title: Caretaker's caries experience and its association with early childhood caries and children's oral health-related quality of life: A prospective two-generation study.
abstract: OBJECTIVE
  The first objective of this study is to examine the association between caretakers' caries experience and caries experience of their children. Second, to investigate whether children's and caretaker's caries experience is associated with oral health-related quality of life (OHRQoL) of children and their families.
  
  
  METHODS
  This study is based on the prenatal recruitment interviews and the 5-year follow-up of 417 caretaker-children pairs from the Ugandan site of the PROMISE-EBF trial conducted in Mbale, Eastern Uganda. Face-to-face interviews were conducted with caretakers at the household level. Caries experience of caretakers (DMFT >0) and children (dmft >0) were assessed in accordance with the criteria of the World Health Organization. OHRQoL was assessed using an abbreviated version of the Early Childhood Oral Health Impact Scale (ECOHIS).
  
  
  RESULTS
  Adjusted negative binomial regression analysis revealed that caretaker's caries experience was positively associated with early childhood caries of their offspring (IRR 2.0, 95% confidence interval (CI) 1.3-3.0). Children's caries experience (IRR 1.8, 95% CI 1.2-3.0), but not caries experience of caretakers, was associated with worse OHRQoL of children and their families. Caretakers who perceived good child oral health were less likely to report OHRQoL impacts (IRR 0.20, 95% CI 0.12-0.35).
  
  
  CONCLUSIONS
  Improving caretaker's caries experience and her perception of child's oral health status could improve children's caries experience and the OHRQoL of children and family. Such knowledge is important and should inform public oral health programs for young children.
authors: a Department of Clinical Dentistry , University of Bergen , Bergen , Norway.|b Department of Global Health and Primary Care , Centre for International Health, University of Bergen , Bergen , Norway.
authors: Nancy
authors: N
authors: Birungi
authors: a Department of Clinical Dentistry , University of Bergen , Bergen , Norway.|b Department of Global Health and Primary Care , Centre for International Health, University of Bergen , Bergen , Norway.
authors: Lars Thore
authors: LT
authors: Fadnes
authors: c Department of Epidemiology and Biostatics, School of Public Health, College of Health Sciences , Makerere University , Kampala , Uganda.|d Department of Global Health and Primary Care, Centre for Intervention Science in Maternal and Child Health (CISMAC) , Centre for International Health, University of Bergen , Bergen , Norway.
authors: Victoria
authors: V
authors: Nankabirwa
authors: e Department of Pediatrics and Child Health, School of Medicine, College of Health Sciences , Makerere University Kampala , Uganda.
authors: James Kashugyera
authors: JK
authors: Tumwine
authors: a Department of Clinical Dentistry , University of Bergen , Bergen , Norway.
authors: Anne Nordrehaug
authors: AN
authors: Åstrøm
mesh_terms: D001007:Anxiety / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D003731:Dental Caries / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009909:Oral Health / Q000706:statistics & numerical data*; D010146:Pain / Q000523:psychology; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D011446:Prospective Studies; D011788:Quality of Life; D012044:Regression Analysis; D018677:Tooth Injuries / Q000453:epidemiology / Q000523:psychology*; D014454:Uganda
keywords: Dental caries; dental public health; paediatric dentistry; policy; prevention