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Original Research

Program: Section on Oral Health

P2.K206: Social Determinants of Health and their Influence on Pediatric Oral Health Quality of Life

Saturday, September 28, 2024
3:00 PM – 4:00 PM EDT
Location: Poster Hall: Hyatt Regency Orlando, Plaza International Ballroom
Poster Presentations
Background: Pediatric oral health-related quality of life (POHRQoL) is correlated with oral health status, and can be collected even more easily, using survey instruments instead of requiring a trained examiner. The literature on POHRQoL continues to grow, in smaller or targeted populations, but with selected socioeconomic proxies. Few studies have had the data to assess broader genetic, social, and environmental risk factors at child, clinical, and community levels. Thus, we seek to identify factors related to POHRQoL using a large community population, with multiple clinical and behavioral components.

Methods: Data were collected from a large group, multicenter accountable care dental organization in the Pacific Northwest, serving patients with public and private insurance. Quality of life surveys were conducted with the child/youth (ages 3-17y) and/or parent, in English or Spanish. Two quality of life surveys were originally used, the POQL and CHU9D, as selected by an NIDCR-funded consortium. The clinical chart provided additional data, including demographics, health concerns and practices, and outcomes. Clinic site was known from the chart, and clinic characteristics were provided by the clinical site. Contextual data were drawn from the census. Unadjusted correlations were calculated with Kruksal-Wallis and Mann-Whitney tests; those significant at p< 0.1 were included for adjusted analyses, using Tobit (censored regression model) regression.

Results: 691 patients participated. Factors at the personal, clinic, and community levels were significant, and thus were included in the regression.

Conclusion: This may be the largest set of data used to investigate correlations with POHRQOL. The regression shows associations with POHRQOL that are actionable for pediatric and dental practices, underscoring its use in research to understand and improve children's oral health, particularly with consideration of social determinants of health.