Fahmi Mohammed Khalil, Basha Sakeenabi, Noor Mohamed Roshan, Redwan Alaa, Alsaggaf Arwa U, Morad Majd Hashim S, Al-Thobaiti Yasser Eid
Department of Restorative Dentistry, Faculty of Dentistry, Taif University, Taif 21944, Saudi Arabia.
Department of Preventive Dentistry, Faculty of Dentistry, Taif University, Taif 21944, Saudi Arabia.
Healthcare (Basel). 2025 Apr 17;13(8):919. doi: 10.3390/healthcare13080919.
The present study aims to investigate the oral health-related quality of life (OHRQoL) among children with special needs (CSN) and children without special care needs (CWSCN) in Saudi Arabia and to explore the association between various factors, including dental caries status, sociodemographic characteristics, and behavioral factors, with OHRQoL. A cross-sectional descriptive study was conducted. A total of 773 children were examined (257 with CSN and 516 with CWSCN). OHRQoL was assessed using the Modified Oral Health Impact Profile (OHIP). Multivariable logistic regression was used to determine the relationship between the OHIP (mean score) and independent variables. Results: The mean physical impact was 2.5 ± 1.1 and 3.1 ± 1.7 among 6-11 yrs-old and 12-16-yr-old children ( = 0.021), respectively. The mean personal satisfaction score was 3.2 ± 1.7 and 2.4 ± 1.1 among CSN and CWSCN ( = 0.001), respectively. Children with special needs had a 3.11 (95% CI: 1.23-5.21, = 0.0001) times higher mean OHIP than CWSCN. Male children had a 1.87 (95% CI: 0.12-2.89, = 0.024) times higher mean OHIP than female children. Children whose parents had primary school or less education had a 1.92 (95% CI: 0.17-3.11, = 0.029) times higher mean OHIP than those whose parents had intermediate or higher education. The present study showed that children with special needs had a poor OHRQoL with high mean physical impact, pain, and psychological impact scores compared to CWSCN. A strong association was observed between poor OHRQoL and parental education status, poor oral hygiene practices, and use of non-fluoridated toothpaste.
本研究旨在调查沙特阿拉伯有特殊需求儿童（CSN）和无特殊护理需求儿童（CWSCN）的口腔健康相关生活质量（OHRQoL），并探讨包括龋齿状况、社会人口学特征和行为因素在内的各种因素与OHRQoL之间的关联。开展了一项横断面描述性研究。共检查了773名儿童（257名CSN儿童和516名CWSCN儿童）。使用改良口腔健康影响量表（OHIP）评估OHRQoL。采用多变量逻辑回归确定OHIP（平均得分）与自变量之间的关系。结果：6至11岁和12至16岁儿童的平均身体影响分别为2.5±1.1和3.1±1.7（P = 0.021）。CSN儿童和CWSCN儿童的平均个人满意度得分分别为3.2±1.7和2.4±1.1（P = 0.001）。有特殊需求的儿童平均OHIP比CWSCN儿童高3.11倍（95%CI：1.23 - 5.21，P = 0.0001）。男性儿童的平均OHIP比女性儿童高1.87倍（95%CI：0.12 - 2.89，P = 0.024）。父母受教育程度为小学及以下的儿童平均OHIP比父母受教育程度为初中及以上的儿童高1.92倍（95%CI：0.17 - 3.11，P = 0.029）。本研究表明，与CWSCN儿童相比，有特殊需求的儿童OHRQoL较差，身体影响、疼痛和心理影响平均得分较高。观察到OHRQoL差与父母教育状况、不良口腔卫生习惯和使用非含氟牙膏之间存在密切关联。
