儿童口腔健康相关行为与照顾者的综合感知能力之间的关系。
Relationship between children's oral health-related behaviors and their caregiver's sense of coherence.
机构信息
Department of Preventive Dentistry, Guanghua School of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, 56 Ling Yuan Road West, Guangzhou, Guangdong Province, China.
出版信息
BMC Public Health. 2013 Mar 19;13:239. doi: 10.1186/1471-2458-13-239.
BACKGROUND
Sense of coherence (SOC) is hypothesized to be an important psychological factor that enables people to cope with stressors and successfully maintain and improve health. Mother's SOC has been shown to be an important psychological factor associated with oral health and oral health-related behaviors of adolescents and 11- to 12-year-old children. However, little is known about the relationship between the caregiver's SOC and oral health-related behaviors of the preschool children. The objective of this study was to investigate the relationship between oral health-related behaviors of 5-year-old children in Southern China and SOC of their caregiver.
METHODS
A cross-sectional study was conducted in a randomized sample of 1332 children aged 5 years and their caregivers in Guangzhou, Southern China. Data were collected through questionnaires completed by the caregivers. The Chinese short version of Antonovsky's SOC scale (13 items) was employed to assess the caregiver's SOC. The outcome variables were the child's oral health-related behaviors, including frequency of sugary snack intake, toothbrushing frequency, utilization of dental service, and pattern of dental visits. Multiple logistic regression was used to analyze the relationship between the variables.
RESULTS
No association was found between the children's sugary snack intake and the mother's or the father's SOC. After adjustment for other significant factors related to the child's oral health-related behaviors, 8.9% of the children whose grandparents (as caregivers) had higher SOC scores had a lower frequency of sugary snack intake, compared with the children whose grandparents had lower SOC scores (OR = 0.61, 95% CI = 0.50-0.73, p = 0.008). The other measures of oral health-related behaviors of the child were not significantly associated with the caregiver's SOC.
CONCLUSION
Sugary snack intake behavior of the 5-year-old children was not associated with the mother's or the father's SOC. It was associated with the SOC of their grandparents, who are a small group of the caregivers in China.
背景
社会适应能力（SOC）被假设为一种重要的心理因素，它使人们能够应对压力源，并成功地维持和改善健康。母亲的 SOC 已被证明是与青少年和 11-12 岁儿童的口腔健康和口腔健康相关行为相关的重要心理因素。然而，对于照顾者的 SOC 与学龄前儿童口腔健康相关行为之间的关系知之甚少。本研究的目的是调查中国南方 5 岁儿童的口腔健康相关行为与照顾者 SOC 之间的关系。
方法
在广州进行了一项横断面研究，随机抽取了 1332 名 5 岁儿童及其照顾者作为研究对象。数据通过照顾者填写的问卷收集。采用中文版 Antonovsky 的 SOC 量表（13 项）评估照顾者的 SOC。因变量为儿童的口腔健康相关行为，包括含糖零食摄入频率、刷牙频率、使用牙科服务和看牙医的模式。采用多因素逻辑回归分析变量之间的关系。
结果
儿童的含糖零食摄入量与母亲或父亲的 SOC 之间没有关联。在调整了与儿童口腔健康相关行为相关的其他重要因素后，与祖父母（作为照顾者） SOC 评分较高的儿童相比，祖父母 SOC 评分较低的儿童含糖零食摄入量较低的比例为 8.9%（OR=0.61，95%CI=0.50-0.73，p=0.008）。儿童的其他口腔健康相关行为指标与照顾者的 SOC 无显著关联。
结论
5 岁儿童的含糖零食摄入量与母亲或父亲的 SOC 无关。与祖父母的 SOC 有关，而祖父母在中国是一个小的照顾者群体。
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