brigitte

    2004-09-01

    Within the framework of internal evaluation and self-evaluation activities in a child guidance clinic, measures of success have to date been based primarily on the degree to which the delegating organisations are satisfied with the results of the counselling. The orientation of the success of counselling towards the results stems from the fact that the process of helping is not generally manifest to parents, schools, and education staff. It takes place in the context of direct contact between therapists and children, the immediate addresses of help, and therefore often remains "hidden". Since the children's perspective--their impressions and appraisals--has often been neglected in past assessment methods, it hardly plays any role at all in the discussion of quality at counselling centres. This made it all the more stimulating for all those involved to initiate improvement measures within the framework of quality management on the basis of a client survey and in this way to launch a shared learning process as to how client orientation can flow directly into everyday practice. This is certainly the first attempt of its kind in the work of child guidance clinics to develop an understanding of client orientation in line with the expectations of parents and children and to link this to the quality development of the service. In the first part of this experiential report, the external process coach provides a brief summary of the assessment method employed in connection with the introduction of internal quality management at the counselling centre. This is followed by the centre's own description of the concrete performance of the client survey with children using the example of social-therapeutic child group work. The study concludes with a discussion of the benefit drawn from this process for the improvement of this pedagogical project.

  1. Child Care Service Regional Team Mode on Improving Quality of Child Health Care%儿童保健区域团队服务模式与儿童保健质量分析

    Institute of Scientific and Technical Information of China (English)

    陈晓; 兰雅平

    2013-01-01

    目的 探讨儿童保健区域团队服务模式与儿童保健质量分析.方法 按地段划分区域,组建社区儿童保健区域团队,以深圳市第四人民医院23家社康中心0~2岁社区儿童为对象,每个社康中心抽取180名儿童,共计4140人,即从0,1,2岁组中随机抽取常住、暂住儿童各30名,其中女童2120人,男童2020人.结果 在儿童保健区域团队服务模式实施前后(第一、二、三阶段)儿童保健进行比较分析,儿童保健覆盖率、系统管理率、体弱儿管理率、特殊儿童发现率、相关业务完成指标和家长育儿知识知晓率均有显著提高,差异均有统计学意义(P<0.05).结论 儿童保健区域团队服务模式可以提高儿童保健的服务质量.%Objective To investigate the role of child care service regional team mode in improving the quality of child health care.Methods The child care service regional team was built according to the section of an area.The children aged 0 to 2 years from 23 community health service centers were investigated.180 children from each center and total 4140 children were sampled.There were 30 permanent children and 30 temporary children in 0,1 and 2 years age group,which included 2120 girls and 2020 boys.Results The health care coverage,rate of system management,management rate of frail children,detection rate of children with special needs,completion of the relevant business indicators,parenting knowledge awareness of parents were improved after the implementation of the child health regional team mode,and the differences were statistically significant(P < 0.05).Conclusion The child health regional team mode can improve the quality of child health services.

  2. Impact of mandibular conventional denture and overdenture on quality of life and masticatory efficiency

    Directory of Open Access Journals (Sweden)

    Rachel Gomes CARDOSO

    Full Text Available Abstract The aim of this non-randomized controlled clinical trial was to evaluate the oral health-related quality of life and masticatory efficiency of patients rehabilitated with mandibular two-implant overdentures with immediate loading or conventional dentures. Fifty completely edentulous patients wearing bimaxillary conventional dentures, for at least one year, were recruited. The patients were then assigned to either two treatment groups: mandibular overdentures supported by two implants with bar-clip system and a maxillary conventional denture (n = 25, and new maxillary and mandibular conventional complete dentures (n = 25. Masticatory efficiency and oral health-related quality of life were assessed before and 3 months after denture insertion. The Brazilian version of OHIP-Edent questionnaire was used to assess the oral health-related quality of life. Masticatory efficiency was evaluated with chewing capsules through a colorimetric method. The results revealed fewer oral health–related quality of life problems in patients wearing mandibular two-implant overdentures compared to the conventional dentures group. In addition, the implant overdenture group presented statistically significant improvement in masticatory efficiency (p = 0.001. There was no correlation between masticatory efficiency and OHIP in the implant group (p > 0.05, however a correlation was found in the conventional denture group (p < 0.05. Therefore, these short-term results suggest that mandibular overdenture retained by 2 implants with immediate loading combined with maxillary conventional dentures provide better masticatory efficiency and oral health–related quality of life than mandibular conventional dentures.

  3. Improving a mother to child HIV transmission programme through health system redesign: quality improvement, protocol adjustment and resource addition.

    Directory of Open Access Journals (Sweden)

    Michele S Youngleson

    Full Text Available BACKGROUND: Health systems that deliver prevention of mother to child transmission (PMTCT services in low and middle income countries continue to underperform, resulting in thousands of unnecessary HIV infections of newborns each year. We used a combination of approaches to health systems strengthening to reduce transmission of HIV from mother to infant in a multi-facility public health system in South Africa. METHODOLOGY/PRINCIPAL FINDINGS: All primary care sites and specialized birthing centers in a resource constrained sub-district of Cape Metro District, South Africa, were enrolled in a quality improvement (QI programme. All pregnant women receiving antenatal, intrapartum and postnatal infant care in the sub-district between January 2006 and March 2009 were included in the intervention that had a prototype-innovation phase and a rapid spread phase. System changes were introduced to help frontline healthcare workers to identify and improve performance gaps at each step of the PMTCT pathway. Improvement was facilitated and spread through the use of a Breakthrough Series Collaborative that accelerated learning and the spread of successful changes. Protocol changes and additional resources were introduced by provincial and municipal government. The proportion of HIV-exposed infants testing positive declined from 7.6% to 5%. Key intermediate PMTCT processes improved (antenatal AZT increased from 74% to 86%, PMTCT clients on HAART at the time of labour increased from 10% to 25%, intrapartum AZT increased from 43% to 84%, and postnatal HIV testing from 79% to 95% compared to baseline. CONCLUSIONS/SIGNIFICANCE: System improvement methods, protocol changes and addition/reallocation of resources contributed to improved PMTCT processes and outcomes in a resource constrained setting. The intervention requires a clear design, leadership buy-in, building local capacity to use systems improvement methods, and a reliable data system. A systems improvement

  4. Oral health knowledge among parents of autistic child in Bandung-Indonesia

    Directory of Open Access Journals (Sweden)

    Yetty Herdiyati Nonong

    2014-09-01

    Full Text Available Background: Autistic children as well as other special needs individual demand special care given by their parents. But there exist limited awareness among parents in Indonesia society, especially with regard to their oral health. Purpose: The study was aimed to assess the oral health related knowledge, attitude and behavior of the parents; and oral health status of their autistic children in comparison with non-autistic children. Methods: Total of 56 children (23 autistic and 23 normal between 7-12 years was included in this study. Data on parents’ knowledge, attitude, oral health practice and behavior of their children were gathered from the questionnaires. The oral health status of the children was recorded using deft and DMFT caries index. Results: All obtained data were analyzed using sPss version 13 to correlate the index of the sample. It showed that caries index of autistic child was lower and limited oral health knowledge among parents. Conclusion: There is need of greater awareness to be spread among the population of Indonesia about the existing professional help for the special children and educate the parents to maintain their child’s oral health for a better quality of life.Latar belakang: Anak autis seperti juga individu berkebutuhan khusus lainnya memerlukan perhatian khusus dari orang tuanya. Namun banyak keterbatasan kesadaran orang tua dalam masyarakat Indonesia, terutama berkaitan dengan kesehatan mulut anak autis mereka. Tujuan: Penelitian ini bertujuan untuk menguji pengetahuan kesehatan gigi, perilaku orang tua dan anak mereka yang autis. Metode: Data pengetahuan orang tua dikumpulkan dari kuesioner dan status kesehatan mulut anak dicatat menggunakan indeks karies DMFT dan deft. sejumlah 56 anak (23 autis dan 23 non-autis sebagai kelompok kontrol usia 7-12 tahun ikut serta dalam penelitian ini. Hasil: Data yang didapatkan dianalisis menggunakan sPss versi 13 untuk mengkorelasikan indeks subjek. Hasil menunjukkan indeks

  5. D3.4: Recommendations for common policy across the EU regarding professional development as an element of quality in ECEC and child wellbeing for all. Final report

    DEFF Research Database (Denmark)

    Jensen, Bente; Iannone, Rosa Lisa

    development; and vi) addressing the vulnerable through professional development. The good practices highlighted in the report have been chosen as examples, given their success. However, these must be regarded as practices that may inspire changes, which must nevertheless be adopted to cultural and systemic......Executive summary This report’s discussion and recommendations build on Workpackage 3’s (WP3) work within CARE, including: 1) a review of the systems of professional development, pre-service and in-service across 10 European countries and the impact that structural and processual shifts have...... on European ECEC quality and child development (D3.1); 2) a meta-review of extant European studies that examine the impact of professional development on child outcomes, conducted as a meta-analysis (D3.2); and 3) results from a comprehensive review of innovative approaches to professional development in ECEC...

  6. Stable maternal cohabitation, couple relationship quality, and characteristics of the home environment in the child's first two years.

    Science.gov (United States)

    Klausli, Julia F; Owen, Margaret Tresch

    2009-02-01

    Data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development was used to address how cohabitation of unmarried 2-biological-parent families is associated with characteristics of young children's family environment using longitudinal assessments of maternal depression and observed parenting sensitivity collected across the child's first 2 years and mothers' reports of couple relationship conflict and ambivalence. We compared 43 cohabiting 2-biological-parent families and 877 married 2-biological-parent families, all of whom had stable relationships over the child's first 2 years. Demographic factors of lower parental education, non-White race/ethnicity, and low income characterized the cohabiting parents, in comparison with married parents. After controlling for these demographic differences, we found that stably cohabiting mothers reported more depressive symptoms and were less sensitive with their child than were married mothers. Cohabiting couple relationships were characterized by more ambivalence and conflict, each of which partially mediated associations of cohabitation with maternal depression and parenting sensitivity. (PsycINFO Database Record (c) 2009 APA, all rights reserved).

  7. 中文版儿童感知问卷的信度检验%Validation of Chinese Version of Child Perceptional Questionnaire.

    Institute of Scientific and Technical Information of China (English)

    杨文中; 张漫; 陈国新

    2011-01-01

    目的:建立儿童感知问卷(Child Perceptional Questionnaire-CPQ)中文版,并分析其信度、效度.方法:按量表翻译程序将问卷翻译成中文,在寻求正畸治疗的患者中选择541名11~14岁的儿童,要求其完成CPQ11-14问卷.随机选择54名患者2周后重填问卷.结果:Cronbach's α系数在0.68-0.89间,重测信度ICC值在0.64~0.88间.自我认为需要接受正畸治疗CPQ11-14分数显著高于认为自己不需要接受正畸治疗的个体;认为牙齿对生活质量没有影响的个体的CPQ11-14均数也显著低于认为对生活有影响的个体.结论:中文版的CPQ11-14问卷具有较好的效度和信度,能用于研究儿童与口腔健康相关的生活质量.%Objective: To translate the original English version of Child Perceptional Questionnaire (CPQ) into a Chinese version and to validate the translated instrument for use among the children in China. Methods: The original English version of CPQ11-14 was translated into Chinese. 540 children aged 11-14 were recruited and asked to fill the questionnaire. Fifty four children were randomized selected and fill the questionnaire again two weeks later. Results: Cronbach's α of the translated CPQ11 - 14 was ranged from 0. 68 to 0.89 and the test- retest coefficient (ICC) ranged from 0.64 to 0. 88. Construct validity of the translated Chinese version was supported by the finding that the CPQ and domain scores increased as subjects' perceived oral health was impacted by their teeth from not at all to greatly. Conclusion: The translated Chinese version of CPQ demonstrats good validity and reliability. It is available for use by researches in oral health-related quality of life studies (OHQoL) in Chinese children.

  8. The Quality of School-Age Child Care in After-School Settings. Research-to-Policy Connections No. 7

    Science.gov (United States)

    Little, Priscilla M.

    2007-01-01

    This brief identifies the features of high-quality after-school settings that have emerged from the research and are reflected in program quality tools. It also examines key research linking program quality to positive developmental outcomes; it reviews current practice in program quality assessment; and it offers considerations for policymakers…

  9. Child Care Changes, Home Environment Quality, and the Social Competence of African American Children at Age 3

    Science.gov (United States)

    Bratsch-Hines, Mary E.; Vernon-Feagans, Lynne

    2013-01-01

    Research Findings: Recent work has demonstrated that the changes young children experience in their child care settings before age 5 may be related to subsequent development, especially social development. Several of these studies have included samples of middle-class children, with almost no emphasis on understanding these processes for…

  10. Changing Parent's Mindfulness, Child Management Skills and Relationship Quality with Their Youth: Results from a Randomized Pilot Intervention Trial

    Science.gov (United States)

    Coatsworth, J. Douglas; Duncan, Larissa G.; Greenberg, Mark T.; Nix, Robert L.

    2010-01-01

    We evaluated the efficacy of a mindful parenting program for changing parents' mindfulness, child management practices, and relationships with their early adolescent youth and tested whether changes in parents' mindfulness mediated changes in other domains. We conducted a pilot randomized trial with 65 families and tested an adapted version of the…

  11. Mediating and Moderating Processes in the Relation between Maltreatment and Psychopathology: Mother-Child Relationship Quality and Emotion Regulation

    Science.gov (United States)

    Alink, Lenneke R. A.; Cicchetti, Dante; Kim, Jungmeen; Rogosch, Fred A.

    2009-01-01

    The present study investigated underlying processes of the effect of maltreatment on psychopathology (i.e., internalizing and externalizing problems) in a group of 111 maltreated and 110 nonmaltreated 7-10 year-old children (60% boys). We tested the moderating and/or mediating roles of emotion regulation and the mother-child relationship quality…

  12. Goodness-of-Fit in Center Day Care: Relations of Temperament, Stability, and Quality of Care with the Child's Adjustment

    Science.gov (United States)

    De Schipper, J. Clasien; Tavecchio, Louis W. C.; Van IJzendoorn, Marinus H.; Van Zeijl, Jantien

    2004-01-01

    In this study, the concept of "goodness-of-fit" between the child's temperament and the environment, introduced by Thomas and Chess [Temperament and Development, Brunner/Mazel, New York, 1977], is applied within the setting of center day care. Mothers and primary professional caregivers of 186 children, aged 6-30 months, participated in this…

  13. Do strategies to improve quality of maternal and child health care in lower and middle income countries lead to improved outcomes? A review of the evidence.

    Directory of Open Access Journals (Sweden)

    Zoe Dettrick

    Full Text Available OBJECTIVES: Efforts to scale-up maternal and child health services in lower and middle income countries will fail if services delivered are not of good quality. Although there is evidence of strategies to increase the quality of health services, less is known about the way these strategies affect health system goals and outcomes. We conducted a systematic review of the literature to examine this relationship. METHODS: We undertook a search of MEDLINE, SCOPUS and CINAHL databases, limiting the results to studies including strategies specifically aimed at improving quality that also reported a measure of quality and at least one indicator related to health system outcomes. Variation in study methodologies prevented further quantitative analysis; instead we present a narrative review of the evidence. FINDINGS: Methodologically, the quality of evidence was poor, and dominated by studies of individual facilities. Studies relied heavily on service utilisation as a measure of strategy success, which did not always correspond to improved quality. The majority of studies targeted the competency of staff and adequacy of facilities. No strategies addressed distribution systems, public-private partnership or equity. Key themes identified were the conflict between perceptions of patients and clinical measures of quality and the need for holistic approaches to health system interventions. CONCLUSION: Existing evidence linking quality improvement strategies to improved MNCH outcomes is extremely limited. Future research would benefit from the inclusion of more appropriate indicators and additional focus on non-facility determinants of health service quality such as health policy, supply distribution, community acceptability and equity of care.

  14. Child Poverty and Child Outcomes.

    Science.gov (United States)

    Bradshaw, Jonathan

    2002-01-01

    Reviews the evidence on the prevalence of child poverty in Britain including: (1) how child poverty has changed over the last 20 years; (2) how child poverty in Britain compares with that in other countries; (3) characteristics of poor children; (4) impact of poverty on child well-being; and (5) government attempts to abolish child poverty. (SD)

  15. Trigeminal neurosensory deficit and patient reported outcome measures: the effect on quality of life.

    Directory of Open Access Journals (Sweden)

    Yiu Yan Leung

    Full Text Available OBJECTIVES: To investigate the effect of persistent neurosensory disturbance of the lingual nerve (LN or inferior alveolar nerve (IAN on general health and oral health- related quality of life (QoL. METHODS: The study design was a case-control study. Patients with persistent neurosensory deficit of LN or IAN after lower third molar surgery (for 12 months or more were the study group. The control group was an age and gender matched sample of patients who had dental extractions or lower third molar surgeries without trigeminal neurosensory deficit. The outcome variables were the general health and oral health-related QoL. General health-related QoL was assessed using the 36-item Short Form Health Survey (SF-36 and oral health-related QoL using the 14-item Short Form Oral Health Impact Profile (OHIP-14. Differences in SF-36 scores and OHIP-14 scores between the groups were compared. RESULTS: Forty-eight subjects (24 cases and 24 controls were recruited. When compared to the control group, patients with neurosensory deficits had poorer Mental-Health Component Scores (MCS (p = 0.005, General Health (p = 0.023, Vitality (p = 0.048, Social Functioning (p = 0.003, Role-emotion (p = 0.008 and Mental Health (p = 0.022. The OHIP-14 scores were also significantly worse in this patients with neurosensory deficits compared with the control group (p = 0.002. When compared within the study group, older patient with neurosensory deficit was found to correlate with worse Physical Health Component Scores (PCS (p = 0.02 and OHIP-14 scores (p = 0.02, while more severe visualized analog scaling rating of numbness was correlated with a worse PCS (p = 0.034. CONCLUSIONS: Patients with persistent LN or IAN deficit after lower third molar surgery have poorer health-related QoL and poorer oral health-related QoL than those without such deficits.

  16. Oral health related to demographic features in Bosnian children aged six.

    Science.gov (United States)

    Muratbegović, Amra Arslanagić; Marković, Nina; Zukanović, Amila; Kobaslija, Sedin; Dragas, Mediha Selimović; Jurić, Hrvoje

    2010-09-01

    The main aim of this paper is to present epidemiological indicators of oral health among six-year olds in Bosnia and Herzegovina (BH) and to analyze values of dmft index and dental treatment needs in order to identify differences in parts of the country. Another aim is to identify the needs from the public oral health care system in Bosnia and Herzegovina related to early permanent dentition by analyzing the condition of first permanent molars (FPM) as an indicator of oral health of permanent dentition. Survey was carried out in 2004 in 8 cantons of the Federation of BH (FBH) and in the Republic of Srpska (RS). Final sample included 560 participants aged six (mean 6.2, SD +/- 0.87). One dental team clinically examined all participants according to WHO methodology and criteria. The parameters used were: dmft index, DMFT index of first permanent molars (FPM), presence of sealants and treatment needs. A questionnaire about oral health habits had been administered. Dmft was 6.71 in that the d-component constituted the major part of the index. DMFT index of FPM was 0.61 (SD +/- 1.08). Percentage of caries free participants aged 6 was 6.8%. Average number of FPM with fissure sealants in BH was 0.25 (SD +/- 0.78). Significant demographic differences in dmft index, DMFT FPM and treatment needs were identified. Most participants (48.5%) had their first dental visit between the ages of five and seven. National oral health goal for Bosnia and Herzegovina should be to develop and implement disease prevention programs based on education of both parents and dental practitioners. It is necessary to improve access to dental care and shift focus from curative to preventive procedures. It is also necessary to set real goals for improvement of oral health which can be achieved within a desired time frame, as well as to precisely define measures to be taken.

  17. Impact of Caregiving for a Child With Cancer on Parental Health Behaviors, Relationship Quality, and Spiritual Faith: Do Lone Parents Fare Worse?

