Malele-Kolisa Yolanda, Yengopal Veerasamy, Igumbor Jude, Nqcobo Cathrine B, Ralephenya Tshakane R D
Department of Community Dentistry, School of Oral Health Sciences, University of the Witwatersrand, Johannesburg.
Afr J Prim Health Care Fam Med. 2019 Jul 24;11(1):e1-e12. doi: 10.4102/phcfm.v11i1.1943.
Oral health-related quality of life (OHRQoL) is influenced by cultural and societal context. Existing OHRQoL children measurement tools have been conceptualised in high-income countries. Probing whether the factors influencing OHRQoL are context-reliant in the African setting is necessary and is the purpose of the current review.
To investigate if the factors influencing OHRQoL are context-reliant.
Seven databases were searched using search terms ('oral health'; and 'quality of life', 'health-related quality of life', 'patient-reported outcomes', 'well-being'; and 'child*', 'adolescents', 'teen*', 'youth'; and 'determinants', 'factors', 'predictors'; and 'oral health quality of life tools/instruments/scales'; and 'Africa*'). Abstracts identified were exported to a reference software manager. Three of the authors used specific selection criteria to review, firstly, 307 abstracts and, secondly, 30 full papers. Data were extracted from these papers using a pre-designed data extraction form, after which quantitative synthesis of data was performed.
Key factors influencing OHRQoL followed an existing conceptual framework where environmental and individual factors in the form of socio-economic status (SES), area of residence and children psyche status, and the presence of any oral condition other than dental caries were reported among child populations in Africa.
There is preliminary evidence to suggest an association between individual factors such as children's psyche and oral problems, excluding dental caries, and environmental determinants such as area of residence and SES in children's OHRQoL in African children. The finding that dental caries was not a key factor in child-oral health is unexpected. There seemed to be a contextual viewpoint underpinning the current OHRQoL frameworks and OHRQoL was context-reliant.
口腔健康相关生活质量（OHRQoL）受文化和社会背景的影响。现有的儿童OHRQoL测量工具是在高收入国家构思出来的。探究影响OHRQoL的因素在非洲背景下是否依赖于具体情境很有必要，这也是本综述的目的。
调查影响OHRQoL的因素是否依赖于具体情境。
使用搜索词（“口腔健康”；以及“生活质量”“健康相关生活质量”“患者报告结局”“幸福感”；以及“儿童”“青少年”“青少年”“青年”；以及“决定因素”“因素”“预测因素”；以及“口腔健康生活质量工具/仪器/量表”；以及“非洲*”）搜索了七个数据库。将识别出的摘要导出到一个参考文献管理软件中。三位作者使用特定的选择标准进行评审，首先是307篇摘要，其次是30篇全文。使用预先设计的数据提取表从这些论文中提取数据，之后进行数据的定量综合分析。
影响OHRQoL的关键因素遵循一个现有的概念框架，其中在非洲儿童群体中报告了社会经济地位（SES）、居住地区和儿童心理状态等环境和个体因素，以及除龋齿外的任何口腔状况。
有初步证据表明，在非洲儿童的OHRQoL中，诸如儿童心理和除龋齿外的口腔问题等个体因素与居住地区和SES等环境决定因素之间存在关联。龋齿不是儿童口腔健康的关键因素这一发现出人意料。当前的OHRQoL框架似乎有一个情境视角支撑，且OHRQoL依赖于具体情境。
