印度乌代布尔地区母亲的牙科焦虑及其对儿童龋齿经历的影响。
Maternal Dental Anxiety and its Effect on Caries Experience Among Children in Udaipur, India.
作者信息
Khawja Shabnam Gulzar, Arora Ruchi, Shah Altaf Hussain, Wyne Amjad Hassan, Sharma Anshu
机构信息
PG Student, Department of Pedodontics and Preventive Dentistry, Darshan Dental College and Hospital , Loyra, Udaipur, Rajasthan, India .
Professor and Head, Department of Pedodontics and Preventive Dentistry, Darshan Dental College and Hospital , Loyra, Udaipur, Rajasthan, India .
出版信息
J Clin Diagn Res. 2015 Jun;9(6):ZC42-5. doi: 10.7860/JCDR/2015/13647.6103. Epub 2015 Jun 1.
CONTEXT
Dental caries is a common oral disease among children. There are various factors that influence caries development. Parents and family environment influence oral health behaviours among children. Dental Anxiety is a common hindrance in seeking dental treatment. Mothers' dental anxiety may act as a barrier to seek professional advice about their children's caries experience.
AIM
To evaluate dental anxiety among mothers and its possible relationship with caries experience in their children in Udaipur city, India.
SETTING AND DESIGN
The sample was selected from those attending Darshan Dental College and Hospital, Udaipur for dental treatment. The study period was from June 2014 to November 2014.
MATERIALS AND METHODS
A cross-sectional survey was designed. A total of 187 mother-child pairs were recruited for the study. The children's age ranged from 3-14 years. Modified Dental Anxiety Scale (MDAS), Hindi version, was used to evaluate dental anxiety among the mothers that categorizes the dental anxiety into five levels. Demographic detail such as age, educational level, and family income was also collected. The World Health Organization (WHO) criteria was utilized for the diagnosis of dental caries in children. DMFT (Decayed, missing and filled teeth) and DMFS (Decayed, missing and filled surfaces) scores were then calculated.
STATISTICAL ANALYSIS
Statistical Package for Social Sciences (SPSS) version 20.0 was used to interpret data. Maternal anxiety scores taken as mean MDAS were compared with various independent variables. Statistical tests were used to compare maternal anxiety and children's caries experience. A p value equal or less than 0.05 was considered as statistically significant.
RESULTS
Almost half (49.7%) of the mothers reported as being 'fairly anxious' or 'very anxious'. There was a significant (p=.001) difference in maternal dental anxiety level in relation to age of the children. Mothers of younger children reported higher anxiety scores. Similarly, mothers with lesser education and lesser family income reported higher anxiety scores. The mean decayed score in children of very anxious mothers and phobic mothers was significantly (p=.001) higher as compared to the children of the mothers with lower anxiety levels.
CONCLUSION
There was a strong positive association between maternal dental anxiety and children's dental caries experience.
背景
龋齿是儿童常见的口腔疾病。有多种因素会影响龋齿的发展。父母及家庭环境会影响儿童的口腔健康行为。牙科焦虑是寻求牙科治疗的常见障碍。母亲的牙科焦虑可能成为就其子女龋齿经历寻求专业建议的障碍。
目的
评估印度乌代布尔市母亲的牙科焦虑及其与子女龋齿经历之间的可能关系。
设置与设计
样本选自于在乌代布尔市达尔尚牙科学院及医院接受牙科治疗的人员。研究时间段为2014年6月至2014年11月。
材料与方法
设计了一项横断面调查。共招募了187对母婴参与该研究。儿童年龄在3至14岁之间。采用印地语版改良牙科焦虑量表（MDAS）评估母亲的牙科焦虑，该量表将牙科焦虑分为五个等级。还收集了年龄、教育程度和家庭收入等人口统计学细节。采用世界卫生组织（WHO）的标准诊断儿童龋齿。然后计算龋失补指数（DMFT，即龋牙、失牙和补牙数）和龋失补牙面指数（DMFS，即龋面、失面和补牙面数）。
统计分析
使用社会科学统计软件包（SPSS）20.0版解释数据。将作为平均MDAS的母亲焦虑得分与各种独立变量进行比较。使用统计检验比较母亲焦虑与儿童龋齿经历。p值等于或小于0.05被认为具有统计学意义。
结果
几乎一半（49.7%）的母亲报告称“相当焦虑”或“非常焦虑”。母亲的牙科焦虑水平与儿童年龄存在显著差异（p = 0.001）；年龄较小儿童的母亲报告的焦虑得分更高。同样，教育程度较低和家庭收入较少的母亲报告的焦虑得分更高。与焦虑水平较低的母亲的子女相比，非常焦虑母亲和恐惧母亲的子女的平均龋坏得分显著更高（p = 0.001）。
结论
母亲的牙科焦虑与儿童的龋齿经历之间存在很强的正相关。
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