    Science.gov (United States)

    Wiener, Lori; Viola, Adrienne; Kearney, Julia; Mullins, Larry L.; Sherman-Bien, Sandra; Zadeh, Sima; Farkas-Patenaude, Andrea; Pao, Maryland

    2016-01-01

    Caregiving stress has been associated with changes in the psychological and physical health of parents of children with cancer, including both partnered and single parents. While parents who indicate “single” on a demographic checklist are typically designated as single parents, a parent can be legally single and still have considerable support caring for an ill child. Correspondingly, an individual can be married/partnered and feel alone when caring for a child with serious illness. In the current study, we report the results from our exploratory analyses of parent self-reports of behavior changes during their child’s treatment. Parents (N = 263) of children diagnosed with cancer were enrolled at 10 cancer centers. Parents reported significant worsening of all their own health behaviors surveyed, including poorer diet and nutrition, decreased physical activity, and less time spent engaged in enjoyable activities 6 to 18 months following their child’s diagnosis. More partnered parents found support from friends increased or stayed the same since their child’s diagnosis, whereas a higher proportion of lone parents reported relationships with friends getting worse. More lone parents reported that the quality of their relationship with the ill child’s siblings had gotten worse since their child’s diagnosis. Spiritual faith increased for all parents. PMID:26668211

  18. Is there a difference between child self-ratings and parent proxy-ratings of the quality of life of children with a diagnosis of attention-deficit hyperactivity disorder (ADHD)? A systematic review of the literature.

    Science.gov (United States)

    Galloway, Helen; Newman, Emily

    2017-03-01

    There are contemporary indicators that parent proxy-ratings and child self-ratings of a child's quality of life (QoL) are not interchangeable. This review examines dual informant studies to assess parent-child agreement on the QoL of children with attention-deficit/hyperactivity disorder. A systematic search of four major databases (PsycINFO, MEDLINE, EMBASE and Cochrane databases) was completed, and related peer-reviewed journals were hand-searched. Studies which reported quantitative QoL ratings for matched parent and child dyads were screened in accordance with relevant inclusion and exclusion criteria. Key findings were extracted from thirteen relevant studies, which were rated for conformity to the recommendations of an adapted version of the STROBE statement guidelines for observational studies. In the majority of studies reviewed, children rated their QoL more highly than their parents. There was some evidence for greater agreement on the physical health domain than psychosocial domains.

  19. Factors influencing agreement between child self-report and parent proxy-reports on the Pediatric Quality of Life Inventory™ 4.0 (PedsQL™ generic core scales

    Directory of Open Access Journals (Sweden)

    Eiser Christine

    2006-08-01

    Full Text Available Abstract Background In situations where children are unable or unwilling to respond for themselves, measurement of quality of life (QOL is often obtained by parent proxy-report. However the relationship between child self and parent proxy-reports has been shown to be poor in some circumstances. Additionally the most appropriate statistical method for comparing ratings between child and parent proxy-reports has not been clearly established. The objectives of this study were to assess the: 1 agreement between child and parent proxy-reports on an established child QOL measure (the PedsQL™ using two different statistical methods; 2 effect of chronological age and domain type on agreement between children's and parents' reports on the PedsQL™; 3 relationship between parents' own well-being and their ratings of their child's QOL. Methods One hundred and forty-nine healthy children (5.5 – 6.5, 6.5 – 7.5, and 7.5 – 8.5 years completed the PedsQL™. One hundred and three of their parents completed these measures in relation to their child, and a measure of their own QOL (SF-36. Results Consistency between child and parent proxy-reports on the PedsQL™ was low, with Intra-Class correlation coefficients ranging from 0.02 to 0.23. Correlations were higher for the oldest age group for Total Score and Psychosocial Health domains, and for the Physical Health domain in the youngest age group. Statistically significant median differences were found between child and parent-reports on all subscales of the PedsQL™. The largest median differences were found for the two older age groups. Statistically significant correlations were found between parents' own QOL and their proxy-reports of child QOL across the total sample and within the middle age group. Conclusion Intra-Class correlation coefficients and median difference testing can provide different information on the relationship between parent proxy-reports and child self-reports. Our findings

  20. Child Care and Development Fund (CCDF) Program. Final rule.

    Science.gov (United States)

    2016-09-30

    This final rule makes regulatory changes to the Child Care and Development Fund (CCDF) based on the Child Care and Development Block Grant Act of 2014. These changes strengthen requirements to protect the health and safety of children in child care; help parents make informed consumer choices and access information to support child development; provide equal access to stable, high-quality child care for low-income children; and enhance the quality of child care and the early childhood workforce.

  1. Total Quality Management Simplified.

    Science.gov (United States)

    Arias, Pam

    1995-01-01

    Maintains that Total Quality Management (TQM) is one method that helps to monitor and improve the quality of child care. Lists four steps for a child-care center to design and implement its own TQM program. Suggests that quality assurance in child-care settings is an ongoing process, and that TQM programs help in providing consistent, high-quality…

  2. Child-Mother and Child-Father Play Interaction Patterns with Preschoolers

    Science.gov (United States)

    John, Aesha; Halliburton, Amy; Humphrey, Jeremy

    2013-01-01

    The study focused on qualitative and quantitative differences between maternal and paternal play interaction behaviours with their preschool children. Home observations of 18 child-mother and child-father play interactions were qualitatively analysed to derive interaction themes. In addition, the quality of child-mother and child-father…

  3. The Relationships among Emotional intelligence, Parent-child attachment and Friendship quality of Junior high school students%初中生情绪智力、亲子依恋与友谊质量的关系研究

    Institute of Scientific and Technical Information of China (English)

    唐雪梅

    2013-01-01

    Selecting 600 junior students, we take the Friendship Quality Questionnaire, Emotional Intelligence Scale and Inventory of Parent and Peer Attachment to investigate the relationships among emotional intelligence, parent-child attachment and friendship quality of Junior high school students. The research results show that the junior students’ friendship quality is at a high level. Friendship quality and emotional intelligence have significant positive correlation. Friendship quality and parent-child attachment have significant positive correlation. Emotional intelligence has a positive prediction function of friendship. Parent-child attachment quality has a positive prediction function of friendship.%  选取初一到初三学生600名,采用青少年友谊质量问卷、情绪智力问卷和亲子问卷探讨初中生情绪智力、亲子依恋与友谊质量的关系。研究结果表明:初中生友谊质量处于较高水平;初中生友谊质量与情绪智力存在显著正相关;初中生友谊质量和亲子依恋存在显著正相关;情绪智力对友谊质量有正向预测作用;亲子依恋对友谊质量有正向预测作用。

  4. Association between treated/untreated traumatic dental injuries and impact on quality of life of Brazilian schoolchildren

    Directory of Open Access Journals (Sweden)

    Pordeus Isabela A

    2010-10-01

    Full Text Available Abstract Background Traumatic dental injury (TDI could have physical and psychosocial consequences for children. Thus, it is important to measure the impact of TDI on the quality of life of children (QoL. The aim of the present study was to investigate the association between treated/untreated TDI and the impact on the quality of life of 11-to-14-year-old Brazilian schoolchildren. Methods A cross-sectional study was carried out involving 1612 male and female schoolchildren aged 11 to 14 years attending public and private elementary schools in the city of Belo Horizonte, Brazil. A multi-stage sampling technique was adopted to select the children. Three calibrated examiners used the Andreasen classification for the diagnosis of TDI. Oral health-related quality of life was assessed using the Brazilian version of the Child Perceptions Questionnaire (CPQ11-14 - Impact Short Form (ISF:16, composed of 16 items and self-administered by all children. Other oral conditions (dental caries and malocclusion and the Social Vulnerability Index were determined and used as controlling variables. Results Two hundred nineteen children were diagnosed with untreated TDI and 64 were diagnosed with treated TDI. There were no statistically significant associations between untreated or treated TDI and overall CPQ11-14 (Fisher = 0.368 and Fisher = 0.610, respectively. Children with an untreated TDI were 1.4-fold (95% CI = 1.1-2.1 more likely to report impact on the item "avoided smiling/laughing" than those without TDI, whereas children with a treated TDI were twofold (95% CI = 1.1-3.5 more likely to report impact on the item "other children asked questions" than those without TDI. Conclusions Neither treated nor untreated TDI was associated with oral symptoms, functional limitations or emotional wellbeing. However, children with a TDI in the anterior teeth experienced a negative impact on social wellbeing, mainly with regard to avoiding smiling or laughing and being

  5. Interplay between Friends' Aggression and Friendship Quality in the Development of Child Aggression during the Early School Years

    Science.gov (United States)

    Salvas, Marie-Claude; Vitaro, Frank; Brendgen, Mara; Lacourse, Eric; Boivin, Michel; Tremblay, Richard E.

    2011-01-01

    The aim of this study was to investigate the unique and combined role of friendship quality and friends' aggression in regard to the persistence of young children's physical aggression from kindergarten to grade 2. The sample included 1555 children (808 girls) assessed annually using teacher ratings. Two theoretical perspectives (i.e., the social…

  6. Children's Aesthetic Understanding of Photographic Art and the Quality of Art-Related Parent-Child Interactions

    Science.gov (United States)

    Szechter, Lisa E.; Liben, Lynn S.

    2007-01-01

    This research was designed to examine the quality of children's aesthetic understanding of photographs, observe social interactions between parents and children in this aesthetic domain, and study whether qualitatively different dyadic interactions were associated with children's own aesthetic understanding. Parents and children (7-13 years; 40…

  7. Relations of Children's Effortful Control and Teacher-Child Relationship Quality to School Attitudes in a Low-Income Sample

    Science.gov (United States)

    Silva, Kassondra M.; Spinrad, Tracy L.; Eisenberg, Nancy; Sulik, Michael J.; Valiente, Carlos; Huerta, Snjezana; Edwards, Alison; Eggum, Natalie D.; Kupfer, Anne S.; Lonigan, Christopher J.; Phillips, Beth M.; Wilson, Shauna B.; Clancy-Menchetti, Jeanine; Landry, Susan H.; Swank, Paul R.; Assel, Michael A.; Taylor, Heather B.

    2011-01-01

    Research Findings: The purpose of this study was to examine the relations of children's effortful control and quality of relationships with teachers to school attitudes longitudinally in an ethnically diverse and economically disadvantaged sample. Data were collected as part of a larger intervention project during mid-fall, winter, and late spring…

  8. Caring for a Child with Autism Spectrum Disorder and Parents' Quality of Life: Application of the CarerQol

    NARCIS (Netherlands)

    R.J. Hoefman (Renske); N. Payakachat (Nalin); N.J.A. van Exel (Job); K.A. Kuhlthau (Karen); E.M. Kovacs (Erica); J.M. Pyne (Jeffrey); J.M. Tilford (John Mick)

    2014-01-01

    textabstractThis study describes the impact of caregiving on parents of children with autism spectrum disorders (ASDs). Secondly, we investigate construct validation of the care-related quality of life instrument (CarerQol) measuring impact of caregiving. Primary caregivers of children with ASDs wer

  9. Quality of inpatient pediatric case management for four leading causes of child mortality at six government-run Ugandan hospitals.

    Directory of Open Access Journals (Sweden)

    David Sears

    Full Text Available A better understanding of case management practices is required to improve inpatient pediatric care in resource-limited settings. Here we utilize data from a unique health facility-based surveillance system at six Ugandan hospitals to evaluate the quality of pediatric case management and the factors associated with appropriate care.All children up to the age of 14 years admitted to six district or regional hospitals over 15 months were included in the study. Four case management categories were defined for analysis: suspected malaria, selected illnesses requiring antibiotics, suspected anemia, and diarrhea. The quality of case management for each category was determined by comparing recorded treatments with evidence-based best practices as defined in national guidelines. Associations between variables of interest and the receipt of appropriate case management were estimated using multivariable logistic regression.A total of 30,351 admissions were screened for inclusion in the analysis. Ninety-two percent of children met criteria for suspected malaria and 81% received appropriate case management. Thirty-two percent of children had selected illnesses requiring antibiotics and 89% received appropriate antibiotics. Thirty percent of children met criteria for suspected anemia and 38% received appropriate case management. Twelve percent of children had diarrhea and 18% received appropriate case management. Multivariable logistic regression revealed large differences in the quality of care between health facilities. There was also a strong association between a positive malaria diagnostic test result and the odds of receiving appropriate case management for comorbid non-malarial illnesses - children with a positive malaria test were more likely to receive appropriate care for anemia and less likely for illnesses requiring antibiotics and diarrhea.Appropriate management of suspected anemia and diarrhea occurred infrequently. Pediatric quality

  10. Asthma in adolescents, during the transition from child to adult, effects on physiological parameters and health related quality of life

    OpenAIRE

    2010-01-01

    The aims of this thesis were to evaluate physiological and allergic aspects and consequences of asthma and possible correlation between Health Related Quality of Life (HRQOL) and atopy, lung function, bronchial hyper-responsiveness and regular physical exercise. Possible risk factors for deterioration among patients in their late teenage years prior to and following transfer to adult healthcare were examined. The study was designed to investigate possible differences between...

  11. Scoliosis surgery - child

    Science.gov (United States)

    Spinal curvature surgery - child; Kyphoscoliosis surgery - child; Video-assisted thoracoscopic surgery - child; VATS - child ... Before surgery, your child will receive general anesthesia. This will make your child unconscious and unable to feel pain ...

  12. Effects of enamel fluorosis and dental caries on quality of life.

    Science.gov (United States)

    Onoriobe, U; Rozier, R G; Cantrell, J; King, R S

    2014-10-01

    The objectives of this study were to determine the impact of enamel fluorosis and dental caries on oral health-related quality of life (OHRQoL) in North Carolina schoolchildren and their families. Students (n = 7,686) enrolled in 398 classrooms in grades K-12 were recruited for a onetime survey. Parents of students in grades K-3 and 4-12 completed the Early Childhood Oral Health Impact Scale (ECOHIS) and Family Impact Scale (FIS), respectively. Students in grades 4-12 completed the Child Perceptions Questionnaire (CPQ8-10 in grades 4-5; CPQ11-14 in grades 6-12). All students were examined for fluorosis (Dean's index) and caries experience (d2-3fs or D2-3MFS indices). OHRQoL scores (sum response codes) were analyzed for their association with fluorosis categories and sum of d2-3fs and D2-3MFS according to ordinary least squares regression with SAS procedures for multiple imputation and analysis of complex survey data. Differences in OHRQoL scores were evaluated against statistical and minimal important difference (MID) thresholds. Of 5,484 examined students, 71.8% had no fluorosis; 24.4%, questionable to very mild fluorosis; and 3.7%, mild, moderate, or severe fluorosis. Caries categories were as follows: none (43.1%), low (28.6%), and moderate to high (28.2%). No associations between fluorosis and any OHRQoL scales met statistical or MID thresholds. The difference (5.8 points) in unadjusted mean ECOHIS scores for the no-caries and moderate-to-high caries groups exceeded the MID estimate (2.7 points) for that scale. The difference in mean FIS scores (1.5 points) for the no-caries and moderate-to-high groups exceeded the MID value (1.2 points). The sum of d2-3fs and D2-3MFS scores was positively associated with CPQ11-14 (B = 0.240, p caries experience negatively affects OHRQoL, while fluorosis has little impact.

  13. California's Child Care Crisis: A Crime Prevention Tragedy.

    Science.gov (United States)

    Lee, Brian

    This report compiles recent research showing that quality child care and early education can greatly reduce crime and argues that California is in the middle of a child care crisis, with a shortage of quality, affordable care. Chapter 1 of the report presents research showing that at-risk children who participate in quality child care programs are…

  14. The health and social situation of the mother during pregnancy and global quality of life of the child as an adult. Results from the prospective Copenhagen Perinatal Cohort 1959-1961

    Directory of Open Access Journals (Sweden)

    Søren Ventegodt

    2005-01-01

    Full Text Available A prospective cohort study (Copenhagen Perinatal Birth Cohort 1959-61 of 7,222 persons was used in order to explore the association between the social and health situation during pregnancy and the global quality of life (QOL of the adult child 31-33 years later. Two sets of questionnaires were used with one filled out by physicians during pregnancy and one filled out by the adult children 31-33 years later. The questionnaires included mother's situation during pregnancy and global QOL of the child at follow-up: Well-being, life satisfaction, happiness, fulfilment of needs, experience of life’s temporal and spatial domains, expression of life’s potentials and objective measures. The only indicators to have clear connections with a reduced quality of life were the cases of mother's with syphilis (8.5%, mother's congenital malformations (8.8%, low social group (6.9% and failing contraception (3.8%. The results obtained repudiate the common notion and hypothesis that the mother's situation during pregnancy is highly important for the quality of life that the child experience as an adult. This suggest that the aspects important for quality of life later on are not found solely in early conditions, but instead more dependent on later attitude towards life of that specific person.

  15. Child Development

    Science.gov (United States)

    As children grow older, they develop in several different ways. Child development includes physical, intellectual, social, and emotional changes. Children grow and mature at very different rates. It's ...

  16. Factors During Pregnancy, Delivery and Birth Affecting Global Quality of Life of the Adult Child at Long-term Follow-up. Results from the Prospective Copenhagen Perinatal Birth Cohort 1959-61

    Directory of Open Access Journals (Sweden)

    Søren Ventegodt

    2005-01-01

    Full Text Available This paper presents a prospective cohort study, where we explore associations between pregnancy, delivery and the global quality of life (QOL of the adult child 31-33 years later. The data is from the Copenhagen Perinatal Birth Cohort 1959-61 using two sets of questionnaires send to 7,222 persons: one filled out by physicians during pregnancy and delivery, while the follow-up questionnaire was completed by the adult children 31-33 years later. The main outcome measures were objective factors describing pregnancy and delivery along with global quality of life, including: Well-being, life satisfaction, happiness, fulfilment of needs, experience of life's temporal and spatial domains, expression of life's potentials and objective measures. Results showed two main factors in pregnancy that seemed to be associated with a reduced quality of life for the child 31-33 years later: the mother's smoking habits and the mother's medication–especially painkillers and different psychopharmacological drugs with the association being most prevalent early in pregnancy. Considering what can and do go wrong during the various stages of labour and delivery and considering how few connections we found between the factors examined and the later global QOL, it seems that the child is remarkably resilient to external influences during pregnancy and delivery concerned with global QOL, as an adult.

