Does oral health influence school performance and school attendance? A systematic review and meta-analysis

TY - JOUR

T1 - Does oral health influence school performance and school attendance? A systematic review and meta-analysis

AU - Rebelo, Maria Augusta Bessa

AU - Rebelo Vieira, Janete Maria

AU - Pereira, Juliana Vianna

AU - Quadros, Larissa Neves

AU - Vettore, Mario Vianna

N1 - Publisher Copyright: © 2018 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

PY - 2019/3

Y1 - 2019/3

N2 - Aim: To examine the evidence on the influence of oral health status on school performance and school attendance in children and adolescents. Design: A systematic review was performed in accordance with PRISMA included epidemiological studies that assessed concomitantly oral health measures, participants’ school performance and/or school attendance. Electronic search was conducted on MEDLINE, SCOPUS, Web of Science, ScienceDirect, and LILACS. Studies published up to May 2018 in any language were eligible. The risk of bias was assessed using the Newcastle-Ottawa Scale. Meta-analysis was used to obtain pooled estimates between oral health measures and school performance and school attendance. Results: Eighteen studies were included. Of them, fifteen studies were used for the meta-analyses. Most studies were assessed as moderate quality. Children with one or more decayed teeth had higher probability of poor school performance (OR = 1.44 95%CI: 1.24-1.64) and poor school attendance (OR = 1.57 95%CI: 1.08-2.05) than caries-free children. Poor parent's perception of child's oral health increased the odds of worse school performance (OR = 1.51 95%CI: 1.10-1.92) and poor school attendance (OR = 1.35 95%CI: 1.14-1.57). Conclusions: Children and adolescents with dental caries and those reporting worse oral health experience poor school performance and poor school attendance.

AB - Aim: To examine the evidence on the influence of oral health status on school performance and school attendance in children and adolescents. Design: A systematic review was performed in accordance with PRISMA included epidemiological studies that assessed concomitantly oral health measures, participants’ school performance and/or school attendance. Electronic search was conducted on MEDLINE, SCOPUS, Web of Science, ScienceDirect, and LILACS. Studies published up to May 2018 in any language were eligible. The risk of bias was assessed using the Newcastle-Ottawa Scale. Meta-analysis was used to obtain pooled estimates between oral health measures and school performance and school attendance. Results: Eighteen studies were included. Of them, fifteen studies were used for the meta-analyses. Most studies were assessed as moderate quality. Children with one or more decayed teeth had higher probability of poor school performance (OR = 1.44 95%CI: 1.24-1.64) and poor school attendance (OR = 1.57 95%CI: 1.08-2.05) than caries-free children. Poor parent's perception of child's oral health increased the odds of worse school performance (OR = 1.51 95%CI: 1.10-1.92) and poor school attendance (OR = 1.35 95%CI: 1.14-1.57). Conclusions: Children and adolescents with dental caries and those reporting worse oral health experience poor school performance and poor school attendance.

KW - adolescents

KW - children

KW - dental problems

KW - oral health

KW - school attendance

KW - school performance

UR - http://www.scopus.com/inward/record.url?scp=85055472912&partnerID=8YFLogxK

U2 - 10.1111/ipd.12441

DO - 10.1111/ipd.12441

M3 - Review

AN - SCOPUS:85055472912

SN - 0960-7439

VL - 29

SP - 138

EP - 148

JO - International Journal of Paediatric Dentistry

JF - International Journal of Paediatric Dentistry

IS - 2

ER -