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J Dent Res 85(3):257-261, 2006
© 2006 International and American Associations for Dental Research

RESEARCH REPORT
Clinical

How Do Factors at Different Stages of the Lifecourse Contribute to Oral-health-related Quality of Life in Middle Age for Men and Women?

J. Mason1, M.S. Pearce2,*, A.W.G. Walls1, L. Parker2, and J.G. Steele1

1 School of Dental Sciences, University of Newcastle upon Tyne, UK; and
2 Paediatric and Lifecourse Epidemiology Research Group, Child Health (School of Clinical Medical Sciences), University of Newcastle upon Tyne, UK

* corresponding author, Sir James Spence Institute, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, UK; M.S.Pearce{at}ncl.ac.uk

The relative contributions of factors operating in fetal life, childhood, and adulthood to the risk of disease in middle age have become important research issues, but self-perceived oral health has rarely been considered in this context. This study investigated the impact of risk factors operating throughout life on self-perceived oral health, according to the Oral Health Impact Profile (OHIP), at age 50 yrs in 305 individuals from the Newcastle Thousand Families cohort. Factors from early and adult life contributed to the OHIP scores, but in men, self-perceived oral health was mostly explained by factors operating early in life. In women, the number of teeth retained in adulthood had a more prominent impact. Lifecourse influences on oral-health-related quality of life appear different for men and women, which may have implications for the effectiveness of public health interventions and health promotion.

KEY WORDS: cohort • epidemiology • oral-health-related quality of life • socio-economic status • teeth






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