  17. Child Care and Development Block Grant Participation in 2012

    Science.gov (United States)

    Matthews, Hannah; Reeves, Rhiannon

    2014-01-01

    The Child Care and Development Block Grant (CCDBG) is the primary funding source for federal child care subsidies to low-income working families, as well as improving child care quality. Based on preliminary state-reported data from the federal Office of Child Care, this fact sheet provides a snapshot of CCDBG program participation in 2012, noting…

  18. PARENTING QUALITY IN DRUG-ADDICTED MOTHERS IN A THERAPEUTIC MOTHER-CHILD COMMUNITY: THE CONTRIBUTION OF ATTACHMENT AND PERSONALITY ASSESSMENT

    Directory of Open Access Journals (Sweden)

    Francesca eDe Palo

    2014-09-01

    Full Text Available Growing evidence shows that attachment is a key risk factor for the diagnosis and treatment of clinical diseases in Axis I, such as drug addiction. Recent literature regarding attachment, psychiatric pathology and drug addiction demonstrates that there is a clear prevalence of insecure attachment patterns in clinical and drug addicted subjects. Specifically, some authors emphasize that the anxious-insecure attachment pattern is prevalent among drug-addicted women with double diagnosis (Fonagy et al., 1996. The construct of attachment as a risk factor in clinical samples of drug-addicted mothers needs to be studied more in depth though. The present explorative study focused on the evaluation of parenting quality in a therapeutic mother-child community using attachment and personality assessment tools able to outline drug-addicted mothers’ profiles. This study involved 30 drug addicted mothers, inpatients of a therapeutic community. Attachment representations were assessed via the Adult Attachment Interview; personality diagnosis and symptomatic profiles were performed using the Structured Clinical Interview of the DSM-IV (SCID-II and the Symptom Check List-90-R (SCL-90-R respectively. Both instruments were administered during the first six months of residence in a therapeutic community. Results confirmed the prevalence of insecure attachment representations (90%, with a high presence of U patterns, prevalently scored for dangerous and/or not protective experiences in infanthood. Very high values (>5 were found for some experience scales (i.e. neglect and rejection scales. Data also showed very low values (1-3 in metacognitive monitoring, coherence of transcript and coherence of mind scales. Patients’ different profiles (U vs. E vs. Ds were linked to SCID-II diagnosis, providing insightful indications both for treatment planning and intervention on parenting functions and for deciding if to start foster care or adoption proceedings for

  19. Quality of life of children with cystic periventricular leukomalacia – a prospective analysis with the Child Health Questionnaire-Parent Form 50

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    Bernhard eResch

    2016-05-01

    Full Text Available Objective: Cystic periventricular leukomalacia (PVL is associated with moderate to severe physical and mental handicaps in preterm infants. We hypothesized whether or not those handicaps were associated with a poorer quality of life (QOL of affected children and their families compared to matched controls.Patients and Methods: All children with the diagnosis PVL collected from a local database of the Division of Neonatology of the Medical University of Graz, Austria, and born between 1997 and 2008 were included in the study group. Preterm infants matched for gestational age, birth weight, year of birth, and gender without PVL served as controls. Selected perinatal data and neurological outcome were documented. The interview of the parents was conducted using the Child-Health-Questionnaire – Parent Form 50 (CHQ-PF50, German version. The CHQ-PF50 consists of 50 items divided over 11 multi-item scales and 2 single-item questions.Results: The CHQ-PF50 was answered by 21 parents of the study (26% and 44 of the control (39% group. Cases were diagnosed as having developmental delay, dystonia, strabismus, central visual impairment, seizures, and cerebral palsy (81 vs. 7%, p<0.001 more common than controls. Analysis of the CHQ-PF 50 revealed significantly poorer results for cases regarding physical health (physical functioning: p<0.001, physical social limitations: p<0.001, physical summary score: p<0.001. Several psychosocial categories (behavior, mental health, self-esteem and the psychosocial summary score did not differ between groups. Only two categories (parental impact concerning time p=0,004, and family activities: p=0.026 revealed significantly poorer results in the cases as it was for the global category for health (p=0.009.Conclusion: Children with PVL had an overall poorer QOL regarding physical aspects. However, PVL was not generally associated with a poorer QOL regarding psychosocial aspects.

  20. A predictive model of Health Related Quality of life of parents of chronically ill children: the importance of care-dependency of their child and their support system

    Directory of Open Access Journals (Sweden)

    Heymans Hugo SA

    2009-07-01

    Full Text Available Abstract Background Parents of chronically ill children are at risk for a lower Health Related Quality of Life (HRQoL. Insight in the dynamics of factors influencing parental HRQoL is necessary for development of interventions. Aim of the present study was to explore the influence of demographic and disease related factors on parental HRQoL, mediated by employment, income, leisure time, holiday and emotional support in a comprehensive model. Methods In a cross-sectional design, 543 parents of chronically ill children completed questionnaires. A conceptual model of parental HRQoL was developed. Structural equation modeling was performed to explore the relations in the conceptual model, and to test if the model fitted the data. Results The model fitted the data closely (CHISQ(14 = 11.37, p = 0.66; RMSEA = 0.0, 90%CI [0.00;0.034]. The effect of socio-demographic and medical data on HRQoL was mediated by days on holiday (MCS: β = .21 and emotional support (PCS: β = .14; MCS: β = .28. Also, female gender (β = -.10, age (β = .10, being chronically ill as a parent (β = -.34, and care dependency of the child (β = -.14; β = -.15 were directly related to parental HRQoL. Conclusion The final model was slightly different from the conceptual model. Main factors explaining parental HRQoL seemed to be emotional support, care dependency, days on holiday and being chronically ill as a parent. Holiday and emotional support mediated the effect of demographic and disease-related factors on HRQoL. Hours of employment, leisure time and household income did not mediate between background characteristics and HRQoL, contrasting the hypotheses.

  1. Child voice and noise: a pilot study of noise in day cares and the effects on 10 children's voice quality according to perceptual evaluation.

    Science.gov (United States)

    McAllister, Anita M; Granqvist, Svante; Sjölander, Peta; Sundberg, Johan

    2009-09-01

    The purpose of this investigation was to study children's exposure to background noise at the ears during a normal day at the day care center and also to relate this to a perceptual evaluation of voice quality. Ten children, from three day care centers, with no history of hearing and speech problems or frequent infections were selected as subjects. A binaural recording technique was used with two microphones placed on both sides of the subject's head, at equal distance from the mouth. A portable digital audio tape (DAT) recorder (Sony TCD-D 100, Stockholm, Sweden) was attached to the subject's waist. Three recordings were made for each child during the day. Each recording was calibrated and started with three repetitions of three sentences containing only sonorants. The recording technique allowed separate analyses of the background noise level and of the sound pressure level (SPL) of each subjects' own voice. Results showed a mean background noise level for the three day care centers at 82.6dBA Leq, ranging from 81.5 to 83.6dBA Leq. Day care center no. 2 had the highest mean value and also the highest value at any separate recording session with a mean background noise level of 85.4dBA Leq during the noontime recordings. Perceptual evaluation showed that the children attending this day care center also received higher values on the following voice characteristics: hoarseness, breathiness, and hyperfunction. Girls increased their loudness level during the day, whereas for boys no such change could be observed.

  2. Child Care and Child Nutrition

    Science.gov (United States)

    Karolak, Eric

    2009-01-01

    The weak economy is challenging the child care program budget. Fluctuations in enrollment come up against rising costs making every penny count. So for many reasons a federal program that helps defray the costs of snacks and meals in child care programs is particularly important and timely. In this article, the author pushes for the…

  3. Boys, Girls, and "Two Cultures" of Child Care

    Science.gov (United States)

    Winer, Abby C.; Phillips, Deborah A.

    2012-01-01

    This study examined differences in the quality of child care experienced by toddler boys and girls. Boys were more likely to be in lower-quality child care than girls, assessed with both setting-level measures and observations of caregiver-child interaction. A possible explanatory mechanism for the gender differences is suggested by evidence that…

  4. [The place of the child].

    Science.gov (United States)

    Molenat, F

    2008-08-01

    A child's self-construction and access to his identity depend on the conditions of affective security in which he is raised and his genealogical references, the founders of his own place in society. The quality of the professional care at the different stages of the birth process is confirmed as a major variable in the parents' sense of security, followed by the child's. The drift toward the illusion of a right to a child is tempered by the attention that can be contributed by all healthcare providers who come into contact with couples when they request artificial procreation: recognition of their request, but also of their suffering, so as to separate the child's place from parental projections that may be poorly adjusted to the child's needs.

  5. [Structural quality in inpatient and daycare child and adolescent psychiatry- indicators for planning future staff ratios for the era following the Psychiatry Personnel Act].

    Science.gov (United States)

    Schepker, Renate; Fegert, Jörg M; Becker, Katja

    2015-11-01

    The German Psychiatry Personnel Act, which went into effect in 1990, has led to a decrease in the number of child and adolescent psychiatry inpatient beds, to a decrease in the length of stay, and to an increase in inpatient psychotherapy. Today, this act is outdated~ for a number of reasons, such as changes in the morbidity of the population, the rising number of emergencies, and new professional standards such as documentation. In addition, new legal provisions and conventions (like the UN Convention on the Rights of the Child) necessitate a complete reevaluation. Child and adolescent psychiatry needs a normative act to enable the necessary implementation. Many different rationales are available to support the debate.

  6. Quality of Life Following Early Orthodontic Therapy for Anterior Crossbite: Report of Cases in Twin Boys

    Science.gov (United States)

    Piassi, Eluza; Antunes, Leonardo Santos; Andrade, Marcia Rejane Thomas Canabarro

    2016-01-01

    Anterior crossbite (AC) refers to a condition in which the maxillary anterior teeth are placed lingually in their relationship with the mandibular anterior teeth. This dental condition results in visible incisor differences that are associated with higher levels of dissatisfaction with appearance and have potential to negatively impact on oral health-related quality of life (OHRQoL) of the children. The aim of this paper was to report two cases of interceptive orthodontic treatment of twin children with anterior crossbite and its impact on OHRQoL of these children. Although AC affects negatively psychosocial aspects of OHRQoL of the children, the interceptive orthodontic treatment of children with AC was essential to improve their OHRQoL. PMID:27738533

  7. Association between dental prosthesis need, nutritional status and quality of life of elderly subjects

    DEFF Research Database (Denmark)

    Pillai, Rajath; Mathur, Vijay Prakash; Jain, Veena;

    2015-01-01

    To determine the effect of prosthesis need on nutritional status and oral health-related quality of life (OHrQoL) in elderly and to check the disparity between prosthesis need and prosthesis want in the Indian elderly. METHODS: A total of 946 geriatric participants reporting to a geriatric medicine...... need (r = -0.460). Participants with some prosthesis need had significantly lower MNA and GOHAI scores as compared to those with no prosthesis need. Though prosthesis need was high (79.7 %), demand was low (39.3 %). CONCLUSION: Prosthesis need affects nutritional status and OHrQoL in elderly...... clinic were recruited in the study. Mini-nutritional assessment (MNA), geriatric oral health assessment (GOHAI) indices, prosthesis need according to WHO criteria, and prosthesis want was recorded along with age, gender, socioeconomic status and posterior occluding pair. RESULTS: Significant associations...

  8. Early Brain and Child Development: Connections to Early Education and Child Care

    Science.gov (United States)

    Romano, Judith T.

    2013-01-01

    The vast majority of young children spend time in settings outside of the home, and the nature of those settings directly impacts the child's health and development. The ecobiodevelopmental framework of early brain and child development serve as the backdrop for establishing quality. This article describes the use of quality rating systems,…

  9. CHILD ALLOWANCE

    CERN Multimedia

    Human Resources Division

    2001-01-01

    HR Division wishes to clarify to members of the personnel that the allowance for a dependent child continues to be paid during all training courses ('stages'), apprenticeships, 'contrats de qualification', sandwich courses or other courses of similar nature. Any payment received for these training courses, including apprenticeships, is however deducted from the amount reimbursable as school fees. HR Division would also like to draw the attention of members of the personnel to the fact that any contract of employment will lead to the suppression of the child allowance and of the right to reimbursement of school fees.

  10. Prevent Child Abuse America

    Science.gov (United States)

    ... call the police . Crisis and support contacts For Child Abuse Reporting Numbers in your State please visit: Child ... suspected child abuse and neglect. Parent Resources Prevent Child Abuse America (800) CHILDREN A resource for tips, referrals, ...

  11. Health workers' views on quality of prevention of mother-to-child transmission and post-natal care for HIV-infected women and their children

    NARCIS (Netherlands)

    Nguyen, T.A.; Oosterhoff, P.; Yen, P.N.; Hardon, A.; Wright, P.

    2009-01-01

    Background: Prevention of mother-to-child transmission has been considered as not a simple intervention but a comprehensive set of interventions requiring capable health workers. Viet Nam's extensive health care system reaches the village level, but still HIV-infected mothers and children have recei

  12. Perceived Parental Control Processes, Parent-Child Relational Qualities, and Psychological Well-Being in Chinese Adolescents with and without Economic Disadvantage

    Science.gov (United States)

    Shek, Daniel T. L.

    2005-01-01

    The author assessed the relationships between poverty and perceived parenting style, parent-child relationships, and adolescent psychological well-being in Chinese secondary school students (N = 3,017). Participants completed questionnaires designed to assess (a) the degree to which their parents used monitoring, discipline, and other techniques…

  13. Caregiver-Child Verbal Interactions in Child Care: A Buffer against Poor Language Outcomes when Maternal Language Input is Less.

    Science.gov (United States)

    Vernon-Feagans, Lynne; Bratsch-Hines, Mary E

    2013-12-01

    Recent research has suggested that high quality child care can buffer young children against poorer cognitive and language outcomes when they are at risk for poorer language and readiness skills. Most of this research measured the quality of parenting and the quality of the child care with global observational measures or rating scales that did not specify the exact maternal or caregiver behaviors that might be causally implicated in the buffering of these children from poor outcomes. The current study examined the actual language by the mother to her child in the home and the verbal interactions between the caregiver and child in the child care setting that might be implicated in the buffering effect of high quality childcare. The sample included 433 rural children from the Family Life Project who were in child care at 36 months of age. Even after controlling for a variety of covariates, including maternal education, income, race, child previous skill, child care type, the overall quality of the home and quality of the child care environment; observed positive caregiver-child verbal interactions in the child care setting interacted with the maternal language complexity and diversity in predicting children's language development. Caregiver-child positive verbal interactions appeared to buffer children from poor language outcomes concurrently and two years later if children came from homes where observed maternal language complexity and diversity during a picture book task was less.

  14. Child Laborers

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    "When I was 12, I started working in a cotton mill as a child laborer." Fan Xiaofeng, the former vice-director of the Labor Protection Department of the All-China Federation of Trade Unions, wrote this sentence in one of her books. In 1932, she came to

  15. Child Health in Portugal.

    Science.gov (United States)

    Bandeira, Teresa; Ferreira, Ricardo; Azevedo, Inês

    2016-10-01

    Portugal has experienced rapid decline of neonatal and infant mortality in the last century, similar to that of other western European states. The joint venture of pediatricians and obstetricians with adequate top-down government commissions for maternal and child health for the decision making by health administrators and a well-defined schedule of preventive and managerial measures in the community and in hospitals are the most likely explanations for this success. Another achievement of child health care services is the registry for special diseases. Education of health care workers plays a fundamental role in improving health statistics. Portugal has a reasonable number of doctors, nurses, and health technicians per capita. Quality assurance monitoring systems and implementation of evidence-based clinical guidelines with digital records, including international coding, are essential steps to improve health care systems.

  16. Quality of life in patients with recurrent aphthous stomatitis treated with a mucoadhesive patch containing citrus essential oil

    Directory of Open Access Journals (Sweden)

    Kürklü-Gürleyen E

    2016-05-01

    Full Text Available Esma Kürklü-Gürleyen,1 Merve Öğüt-Erişen,1 Onur Çakır,1 Ömer Uysal,2 Gülsüm Ak1 1Department of Oral Surgery, Faculty of Dentistry, Istanbul University, 2Department of Biostatistics and Medical Informatics, Faculty of Medicine, BezmiÂlem Vakif University, Istanbul, Turkey Purpose: To assess 1 patient satisfaction of a mucoadhesive biopatch with citrus essential oil and 2 the change in pain severity and the oral health-related quality of life in patients with recurrent aphthous stomatitis. Patients and methods: Thirty-seven patients with recurrent aphthous stomatitis participated in the study. Baseline records of personal data, ulcer assessment, visual analog scale, and Oral Health Impact Profile-14 were documented. A mucoadhesive patch was applied over the ulcer. Patients were recommended more applications if pain continued. On the fifth day, a post-therapy assessment was made. Results: The mean visual analog scale scores at baseline and posttreatment were significantly different (7.3±2.11 and 4.9±2.6, respectively; P=0.001. The mean duration of pain reduced after patch application. The mean total Oral Health Impact Profile-14 scores before and after treatment showed a statistically significant difference (P=0.001. In total, 78.4% of patients reported a considerable improvement in oral functions after treatment (P=0.008. Conclusion: The mucoadhesive biopatch containing citrus essential oil resulted in satisfying pain alleviation and restoration of oral functions with a significant improvement in the oral health-related quality of life. Keywords: recurrent aphthous stomatitis, pain, quality of life, essential oil, biopatch, local therapy 

  17. Reducing childhood illness - fostering growth : an integrated home-based intervention package (IHIP) to improve indoor-air pollution, drinking water quality and child nutrition

    OpenAIRE

    Hartinger Peña, Stella M.

    2014-01-01

    Child mortality attributable to pneumonia, diarrhoea and malnutrition accounts globally for the majority of 8.8 million annual deaths. More than half of these deaths are preventable. Available and effective interventions include safe water supply, household water treatment, improved chimney stoves and personal- and home-hygiene and -health messages. In Peru, the current health services reform is focused on shifting responsibilities to peripheral levels; thus, empowering community organisation...

  18. Insatiable insecurity: maternal obesity as a risk factor for mother-child attachment and child weight.

    Science.gov (United States)

    Keitel-Korndörfer, Anja; Sierau, Susan; Klein, Annette M; Bergmann, Sarah; Grube, Matthias; von Klitzing, Kai

    2015-01-01

    Childhood obesity has become a rising health problem, and because parental obesity is a basic risk factor for childhood obesity, biological factors have been especially considered in the complex etiology. Aspects of the family interaction, e.g., mother-child attachment, have not been the main focus. Our study tried to fill this gap by investigating whether there is a difference between children of obese and normal weight mothers in terms of mother-child attachment, and whether mother-child attachment predicts child's weight, in a sample of 31 obese and 31 normal weight mothers with children aged 19 to 58 months. Mother-child attachment was measured with the Attachment Q-Set. We found that (1) children of obese mothers showed a lower quality of mother-child attachment than children of normal weight mothers, which indicates that they are less likely to use their mothers as a secure base; (2) the attachment quality predicted child`s BMI percentile; and (3) the mother-child attachment adds incremental validity to the prediction of child's BMI beyond biological parameters (child's BMI birth percentile, BMI of the parents) and mother's relationship status. Implications of our findings are discussed.

  19. Oral health-related self-efficacy beliefs and toothbrushing: Finnish and Turkish pre-adolescents' and their mothers' responses

    DEFF Research Database (Denmark)

    Cinar, Ayse Basak; Tseveenjav, Battsetseg; Murtomaa, Heikki

    2009-01-01

    The aim of this study was to investigate the association between cognitive and behavioural factors of preadolescents and those of their mothers, assessed in terms of self-efficacy beliefs and toothbrushing among Turkish and Finnish population in the framework of Social Cognitive Theory. The speci......The aim of this study was to investigate the association between cognitive and behavioural factors of preadolescents and those of their mothers, assessed in terms of self-efficacy beliefs and toothbrushing among Turkish and Finnish population in the framework of Social Cognitive Theory...

  20. Relationship between the sense of coherence and quality of life among institutionalized elders in Bengaluru city India: A questionnaire study

    Directory of Open Access Journals (Sweden)

    B Kumara Raja

    2015-01-01

    Full Text Available Introduction: Aged people living in residential homes have a higher prevalence of depression and stress which cause oral health-related problems, contributing to excessive morbidity, than do those who live in communities. Aim: To find the relationship between senses of coherence (SOC and quality of life (QoL using Geriatric Oral Health Assessment Index (GOHAI among elderly residents of old age homes in Bengaluru city, India. Materials and Methods: A cross-sectional study was conducted among elderly residents of Bengaluru city, India. Data were collected using a validated questionnaire which record demographic details, oral hygiene practices, and oral health habits. SOC and oral health-related QoL was measured using 13-item short version of the SOC scale and 12-item GOHAI scale. Chi-square test and Pearson's correlation coefficient test were used for statistical analysis. All variables showing significant association (P < 0.05 were entered into a regression model to identify predictors of low GOHAI and SOC. Results: A total of 376 elderly residents participated in the study and completed the questionnaire. Among them 150 (39.9% were men and 226 (60.1% were women. SOC was statistically significant with gender (P = 0.008, marital status (P = 0.003, dentition status (P = 0.000, smoking (P = 0.043, and alcohol consumption (P = 0.043. Age (P = 0.036, gender (P = 0.045, dentition status (P < 0.019, and smoking (P = 0.042 were found to be associated with GOHAI, there also exist a strong Pearson's correlation (r = 0.712 between SOC and GOHAI scores. Conclusions: A strong positive correlation was found between SOC and GOHAI scores indicating elder's with low SOC had low GOHAI scores and vice versa. The elders in residential homes were found to have more self-reported oral health-related functional problems, so dental health education must be focused on the special needs of the disabled, dependant and socio – economically deprived geriatric population to

  1. Parent-Child Interaction Therapy: Enhancing Parent-Child Relationships

    Directory of Open Access Journals (Sweden)

    Anthony J. Urquiza

    2012-07-01

    Full Text Available Disruptive child behavior problems are common problems for parents and can be associated with serious delinquent behaviors and aggressive/violent behaviors in adolescence and adulthood. Parenting interventions to address disruptive child behavior problems has gained widespread acceptance. One of these parenting interventions is Parent-Child Interaction Therapy (PCIT. PCIT is a 14- to 20-week, founded on social learning and attachment theories, designed for children between 2 and 7 years of age with disruptive, or externalizing, behavior problems. This article will provide a brief review of the history of PCIT, a description of the basic components of PCIT, and an overview of recent developments that highlight the promise of PCIT with maltreating parent-child relationships, traumatized children, and in developing resilience in young children. In addressing the three basic treatment objectives for PCIT (i.e., reduction in child behavior problems, improving parenting skills, enhancing the quality of parent-child relationships, there is an abundance of research demonstrating very strong treatment effects and therefore, its value to the field. Recent research has also demonstrated the value of PCIT in reducing trauma symptoms in young children.

