Ostberg A L, Lindblad U, Halling A
Public Dental Services, Skövde, Sweden.
Community Dent Health. 2003 Sep;20(3):159-64.
To investigate self-perceived oral health and its associations with family characteristics and parental employment status in an adolescent population from a gender perspective.
A cross-sectional study using self-reported questionnaires answered anonymously in classrooms.
All senior (13-15 years) and upper secondary (16-18 years) level schools in Skaraborg County, Sweden.
17,035 students, participation rate 88.5%.
A single-item rating of self-perceived oral health; satisfaction with the appearance of the teeth; self-assessed gingival bleeding; a perceived oral health index.
Independent of family characteristics and parental employment status, girls, more often than boys, perceived their oral health to be good and had less self-assessed gingival bleeding but were less satisfied with the appearance of their teeth. Adolescents living with a single mother (senior level odds ratios OR 0.71 [Confidence Interval CI 0.59,0.84], upper secondary level OR 0.76 [CI 0.62,0.92]) or with neither parent were less likely to perceive their oral health as good when single-item rated and reported more gingival bleeding (living with a single mother: senior level OR 1.37 [CI 1.20.1.57], upper secondary level OR 1.51 [CI 1.28,1.77]) than those who lived with both parents, while adolescents who lived with a single father did not. Associations between parental employment status and self-perceived oral health were weak and inconsistent.
Family characteristics were important for adolescents' self-perceived oral health while parental employment status was not. Children living in single-parent households should be supported and recognised in strategies for oral health promotion and prevention. Gender differences should also be taken into consideration.
从性别角度调查青少年群体自我认知的口腔健康状况及其与家庭特征和父母就业状况的关联。
一项横断面研究，采用在课堂上匿名作答的自我报告问卷。
瑞典斯卡纳堡县所有高中（13 - 15岁）和高中以上（16 - 18岁）学校。
17035名学生，参与率88.5%。
自我认知口腔健康的单项评分；对牙齿外观的满意度；自我评估牙龈出血情况；口腔健康感知指数。
独立于家庭特征和父母就业状况，女孩比男孩更常认为自己口腔健康良好，自我评估的牙龈出血较少，但对牙齿外观的满意度较低。与父母双方同住的青少年相比，与单亲母亲同住（高中水平优势比OR 0.71 [置信区间CI 0.59,0.84]，高中以上水平OR 0.76 [CI 0.62,0.92]）或无父母陪伴的青少年在单项评分时认为自己口腔健康良好的可能性较小，且报告的牙龈出血较多（与单亲母亲同住：高中水平OR 1.37 [CI 1.20,1.57]，高中以上水平OR 1.51 [CI 1.28,1.77]），而与单亲父亲同住的青少年则不然。父母就业状况与自我认知口腔健康之间的关联微弱且不一致。
家庭特征对青少年自我认知的口腔健康很重要，而父母就业状况则不然。在口腔健康促进和预防策略中，应支持和关注单亲家庭的儿童。同时也应考虑性别差异。
