Bedi R, Sutcliffe P, Donnan P T, McConnachie J
Paediatric Dentistry Unit, University of Birmingham, UK.
Community Dent Health. 1992 Mar;9(1):19-29.
The aim of this study was to determine the self-reported preventive oral health related behaviours of dentally anxious schoolchildren. 1103 children participated in the study, mean age 14 years (SD 0.35 years), and the prevalence of high dental anxiety was 7.1 per cent (95 per cent confidence interval = 5.6 per cent, 8.6 per cent). Children with high self reported dental anxiety were more likely to defer, cancel and or not attend dental appointments. In addition, for this group the last dental visit was more likely to be as a result of pain and less likely to have been for a dental examination only. Overall dentally anxious children did not help themselves by keeping their teeth clean. Fluorides were infrequently used by all the children, and only 12 per cent of all who participated in the study used fluoride supplements regularly. In this context it is not surprising that no differences in present or past use of fluoride supplements could be determined between high and low/moderate dental anxiety groups. The high dental anxiety group spend significantly more (median = 50p) on sweets per day and drank more cans of fizzy drinks (median = 2) compared with the low/moderate anxiety groups. These effects were significant after taking into account social class and gender differences. It was clear from the study that even when social class and gender are taken into account the children with high dental anxiety were not helped by their relatively poor attitudes towards preventing disease in their own mouths.
本研究的目的是确定牙科焦虑症学龄儿童自我报告的与预防性口腔健康相关的行为。1103名儿童参与了该研究，平均年龄14岁（标准差0.35岁），牙科高度焦虑症的患病率为7.1%（95%置信区间=5.6%，8.6%）。自我报告牙科高度焦虑的儿童更有可能推迟、取消和/或不参加牙科预约。此外，对于这一组，上次看牙更有可能是因为疼痛，而不太可能只是为了进行牙科检查。总体而言，牙科焦虑症儿童没有通过保持牙齿清洁来帮助自己。所有儿童很少使用氟化物，参与研究的儿童中只有12%经常使用氟化物补充剂。在这种情况下，在牙科高度焦虑组与低度/中度牙科焦虑组之间，无法确定目前或过去使用氟化物补充剂方面的差异也就不足为奇了。与低度/中度焦虑组相比，牙科高度焦虑组每天在糖果上的花费显著更多（中位数=50便士），喝的碳酸饮料罐数更多（中位数=2罐）。在考虑社会阶层和性别差异后，这些影响是显著的。从研究中可以清楚地看出，即使考虑到社会阶层和性别，牙科高度焦虑的儿童对预防口腔疾病的态度相对较差，这对他们没有帮助。