  2. Associations of Caregiver Stress with Working Conditions, Caregiving Practices, and Child Behaviour in Home-Based Child Care

    Science.gov (United States)

    Rusby, Julie C.; Jones, Laura Backen; Crowley, Ryann; Smolkowski, Keith

    2013-01-01

    Home-based child caregivers face unique stressors related to the nature of their work. One hundred and fifty-five home-based child care providers in Oregon, USA, participated in this cross-sectional correlational study. We investigated associations between indicators of caregiver stress and child care working conditions, the quality of caregiver…

  3. Foundations of Child Psychiatry.

    Science.gov (United States)

    Miller, Emanuel, Ed.; And Others

    Twenty-eight papers examine basic theories and clinical methods in child psychiatry. Theories and methods discussed concern child psychiatry and the World Health Organization, pediatrics, child disturbances, observation, the psychodiagnostic approach, longitudinal research in child development, the comparative approach to early child development,…

  4. A Comparative Study on the Effectiveness of Stimulant Therapy (Ritalin Neurofeedback, and Parental Management Training and Interaction of the Three Approaches on Improving ADHD and Quality of Mother -Child Communication

    Directory of Open Access Journals (Sweden)

    Sh. Basteh Hoseini

    2013-07-01

    Full Text Available Introduction & Objective: This research was designed to investigate and compare the effective-ness of stimulant therapy (Ritalin, neurofeedback, parental management training and interac-tion of the treatments on the improvement of Attention Deficit Hyperactivity Disorder (ADHD, and quality of mother-child communication. Materials & Methods: This is a pseudo-experimental research with pretest-posttest de-sign including ADHD children living in Tehran; 40 subjects were randomly selected from clients of child psychiatric/psychological clinic, and then placed in 4 intervention groups based on objectives of the research. The subjects were measured by Conner's Parenting Scale-48 and Parental Stress Index before and after the interventions. Recruited data were analyzed by ANCOVA. Results: The findings of the research reveals that there is a significant difference among the treatments on improving conduct and attention/concentrationproblems; in other words, interaction of the treatments caused more therapeutic effect than other treatments. Also, there was no significant difference among the treatments on improving psychosomatic problems, impulsivity, anxiety, parent reinforcement, parental attachment, and parental competency. Conclusion: Finally, interaction of treatments and then ritalin had the most therapeutic effect compared to other treatments. (Sci J Hamadan Univ Med Sci 2013; 20 (2:133-143

  5. Office of Child Care

    Science.gov (United States)

    ... for Children & Families Office of Child Care By Office Administration for Native Americans (ANA) Administration on Children, ... Care Partnerships. Review the profiles. > What is the Office of Child Care (OCC)? The Office of Child ...

  6. Data Surveillance in Child Protection Systems Development: An Indonesian Case Study

    Science.gov (United States)

    Boothby, Neil; Stark, Lindsay

    2011-01-01

    Objectives: Successful implementation of child protection program interventions and child and family welfare services is contingent upon the availability and use of good quality information, as emphasized by the recent Convention on the Rights of the Child's General Comment 13. Yet, the role of information within child protection is not well…

  7. Adoptive Gay Father Families: Parent-Child Relationships and Children's Psychological Adjustment

    Science.gov (United States)

    Golombok, Susan; Mellish, Laura; Jennings, Sarah; Casey, Polly; Tasker, Fiona; Lamb, Michael E.

    2014-01-01

    Findings are presented on a U.K. study of 41 gay father families, 40 lesbian mother families, and 49 heterosexual parent families with an adopted child aged 3-9 years. Standardized interview and observational and questionnaire measures of parental well-being, quality of parent-child relationships, child adjustment, and child sex-typed behavior…

  8. Child Care and Development Block Grant (CCDBG) Participation Continues to Fall

    Science.gov (United States)

    Matthews, Hannah; Schmit, Stephanie

    2014-01-01

    Child care subsidies help make quality child care affordable for low-income parents, allowing them to attend work or school to support their families while ensuring their children's healthy development. The Child Care and Development Block Grant (CCDBG) is the primary source of federal funding for child care subsidies for low-income working…

  9. Analysis on the demands of medical service quality of obstetrical department in maternal and child health hospital%妇幼保健院产科医疗服务质量需求分析

    Institute of Scientific and Technical Information of China (English)

    谭光明; 冯占春; 陈莉; 张小庄; 罗先琼

    2011-01-01

    Objective: To explore the demands of obstetrical customers on medical service quality in maternal and child health hospital.Methods: According to the questionnaire designed, the obstetrical customers were investigated randomly in maternal and child health hospital of Guangdong from March to May 2010, then the results were analyzed.Results: The demand of the customers on obstetric medical service quality was most above 80%; the demands on the technical level of medical workers, the equipment satisfying need, the fame of the hospital in local areas, no accidents, dealing with critical situations quickly and correctly, responsibility of the medical workers, accurate and timely diagnosis, good operation skills and conforming specification, contacting the patients (family members) for some special cases,good ethics, good service attitude, reasonable treatment, respecting the right to know and process quality of patients, satisfied service and reasonable funds were all above 90%.Conclusion: The obstetrical customers have higher requirement on medical service quality of maternal and child health hospital, and the hospital should improve the medical service quality and satisfy them.%目的:探讨妇幼保健院产科顾客对医疗服务质量的需求.方法:按照预先设计的调查问卷从2010年3月~2010年5月对广东省某妇幼保健院产科的顾客进行随机抽样调查并对结果进行分析.结果:顾客对妇幼保健院产科医疗服务质量的需求绝大部分均在80%以上,而对结构质量的医护人员技术水平、仪器设备能满足需要和医院在当地声誉及不出现医疗差错事故、危急情况能快速正确处理、医务人员有责任心、诊断准确及时、医务人员操作熟练且符合规范、有特殊情况随时与病人(家属)联系、医务人员医德、医风好、医务人员服务态度好、处理方案合理、医务人员尊重患者的知情权以及结果质量、服务满意

  10. Impact of periodontal disease on quality of life: a systematic review.

    Science.gov (United States)

    Ferreira, M C; Dias-Pereira, A C; Branco-de-Almeida, L S; Martins, C C; Paiva, S M

    2017-02-08

    The diagnosis of periodontal disease is commonly based on objective evaluations of the patient's medical/dental history as well as clinical and radiographic examinations. However, periodontal disease should also be evaluated subjectively through measures that quantify its impact on oral health-related quality of life. The aim of this study was to evaluate the impact of periodontal disease on quality of life among adolescents, adults and older adults. A systematic search of the literature was performed for scientific articles published up to July 2015 using electronic databases and a manual search. Two independent reviewers performed the selection of the studies, extracted the data and assessed the methodological quality. Thirty-four cross-sectional studies involving any age group, except children, and the use of questionnaires for the assessment of the impact of periodontal disease on quality of life were included. Twenty-five studies demonstrated that periodontal disease was associated with a negative impact on quality of life, with severe periodontitis exerting the most significant impact by compromising aspects related to function and esthetics. Unlike periodontitis, gingivitis was associated with pain as well as difficulties performing oral hygiene and wearing dentures. Gingivitis was also negatively correlated with comfort. The results indicate that periodontal disease may exert an impact on quality of life of individuals, with greater severity of the disease related to greater impact. Longitudinal studies with representative samples are needed to ensure validity of the findings.

  11. A predictive model of Health Related Quality of life of parents of chronically ill children: the importance of care-dependency of their child and their support system

    NARCIS (Netherlands)

    Hatzmann, J.; Maurice-Stam, H.; Heymans, H.S.A.; Grootenhuis, M.A.

    2009-01-01

    BACKGROUND: Parents of chronically ill children are at risk for a lower Health Related Quality of Life (HRQoL). Insight in the dynamics of factors influencing parental HRQoL is necessary for development of interventions. Aim of the present study was to explore the influence of demographic and diseas

  12. Mother-child and father-child interaction with their 24-month-old children during feeding, considering paternal involvement and the child's temperament in a community sample.

    Science.gov (United States)

    Cerniglia, Luca; Cimino, Silvia; Ballarotto, Giulia

    2014-01-01

    The article aims to study mother-child and father-child interactions with 24-month-old children during feeding, considering the possible influence of time spent by the parent with the child, the infantile temperament, and the parental psychological profile. The families were recruited from 12 preschools in Italy (N = 77 families). Through an observation of the feeding [Scala di Valutazione dell'Interazione Alimentare (SVIA - Feeding Scale; I. Chatoor et al., ; L. Lucarelli et al., )], self-reporting [Symptom Checklist-90-Revised (SCL-90-R; L.R. Derogatis, ), and report-form questionnaires [Italian Questionnaires on Temperament (QUIT; G. Axia, )], and information provided by the parents about the amount of time spent with their children, results showed that the overall quality of father-child interactions during feeding is lower than that of mother-child interactions. Fathers showed higher psychological symptoms than did mothers. No associations were found between the fathers' psychopathological risk and the quality of interactions with their children during feeding. Mothers' psychopathological risks predicted less contingent exchanges interactions with their children during feeding. Children's temperaments significantly influence mother-child interactions, but no association exists between maternal involvement and the quality of interactions with their children. Paternal involvement predicts a better quality of father-infant interactions when associated with a child's higher scores on Social Orientation. The quality of parents' interactions with their children during feeding are impacted by different issues originating from the parent's psychological profile, the degree of involvement, and from the child's temperament.

  13. Early sugar-sweetened beverage consumption frequency is associated with poor quality of later food and nutrient intake patterns among Japanese young children: the Osaka Maternal and Child Health Study.

    Science.gov (United States)

    Okubo, Hitomi; Miyake, Yoshihiro; Sasaki, Satoshi; Tanaka, Keiko; Hirota, Yoshio

    2016-06-01

    Evidence from Western countries shows that higher consumption of sugar-sweetened beverages (SSBs) is associated with lower quality of young children's diets, but little is known about these relations in non-Western countries with relatively low consumption levels of SSBs. We hypothesized that SSB consumption in infancy would be associated with poor quality of later food and nutrient intake patterns among Japanese young children. The study subjects were 493 Japanese mother-child pairs from a prospective birth cohort study. Dietary data on children were collected from the mothers using self-administered questionnaires when the children were aged 16-24 months and 41-49 months. Multiple linear regression analyses were used to examine the relationships between SSB consumption frequency in infancy and later intake of foods and nutrients. At 16-24 months of age, more than half of the children (56.4%) consumed SSBs less than once a week, whereas 11.6% consumed SSBs at least once daily. More frequent consumption of SSBs in infancy was associated with higher intake of confectionaries and SSBs and lower intake of fruits and vegetables at 41-49 months of age. These associations were still evident after adjustment for maternal SSB consumption and socioeconomic status. At the nutrient level, SSB consumption frequency was positively associated with energy intake and inversely associated with intake of many nutrients, such as protein, dietary fiber, and most of the micronutrients examined. In conclusion, higher consumption frequency of SSBs at an early age is associated with poor quality of overall dietary intake among young Japanese children 1.5-2.5 years later.

  14. Life quality investigation after the denture of natural teeth patients with short arch%天然牙短牙弓患者义齿修复后生活质量的调查研究

    Institute of Scientific and Technical Information of China (English)

    龙辉

    2015-01-01

    Objective To explore the effect of removable dentures on oral health-related life quality of natural teeth patients with short arch.Methods A hundred and sixty cases of natural teeth short arch were treated in Hospital of Traditional Chinese Medicine in Suin-ing,Sichuan from January 2010 to December 2013,who were treated with removable dentures;all patients were given oral health impact scale before and 3 months after the repair to compare oral health-related quality of life scores before and after restoration.Results Oral health-related quality of life score of denture patients was 10 (6,14)points before repair,and the score was 5 (3,8)points three months after repair,which was significantly lower than the previous denture score (P <0.05);physical pain,physiological disorder, post-disability score,disability score were significantly lower than before (P <0.05);the functional limitations repair score was signifi-cantly higher than before (P <0.05).Conclusions Although removable dentures bring about increases in functional limitations,but they can improve oral health-related quality of life in terms of physical pain,physical impairment and disability,which can improve the overall quality of life of patients.%目的:探讨可摘义齿修复对于天然牙短牙弓患者口腔健康相关生活质量的影响。方法该院口腔科自2010年1月—2013年12月共收治160例天然牙短牙弓患者,所有160例天然牙短牙弓患者均给予可摘义齿修复,在义齿修复前和修复后3个月发放口腔健康影响程度量表,比较修复前后患者口腔健康相关生活质量评分。结果患者行义齿修复前口腔健康相关生活质量评分10(6,14)分,义齿修复3个月后得分5(3,8)分,显著低于义齿修复前得分(P <0.05);生理疼痛、生理障碍、残障得分修复后得分显著低于修复前(P <0.05),功能限制修复后得分显著高于修复前(P <0.05)。结论可摘义齿

  15. Impact of oral diseases on quality of life in subjects attending out-patient department of a dental hospital, India

    Directory of Open Access Journals (Sweden)

    N Saimadhavi

    2013-01-01

    Full Text Available Context: Currently there is a growing interest in oral health outcomes in how oral health affects quality of life. When oral health related quality of life measures are used alongside traditional clinical methods of measuring oral health status, a more comprehensive assessment of the impact of oral diseases on the several dimensions of subjective wellbeing becomes possible. In this context, we attempted to study the impact of oral diseases on quality of life, so as to address the patient′s needs in an appropriate way and thereby improving one′s quality of life. Aims: To evaluate the impact of different oral diseases on quality of life using a modified OHIP-14 questionnaire, so as to address the patient′s needs in an appropriate way and thereby improving one′s quality of life. Settings and Design: The study was carried out among 302 subjects, attending the outpatient department a dental hospital, India, for check up and treatment of their oral condition. Subjects aged above 20 years, who gave their consent for the study were included. Materials and Methods: The study sample was categorized in to two groups based upon the duration of the affecting disease - group 1 consisted of subjects suffering with chronic diseases and group 2 of subjects suffering with acute diseases. All the subjects were asked to fill up their responses in the given OHIP-14 questionnaires. The completed questionnaires were then collected and statistically analyzed. Statistical Analysis Used: To evaluate the role of age on QOL, age was divided in to 2 groups using median split procedure. For inter and intragroup comparisions, independent sample t test, anova followed by post hoc test and Chi-square tests were employed. Results: Chi square test revealed a moderately impaired quality of life among all the diseases investigated. On comparing the mean domain and total OHIP score between the two groups, the domain of psychological discomfort and disability and the total

  16. A child with narcolepsy

    Directory of Open Access Journals (Sweden)

    Silvério Macedo

    2016-02-01

    Full Text Available Introduction: Narcolepsy is a chronic disease characterized by sleep attacks, excessive daytime sleepiness and nocturnal sleep fragmentation. It can be associated cataplexy and other disturbance of REM sleep (sleep paralysis and hypnagogic hallucinations and hypnopompic. Case report: A 10-year old boy was referred to Pedopsychiatry because of behavioural disturbance, irritability, sleepiness and distraction, being interpreted as an “ill-mannered child.” After clinical evaluation and comprehensive laboratory studies we concluded that he presented narcolepsy with cataplexy. Discussion/conclusion: Patients with narcolepsy face several problems due to the disease which, if left untreated or ineffectively treated, cause embarrassing or distressing symptoms, affecting their quality of life. The purpose of this paper is to draw attention to this problem since it is a rare condition and therefore seldom not recognized by the general public or even by health professionals.

  17. National Child Abuse and Neglect Data System (NCANDS) Child File

    Data.gov (United States)

    U.S. Department of Health & Human Services — The National Child Abuse and Neglect Data System (NCANDS) Child File data set consists of child-specific data of all reports of maltreatment to State child...

  18. Role of Protein and Amino Acids in Infant and Young Child Nutrition: Considerations for the Development and Delivery of High Quality Complementary Food Supplements.

    Science.gov (United States)

    Ghosh, Shibani; Kurpad, Anura; Tano-Debrah, Kwaku; Otoo, Gloria E; Aaron, Grant A; Toride, Yasuhiko; Uauy, Ricardo

    2015-01-01

    Prevention of malnutrition in infants and children is multifaceted and requires the following: access to and intake of nutritious food starting at birth with exclusive breastfeeding for the first 6 mo of life, continued breastfeeding in combination with complementary foods from 6-24 mo of age, access to clean drinking water and sanitation, and access to preventive and curative health care (including prenatal). Nutrient-dense complementary foods can improve nutritional status and have long-term benefits; however, in a review of plant-based complementary foods in developing countries, most of them failed to meet many micronutrient requirements. There is need to provide other cost-effective alternatives to increase the quality of the diet during the complementary feeding stage of the lifecycle. This paper provides an overview of the development, testing, efficacy and effectiveness of the delivery of KOKO Plus on the growth and nutritional status of infants 6-24 mo of age.

  19. Double Jeopardy: Poorer Social-Emotional Outcomes for Children in the NICHD SECCYD Experiencing Home and Child-Care Environments that Confer Risk

    Science.gov (United States)

    Watamura, Sarah Enos; Phillips, Deborah A.; Morrissey, Taryn W.; McCartney, Kathleen; Bub, Kristen

    2011-01-01

    Using data from the National Institute of Child Health and Human Development Early Child Care Research Network (NICHD SECCYD), the authors examined whether interactions between home and child-care quality affect children's social-emotional adjustment at 24, 36, and 54 months (N = 771). Triadic splits on quality of home and child care were used to…

  20. MALOCCLUSIONS AND QUALITY OF LIFE. Cross-sectional and longitudinal studies in children.

    Science.gov (United States)

    Dimberg, Lillemor

    2015-01-01

    There are few longitudinal studies of the prevalence of malocclusions and possible self-correction of malocclusions during the development of the dentition. Early intervention might be unnecessary if self-correction of the malocclusion occurs during the transition from the primary to the permanent dentition. Most studies are cross-sectional and in those of longitudinal design, the results are inconsistent and difficult to interpret. Malocclusions may or may not influence the quality of life in children and adolescents. Thus, evaluations of the influence of different malocclusions on quality of life will certainly underpin a broader understanding and knowledge about how malocclusions affect the daily life of young patients. This information may also be important when it comes to assessing the most appropriate time for starting orthodontic treatment, not only from a professional point of view, but also, most importantly, from the patients' perspective. The overall aim of this thesis was therefore to evaluate the prevalence of malocclusions, and to document changes occurring during the development of the dentition, from the primary dentition stage at age 3, through the mixed dentition at age 7, to the early permanent dentition at age 11.5 years. Further aims were to review the current state of knowledge about the impact of malocclusions on oral health related quality of life (OHRQoL) and to investigate how malocclusions affect the quality of life in a cohort of children, aged 11.5 years, whose dental care is provided by the Swedish Public Dental Service.

