{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:37:15Z","timestamp":1787312235979,"version":"build-2736575974"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:00:00Z","timestamp":1699315200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T00:00:00Z","timestamp":1699315200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100017950","name":"Shanghai Municipal Health Commission","doi-asserted-by":"publisher","award":["20194Y0049"],"award-info":[{"award-number":["20194Y0049"]}],"id":[{"id":"10.13039\/100017950","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017950","name":"Shanghai Municipal Health Commission","doi-asserted-by":"publisher","award":["20194Y0049"],"award-info":[{"award-number":["20194Y0049"]}],"id":[{"id":"10.13039\/100017950","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017950","name":"Shanghai Municipal Health Commission","doi-asserted-by":"publisher","award":["20194Y0049"],"award-info":[{"award-number":["20194Y0049"]}],"id":[{"id":"10.13039\/100017950","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017950","name":"Shanghai Municipal Health Commission","doi-asserted-by":"publisher","award":["20194Y0049"],"award-info":[{"award-number":["20194Y0049"]}],"id":[{"id":"10.13039\/100017950","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017950","name":"Shanghai Municipal Health Commission","doi-asserted-by":"publisher","award":["20194Y0049"],"award-info":[{"award-number":["20194Y0049"]}],"id":[{"id":"10.13039\/100017950","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Oral Health"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To investigate the oral health-related quality of life (OHRQoL) and associated factors among a sample from East China with severe early childhood caries (S-ECC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 316 children with S-ECC and their parents were recruited to participate in a cross-sectional study. Children were examined for caries status using criteria proposed by World Health Organization (WHO). The accompanying parent was required to provide demographic information and complete two validated questionnaires in Chinese: the early childhood oral health impact scale (ECOHIS) and the 5-item oral health impact profile (OHIP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study had a 98.1% response rate. Finally, the data of 300 children and their parents were analyzed. Mothers cared for their children far more than fathers in the included family (78.7% mother, 21.3% father). The mean age of children was 4.1\u2009\u00b1\u20090.7 years, ranging from 3 to 5. The mean dmft score was 13.8\u2009\u00b1\u20093.8. Few (13.7%) children never had a toothache. ECOHIS scores ranged from 0 to 38, with a mean score of 16.2\u2009\u00b1\u20097.2. The mean OHIP score was 2.9\u2009\u00b1\u20092.7. The parental age, family income, residence, history of pain, the dmft scores and parents\u2019 OHIP showed associations with ECOHIS scores or domain scores (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05). The multiple regression analysis showed that the history of pain, accompanying parents\u2019 OHIP, and the dmft scores were mainly associated with ECOHIS and child impact (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05); parental age was associated with family impact (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.024).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The parent\u2019s OHRQoL was associated with the children\u2019s OHRQoL, indicating that policymakers and clinical practitioners should improve both children\u2019s and their parents\u2019 oral health. Furthermore, the caries severity and the history of dental pain impacted children\u2019s OHRQoL.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12903-023-03560-4","type":"journal-article","created":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T06:02:14Z","timestamp":1699336934000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Oral health-related quality of life and associated factors among a sample from East China with severe early childhood caries: a cross-sectional study"],"prefix":"10.1186","volume":"23","author":[{"given":"Lianyi","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shimin","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanbing","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangyun","family":"Lai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,11,7]]},"reference":[{"key":"3560_CR1","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1007\/s12098-017-2381-6","volume":"85","author":"VP Mathur","year":"2018","unstructured":"Mathur VP, Dhillon JK. Dental caries: a Disease which needs attention. Indian J Pediatr. 