Moysés Simone Tetu, Moysés Samuel Jorge, Watt Richard G, Sheiham Aubrey
Rua Silveira Peixoto, Curitiba, PR, Brazil CEP 80240-120.
Health Promot Int. 2003 Sep;18(3):209-18. doi: 10.1093/heapro/dag016.
No detailed analyses have been undertaken on the effects of Health Promoting Schools on oral health status. The objective of this study was to assess whether the oral health of 12-year-old children in supportive schools, where health promoting policies had been developed, was better than that of children in non-supportive schools. A sample of 1823 12-year-old children in 33 public (government-funded) schools were selected in deprived areas of Curitiba, Brazil. Principal component analysis, multiple regression, meta-analysis and meta-regression were used in the data analysis. Schools with a comprehensive curriculum were more likely to have a higher percentage of caries-free children (beta = 6.27, p = 0.02) and fewer children with dental trauma (beta = -5.04, p = 0.02). The commitment towards health and safety at school was strongly associated with dental trauma, as 9.7% fewer children had dental trauma (p = 0.00) in schools that demonstrated a commitment towards health and safety. At the school level, mother's education and family income were independently associated with children's caries experience and dental trauma, respectively. Children in supportive schools had better oral health than those in non-supportive schools. Our results suggest that some benefit can be obtained for the improvement of the oral health of children living in deprived areas if they attend supportive schools.
尚未对健康促进学校对口腔健康状况的影响进行详细分析。本研究的目的是评估在已制定健康促进政策的支持性学校中，12岁儿童的口腔健康是否优于非支持性学校的儿童。在巴西库里蒂巴的贫困地区，从33所公立（政府资助）学校中选取了1823名12岁儿童作为样本。数据分析采用主成分分析、多元回归、荟萃分析和荟萃回归。课程全面的学校更有可能有更高比例的无龋儿童（β=6.27，p=0.02）和更少的牙外伤儿童（β=-5.04，p=0.02）。学校对健康和安全的承诺与牙外伤密切相关，因为在对健康和安全做出承诺的学校中，牙外伤儿童减少了9.7%（p=0.00）。在学校层面，母亲的教育程度和家庭收入分别与儿童的龋齿经历和牙外伤独立相关。支持性学校的儿童比非支持性学校的儿童有更好的口腔健康。我们的结果表明，如果生活在贫困地区的儿童就读于支持性学校，在改善他们的口腔健康方面可以获得一些益处。