  1. Effects of new implant-retained overdentures on masticatory function, satisfaction and quality of life.

    Science.gov (United States)

    Mendes, Francielle A; Borges, Tânia de F; Gonçalves, Luiz C; de Oliveira, Terezinha Rc; do Prado, Célio J; das Neves, Flávio D

    2016-09-01

    The aim of this study is to evaluate the effects of replacing poorly fitting dentures on patient's masticatory function, satisfaction and oral health-related quality of life. Fourteen patients with conventional maxillary complete dentures and mandibular overdentures retained by two implants bar clip system had their dentures replaced. The laboratory tests for the analysis of masticatory performance were conducted using an "Optocal" food simulator test. Questionnaires were used to evaluate patient satisfaction with dentures and impact of oral health on quality of life. Tests were conducted and questionnaires were administered before and 1, 3 and 6 months after the patient had adapted to the new dentures. Masticatory performance data and satisfaction with dentures (Visual Analogic Scale) were statistically analyzed by ANOVA and Tukey b test, satisfaction with dentures (SATs P) and impact of oral health on quality of life were evaluated using the Wilcoxon and Friedman tests (a=.05). There was no statistically significant improvement in masticatory function after denture replacement, although better outcomes were observed. Satisfaction with dentures and total score obtained using the OHIPedent showed significant improvement. It can be suggested that the potential for grinding food, patient satisfaction and aspects of quality of life improved immediately after denture replacement.

  2. FPG Child Development Institute

    Science.gov (United States)

    ... Early Childhood Development, Teaching, and Learning The Frank Porter Graham Child Development Institute will partner with Zero ... Children with Disabilities October 12, 2016 More Frank Porter Graham Child Development Institute The University of North ...

  3. Well-child visits

    Science.gov (United States)

    ... who has questions about issues such as feeding, circumcision , and general child health issues. After the baby ... deep tendon reflexes as the child gets older Neonatal jaundice -- first few visits only Palpation Percussion Standard ...

  4. Cholesterol and Your Child

    Science.gov (United States)

    ... Old Feeding Your 1- to 2-Year-Old Cholesterol and Your Child KidsHealth > For Parents > Cholesterol and ... child's risk of developing heart disease later. About Cholesterol Cholesterol is a waxy substance produced by the ...

  5. Child abuse - physical

    Science.gov (United States)

    ... way Uses harsh discipline Was abused as a child Alcohol or drug problems Emotional problems or mental illness ... Physical abuse - children References Berkowitz CD, Stewart ST. Child maltreatment. In: Marx JA, Hockberger RS, Walls RM, eds. ...

  6. Child Dental Health

    Science.gov (United States)

    Healthy teeth are important to your child's overall health. From the time your child is born, there are things you can do to promote healthy teeth and prevent cavities. For babies, you should clean ...

  7. Child-to-Child programme in Malaysia.

    Science.gov (United States)

    Kasim, M S; Abraham, S

    1982-09-01

    Even though Malaysia is a relatively prosperous country amongst the developing nations, it is still be set by problems of a rapidly increasing population. The economic cake is also unevenly distributed and there are pockets of poverty in the slums surrounding the towns as well as in the rural areas. Added to that is the problem of ignorance and superstition especially amongst its adult population. It is due to these problems that the Child-to-Child programme has found special application in Malaysia. The Child-to-Child has been introduced through either the government agencies or the voluntary organizations. Through the Ministry of Education, the concept has found its ways through the schools and the state department of education. The Ministry of Information and Broadcasting has also introduced the concept of Child-to-Child in the media. The voluntary organizations have also introduced the concept of Child-to-Child in their projects. The Sang Kancil project has to some extent used the idea in the running of its activities. The Health and Nutrition Education House have found that by applying the concept and using older children to help in running its activities, its over all objective which is the improvement of the health of the children in the slums could be reached more easily.

  8. Child poverty and changes in child poverty.

    Science.gov (United States)

    Chen, Wen-Hao; Corak, Miles

    2008-08-01

    This article offers a cross-country overview of child poverty, changes in child poverty, and the impact of public policy in North America and Europe. Levels and changes in child poverty rates in 12 Organisation for Economic Co-operation and Development (OECD) countries during the 1990s are documented using data from the Luxembourg Income Study project, and a decomposition analysis is used to uncover the relative role of demographic factors, labor markets, and income transfers from the state in determining the magnitude and direction of the changes. Child poverty rates fell noticeably in only three countries and rose in three others. In no country were demographic factors a force for higher child poverty rates, but these factors were also limited in their ability to cushion children from adverse shocks originating in the labor market or the government sector. Increases in the labor market engagement of mothers consistently lowered child poverty rates, while decreases in the employment rates and earnings of fathers were a force for higher rates. Finally, there is no single road to lower child poverty rates. Reforms to income transfers intended to increase labor supply may or may not end up lowering the child poverty rate.

  9. Child sexual abuse: prevalence, effects and school based prevention

    Directory of Open Access Journals (Sweden)

    Ayşe Rezan Çeçen

    2007-03-01

    Full Text Available Child sexual abuse is a complex and serious phenomenon that causes short and long term debilitating effects on individuals and their quality of life and life satisfaction. Last three decades child sexual abuse (prevalence, effects and prevention methods has been very important multidisciplinary topic in academic field in North American developed countries but In our country, Turkey there are not sufficient studies related to prevalence, effects and prevention of child sexual abuse. In this study child sexual abuse reviewed considering  prevalence, effects on child and prevention in the light of literature. The last part of article has been suggesting and stressing urgently intervention school-based prevention programs child sexual abuse to prevent child sexual abuse.

  10. Your Child's Immunizations

    Science.gov (United States)

    ... the number of shots a child receives. The Vaccines Your Child Needs The following vaccinations and schedules are recommended ... are developed. Your doctor will determine the best vaccinations and schedule for your child. Recommended vaccinations: Chickenpox (varicella) vaccine Diphtheria, tetanus, and ...

  11. Supporting Each Child's Spirit

    Science.gov (United States)

    Baumgartner, Jennifer J.; Buchanan, Teresa

    2010-01-01

    In using developmentally appropriate practices, teachers should intentionally address all aspects of a child's being, the spiritual along with the physical and the cognitive. Because spirituality is a vital part of human nature, a whole-child teaching approach must include the part of the child some call spirituality. Many have attempted to…

  12. Child Care Services Handbook.

    Science.gov (United States)

    Duval County School Board, Jacksonville, FL.

    A companion document to the curriculum guide for a secondary level child care services curriculum, this handbook contains a variety of administrative and program resources for the teacher: The vocational curriculum outline for child care services; a calendar of suggested public relations activities; procedures for building child care services…

  13. [Autism and child protection].

    Science.gov (United States)

    Coron, Guillaume

    2014-01-01

    The fostering of an autistic child deemed to be a child at risk leads one to question one's professional practices. In a children's home, an approach guided by psychoanalysis can recognise the benefits of behavioural or cognitive approaches. The aim of the professional's particular educational position is therefore to construct a relationship with each child.

  14. Household food insecurity and child health.

    Science.gov (United States)

    Schmeer, Kammi K; Piperata, Barbara A

    2016-04-29

    Food insecurity, the lack of consistent access to sufficient quality and quantity of food, affects an estimated 800 million people around the world. Although household food insecurity is generally associated with poor child nutrition and health in the USA, we know less about household food insecurity and child health in developing countries. Particularly lacking is research assessing how associations between household food insecurity and children's health outcomes may differ by child age and among children beyond age 5 years in low-income settings. We use data from a population-based sample of households with children ages 3-11 years (N = 431) in León, Nicaragua to consider how household food insecurity is associated with three measures of child health: illness, anaemia and low height-for-age. Our results provide new evidence that even mild household food insecurity is detrimental to children's health; and that child age conditions the associations between household food insecurity and child health. We find that food insecurity is especially harmful to health during early childhood, but continues to have significant associations with health into middle childhood (up to ages 7-8 years). We discuss the potential implications of these results for future child health research and policies in low-income countries. © 2016 John Wiley & Sons Ltd.

  15. Association between Exclusive Breastfeeding and Child Development

    Directory of Open Access Journals (Sweden)

    Ghaniyyatul Khudri

    2016-03-01

    Full Text Available Background: Child development highly correlates with child’s quality. The fastest child development period is during the first three years, also called golden period. This research was aimed to discover correlation between exclussive breastfeeding and child development in Cipacing Village Jatinangor, district of Sumedang. Methods: This research was conducted using cross-sectional method in thirteen Pos Pelayanan Terpadu (Posyandu Cipacing Village in Jatinangor. One hundred and two children aged 12−24 months with their caregiver were recruited as respondents by using cluster sampling method. Hist ory of exclusive breastfeeding was assessed with questionnaire while child development status was assesed with Kuesioner Pra Skrining Perkembangan (KPSP in September 2013 after informed consent was obtained. Chi-square test analysis was performed to determine correlation between exclusive breastfeeding and child development status. Results: Overall, children in Cipacing Village had non-exclusive breastfeeding history (83.3%, and only 16.7% respondents had exclusive breastfeeding history. Meanwhile, 89.2% of children had normal development status, and 10.8% had delayed development status. Statistic analysis using chi-square test in the level of 95% confidence between exclusive breastfeeding and child development showed p=0.686 and odds ratio 2.133. Conclusions: There is no significant relationship between history of exclusive breastfeeding and child development status.

  16. Child Labor - Moral Choice

    OpenAIRE

    Lagasse, Caitlin

    2014-01-01

    In many instances, child labor is a way to exploit the cheap labor a child has to offer. Although in many situations, the exploitation of child labor is not normally the case, such as families living in a developing country. What individuals raised in Western cultures fail to realize is that in some nations and for some families, child labor is a necessary resource to survive, children act as an exceptional resource in these situations. Without the extra income a child could make working in t...

  17. From child to child: children as communicators.

    Science.gov (United States)

    Phinney, R; Evans, J

    1993-01-01

    Older children commonly care for their younger siblings while parents work to provide for the household. Through play, dance, and talk, children tend to interact with each other more intensely than do adults. In so doing, messages and awareness are exchanged more effectively. Child-to-Child is an active, child-centered learning approach which aims to capitalize on this phenomenon by training older siblings to be effective communicators. This approach has been formally practiced in over 70 countries since 1979. Child-to-Child encourages children to learn the meaning and importance of health messages on their own. Children will then be most likely to retain and communicate information throughout the family, to neighbors, and to the general community. No blueprint exists, however, on which program planners may base the design of new programs. Programs should instead be adapted by those living within the community and culture to fit local needs and circumstances. Nonetheless, the Aga Khan Foundation supported the study of 7 highly different Child-to-Child projects over 3 years in India to obtain some sense of which program elements are successful and potentially useful in other settings. The study revealed that all of the programs helped increase the health knowledge of children and teachers. Little information was obtained on the extent to which information was diffused by children within the community. Overall, the study produced the following results: planners should consider using Child-to-Child projects in schools; teacher training should be made a priority; administrative support should be provided; entire staffs should be made to feel involved in the decision making process; obstacles to changing teaching methods should not be underestimated; teaching materials should be locally made; projects should be integrated into official curricula; program topics should be relevant to local realities; respected authorities should be called upon to reinforce the validity

  18. Investing in Our Future: A Guide to Child Care Financing.

    Science.gov (United States)

    Stoney, Louise; Groginsky, Scott; Poppe, Julie

    This book investigates the innovative ways being used to ensure and finance high quality care for children. Chapter 1, "Introduction," discusses the government's role in helping to structure, build, and finance the system, as well as financing strategies. Chapter 2, "Financing Child Care Supply," addresses center-based child care, supports for…

  19. Assessing Home Environment for Early Child Development in Pakistan

    Science.gov (United States)

    Nadeem, Sanober; Rafique, Ghazala; Khowaja, Liaquat; Yameen, Anjum

    2014-01-01

    Family environment plays a very important role in early child development and the availability of stimulating material in the early years of a child's life is crucial for optimising development. The Home Observation for Measurement of the Environment (HOME) inventory is one of the most widely used measures to assess the quality and quantity of…

  20. Business Administration Scale for Family Child Care, BAS

    Science.gov (United States)

    Talan, Teri N.; Bloom, Paula Jorde

    2009-01-01

    The "BAS for Family Child Care" is the first valid and reliable tool for measuring and improving the overall quality of business and professional practices in family child care settings. It is applicable for multiple uses, including program self-improvement, technical assistance and monitoring, training, research and evaluation, and public…

  1. Assessment of quality control for maternal and child health monitoring in Shaanxi Province%陕西省妇幼卫生监测质量控制评估分析

    Institute of Scientific and Technical Information of China (English)

    王宝珠; 李敏; 蔡文娟; 甘露

    2012-01-01

    Objective To learn about the status of maternal and child health monitoring in Shaanxi Province, find out the problems in data monitoring and analyze their reasons, and then to propose effective solutions. Methods By using the method of random sampling combined with key clue tracing, relevant experts were organized to investigate the missing report of three network monitoring and look for missing clues by consulting documents, data and reports, checking data, surveying household and data checking with multiple departments. Results The missing report of three networks indicated that there was no missing report of maternal mortality in sampled area. The death omitting of children under the age of five was one case, with the missing report rate of 1. 09%. The missing report of birth defects occurred in one case, with the missing report rate of 0. 69% . The quality checking of monitoring tables and cards showed that the rate of tables and cards with errors and missed items was 5. 71% in Shaanxi Province, and there was no statistical difference among three areas of Southern Shaanxi, Northern Shaanxi and Guanzhong Plain (X2 =0. 044, P > 0. 05 ). In death report cards, the error rate was 6. 25% , with diagnostic error rate of 7. 81% and the unknown diagnosis rate of 3. 12% . There was no statistical difference among three areas (X2 value was 0. 272, 0. 120 and 1. 070, respectively, all P >0. 05 ). Conclusion It is necessary to further strengthen the quality control of maternal and child health data monitoring and information management in Shaanxi Province, so as to improve the quality of maternal and child health information work.%目的 了解陕西省妇幼卫生监测工作的现状,发现数据监测中的问题并分析原因,提出有效的解决对策.方法 采用随机抽样和重点线索追踪相结合的方法,组织有关专家对三网监测漏报情况进行调查;采取查阅文件、资料、报表,现场核对数据,入户调查的方法,并且与多部

  2. Demands and Job Resources in the Child Care Workforce: Swiss Lead Teacher and Assistant Teacher Assessments

    Science.gov (United States)

    Bloechliger, Olivia R.; Bauer, Georg F.

    2016-01-01

    Center-based child care has been struggling with poor health and high turnover rates of child care staff and their adverse impact on care quality for decades. Yet little is known about personal and structural antecedents of job resources and job demands that are valid predictors of health and turnover in the child care workforce. Research…

  3. Teacher-Child Relationships: Contribution of Teacher and Child Characteristics

    Science.gov (United States)

    Choi, Ji Young; Dobbs-Oates, Jennifer

    2016-01-01

    This study investigates potential predictors of teacher-child relationships (i.e., closeness and conflict) focusing on child gender, teacher-child ethnicity match, and teacher education. Additionally, the study explores the possible moderation effect of teacher education on the associations between teacher-child relationships and child gender or…

  4. Examining Pre-School Classroom Quality in a Statewide Quality Rating and Improvement System

    Science.gov (United States)

    Jeon, Lieny; Buettner, Cynthia K.; Hur, Eunhye

    2014-01-01

    Background: Research has documented the importance of high-quality early childhood experiences in preparing children for school. Quality rating and improvement systems (QRIS) have recently emerged in many states as a way to build quality of child care and to promote better child outcomes. Objective: The goal of this study was to determine if…

  5. Do Effects of Early Child Care Extend to Age 15 Years? Results from the NICHD Study of Early Child Care and Youth Development

    Science.gov (United States)

    Vandell, Deborah Lowe; Belsky, Jay; Burchinal, Margaret; Steinberg, Laurence; Vandergrift, Nathan

    2010-01-01

    Relations between nonrelative child care (birth to 4 1/2 years) and functioning at age 15 were examined (N = 1,364). Both quality and quantity of child care were linked to adolescent functioning. Effects were similar in size as those observed at younger ages. Higher quality care predicted higher cognitive-academic achievement at age 15, with…

  6. Family Income, Parent Education, and Perceived Constraints as Predictors of Observed Program Quality and Parent Rated Program Quality

    Science.gov (United States)

    Torquati, Julia C.; Raikes, Helen H.; Huddleston-Casas, Catherine A.; Bovaird, James A.; Harris, Beatrice A.

    2011-01-01

    Observed child care quality and parent perceptions of child care quality received by children in poor (below Federal Poverty Line, FPL), low-income (between FPL and 200% of FPL), and non-low-income families were examined. Observations were completed in 359 center- and home-based child care programs in four Midwestern states and surveys were…

  7. International child health

    DEFF Research Database (Denmark)

    Kruse, Alexandra Y; Høgh, Birthe

    2007-01-01

    International child health has improved. Better healthcare strategies, like IMCI, have contributed implementing basic interventions: vaccinations, nutrition supplement, oral rehydration and antibiotics. But 11 million children still die every year before they turn five, most from infectious...... diseases and neonatal complications, over half associated with malnutrition. Conditions we could prevent and treat. One of UN's Millennium Development Goals is to reduce child mortality. However child health is more than mortality and morbidity indicators, it includes growth and development. Udgivelsesdato...

  8. Funding child care and public education.

    Science.gov (United States)

    Zigler, E F; Finn-Stevenson, M

    1996-01-01

    Ensuring the availability of high-quality, affordable child care to all families who need it is a goal of national importance. The authors suggest that a comprehensive financing and service delivery system for child care is needed to achieve this goal, and the system should ideally be grounded in an existing institution, already present in every community--the public school. The linkage of child care with the public education system would eliminate the false distinction between child care and education, and would create a universally accessible system of child care services for children. The School of the 21st Century is an example of such a system. Initially conceptualized by Zigler, it has now been implemented in 400 schools across 13 states, with the leadership and direction of Finn-Stevenson. This article describes how school districts that have implemented the program employ a mixture of parent fees and local, state, federal, and private dollars to fund it, and then proposes an ideal financing model for the program. In the ideal model, the same mix of funding sources would be retained, but a per-pupil expenditure of about $9,000 per year is advocated to deliver child care and other social services to three- and four-year-olds. Funds for initial start-up could be derived from reallocation of existing dollars, especially state prekindergarten programs, but eventually new funds would be needed to support ongoing operations.

  9. Towards understanding child abuse

    Directory of Open Access Journals (Sweden)

    Clara Inés Carreño

    2010-02-01

    Full Text Available This research is a contribution to the understanding of childhood andthe child maltreatment within the framework of the state of the art of the knowledge produced in the experiences of research / intervention carried out under the Specialization Program on Child Maltreatment Prevention of Javeriana University, between 2002 to 2006. The article recreates the outstanding of this concern in Colombia, offers reinterpretations to the speech built and poses some bases to analyze the child maltreatment from the perspective of the adult-child relationships.

  10. Effects of child interview tactics on prospective jurors' decisions.

    Science.gov (United States)

    Johnson, Jonni L; Shelley, Alexandra E

    2014-01-01

    Although decisions in child sexual abuse (CSA) cases are influenced by many factors (e.g., child age, juror gender), case and trial characteristics (e.g., interview quality) can strongly influence legal outcomes. In the present study, 319 prospective jurors read about a CSA investigation in which the alleged victim was interviewed at a child advocacy center (CAC) or traditional police setting. The prospective jurors then provided legally relevant ratings (e.g., child credibility, interview quality, defendant guilt). Structural equation modeling techniques revealed that child credibility predicted greater confidence in guilt decisions and also mediated all associations with such decisions. Having fewer negative prior opinions and rating the interview as of better quality were associated with higher child credibility ratings. Mitigating factors (e.g., interview quality), as opposed to proxy indicators (e.g., participant gender), better predicted CSA case outcomes. Similar associations across groups (e.g., CAC interviews did not make child victims more or less credible) permit a tentative conclusion that CACs do not positively or negatively affect decisions made in hypothetical CSA cases. Ideas for future studies examining factors influencing decisions in CSA cases are discussed.

