Östberg Anna-Lena, Skeie Marit S, Skaare Anne B, Espelid Ivar
Public Dental Service, Region Västra Götaland, Skövde, Sweden.
R&D Centre, Skaraborg Primary Care, Skövde, Sweden.
Int J Paediatr Dent. 2017 Jan;27(1):47-55. doi: 10.1111/ipd.12225. Epub 2016 Jan 30.
To explore parental sociodemography, oral health habits, and attitudes in relation to dental caries increment in their children.
A longitudinal questionnaire and clinical study. The children were followed annually from age 3 years (n = 271) to 6 years (n = 243). Carious lesions of different depth were registered (initial and manifest) by four calibrated dentists. The parents filled out a questionnaire. Statistics included factor analyses, Cronbach's alpha together with bivariate and multivariate logistic regression analyses.
Most of the parents exhibited positive health behaviour and attitudes. 'Late start of toothbrushing of child' was, however, common (≥1 year; 29%) and 'external locus of control' showed a high mean value (10,1; possible range 3-15). In a multivariate model, 'parent born abroad' (OR 3.26, 95% CI 1.85-5.76) and 'parental indulgence' (OR 3.20, 95% CI 1.37-7.51) were the most important for the development of carious lesions in the children.
This study identified 'parent born abroad' and 'parental indulgence' as significant risk factors for caries in the age period 3 to 6 years. Identifying parents with the greatest need should be emphasized, in order to target promotion and prevention activities.
探讨父母的社会人口统计学特征、口腔健康习惯以及与子女龋齿增量相关的态度。
一项纵向问卷调查和临床研究。对儿童从3岁（n = 271）至6岁（n = 243）进行每年一次的跟踪调查。由四名经过校准的牙医记录不同深度的龋损（初始龋和明显龋）。父母填写一份问卷。统计分析包括因子分析、克朗巴哈系数以及双变量和多变量逻辑回归分析。
大多数父母表现出积极的健康行为和态度。然而，“孩子开始刷牙较晚”（≥1年；29%）很常见，且“外控型人格”的平均值较高（10.1；可能范围为3 - 15）。在多变量模型中，“父母出生在国外”（比值比3.26，95%置信区间1.85 - 5.76）和“父母溺爱”（比值比3.20，95%置信区间1.37 - 7.51）对儿童龋损的发展最为重要。
本研究确定“父母出生在国外”和“父母溺爱”是3至6岁儿童龋齿的重要危险因素。应强调识别出最有需求的父母，以便针对性地开展促进和预防活动。