2018;85:202\u20136.","journal-title":"Indian J Pediatr"},{"key":"3560_CR2","first-page":"52","volume":"38","author":"American Academy of Pediatric Dentistry","year":"2016","unstructured":"American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2016;38:52\u20134.","journal-title":"Pediatr Dent"},{"key":"3560_CR3","volume-title":"Report of the Fourth National Oral Health Epidemiological Survey in China","author":"X Wang","year":"2018","unstructured":"Wang X. Report of the Fourth National Oral Health Epidemiological Survey in China. Beijing: People\u2019s Medical Publishing House; 2018."},{"key":"3560_CR4","doi-asserted-by":"publisher","first-page":"4","DOI":"10.3390\/dj5010004","volume":"5","author":"NS Kabil","year":"2017","unstructured":"Kabil NS, Eltawil S. Prioritizing the risk factors of severe early childhood caries. Dent J (Basel). 2017;5:4.","journal-title":"Dent J (Basel)"},{"key":"3560_CR5","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1038\/sj.bdj.4814259","volume":"201","author":"A Sheiham","year":"2006","unstructured":"Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006;201:625\u20136.","journal-title":"Br Dent J"},{"key":"3560_CR6","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1159\/000345534","volume":"47","author":"PA Martins-J\u00fanior","year":"2013","unstructured":"Martins-J\u00fanior PA, Vieira-Andrade RG, Corr\u00eaa-Faria P, Oliveira-Ferreira F, Marques LS, Ramos-Jorge ML. Impact of early childhood caries on the oral health-related quality of life of preschool children and their parents. Caries Res. 2013;47:211\u20138.","journal-title":"Caries Res"},{"key":"3560_CR7","first-page":"403","volume":"40","author":"\u00c2D Nora","year":"2018","unstructured":"Nora \u00c2D, da Silva Rodrigues C, de Oliveira Rocha R, Soares FZM, Minatel Braga M, Lenzi TL. Is caries associated with negative impact on oral health-related quality of life of pre-school children? A systematic review and meta-analysis. Pediatr Dent. 2018;40:403\u201311.","journal-title":"Pediatr Dent"},{"key":"3560_CR8","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1159\/000330231","volume":"45","author":"HM Wong","year":"2011","unstructured":"Wong HM, McGrath CPJ, King NM, Lo ECM. Oral health-related quality of life in Hong Kong preschool children. Caries Res. 2011;45:370\u20136.","journal-title":"Caries Res"},{"key":"3560_CR9","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/1477-7525-5-6","volume":"5","author":"BT Pahel","year":"2007","unstructured":"Pahel BT, Rozier RG, Slade GD. Parental perceptions of children\u2019s oral health: the early childhood oral health impact scale (ECOHIS). Health Qual Life Outcomes. 2007;5:6.","journal-title":"Health Qual Life Outcomes"},{"key":"3560_CR10","first-page":"270","volume":"25","author":"N Bordoni","year":"2012","unstructured":"Bordoni N, Ciaravino O, Zambrano O, Villena R, Beltran-Aguilar E, Squassi A. Early childhood oral health impact scale (ECOHIS). Translation and validation in Spanish language. Acta Odontol Latinoam. 2012;25:270\u20138.","journal-title":"Acta Odontol Latinoam"},{"key":"3560_CR11","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1111\/idh.12451","volume":"18","author":"M Contaldo","year":"2020","unstructured":"Contaldo M, Della Vella F, Raimondo E, Minervini G, Buljubasic M, Ogodescu A, Sinescu C, Serpico R. Early childhood oral health impact scale (ECOHIS): literature review and Italian validation. Int J Dent Hyg. 2020;18:396\u2013402.","journal-title":"Int J Dent Hyg"},{"key":"3560_CR12","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/1472-6831-10-4","volume":"10","author":"SE Jabarifar","year":"2010","unstructured":"Jabarifar SE, Golkari A, Ijadi MH, Jafarzadeh M, Khadem P. Validation of a Farsi version of the early childhood oral health impact scale (F-ECOHIS). BMC Oral Health. 2010;10:4.","journal-title":"BMC Oral Health"},{"key":"3560_CR13","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1186\/1472-6831-11-19","volume":"11","author":"AC Scarpelli","year":"2011","unstructured":"Scarpelli AC, Oliveira BH, Tesch FC, Le\u00e3o AT, Pordeus IA, Paiva SM. Psychometric properties of the Brazilian version of the early childhood oral health impact scale (B-ECOHIS). BMC Oral Health. 2011;11:19.","journal-title":"BMC Oral Health"},{"key":"3560_CR14","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1111\/j.1365-263X.2009.01000.x","volume":"19","author":"GHM Lee","year":"2009","unstructured":"Lee GHM, McGrath C, Yiu CKY, King NM. Translation and validation of a Chinese language version of the early childhood oral health impact scale (ECOHIS). Int J Paediatr Dent. 2009;19:399\u2013405.","journal-title":"Int J Paediatr Dent"},{"key":"3560_CR15","first-page":"65","volume":"16","author":"MY Li","year":"2015","unstructured":"Li MY, Zhi QH, Zhou Y, Qiu RM, Lin HC. Impact of early childhood caries on oral health-related quality of life of preschool children. Eur J Paediatr Dent. 2015;16:65\u201372.","journal-title":"Eur J Paediatr Dent"},{"key":"3560_CR16","doi-asserted-by":"publisher","first-page":"1997","DOI":"10.1007\/s00784-019-03063-z","volume":"24","author":"HF Jiang","year":"2020","unstructured":"Jiang HF, Qin D, He SL, Wang JH. OHRQoL changes among Chinese preschool children following dental treatment under general anesthesia. Clin Oral Investig. 