Saied-Moallemi Z, Murtomaa H, Tehranchi A, Virtanen J I
Institute of Dentistry, Department of Oral Public Health, University of Helsinki, Finland.
Oral Health Prev Dent. 2007;5(4):263-9.
The present study examined associations between the oral health behaviour (OHB) of Iranian mothers and the OHB and oral health status of their children.
In 2005, two self-administered questionnaires provided data on the OHB of a random sample of 9-year-old children (n = 459) and their mothers in Tehran, Iran. Brushing frequency, use of fluoridated toothpaste and number of sugary snacks between meals served as oral self-care (OSC) assessment criteria for both. A clinical examination was performed for children at school. DMFT/dmft values, the restoration index (RI) and the unmet treatment needs index (UTN) facilitated an assessment of children's dental status and treatment. Chi-square test, bivariate correlation, and binary logistic regression model were employed in these analyses.
Mother's OSC correlated with child's OSC (r = 0.18; p < 0.01). The reported children's brushing frequency correlated with mothers' brushing frequency (r = 0.2; p < 0.01). High maternal OSC levels were associated with lower dental treatment (DT) values in children (p < 0.01). Children's RI was positively and UTN negatively associated with mothers' OSC (p < 0.01). In the model, mothers' OSC (OR = 2.1) and female gender (OR = 2.1) were associated with children's OSC, while mothers' OSC was strongly associated with DT (OR = 11.0) and RI (OR = 34.0) in children.
Higher OSC levels of the surveyed mothers were reflected positively in the oral health status and behaviour of their offspring. The potential of mothers to play a significant role in the oral health of their children should be kept in mind when developing oral health promotion programmes.
本研究调查了伊朗母亲的口腔健康行为(OHB)与其子女的OHB及口腔健康状况之间的关联。
2005年,通过两份自填式问卷收集了伊朗德黑兰9岁儿童(n = 459)及其母亲随机样本的OHB数据。刷牙频率、含氟牙膏使用情况以及餐间含糖零食数量作为二者口腔自我护理(OSC)的评估标准。在学校对儿童进行了临床检查。DMFT/dmft值、修复指数(RI)和未满足治疗需求指数(UTN)有助于评估儿童的牙齿状况和治疗情况。这些分析采用了卡方检验、双变量相关性分析和二元逻辑回归模型。
母亲的OSC与孩子的OSC相关(r = 0.18;p < 0.01)。报告的孩子刷牙频率与母亲刷牙频率相关(r = 0.2;p < 0.01)。母亲较高的OSC水平与孩子较低的牙科治疗(DT)值相关(p < 0.01)。孩子的RI与母亲的OSC呈正相关,UTN与母亲的OSC呈负相关(p < 0.01)。在模型中,母亲的OSC(OR = 2.1)和女性性别(OR = 2.1)与孩子的OSC相关,而母亲的OSC与孩子的DT(OR = 11.0)和RI(OR = 34.0)密切相关。
被调查母亲较高的OSC水平在其后代的口腔健康状况和行为中得到了积极体现。在制定口腔健康促进计划时,应考虑到母亲在孩子口腔健康方面发挥重要作用的潜力。