Original Research

Validation of the Child-Oral-Health-Impact-Profile among adolescents in Johannesburg: A cross-sectional study

Yolanda Malele-Kolisa, Innocent Maposa, Veerasamy Yengopal, Jude Igumbor
African Journal of Primary Health Care & Family Medicine | Vol 15, No 1 | a3993 | DOI: https://doi.org/10.4102/phcfm.v15i1.3993 | © 2023 Yolanda Malele-Kolisa, Innocent Maposa, Veerasamy Yengopal, Jude Igumbor | This work is licensed under CC Attribution 4.0
Submitted: 19 January 2023 | Published: 25 October 2023

About the author(s)

Yolanda Malele-Kolisa, Department of Community Dentistry, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Innocent Maposa, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Veerasamy Yengopal, Department of Community Dentistry, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Jude Igumbor, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

Abstract

Background: Oral health-related quality of life (OHRQol) is described as the effect of oral conditions on the overall functioning and well-being of individuals.

Aim: This study sought to determine the validity of a modified-child oral health impact profile (M-COHIP) among adolescents living with the human immunodeficiency virus (HIV) infection (ALHIV) and HIV-undiagnosed adolescents and establish the factors influencing OHRQoL among adolescents in central Johannesburg.

Setting: Schools and HIV wellness centre in central Johannesburg.

Methods: An interviewer-administered questionnaire was applied, followed by an oral examination.

Results: A total of 504 adolescents were included in the study. The overall mean decayed teeth for permanent dentition was 1.6 (standard deviation [s.d.]: 1.99) and caries prevalence was 62.2% (n = 309). The tool’s Cronbach’s alpha was 0.88. The item-rest correlations were from 0.6 to 0.85 for all items. The initial exploratory factor analysis explained 76% of the total variance. The overall M-COHIP score was 59.6 (18.2). The overall modified-COHIP scores for those not in care (schools) were higher [62.88] than those of ALHIV. The poor M-COHIP scores were associated with reporting toothache, having active decay, poor oral health-self-rating, and being selected from the school site (p < 0.005).

Conclusion: The validation study supports the use of the tool as a reliable and valid measure of OHRQoL. Future research can investigate the extent to which the tool is effective in measuring treatment outcomes and patient satisfaction.

Contribution: The validated tool will be beneficial in the African context for programme assessments and overall measure of quality-of-life impacts from oral conditions.


Keywords

oral health-related quality of life; adolescents; HIV; self-rated-oral-health; untreated caries; patient-reported-outcomes.

Sustainable Development Goal

Goal 3: Good health and well-being

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