2020;24:1997\u20132004.","journal-title":"Clin Oral Investig"},{"key":"3560_CR17","doi-asserted-by":"publisher","first-page":"664","DOI":"10.1186\/s12903-021-01994-2","volume":"21","author":"C Gou","year":"2021","unstructured":"Gou C, Wang Y, Yang R, Huang R, Zhang Q, Zou J. Oral health-related quality of life and parental anxiety in Chinese children undergoing dental general anesthesia: a prospective study. BMC Oral Health. 2021;21:664.","journal-title":"BMC Oral Health"},{"key":"3560_CR18","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1016\/j.jdent.2012.07.013","volume":"40","author":"M Hooley","year":"2012","unstructured":"Hooley M, Skouteris H, Boganin C, Satur J, Kilpatrick N. Parental influence and the development of dental caries in children aged 0\u20136 years: a systematic review of the literature. J Dent. 2012;40:873\u201385.","journal-title":"J Dent"},{"key":"3560_CR19","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1111\/idh.12414","volume":"17","author":"SHF Lai","year":"2019","unstructured":"Lai SHF, Wong MLW, Wong HM, McGrath CPJ, Yiu CKY. Factors influencing the oral health-related quality of life among children with severe early childhood caries in Hong Kong. Int J Dent Hyg. 2019;17:350\u20138.","journal-title":"Int J Dent Hyg"},{"key":"3560_CR20","volume-title":"Oral health surveys: basic methods","author":"World Health Organization","year":"2013","unstructured":"World Health Organization. Oral health surveys: basic methods. 5th ed. Geneva: World Health Organization.; 2013.","edition":"5"},{"key":"3560_CR21","first-page":"145","volume":"38","author":"H L\u00fc","year":"2020","unstructured":"L\u00fc H, He FM. Reliability and validity of the Chinese version of the 5-item oral health impact profile. Hua Xi Kou Qiang Yi Xue Za Zhi. 2020;38:145\u20138.","journal-title":"Hua Xi Kou Qiang Yi Xue Za Zhi"},{"key":"3560_CR22","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1111\/j.1600-0528.2010.00580.x","volume":"39","author":"J Abanto","year":"2011","unstructured":"Abanto J, Carvalho TS, Mendes FM, Wanderley MT, B\u00f6necker M, Raggio DP. Impact of oral Diseases and disorders on oral health-related quality of life of preschool children. Community Dent Oral Epidemiol. 2011;39:105\u201314.","journal-title":"Community Dent Oral Epidemiol"},{"key":"3560_CR23","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1111\/ipd.12190","volume":"26","author":"P Corr\u00eaa-Faria","year":"2016","unstructured":"Corr\u00eaa-Faria P, Paix\u00e3o-Gon\u00e7alves S, Paiva SM, Martins-J\u00fanior PA, Vieira-Andrade RP, Marques LS, Ramos-Jorge ML. Dental caries, but not malocclusion or developmental defects, negatively impacts preschoolers\u2019 quality of life. Int J Paediatr Dent. 2016;26:211\u20139.","journal-title":"Int J Paediatr Dent"},{"key":"3560_CR24","first-page":"189","volume":"20","author":"P Hescot","year":"2017","unstructured":"Hescot P. The new definition of oral health and relationship between oral health and quality of life. Chin J Dent Res. 2017;20:189\u201392.","journal-title":"Chin J Dent Res"},{"issue":"Suppl 1","key":"3560_CR25","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1159\/000351693","volume":"47","author":"MW Genderson","year":"2013","unstructured":"Genderson MW, Sischo L, Markowitz K, Fine D, Broder HL. An overview of children\u2019s oral health-related quality of life assessment: from scale development to measuring outcomes. Caries Res. 2013;47(Suppl 1):13\u201321.","journal-title":"Caries Res"},{"key":"3560_CR26","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1111\/idj.12294","volume":"66","author":"M Glick","year":"2016","unstructured":"Glick M, Williams DM, Kleinman DV, Vujicic M, Watt RG, Weyant RJ. A new definition for oral health developed by the FDI World Dental Federation opens the door to a universal definition of oral health. Int Dent J. 2016;66:322\u20134.","journal-title":"Int Dent J"},{"key":"3560_CR27","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1023\/A:1008801802877","volume":"7","author":"NC Theunissen","year":"1998","unstructured":"Theunissen NC, Vogels TG, Koopman HM, Verrips GH, Zwinderman KA, Verloove-Vanhorick SP, Wit JM. The proxy problem: child report versus parent report in health-related quality of life research. Qual Life Res. 1998;7:387\u201397.","journal-title":"Qual Life Res"},{"key":"3560_CR28","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1111\/cdoe.12035","volume":"41","author":"PF Kramer","year":"2013","unstructured":"Kramer PF, Feldens CA, Ferreira SH, Bervian J, Rodrigues PH, Peres MA. Exploring the impact of oral Diseases and disorders on quality of life of preschool children. Community Dent Oral Epidemiol. 