de Paula Janice Simpson, Ambrosano Glaucia Maria Bovi, Mialhe Fábio Luiz
Oral Health Prev Dent. 2015;13(3):219-26. doi: 10.3290/j.ohpd.a32672.
To examine the impact of oral disorders, socioenvironmental factors and subjective perceptions on children's school performance.
The sample of 515 12-year-old children was randomly selected by conglomerate analysis. The children were clinically evaluated (DMFT index, bleeding on probing and DAI index) and asked to complete the questionnaire about family environment, self-perception of health status, oral health-related quality of life (OHRQoL) and school (questions in Child Perceptions Questionnaire - CPQ11-14). A questionnaire about socioeconomic status and perceptions about their children's health was sent to the parents. School performance was measured.
In a multivariate logistic model, the following variables remained statistically significant when associated with adolescents' poor school performance in the final model: number of people living in household, household overcrowding, parental perceptions about their children's oral health, presence of carious lesions and a question from CPQ11-14 about difficulty in paying attention in class because of their teeth, lips, jaws or mouth.
The results of this study showed that socioenvironmental factors, subjective perceptions and oral health status of children - particularly carious lesions, have an important impact on school performance, demonstrating the need for planning public health dentistry based on intersectoral public policies.
研究口腔疾病、社会环境因素和主观认知对儿童学业成绩的影响。
通过整群分析随机选取515名12岁儿童作为样本。对儿童进行临床评估(DMFT指数、探诊出血和DAI指数),并要求他们完成关于家庭环境、健康状况自我认知、口腔健康相关生活质量(OHRQoL)和学校情况(儿童认知问卷 - CPQ11 - 14中的问题)的问卷。向家长发放一份关于社会经济地位以及对子女健康认知的问卷。对学业成绩进行测量。
在多变量逻辑模型中,以下变量在最终模型中与青少年学业成绩不佳相关时仍具有统计学意义:家庭居住人数、家庭拥挤程度、家长对子女口腔健康的认知、龋损的存在以及CPQ11 - 14中一个关于因牙齿、嘴唇、颌骨或口腔问题导致课堂注意力难以集中的问题。
本研究结果表明,儿童的社会环境因素、主观认知和口腔健康状况——尤其是龋损,对学业成绩有重要影响,这表明需要基于跨部门公共政策制定公共卫生牙科计划。