  11. Burden attributable to child maltreatment in Australia.

    Science.gov (United States)

    Moore, Sophie E; Scott, James G; Ferrari, Alize J; Mills, Ryan; Dunne, Michael P; Erskine, Holly E; Devries, Karen M; Degenhardt, Louisa; Vos, Theo; Whiteford, Harvey A; McCarthy, Molly; Norman, Rosana E

    2015-10-01

    Child maltreatment is a complex phenomenon, with four main types (childhood sexual abuse, physical abuse, emotional abuse, and neglect) highly interrelated. All types of maltreatment have been linked to adverse health consequences and exposure to multiple forms of maltreatment increases risk. In Australia to date, only burden attributable to childhood sexual abuse has been estimated. This study synthesized the national evidence and quantified the burden attributable to the four main types of child maltreatment. Meta-analyses, based on quality-effects models, generated pooled prevalence estimates for each maltreatment type. Exposure to child maltreatment was examined as a risk factor for depressive disorders, anxiety disorders and intentional self-harm using counterfactual estimation and comparative risk assessment methods. Adjustments were made for co-occurrence of multiple forms of child maltreatment. Overall, an estimated 23.5% of self-harm, 20.9% of anxiety disorders and 15.7% of depressive disorders burden in males; and 33.0% of self-harm, 30.6% of anxiety disorders and 22.8% of depressive disorders burden in females was attributable to child maltreatment. Child maltreatment was estimated to cause 1.4% (95% uncertainty interval 0.4-2.3%) of all disability-adjusted life years (DALYs) in males, and 2.4% (0.7-4.1%) of all DALYs in females in Australia in 2010. Child maltreatment contributes to a substantial proportion of burden from depressive and anxiety disorders and intentional self-harm in Australia. This study demonstrates the importance of including all forms of child maltreatment as risk factors in future burden of disease studies.

  12. Effects of integrated child development and nutrition interventions on child development and nutritional status.

    Science.gov (United States)

    Grantham-McGregor, Sally M; Fernald, Lia C H; Kagawa, Rose M C; Walker, Susan

    2014-01-01

    We conducted a systematic review of studies that examined the effect of interventions combining a child development component with a nutrition one; in some cases the nutrition interventions also included health-promotion components. Only papers with both child development and nutrition outcomes and rated as moderate-to-good quality were included. Eleven efficacy and two nonrandomized trials, and eight program evaluations were identified. Only six trials examined interventions separately and combined. The trials showed nutritional interventions usually benefited nutritional status and sometimes benefited child development. Stimulation consistently benefited child development. There was no significant loss of any effect when interventions were combined, but there was little evidence of synergistic interaction between nutrition and stimulation on child development. Only three trials followed up the children after intervention. All at-scale program evaluations were combined interventions. Five benefited child development, but one did not, and two showed deficits. There was generally little benefit of at-scale programs to nutritional status. We found no rigorous evaluations of adding stimulation to health and nutrition services at scale and there is an urgent need for them. There is also a need to establish quality-control mechanisms for existing scaled-up programs and to determine their long-term effects. There is also a need to determine if there are any sustained benefits for the children after programs finish.

  13. Multiple Family Groups for Child Behavior Difficulties Retention Among Child Welfare–Involved Caregivers

    Science.gov (United States)

    Gopalan, Geetha; Fuss, Ashley; Wisdom, Jennifer P.

    2013-01-01

    Among children who remain at home with their permanent caregivers following a child welfare investigation, few who manifest emotional and behavioral difficulties actually engage in mental health treatment. The Multiple Family Group service delivery model to reduce childhood disruptive behavior disorders (MFG) has shown promise in engaging child welfare-involved families. This qualitative study examines caregiver perceptions of factors that influence retention in MFGs among child welfare-involved families. Methods Twenty-five predominantly Black and Hispanic adult (ages 26–57) female caregivers with child welfare services involvement participated in individual, in-depth interviews about their experience with MFGs. Transcribed interview data were thematically coded guided by grounded theory methodology. Emergent themes were subsequently organized into a conceptual framework. Results Within the overarching influence of child welfare services involvement, specific components of MFGs influencing retention included the quality of interaction among group members, group facilitators’ attentive approach with caregivers, supports designed to overcome logistical barriers (i.e., child care, transportation expenses, meals), and perceptions of MFG content and activities as fun and helpful. Caregiver factors, including their mental health and personal characteristics, as well as children’s behavior, (i.e., observed changes in behavioral difficulties) were also associated with retention. Conclusions High acceptability suggest utility for implementing MFGs within settings serving child welfare involved families, with additional modifications to tailor to setting and client features. PMID:26527856

  14. Child Abuse or Osteogenesis Imperfecta?

    Science.gov (United States)

    Child Abuse or Osteogenesis Imperfecta? 804 W. Diamond Ave., Ste. 210 Gaithersburg, MD 20878 (800) 981-2663 (301) ... welfare services to report a suspected case of child abuse. The child is taken away from the parents ...

  15. Talking to Your Child's Doctor

    Science.gov (United States)

    ... to 2-Year-Old Talking to Your Child's Doctor KidsHealth > For Parents > Talking to Your Child's Doctor ... an important role in your child's health? The Doctor-Patient Relationship Today, doctors are pressured to see ...

  16. Child neglect and psychological abuse

    Science.gov (United States)

    ... or neglect, call 911. Call the Childhelp National Child Abuse Hotline (1-800-4-A-CHILD). Know that ... can/identifying/. Accessed November 21, 2014. Read More Child abuse - physical Review Date 11/20/2014 Updated by: ...

  17. StaR Child Health: improving global standards for child health research.

    Science.gov (United States)

    Offringa, Martin; Needham, Allison C; Chan, Winnie W Y

    2013-11-01

    Standards for Research (StaR) in Child Health, founded in 2009, addresses the current scarcity of and deficiencies in pediatric clinical trials. StaR Child Health brings together leading international experts devoted to developing practical, evidence-based standards to enrich the reliability and relevance of pediatric clinical research. Through a systematic "knowledge to action" plan, StaR Child Health creates opportunities to improve the evidence base for child health across the world. To date, six standards have been published and four more are under development. It is now time to use these standards. Improving the design, conduct and reporting of pediatric clinical trials will ultimately advance the quality of health care provided to children across the globe.

  18. Comprehensive Child Welfare Information System. Final rule.

    Science.gov (United States)

    2016-06-01

    This final rule replaces the Statewide and Tribal Automated Child Welfare Information Systems (S/TACWIS) rule with the Comprehensive Child Welfare Information System (CCWIS) rule. The rule also makes conforming amendments in rules in related requirements. This rule will assist title IV-E agencies in developing information management systems that leverage new innovations and technology in order to better serve children and families. More specifically, this final rule supports the use of cost-effective, innovative technologies to automate the collection of high-quality case management data and to promote its analysis, distribution, and use by workers, supervisors, administrators, researchers, and policy makers.

  19. Child Wellness and Happiness

    Science.gov (United States)

    Rettew, David C.

    2009-01-01

    Wellness and happiness should be considered in the clinical treatment of child and adolescent psychiatry, in addition with thinking about illness. Meanwhile, various studies on child and adolescent psychiatry,which includes an article from the "Journal of Happiness Studies," are discussed.

  20. The Child Welfare Cartel

    Science.gov (United States)

    Stoesz, David

    2016-01-01

    The probity of the Children's Bureau's National Child Welfare Workforce Institute (NCWWI) is examined with respect to the status of child welfare as well as the performance of social work education. By requiring that funding go only to accredited schools of social work, which is not authorized by relevant provisions of the Social Security Act,…

  1. Child Psychology Experiences Program.

    Science.gov (United States)

    Walla Walla Coll., WA.

    Recognizing the need for trained teachers to enter the classroom with confidence and professional capacity, Walla Walla College introduced a Child Psychology Experience program. Personnel from several departments contribute to this program. In connection with the child psychology courses, the project features a laboratory/demonstration center…

  2. Child Poverty & Public Policy.

    Science.gov (United States)

    Chafel, Judith A., Ed.

    This collection documents how far we still are in the United States from putting our knowledge about child well being and policy into practice. It provides an overview of the changing nature of child poverty in the United States through the contributions of authors who use a number of qualitative and quantitative approaches to look at children in…

  3. Divorce Child Custody Disputes.

    Science.gov (United States)

    Houlgate, Laurence D.

    1987-01-01

    Examines ethical issues in making policy decisions regarding divorce child custody disputes. Suggests dilemma occurs when legislator must decide between discretionary standard promoting best interest of child and nondiscretionary arbitrary assignment of custody. Advocates normative analysis of various types of dispute-settling processes and…

  4. Pre-School Attendance and Child Development

    DEFF Research Database (Denmark)

    Bauchmüller, Robert; Gørtz, Mette; Rasmussen, Astrid Würtz

    performance at the end of elementary schooling. We assess the effects of attended types and qualities of day-care institutions on various child outcomes as measured by school grades in mathematics, science, English and Danish for the whole Danish population as well as outcomes from the 2006 PISA Denmark......, of total work experiences, ages and hourly wages of staff members. Those indicators show the expected correlations with children's development outcomes, better day-care quality being linked to better child outcomes ten years later. We use rich administrative information about the children's background...... as well as an instrumental variable approach based on wider geographic area aggregates to test whether those correlations reveal unbiased causal effects. The identification of truly effective quality characteristics of day-care centres enhances policymakers' resource allocation to make all children...

  5. Patients with oral tumors. Part 2: Quality of life after treatment with resection prostheses. Resection prosthetics: evaluation of quality of life.

    Science.gov (United States)

    Fierz, Janine; Bürgin, Walter; Mericske-Stern, Regina

    2013-01-01

    In the present study, the oral health-related quality of life of 18 patients (13 men and 5 women) was evaluated using validated questionnaires as proposed by the European Organization of Research and Treatment of Cancer (EORTC). The patients belonged to a cohort of 48 patients, whose prosthetic treatment was performed during the years 2004-2007. In the course of tumor resection, 12 patients underwent graft surgery and 14 patients radiotherapy. One patient required a nasal epithesis since resection of the nose became necessary. Five patients underwent a full block resection of the mandible, and tumor resection in 3 patients resulted in a large oronasal communication. Prosthetic rehabilitation was performed in all patients, and the follow-up period with regular care covered a minimum of 3 years. Eleven patients received dental implants for better support and retention of the prostheses. In spite of compromised oral conditions, functional restrictions, and some difficulties with the prostheses, the answers to the questionnaire were quite positive. The majority judged their general health as good or even excellent. The subjective perception of the patients may contradict the objective view by the dentist. In fact, the individual patient's history and experience provide a better understanding of the impact of oral tumors on daily life. The overall assessment identified 4 items that were perceived as major problems by all patients: swallowing solid food, dry mouth, limited mouth opening, and appearance. Prosthetic rehabilitation has only a limited influence on such problems.

  6. Child prostitution in Thailand.

    Science.gov (United States)

    Lau, Carmen

    2008-06-01

    Child prostitution is an old, global and complex phenomenon, which deprives children of their childhood, human rights and dignity. Child prostitution can be seen as the commercial sexual exploitation of children involving an element of forced labour, and thus can be considered as a contemporary form of slavery. Globally, child prostitution is reported to be a common problem in Central and South America and Asia. Of all the south-east Asian nations, the problem is most prolific in Thailand. In Thailand, there appears to be a long history of child prostitution, and this article explores the factors that underpin the Thai child sex industry and the lessons and implications that can be drawn for health care and nursing around the world.

  7. Research priorities for child and adolescent physical activity and sedentary behaviours

    DEFF Research Database (Denmark)

    Gillis, Lauren; Tomkinson, Grant; Olds, Timothy

    2013-01-01

    The quantity and quality of studies in child and adolescent physical activity and sedentary behaviour have rapidly increased, but research directions are often pursued in a reactive and uncoordinated manner.......The quantity and quality of studies in child and adolescent physical activity and sedentary behaviour have rapidly increased, but research directions are often pursued in a reactive and uncoordinated manner....

  8. Resources within "Reason": Resources for Supporting Young Children in the Child Welfare System

    Science.gov (United States)

    Dinehart, Laura H.; Catlett, Camille

    2011-01-01

    For teachers, working with young children in the child welfare system can be challenging. A high-quality early learning environment has been linked to long-term positive developmental and academic success. But for children in the child welfare system who are facing significant early challenges, a high quality environment can provide the…

  9. Child Development Associate. Child Growth and Development.

    Science.gov (United States)

    Oscar Rose Junior Coll., Midwest City, OK.

    The purpose of this Child Development Associate (CDA) training module, one of a series of 18, is to help the CDA intern understand the factors and principles which affect the total growth and development of children. Early sections of the module stipulate the module's competency-based objectives, define terms, and suggest procedures by which…

  10. Child maltreatment in India.

    Science.gov (United States)

    Singhi, Pratibha; Saini, Arushi Gahlot; Malhi, Prabhjot

    2013-11-01

    Child maltreatment is a global problem but is more difficult to assess and manage in developing countries such as India where one-fifth of the world's total child population resides. Certain forms of maltreatment such as feticide, infanticide, abandonment, child labour, street-begging, corporal punishment and battered babies are particularly prevalent in India. Most physicians still need to be sensitized in order to suspect child abuse on the basis of unexplained trauma, multiple fractures, parental conflict and other corroborative evidence. This article summarizes the various aspects of this major problem in resource-poor settings in the hope that it will assist in the planning of services addressing child physical and sexual abuse and neglect in India and in other developing countries. A culture of non-violence towards children needs to be built into communities in order to provide an environment conducive to the overall development of the child. Rehabilitation of abused children and their families requires a multi-disciplinary service including paediatricians, child psychologists and social workers, and the training of police forces in how to tackle the problem.

  11. Child labour. Refuting the "nimble fingers" argument.

    Science.gov (United States)

    1996-01-01

    According to an International Labor Organization (ILO) study, approximately 130,000 children work in India's hand-knotted carpet industry. In one-loom enterprises, children comprise 14% of all weavers; in businesses with five or more looms, this rate increases to 33%. India's Factories Act, which applies costly health, safety, and labor regulations to larger firms, has led to a proliferation of cottage industries. The finding that children are more likely to work on low-quality rather than highest-quality carpets refutes the "nimble fingers" argument used by apologists of child labor. Although child and adult weavers have similar productivity, children earn less while apprentices than trained weavers and serve to depress wages throughout the industry. According to ILO estimates, replacing the 22% of the work force currently occupied by children with adults would cause wages to rise by about 5%. The overall savings in production costs from the use of child labor are very small when compared to the foreign retail price of the carpets, which is often four times the Indian export price. The ILO has urged an international approach to the elimination of child labor, in which all carpet-producing countries simultaneously implement a no-child-labor strategy to avoid placing any one country at a competitive disadvantage. Given the thousands of cottages where one or two carpets are woven per year, strategies such as labelling and regulation are likely to be ineffective. Solutions that address the general problems of poverty, while developing alternative sources of education and employment, are most likely to be effective in reducing child labor in countries such as India.

  12. Estimating spatial inequalities of urban child mortality

    Directory of Open Access Journals (Sweden)

    John R. Weeks

    2013-01-01

    Full Text Available BACKGROUND Recent studies indicate that the traditional rural-urban dichotomy pointing to cities as places of better health in the developing world can be complicated by poverty differentials. Knowledge of spatial patterns is essential to understanding the processes that link individual demographic outcomes to characteristics of a place. A significant limitation, however, is the lack of spatial data and methods that offer flexibility in data inputs. OBJECTIVE This paper tackles some of the issues in calculating intra-urban child mortality by combining multiple data sets in Accra, Ghana and applying a new method developed by Rajaratnam et al. (2010 that efficiently uses summary birth histories for creating local-level measures of under-five child mortality (5q0. Intra-urban 5q0 rates are then compared with characteristics of the environment that may be linked to child mortality. METHODS Rates of child mortality are calculated for 16 urban zones within Accra for birth cohorts from 1987 to 2006. Estimates are compared to calculated 5q0 rates from full birth histories. 5q0 estimates are then related to zone measures of slum characteristics, housing quality, health facilities, and vegetation using a simple trendline R2 analysis. RESULTS Results suggest the potential value of the Rajaratnam et al. method at the micro-spatial scale. Estimated rates indicate that there is variability in child mortality between zones, with a spread of up to 50 deaths per 1,000 births. Furthermore, there is evidence that child mortality is connected to environmental factors such as housing quality, slum-like conditions, and neighborhood levels of vegetation.

  13. Parental perception of preschool child body weight.

    Science.gov (United States)

    Garrett-Wright, Dawn

    2011-10-01

    Obesity in preschoolers has risen dramatically in the last decade. Although studies have demonstrated that parents of preschoolers have incorrect perceptions of their child's body weight, little is known about the factors that may be associated with these perceptions. The purpose of this study was to examine the relationships between parental perceptions of preschool child body weight and parental psychosocial factors. Quantitative analyses included descriptive statistics, correlations, and regression analyses. More than one third of the children in the sample were at risk for being overweight or were already overweight. However, less than 6% of parents felt that their child had an elevated body weight. Results from univariate logistic regression analyses demonstrated that the parent's health literacy level was a significant predictor of the accuracy of their perceptions regarding their child's body weight (p perceptions. Results from this study indicate that assessing parental perceptions of preschool child body weight can help providers accurately understand how parents view their children and lead to tailored educational interventions. In addition, the results support previous research suggesting that parental health literacy is a key to providing high-quality family-centered care.

  14. The impacts of oral health on quality of life in working adults.

    Science.gov (United States)

    Batista, Marilia Jesus; Perianes, Lílian Berta Rihs; Hilgert, Juliana Balbinot; Hugo, Fernando Neves; Sousa, Maria da Luz Rosário de

    2014-01-01

    This study investigated the impacts of oral health-related quality of life (OHRQoL) on daily activities and work productivity in adults. A cross-sectional study was conducted in a supermarket chain in the state of São Paulo, which included 386 workers, age-range 20 - 64 years. Participants were examined for oral disease following WHO recommendations, and the oral health impact profile (OHIP) assessment was used to determine OHRQoL. Demographic, socio-economic, use of dental services, and OHRQoL data were obtained. Answers to the OHIP were dichotomized into no impact and some impact, and the relationship to OHRQoL was determined. Poisson regression with robust variance was performed using SPSS version 17.0. Dimensions with highest OHIP scores were physical pain and psychological discomfort. Sex (male: PR = 0.55, 95% CI 0.38 - 0.80), lower family income (PR = 1.49, 95% CI 1.04 - 2.12), visiting a dentist due to pain (PR = 2.14, 95% CI 1.57 - 3.43), tooth loss (PR = 1.59, 95% CI 1.09 - 2.32), and needing treatment for caries (PR = 1.59, 95% CI 1.09 - 2.32) were most likely to impact OHRQoL. Therefore, socioeconomic and demographic status and use of dental services impacted OHRQoL. These results indicate that oral health promotion strategies should be included in work environments.

  15. Periodontal Status and Quality of Life: Impact of Fear of Pain and Dental Fear

    Science.gov (United States)

    Crout, Richard J.

    2017-01-01

    Background. Oral health-related quality of life (OHRQoL) is impacted by periodontal disease and orofacial pain. There is a limited research examining the impact of avoidance of care or physiological arousal related to the fear of pain response on periodontal-related OHRQoL. Methods. Data are from the Center for Oral Health Research in Appalachia family-based study focusing on 1,339 adults. Measures included a modified Periodontal Screening and Recording Index across sextants of dentition, dental fear survey, Fear of Pain Questionnaire-9, and Oral Health Impact Profile-14. Structural equation modeling was used to estimate the effects of periodontal disease screening indicators on OHRQoL including the mediating role of dental fear while accounting for fear of pain. Results. A significant total effect was found for the mandibular anterior sextant, components of dental anxiety/fear, and indicators of OHRQoL (pain and discomfort, β = .165, p = .001; psychosocial impact, β = .199, p periodontal disease indicators and OHRQoL. Dental avoidance/anticipatory fear and physiological arousal mediate OHRQoL in individuals who have indicators of periodontal disease in sextants that may be visible and susceptible to higher pain and psychosocial impact. PMID:28377670

  16. Child Behavior Disorders

    Science.gov (United States)

    ... The behavior is also not appropriate for the child's age. Warning signs can include Harming or threatening themselves, other people or pets Damaging or destroying property Lying or stealing Not ...