2013;41:327\u201335.","journal-title":"Community Dent Oral Epidemiol"},{"key":"3560_CR29","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1186\/1477-7525-12-41","volume":"12","author":"S Kumar","year":"2014","unstructured":"Kumar S, Kroon J, Lalloo R. A systematic review of the impact of parental socio-economic status and home environment characteristics on children\u2019s oral health related quality of life. Health Qual Life Outcomes. 2014;12:41.","journal-title":"Health Qual Life Outcomes"},{"key":"3560_CR30","first-page":"3053","volume":"51","author":"C Ma","year":"2022","unstructured":"Ma C, Zhou X. Comprehensive evaluation and analysis of medical and health levels in all regions of China. Chongqing Med J. 2022;51:3053\u20138.","journal-title":"Chongqing Med J"},{"key":"3560_CR31","first-page":"285","volume":"21","author":"XY Sun","year":"2018","unstructured":"Sun XY, Yuan C, Wang XZ, Wang X, Feng XP, Tai BJ, Hu Y, Lin HC, Wang B, Si Y, Wang CX, Rong WS, Wang WJ, Liu XN, Zheng SG. Report of the national investigation of resources for oral health in China. Chin J Dent Res. 2018;21:285\u201397.","journal-title":"Chin J Dent Res"},{"key":"3560_CR32","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1111\/ipd.12484","volume":"29","author":"N Tinanoff","year":"2019","unstructured":"Tinanoff N, Baez RJ, Guillory CD, Donly KJ, Feldens CA, McGrath C, Phantumvanit P, Pitts NB, Seow WK, Sharkov N, Songpaisan Y, Twetman S. Early childhood caries epidemiology, aetiology, risk assessment, societal burden, management, education, and policy: global perspective. Int J Paediatr Dent. 2019;29:238\u201348.","journal-title":"Int J Paediatr Dent"},{"key":"3560_CR33","doi-asserted-by":"publisher","first-page":"524","DOI":"10.1016\/j.bodyim.2012.07.006","volume":"9","author":"EC Spiel","year":"2012","unstructured":"Spiel EC, Paxton SJ, Yager Z. Weight attitudes in 3- to 5-year-old children: age differences and cross-sectional predictors. Body Image. 2012;9:524\u20137.","journal-title":"Body Image"},{"key":"3560_CR34","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1111\/j.1365-263X.2009.00969.x","volume":"19","author":"M Wandera","year":"2009","unstructured":"Wandera M, Kayondo J, Engebretsen IM, Okullo I, Astr\u00f8m AN. Factors associated with caregivers\u2019 perception of children\u2019s health and oral health status: a study of 6- to 36-month-olds in Uganda. Int J Paediatr Dent. 2009;19:251\u201362.","journal-title":"Int J Paediatr Dent"},{"key":"3560_CR35","doi-asserted-by":"publisher","first-page":"e0130602","DOI":"10.1371\/journal.pone.0130602","volume":"10","author":"MA Clementino","year":"2015","unstructured":"Clementino MA, Gomes MC, Pinto-Sarmento TC, Martins CC, Granville-Garcia AF, Paiva SM. Perceived impact of dental pain on the quality of life of preschool children and their families. PLoS ONE. 2015;10:e0130602.","journal-title":"PLoS ONE"}],"container-title":["BMC Oral Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-023-03560-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12903-023-03560-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12903-023-03560-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,7]],"date-time":"2023-11-07T06:02:53Z","timestamp":1699336973000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcoralhealth.biomedcentral.com\/articles\/10.1186\/s12903-023-03560-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,7]]},"references-count":35,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["3560"],"URL":"https:\/\/doi.org\/10.1186\/s12903-023-03560-4","relation":{},"ISSN":["1472-6831"],"issn-type":[{"value":"1472-6831","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,7]]},"assertion":[{"value":"7 June 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 October 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 November 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures in this study were performed in accordance with the ethical standards of Shanghai Ninth People\u2019s Hospital, Shanghai Jiao Tong University School of Medicine (approval program: No. SH9H-2020-T191-1) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Written informed consent was obtained from parents before the survey.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"837"}}