Khan Afia Mahmuda, Farook Taseef Hasan, Eusufzai Sumaiya Zabin, Sharmin Mehnaj, Shohid Sabrin, Zerin Tabassum, Shahed Lameea, Hossain Sheikh Jamal, Hossain Hawlader Mohammad Delwer
Department of Public Health, North South University, Dhaka, 1229, Bangladesh.
Public Health Promotion and Development Society (PPDS), Dhaka, 1205, Bangladesh.
Health Qual Life Outcomes. 2025 May 13;23(1):51. doi: 10.1186/s12955-025-02381-z.
Children of female sex workers (FSWs) in Bangladesh grow up in a challenging socio-economic environment characterized by parental separation, substance abuse, alcoholism, and limited access to healthcare, including oral health services. This study aimed to assess the oral health-related quality of life (OHRQoL) and its associative factors among these children.
A cross-sectional study was conducted between March 2023 and February 2024 with a sample of 180 FSW mothers/institutional caregivers and their school-going children, aged 7 to 17. OHRQoL was assessed using the CPQ (Child Perception Questionnaire) for children aged 7 to 11, and the OIDP (Oral Impacts on Daily Performances) for adolescents aged 12 to 17. The Decayed, Missing and Filled Teeth (DMFT/dmft) index was used to assess dental caries, while the gingival index evaluated gingival health. The plaque index and calculus index were employed to assess plaque and calculus levels, respectively.
Among children aged 7 to 11, oral symptoms (Mean = 5.36, SD = 3.72) and functional limitations (Mean = 4.57, SD = 4.42) were the most affected parameters. For children aged 12 to 17, 78.2% reported oral impacts on their daily performances (Mean = 6.50, SD = 6.84). Caries status (β = 0.361, p = 0.001) and place of residence (β = 0.329, p = 0.032) were significantly associated with higher CPQ scores. A higher OIDP score was associated with gingivitis (β = 0.265, p = 0.035).
The study reveals that children aged 7 to 11 in Daulatdia with caries had significantly poorer OHRQoL, while gingivitis was associated with a higher OIDP score in children aged 12 to 17. OHRQoL evaluation is vital in determining the effectiveness of therapeutic and preventive measures aimed at improving the oral health of this vulnerable population. REGISTRY AND REGISTRATION NO.
The Institutional Review Board /Ethics Review Committee (IRB/ERC) of North South University reviewed and approved this study(2023/OR-NSU/IRB/0204).
孟加拉国女性性工作者的子女在充满挑战的社会经济环境中成长，其特点包括父母离异、药物滥用、酗酒以及获得医疗保健（包括口腔健康服务）的机会有限。本研究旨在评估这些儿童的口腔健康相关生活质量（OHRQoL）及其相关因素。
在2023年3月至2024年2月期间进行了一项横断面研究，样本包括180名女性性工作者母亲/机构照料者及其7至17岁的学龄儿童。使用儿童感知问卷（CPQ）评估7至11岁儿童的OHRQoL，使用日常表现口腔影响量表（OIDP）评估12至17岁青少年的OHRQoL。使用龋失补牙指数（DMFT/dmft）评估龋齿情况，使用牙龈指数评估牙龈健康状况。分别使用菌斑指数和牙石指数评估菌斑和牙石水平。
在7至11岁的儿童中，口腔症状（平均值=5.36，标准差=3.72）和功能受限（平均值=4.57，标准差=4.42）是受影响最大的参数。对于12至17岁的儿童，78.2%的人报告口腔问题对其日常表现有影响（平均值=6.50，标准差=6.84）。龋齿状况（β=0.361，p=0.001）和居住地点（β=0.329，p=0.032）与较高的CPQ得分显著相关。较高的OIDP得分与牙龈炎相关（β=0.265，p=0.035）。
研究表明，在道拉特迪亚，患有龋齿的7至11岁儿童的OHRQoL明显较差，而牙龈炎与12至17岁儿童较高的OIDP得分相关。OHRQoL评估对于确定旨在改善这一弱势群体口腔健康的治疗和预防措施的有效性至关重要。
南北大学机构审查委员会/伦理审查委员会（IRB/ERC）审查并批准了本研究（2023/OR-NSU/IRB/0204）。