  17. Your child's first vaccines

    Science.gov (United States)

    ... multi.html . CDC review information for Multi Pediatric Vaccines: Your Child's First Vaccines: What you need to know (VIS): ... baby. 2. Some children should not get certain vaccines Most children can safely get all of these vaccines. But ...

  18. My Child Is Stealing

    Science.gov (United States)

    ... there's often little sympathy for repeat offenders. Further punishment , particularly physical punishment, is not necessary and could make a child ... They should also know that stealing is a crime and can lead to consequences far worse than ...

  19. Asthma - child - discharge

    Science.gov (United States)

    Pediatric asthma - discharge; Wheezing - discharge; Reactive airway disease - discharge ... Your child has asthma , which causes the airways of the lungs to swell and narrow. In the hospital, the doctors and nurses helped ...

  20. Child Sexual Abuse

    Science.gov (United States)

    ... sense of self-esteem, cope with feelings of guilt about the abuse, and begin the process of overcoming the trauma. Such treatment can help reduce the ... Child and Adolescent Psychiatrists Teen Suicide ...

  1. My Child Is Stealing

    Science.gov (United States)

    ... around. And there's often little sympathy for repeat offenders. Further punishment , particularly physical punishment, is not necessary and could make a child or teen angry and more likely to engage in even ...

  2. FAQ: Child Sexual Exploitation

    Science.gov (United States)

    ... as feelings of betrayal, powerlessness, worthlessness and low self-esteem. It is impossible to calculate how many times a child's pornographic image may be possessed and distributed online. Each and ...

  3. CDC Child Growth Charts

    Data.gov (United States)

    U.S. Department of Health & Human Services — CDC child growth charts consist of a series of percentile curves that illustrate the distribution of selected body measurements in U.S. children. Pediatric growth...

  4. Toilet Teaching Your Child

    Science.gov (United States)

    ... Looking for Health Lessons? Visit KidsHealth in the Classroom What Other Parents Are Reading Your Child's Development ( ... when traveling, around the birth of a sibling , changing from the crib to the bed, moving to ...

  5. Weaning Your Child

    Science.gov (United States)

    ... Looking for Health Lessons? Visit KidsHealth in the Classroom What Other Parents Are Reading Your Child's Development ( ... cup, or maybe even just a cuddle. Try changing your daily routine so that you're otherwise ...

  6. Impact of traumatic dental injury on the quality of life of young children: a case-control study.

    Science.gov (United States)

    Vieira-Andrade, Raquel Gonçalves; Siqueira, Maria Betânia Lins; Gomes, Genara Brum; D'Avila, Sérgio; Pordeus, Isabela Almeida; Paiva, Saul Martins; Granville-Garcia, Ana Flávia

    2015-10-01

    There are no longitudinal studies that assess the impact of traumatic dental injury (TDI) on the oral health-related quality of life (OHRQoL) of preschool children. To investigate the impact of TDI on OHRQoL among preschool children, a population-based case-control study was carried out with a representative sample of 335 children, 3-5 years of age, enrolled at public and private preschools in the city of Campina Grande, Brazil. The case group and the control group were matched for age, gender, type of preschool and monthly household income at a ratio of 1:4 (67 cases and 286 controls). Impact on the OHRQoL of children was assessed through administration of the Early Childhood Oral Health Impact Scale (ECOHIS). The occurrence of TDI was determined through clinical examinations performed by three calibrated dentists. Data analysis involved descriptive statistics, McNemar's test, the chi-square test with linear trend and conditional logistic regression analysis [P≤0.05; 95% confidence interval (95% CI)]. The most frequent responses were 'felt pain' (19.4%) and 'difficulty eating' (16.4%). The prevalence of TDI was 37.3% in the case group and 33.9% in the control group. No statistically significant differences were found between case and control groups regarding the presence of TDI (odds ratio=1.16; 95% CI: 0.66-2.02). TDI had no impact on the quality of life of preschool children.

  7. Music in child care

    OpenAIRE

    Maria Polikandrioti; Ioannis Koutelekos

    2007-01-01

    Music has been used therapeutically for many centuries, and numerous studies have researched the curative and preventative powers of music in several diseases. Music, as a therapy was shown to have positive effects in child care, such as in premature infants, children in emergency care, children receiving surgery, children in oncology departments and handicapped children. The aim of this review was to study the therapeutic effects of music in child care at hospital. The method οf this study i...

  8. Family Life Quality and Emotional Quality of Life in Chinese Adolescents with and without Economic Disadvantage

    Science.gov (United States)

    Shek, Daniel T. L.; Lee, T. Y.

    2007-01-01

    Chinese secondary school students (N = 2758) responded to measures of perceived family life quality (parenting quality and parent-child relational quality) and emotional quality of life (hopelessness, mastery, life satisfaction and self-esteem). Parenting quality included different aspects of parental behavioral control (parental knowledge,…

  9. Music in child care

    Directory of Open Access Journals (Sweden)

    Maria Polikandrioti

    2007-07-01

    Full Text Available Music has been used therapeutically for many centuries, and numerous studies have researched the curative and preventative powers of music in several diseases. Music, as a therapy was shown to have positive effects in child care, such as in premature infants, children in emergency care, children receiving surgery, children in oncology departments and handicapped children. The aim of this review was to study the therapeutic effects of music in child care at hospital. The method οf this study included bibliography research from both the review and the research internatio nal literature, which was referred to the therapeutic effects of music in Children's Hospital. Results: Most studies focus on the beneficial effects of music to child. The results of the study showed that music is widely used to enhance well‐being and appears to exert direct effects to child, which are mainly related to physiology and psychology, including changes in the vital signs, reductions in anxiety and pain, distraction of attention from unpleasant sensations and better communication with the environment at hospital. Furthermore, music exerts indirect effects to child since is able to cause positive modifications in nurses' behaviour and conduces to better performance in their duties. Conclusions: Music consists a low-cost "therapeutic instrument" for nurses to apply to child-patient and is found to be effective in producing positive outcomes. The nurses' knowledge of music therapy need to be improved and the therapeutic impact of music must be a result from systematic professional application.

  10. Parental perceptions and childhood dietary quality.

    Science.gov (United States)

    Adamo, Kristi B; Brett, Kendra E

    2014-05-01

    The early years represent a critical period of growth and development of health behaviours. While optimal child growth is associated with a complex set of factors, the importance of diet quality is undeniable. The objective of this narrative review is to examine contributors to child diet quality and parental perception and how such perceptions might affect child diet quality. An extensive literature search was conducted, generating a variety of sources including research trials (randomized and non-randomized), lab-based studies, cohort studies, topical reviews, government or NGO reports and grey literature. In addition, reflection and opinion, accrued through regular interaction with families, regarding some of the potential links has also been included. Parental perception of diet quality is influenced by many different social, biological economical and psychological factors. Research suggests that diet quality of today's children is sub-optimal and a parent's perception of their child's diet may not accurately reflect this reality. Various parental attitudes and perceptions/misperceptions are important to address as knowledge awareness and beliefs can impact diet quality as can parental practices, and family structure. Issues related to socioeconomics and convenience, and a child's preferences and their peer and/or social environment are also potential factors impacting child diet quality. Knowing that parents play such an integral role in the development and maintenance of their child's health behaviours, addressing misconceptions and unhealthy parental beliefs about diet quality may be an important area for early intervention and prevention work in childhood obesity.

  11. Day-care attendance and child development:

    DEFF Research Database (Denmark)

    Bauchmüller, Robert; Gørtz, Mette; Rasmussen, Astrid Würtz

    Earlier research suggests that children’s development is shaped in their early years of life. This paper examines whether differences in day-care experiences during pre-school age are important for children’s cognitive and language development at the age of 15. The analysis is based on class...... performance at the end of elementary schooling. We assess the effects of attended types and qualities of day-care institutions on various child outcomes as measured by school grades in mathematics, science, English and Danish for the whole Danish population as well as outcomes from the 2006 PISA Denmark......, of total work experiences, ages and hourly wages of staff members. Those indicators show the expected correlations with children’s development outcomes, better day-care quality being linked to better child outcomes ten years later. We use rich administrative information about the children’s background...

  12. Nurses’ Use of a Web-Based National Guide for Child Health Care

    OpenAIRE

    Tell, Johanna; Olander, Ewy; Anderberg, Peter; Berglund, Johan Sanmartin

    2016-01-01

    Rikshandboken i Barnhälsovård is a Swedish Web-based guide for child healthcare, providing quality-ensured guidelines and support contributing to equality in child healthcare among all children. In 2015, a new child healthcare program was implemented and made available in this Web-based guide. The aim of this study was to investigate how child healthcare nurses use Rikshandboken i Barnhälsovård and factors affecting its use. The study was a comprehensive Web survey of 2376 child healthcare nu...

  13. Is Good Fit Related to Good Behaviour? Goodness of Fit between Daycare Teacher-Child Relationships, Temperament, and Prosocial Behaviour

    Science.gov (United States)

    Hipson, Will E.; Séguin, Daniel G.

    2016-01-01

    The Goodness-of-Fit model [Thomas, A., & Chess, S. (1977). Temperament and development. New York: Brunner/Mazel] proposes that a child's temperament interacts with the environment to influence child outcomes. In the past, researchers have shown how the association between the quality of the teacher-child relationship in daycare and child…

  14. Marital transitions. A child's perspective.

    Science.gov (United States)

    Hetherington, E M; Stanley-Hagan, M; Anderson, E R

    1989-02-01

    Despite a recent leveling off of the divorce rate, almost half of the children born in the last decade will experience the divorce of their parents, and most of these children will also experience the remarriage of their parents. Most children initially experience their parents' marital rearrangements as stressful; however, children's responses to their parents marital transitions are diverse. Whereas some exhibit remarkable resiliency and in the long term may actually be enhanced by coping with these transitions, others suffer sustained developmental delays or disruptions. Others appear to adapt well in the early stages of family reorganizations but show delayed effects that emerge at a later time, especially in adolescence. The long-term effects are related more to the child's developmental status, sex, and temperament; the qualities of the home and parenting environments; and to the resources and support systems available to the parents and child than they are to divorce or remarriage per se. In recent years, researchers have begun to move away from the view that single-parent and remarried families are atypical or pathogenic families and are focusing on the diversity of children's responses and to the factors that facilitate or disrupt the development and adjustment of children experiencing their parents' marital transitions.

  15. Child maltreatment in Canada: an understudied public health problem.

    Science.gov (United States)

    Afifi, Tracie O

    2011-01-01

    Child maltreatment is a major public health problem associated with impairment in childhood, adolescence, and extending throughout the lifespan. Within Canada, high-quality child maltreatment studies have been conducted and are critical for informing prevention and intervention efforts. However, compared to other parts of the world (e.g., United States, United Kingdom, the Netherlands, and Mexico), the number of studies conducted in Canada is far fewer and the data used to study this important public health problem are less diverse. Importantly, to date, representative data on child maltreatment from the general population at the national level in Canada do not exist. This means that many questions regarding child maltreatment in Canada remain unanswered. To advance our understanding of child maltreatment in Canada and to make significant strides towards protecting Canadian children and families, research using Canadian data is essential. To begin to meet these important public health goals, we need to invest in collecting high-quality, nationally representative Canadian data on child maltreatment. Solutions for the barriers and challenges for the inclusion of child maltreatment data into nationally representative Canadian surveys are provided.

  16. Child abuse: Sivas (Turkey sample

    Directory of Open Access Journals (Sweden)

    Sezer Ayan

    2009-06-01

    Full Text Available Subject of this study is family violence among primary school students. The purpose is to determine to what level socio-cultural, economical, psychological and communicative characteristics of the family affect the experience of violent acts on the child.Method: Universe of the study consists of second phase (junior high students of grades VI, VII, and VIII in 70 primary schools in the city center of Sivas. When creating the sample, schools were divided into three groups as low, middle and high according to the socio-economical and cultural levels of the neighborhoods they were located in, and total fifteen schools were selected, three from each area, with characteristics suitable to represent the respective areas. Number of students included in the sample from these schools is 655. Study data were collected using a questionnaire consisting of items directed at determining the socio-demographic characteristics of the students, structures of families, quality of family relationships and presence or absence family violence against the child and relations and factors that might create the potential for violence.Findings: Proportion of children within the sample that were found treated with violence by their mothers was found as 54%, and proportion of children within the sample that were found treated with violence by their fathers was found as 46%. According to results of the regression analysis performed separately for mothers and fathers with the purpose of finding the variables with the greatest effect on being treated with violence of children by their parents and the level of effect of these variables, it was found that the variables influencing with statistically significant levels students’ experiences of violence from their mothers were educational status of the mother, presence of violence between mother and father and mode of treatment of the mother against the child, respectively.According to the results of the logistic regression

  17. Oral health-related KAP among 11- to 12-year-old school children in a government-aided missionary school of Bangalore city

    Directory of Open Access Journals (Sweden)

    Harikiran A

    2008-01-01

    Full Text Available Background: To organize community-oriented oral health promotion programs systematic analysis of the oral health situation would be needed, including information on oral health knowledge, attitudes, and practices (KAP. Aim: The aim of this study was to assess knowledge, attitude, and practice (KAP toward oral health among 11 to 12-year-old school children in a government-aided missionary school of Bangalore city. Materials and Methods: The study group comprised of 212 children (Male: 108; Female; 104 who were in the age group of 11-12 years studying in a government-aided missionary school of Bangalore city. Data on oral health KAP were collected by means of a self-administered questionnaire. Statistical significance was determined by Chi-square test. Results: This survey found that only 38.5% of the children brush their teeth two or more times a day. Pain and discomfort from teeth (35.1% were common while dental visits were infrequent. Fear of the dentist was the main cause of irregular visit in 46.1% of study participants. High proportion of study participants reported having hidden sugar at least once a day: soft drinks (32.1%, milk with sugar (65.9%, and tea with sugar (56.1%. It was found that 5.4% and 3.9% of study participants smoke and chew tobacco, respectively. Conclusion: Results of this study suggest that oral health KAP of study participants are poor and needs to be improved. Systematic community-oriented oral health promotion programs are needed to improve oral health KAP of school children.

  18. Social Factors Influencing Child Health in Ghana.

    Directory of Open Access Journals (Sweden)

    Emmanuel Quansah

    Full Text Available Social factors have profound effects on health. Children are especially vulnerable to social influences, particularly in their early years. Adverse social exposures in childhood can lead to chronic disorders later in life. Here, we sought to identify and evaluate the impact of social factors on child health in Ghana. As Ghana is unlikely to achieve the Millennium Development Goals' target of reducing child mortality by two-thirds between 1990 and 2015, we deemed it necessary to identify social determinants that might have contributed to the non-realisation of this goal.ScienceDirect, PubMed, MEDLINE via EBSCO and Google Scholar were searched for published articles reporting on the influence of social factors on child health in Ghana. After screening the 98 articles identified, 34 of them that met our inclusion criteria were selected for qualitative review.Major social factors influencing child health in the country include maternal education, rural-urban disparities (place of residence, family income (wealth/poverty and high dependency (multiparousity. These factors are associated with child mortality, nutritional status of children, completion of immunisation programmes, health-seeking behaviour and hygiene practices.Several social factors influence child health outcomes in Ghana. Developing more effective responses to these social determinants would require sustainable efforts from all stakeholders including the Government, healthcare providers and families. We recommend the development of interventions that would support families through direct social support initiatives aimed at alleviating poverty and inequality, and indirect approaches targeted at eliminating the dependence of poor health outcomes on social factors. Importantly, the expansion of quality free education interventions to improve would-be-mother's health knowledge is emphasised.

  19. Child rearing in a group setting: beliefs of Dutch, Caribbean Dutch, and Mediterranean Dutch caregivers in center-based child care

    NARCIS (Netherlands)

    S.K. Huijbregts; L. Tavecchio; P. Leseman; P. Hoffenaar

    2009-01-01

    Child care centers in Western countries are becoming increasingly culturally diverse, regarding both professional caregivers, children, and their parents. Child-rearing beliefs, which differ between cultures, are found to affect process quality and children’s developmental outcomes. The first aim of

  20. A Preliminary Investigation of the Relationship between Parenting, Parent-Child Shared Reading Practices, and Child Development in Low-Income Families

    Science.gov (United States)

    Dexter, Casey A.; Stacks, Ann M.

    2014-01-01

    This study examined relations between parenting, shared reading practices, and child development. Participants included 28 children (M = 24.66 months, SD = 8.41 months) and their parents. Measures included naturalistic observations of parenting and shared reading quality, assessments of child cognitive and language development, and home reading…

  1. The Child Abuse

    Directory of Open Access Journals (Sweden)

    Hossein abbasnezhadriyabi

    2016-03-01

    Full Text Available While a large number of children are losing their lives due to poverty, malnutrition, contagious diseases and war, we are witnessing hundreds of children death by reason of misbehaving. Today, "child abuse" as a social-cultural phenomenon which shows crisis in a society, has a growing process in our country. The goal of this research was to investigate the base factors of child abuse that according to the results are consist as follows, poverty, unemployment, addiction, large families, single-parent, Considering the increase of factors such as poverty, addiction, unemployment, divorce, temporary marriage, street children and other effective factors, the hypothesis based on growth of child abuse was proved in Iran.

  2. Meet the good child

    DEFF Research Database (Denmark)

    Gram, Malene; Grønhøj, Alice

    2016-01-01

    to be appropriate child and parental behavior. The study takes a practice theoretical perspective, building on previous research on family consumption, and draws empirically on 35 interviews with 5–6 year-olds and 13 family interviews. Findings show that the children recognize the position of ‘the good child......’ and most often prefer to take on this position, which is confirmed by their parents. The children can describe how ‘the good child’—in their eyes—should behave. They prefer consensus and not being embarrassing or embarrassed. The study concludes that the children are strongly immersed in social norms...... and family practices, and that the Danish national/cultural context probably reinforces these children as independent consumers, who are well aware of the requirements of the consumer role. Childing practices are a standard with know-how and rules that these children argue they live by—at least most...

  3. Child Labor: A Forgotten Focus for Child Welfare.

    Science.gov (United States)

    Otis, Jack; Pasztor, Eileen Mayers; McFadden, Emily Jean

    2001-01-01

    Discusses the worldwide problem of child labor and efforts to advocate for the welfare of these impoverished children. Considers factors that contribute to the continued use of child labor and the resistance of these labor practices to reform. Discusses child labor in the United States, and urges public advocacy for labor reform within child…

  4. Child Care Subsidy Use and Child Development: Potential Causal Mechanisms

    Science.gov (United States)

    Hawkinson, Laura E.

    2011-01-01

    Research using an experimental design is needed to provide firm causal evidence on the impacts of child care subsidy use on child development, and on underlying causal mechanisms since subsidies can affect child development only indirectly via changes they cause in children's early experiences. However, before costly experimental research is…

  5. Mother-Child Agreement on the Child's Past Food Exposure

    Science.gov (United States)

    Thongudomporn, Udom; Chongsuvivatwong, Virasakdi; Geater, Alan F.

    2010-01-01

    Objective: To assess mother-child agreement on the child's past food exposure, and factors affecting response discrepancy. Methods: Twelve- to 14-year-old children and their mothers (n = 78) in an urban community, a rural community, and 2 orthodontic clinics completed a 69-item food questionnaire to determine mother-child level of agreement on the…

  6. Quality of Life of Caregivers of Children with Autism in Qatar

    Science.gov (United States)

    Kheir, Nadir; Ghoneim, Ola; Sandridge, Amy L.; Al-Ismail, Muna; Hayder, Sara; Al-Rawi, Fadhila

    2012-01-01

    Introduction: Caring for a child diagnosed with autism could affect the quality of life of the caregiver in various different ways. No previous research has assessed the quality of lives of caregivers of children with autism in Qatar. Methods: Caregivers of a child with autism between 3 and 17 years old were recruited from child rehabilitation…

  7. CPR - child (1 to 8 years old)

    Science.gov (United States)

    Rescue breathing and chest compressions - child; Resuscitation - cardiopulmonary - child; Cardiopulmonary resuscitation - child ... All parents and those who take care of children should learn infant and child CPR if they ...

  8. Child Labor in America's History

    Science.gov (United States)

    Goldstein, Harold

    1976-01-01

    A brief history of child labor and the fight for legislation to control it at both the state and federal level. The current legal status and the continued existence of child labor in modern times are also discussed. (MS)

  9. When Your Child Has Tinnitus

    Science.gov (United States)

    ... ENT Doctor Near You When Your Child Has Tinnitus When Your Child Has Tinnitus Patient Health Information News media interested in covering ... and public relations staff at newsroom@entnet.org . Tinnitus is a condition where the patient hears a ...

  10. Vaginal itching and discharge - child

    Science.gov (United States)

    ... vulvae; Itching - vaginal area; Vulvar itching; Yeast infection - child ... To prevent and treat vaginal irritation, your child should: Avoid colored or perfumed toilet tissue and bubble bath. Use plain, unscented soap. Limit bath time to 15 minutes or less. Ask ...

  11. Parent and Child Living Centers.

    Science.gov (United States)

    Pushaw, David R.

    1978-01-01

    Parent and child living centers offer a program to improve parenting skills with areas of learning including child growth and development, family management, home care and repair, and personal growth and development. (MM)

  12. Child Abuse: The Hidden Bruises

    Science.gov (United States)

    ... 5; Updated November 2014 The statistics on physical child abuse are alarming. It is estimated hundreds of thousands ... Physical abuse is not the only kind of child abuse. Many children are also victims of neglect, or ...

  13. CHILD PORNOGRAPHY ON THE INTERNET

    OpenAIRE

    Laura Negredo; Óscar Herrero

    2016-01-01

    Downloading, exchanging and producing child pornography is a criminal behaviour of growing relevance. The cruel exploitation of minors and its link with child sexual abuse raise great social and academic concern. The current paper approaches the nature of the phenomenon, the characteristics of the materials labelled as “child pornography”, the psychological traits of the users and the existing treatment programs

  14. Child Abuse: The Educator's Responsibilities.

    Science.gov (United States)

    California State Office of the Attorney General, Sacramento. School Safety Center.

    Addressing educators and citing the California Penal Code, this booklet discusses the legal responsibilities of persons in child care situations regarding incidents of suspected child abuse. Included are: (1) a definition of child abuse and neglect; (2) reporting procedures including liability of failure to report and immunity of the reporting…

  15. CURRICULUM GUIDE, CHILD CARE CENTERS.

    Science.gov (United States)

    California State Dept. of Education, Sacramento.

    CALIFORNIA CHILD CARE CENTERS WERE ESTABLISHED IN 1943 TO SUPPLY SERVICES TO CHILDREN OF WORKING MOTHERS. THE CHILD CARE PROGRAM PROVIDES, WITHIN NURSERY AND SCHOOLAGE CENTERS, CARE AND EDUCATIONAL SUPERVISION FOR PRESCHOOL AND ELEMENTARY SCHOOL AGE CHILDREN. THE PHILOSOPHY OF THE CHILD CENTER PROGRAM IS BASED UPON THE BELIEF THAT EACH CHILD…

  16. Social Structure and Child Poverty

    Science.gov (United States)

    Ferriss, Abbott L.

    2006-01-01

    Child poverty, as a critical indicator of the QOL, is intricately related to the social structure of the community. This hypothesis is explored for the 159 counties of Georgia for the year 2000. The influence of demographic, economic, family and health factors upon child poverty are explored through models of total, black and white child poverty.…

  17. Treatment for Child Abusers

    Science.gov (United States)

    Tracy, James J.; Clark, Elizabeth H.

    1974-01-01

    Staff of a child abuse program in a Philadelphia hospital worked with parents in their own homes to help them develop greater competence as adults and as parents. This article describes the use of social learning theory, with some techniques of behavior therapy, as the basis for treatment. (Author)

  18. Child Nutrition Program

    Institute of Scientific and Technical Information of China (English)

    潘志强

    2005-01-01

    The Child Nutrition Program invites all students to participate in the school breakfast and lunch program at school. Our goal is to improve the health and education of students by providing nutritious meals that promote food choices for a healthy diet. Failure to eat balanced meals increases the risk of illness including obesity ,

  19. Child health in Greenland

    DEFF Research Database (Denmark)

    Niclasen, Birgit V L; Bjerregaard, Peter

    2007-01-01

    child mortality but the same morbidity pattern as in other Western societies was found. Negative health behaviour is frequent in schoolchildren. The influence of rapid cultural changes, and familial and societal factors related to social ill health, together with socioeconomic inequity, are of major...

  20. Measuring Child Rhythm

    Science.gov (United States)

    Payne, Elinor; Post, Brechtje; Astruc, Lluisa; Prieto, Pilar; Vanrell, Maria del Mar

    2012-01-01

    Interval-based rhythm metrics were applied to the speech of English, Catalan and Spanish 2, 4 and 6 year-olds, and compared with the (adult-directed) speech of their mothers. Results reveal that child speech does not fall into a well-defined rhythmic class: for all three languages, it is more "vocalic" (higher %V) than adult speech and has a…

  1. Child Computer Interaction SIG

    DEFF Research Database (Denmark)

    Read, Janet; Hourcade, Juan Pablo; Markopoulos, Panos

    The discipline of Child Computer Interaction (CCI) has been steadily growing and it is now firmly established as a community in its own right, having the annual IDC (Interaction and Design for Children) conference and its own journal and also enjoying its role as a highly recognisable and vibrant...

  2. The Child as Craftsman

    Science.gov (United States)

    Feldman, David H.

    1976-01-01

    Perhaps the most important implication of the metaphor is to suggest that it may well be the main purpose of education to provide conditions under which each child will identify and find satisfaction through a chosen field or fields of work. (Author)

  3. Who Is This Child?

    Science.gov (United States)

    Barr, Robert D.

    1996-01-01

    An Idaho education dean recounts a moving encounter with a fatherless first-grader while visiting his grandson in Eugene, Oregon. Envisioning a deadbeat dad and a burned-out mother, he pondered the statistical odds of this child graduating from college. However, the girl's warm welcome from her teacher helped revise his hopes about the little…

  4. Child Care Aware

    Science.gov (United States)

    ... a stream of our activity across multiple social networks by visiting the Child Care Aware® of America Social Dashboard. Visit Our Social Dashboard Follow and Engage ... Care Aware of America Home Newsroom Contact Us Log In Register Back About ...

  5. The Gifted Dyslexic Child

    Science.gov (United States)

    Eide, Brock; Eide, Fernette

    2009-01-01

    A major reason why dyslexia is likely to be missed or mislabeled in an intellectually gifted child is the lack of a specific, clearly recognized definition to enable diagnosis of dyslexia. It's crucial that adults working with gifted students understand that average or even above reading comprehension does not by itself guarantee that a gifted…

  6. The Child Whisperer

    Science.gov (United States)

    Peters, Dane L.

    2012-01-01

    Unquestionably, Maria Montessori's insights into child development were both innate and learned, derived from her many years of working with children. Her work, practices, philosophy, and passion have staying power that, so far, spans a century and are a testament to her dedication and abilities. In this article, the author explains why he sees…

  7. Child Indicators: Dental Health.

    Science.gov (United States)

    Lewit, Eugene M.; Kerrebrock, Nancy

    1998-01-01

    Reviews measures of dental health in children and the evidence on child dental health. Although children's dental health has improved over the past two decades, many poor children do not receive necessary dental health services, and reasons for this failure are summarized. (SLD)

  8. Child Care Centres.

    Science.gov (United States)

    Australian Dept. of Labour and National Service, Melbourne. Women's Bureau.

    Based on a survey of legislation relating to full-day care for preschool children of working mothers and a study of records, this report: (1) covers the number of registered child care centers in Australia and the number of children being served, (2) sets the conditions applying to registration of centers, (3) indicates the extent and levels of…

  9. Internet and child pornography

    Directory of Open Access Journals (Sweden)

    Seda Çağlar

    2010-04-01

    Full Text Available Nowadays, internet use and access is becoming increasingly common as a great entertainment, communication and educational resource for children as well as for adults. Internet is a perfect environment for children, for exploring the world, learning and having fun. However, access to illegal sites that contain violence and sexuality, and contact dangerous people are among the particular risks for children using the internet. It is a known fact that, internet and developing technology make the production and distribution of child pornography cheaper and easier. There has been consensus on the need of creating a plan and increasing the awareness in the community for the fight against child pornography. Because of the increasing internet use and the risk for children mentioned, nurses got new responsibilities. Nurses have to inform society, especially families and children, about safe internet use. In this review, legal regulations about the fight against child pornography on the internet, the reasons that lay the ground for child pornography and their negative effects on children has been addressed.

  10. Parent-Child Positivity and Romantic Relationships in Emerging Adulthood: Congruence, Compensation, and the Role of Social Skills

    Science.gov (United States)

    Kretschmer, Tina; Vollebergh, Wilma; Oldehinkel, Albertine J.

    2017-01-01

    Romantic relationship quality in adolescence and early adulthood has often been linked to earlier parent-child relationship quality but it is possible that these links are nonlinear. Moreover, the role of social skills as mediator of associations between parent-child and romantic relations has been discussed but not rigorously tested. Using data…

  11. Developing a Child Friendly Text-to-Speech System

    Directory of Open Access Journals (Sweden)

    Agnes Jacob

    2008-01-01

    Full Text Available This paper discusses the implementation details of a child friendly, good quality, English text-to-speech (TTS system that is phoneme-based, concatenative, easy to set up and use with little memory. Direct waveform concatenation and linear prediction coding (LPC are used. Most existing TTS systems are unit-selection based, which use standard speech databases available in neutral adult voices. Here reduced memory is achieved by the concatenation of phonemes and by replacing phonetic wave files with their LPC coefficients. Linguistic analysis was used to reduce the algorithmic complexity instead of signal processing techniques. Sufficient degree of customization and generalization catering to the needs of the child user had been included through the provision for vocabulary and voice selection to suit the requisites of the child. Prosody had also been incorporated. This inexpensive TTS system was implemented in MATLAB, with the synthesis presented by means of a graphical user interface (GUI, thus making it child friendly. This can be used not only as an interesting language learning aid for the normal child but it also serves as a speech aid to the vocally disabled child. The quality of the synthesized speech was evaluated using the mean opinion score (MOS.

  12. Child mortality and economic variation among rural Mexican households.

    Science.gov (United States)

    Millard, A V

    1985-01-01

    In two rural Mexican communities, rates of child mortality are significantly related to economic situations of households. Measured over the childbearing years of post-reproductive women, the rate of child mortality (ages 0-5 years) per mother is 163 per 1000 children in one village and 338 in the other. Significant economic correlates, which are defined ethnographically in each community, are housing quality, quality of farm land and marital status. Correlations of child mortality rates with economic variables range from -0.25 to -0.54, showing that poorer mothers lose significantly more children in the first 5 years of life. These results parallel those of urban, regional, national and international studies, but economic correlates of child mortality have not previously been found in rural Latin America. The methodological contributions of this study include a meld of ethnographic and survey techniques of data collection, the development of culturally appropriate variables to measure economic status, the use of child rather than infant mortality rates, and a household-related demographic measure, the rate of child mortality per mother.

  13. Parent-Child Agreement on Parent-to-Child Maltreatment.

    Science.gov (United States)

    Compier-de Block, Laura H C G; Alink, Lenneke R A; Linting, Mariëlle; van den Berg, Lisa J M; Elzinga, Bernet M; Voorthuis, Alexandra; Tollenaar, Marieke S; Bakermans-Kranenburg, Marian J

    2017-01-01

    Parent-child agreement on child maltreatment was examined in a multigenerational study. Questionnaires on perpetrated and experienced child maltreatment were completed by 138 parent-child pairs. Multi-level analyses were conducted to explore whether parents and children agreed about levels of parent-to-child maltreatment (convergence), and to examine whether parents and children reported equal levels of child maltreatment (absolute differences). Direct and moderating effects of age and gender were examined as potential factors explaining differences between parent and child report. The associations between parent- and child-reported maltreatment were significant for all subtypes, but the strength of the associations was low to moderate. Moreover, children reported more parent-to-child neglect than parents did. Older participants reported more experienced maltreatment than younger participants, without evidence for differences in actual exposure. These findings support the value of multi-informant assessment of child maltreatment to improve accuracy, but also reveal the divergent perspectives of parents and children on child maltreatment.

  14. Childcare Quality and Preschoolers' Math Development

    Science.gov (United States)

    Choi, Ji Young; Dobbs-Oates, Jennifer

    2014-01-01

    This study examined the associations between four types of childcare quality (i.e. teacher-child closeness, frequency of math-related activities, and teacher education and experience) and preschoolers' residualised gain in math over the course of six months. Additionally, potential interactions between teacher-child closeness and other indicators…

  15. Obtaining the child testimony in the criminal proceedings.

    Science.gov (United States)

    Marinović, Dunja; Palijan, Tija Zarković; Marinović, Marin; Krpina, Milena Gasparović; Piglić, Iva; Nikolić, Harry

    2010-04-01

    Children fall under the special category of vulnerable witnesses. Children's vulnerability is the reason that we must approach obtaining the child's testimony in the criminal proceedings with special attention. It is important to take the child's testimony as soon as possible and to avoid the repetition of interrogation. The criminal proceedings law and the juvenile court law enable children interrogation through the professional person without the presence of other parties in the procedure and enable the recording of such interrogation by audio-video link which considerably diminish the secondary victimization. The professionals who obtain the testimony must be well acquainted with children's psychological development. Knowledge of psychological development is of major importance in order to make the quality arrangements for interrogation and to interrogate the child and to achieve positive social contact between the examiner and the examinee and it is also of great importance for the credibility evaluation of the child's testimony. The adequate way of children interrogation will enable the child to say the correct information and to recognize the perpetrator. The forensic interview is well elaborated and child adapted technique of interrogation. Respecting the rules of forensic interview will enable the child's testimony on court to be relevant evidence.

  16. Comparison of two assessment instruments of quality of life in older adults

    Directory of Open Access Journals (Sweden)

    Camila Mello dos Santos

    2013-06-01

    Full Text Available Objective: To investigate if there is convergent validity between the dimensions of the World Health Organization Quality of Life Questionnaire-Brief Version (WHOQOL-Bref and the Oral Health Impact Profile-14 (OHIP-14 questionnaire. Methods: In this cross-sectional study, a random sample of 872 elderly Southern-Brazilians was evaluated. Questionnaires assessing socio-demographic data and quality of life in general (WHOQOL-Bref and oral health-related quality of life (OHIP-14 were used. Analysis of the WHOQOL-Bref and OHIP-14 questionnaires used descriptive statistics. The dimensions of the WHOQOL-Bref and OHIP-14 questionnaires were correlated by affinity. The convergence between WHOQOL-Bref and OHIP-14 dimensions was analyzed by Spearman’s correlation coefficients. Results: The social relations dimension of the WHOQOL-Bref presented the greatest mean (18.24 ± 2.30. The physical pain dimension of the OHIP-14 presented a median of 1.0 (0.0 – 3.0. All correlations between the WHOQOL-Bref and OHIP-14 dimensions were significant, negative and associated with a low magnitude. The correlation between WHOQOL-physical and OHIP-functional limitation, OHIP-physical pain, OHIP-physical disability and OHIP-handicap were – 0.164, – 0.262, – 0.196 and – 0.125 respectively. WHOQOL-psychological was associated with OHIP-psychological discomfort and OHIP-psychological disability, and WHOQOL-social showed an association with OHIP-social disability. Conclusions: All correlations analyzed had a positive association of low magnitude. Despite the fact that the WHOQOL-Bref and OHIP-14 instruments have related dimensions, they measure physical, psychological and social relations differently.

  17. The Life Mission Theory IV. Theory on Child Development

    Directory of Open Access Journals (Sweden)

    Soren Ventegodt

    2003-01-01

    Full Text Available We can identify five important needs that children have: the need for acknowledgment, acceptance, awareness or attention, respect, and care. If these needs are not met, children will modify themselves by denying central parts of their nature in order to adjust to their parents and the situation at large. When a child denies his or her talents, powers, and gender or aspects thereof, he or she loses quality of life, the ability to function, and physical or mental health. The loss of ability takes the form of diminished social ability, psychosexual potency, joy, energy, and fantasy while playing, as well as diminished ability to concentrate, focus, and learn. Many modifications result in a child with severely damaged self-confidence, self-worth, and poor performance. A child more or less deprived of self-worth cannot enjoy, give, or receive. A child deprived of emotions turns cold, rational, asocial, socially stiff, uncomfortable, and in the extreme case…... intentionally “evil”. When a child denies his or her own sex, it becomes invisible, uninteresting, and vague or becomes like the opposite sex in behavior and appearance. The general holistic solution to the vast diversity of symptoms in children with low quality of life is to improve the situation for the child and give the child the holding and support he or she needs. It is very important to realize that a negative belief often has survival value to the child as it helps the child to avoid taking responsibility for problems, which really belong to the parents or other adults. Children have a fine capability for spontaneous healing, and seem to enter this process more easily than adults, given sufficient holding. The symptoms of children with poor thriving ability are often difficult to understand, as they are caused by a complex combination of self-modification in five existential dimensions. This often leads to complex medical diagnosis, giving the idea that the child is sick and

  18. The Role of Play in Danish Child Care

    DEFF Research Database (Denmark)

    Winther-Lindqvist, Ditte Alexandra

    2016-01-01

    of child care. To illustrate how play is a developmental activitity for children, an example of a social fantasy play episode is analysed in order to substantiate the claim: that children’s self-organised play-activities propels social development, authenticity and democratic values.......Children’s play is an immensely central part of child care in Scandinavia. This chapter describes how children’s play with peers and friends is supported by the pedagogical environment of Danish child care. It is argued that play is an existential project for children and that opportunites to play...... freely teaches children to become part of the social order, to become good friends and to solve differences through negotiation. Throughout the chapter the environment facilitating children’s play is illustrated with reference to typical Danish child care practices and research results on quality...

  19. Global Threats to Child Safety.

    Science.gov (United States)

    Mace, Sharon E

    2016-02-01

    Children have rights, as enumerated in the Declaration of the Rights of the Child, and need protection from violence, exploitation, and abuse. Global threats to child safety exist. These threats include lack of basic needs (food, clean water, sanitation), maltreatment, abandonment, child labor, child marriage, female genital mutilation, child trafficking, disasters, and armed conflicts/wars. Recent disasters and armed conflicts have led to a record number of displaced people especially children and their families. Strategies and specific programs can be developed and implemented for eliminating threats to the safety of children.

  20. Parent and Child Report of Pain and Fatigue in JIA: Does Disagreement between Parent and Child Predict Functional Outcomes?

    Directory of Open Access Journals (Sweden)

    Amy C. Gaultney

    2017-01-01

    Full Text Available While previous research in juvenile idiopathic arthritis (JIA has identified discrepancy between parent and child perception of disease-related symptoms such as pain, the significance and impact of this disagreement has not been characterized. We examined the extent to which parent-child discordance in JIA symptom ratings are associated with child functional outcomes. Linear regression and mixed effects models were used to test the effects of discrepancy in pain and fatigue ratings on functional outcomes in 65 dyads, consisting of youth with JIA and one parent. Results suggested that children reported increased activity limitations and negative mood when parent and child pain ratings were discrepant, with parent rated child pain much lower. Greater discrepancy in fatigue ratings was also associated with more negative mood, whereas children whose parent rated child fatigue as moderately lower than the child experienced decreased activity limitations relative to dyads who agreed closely on fatigue level. Implications of these results for the quality of life and treatment of children with JIA are discussed.