Nunes Vinícius Humberto, Perosa Gimol Benzaquen
Faculdade de Odontologia, Universidade Estadual de Londrina. Rod. Celso Garcia Cid Km 380, Campus Universitário. 86057-970 Londrina PR Brasil
Faculdade de Medicina de Botucatu, Universidade Estadual de São Paulo. Botucatu SP Brasil.
Cien Saude Colet. 2017 Jan;22(1):191-200. doi: 10.1590/1413-81232017221.13582015.
Dental decay affects many children, especially those from the lower socioeconomic classes. In this cross-sectional study designed to investigate the role played by sociodemographic factors, parental attitudes, and monitoring points, which are an indicator of personal perception of what controls individual health, on the prevalence of tooth decay among 5-year-old pre-school children living in a midsized city in São Paulo, Brazil. The ceo-d index of 426 children was assessed; the parents reported sociodemographic characteristics and completed two questionnaires concerning monitoring points and parental attitudes. The results show that 52.35% of the children had decay; higher levels of severe decay were observed among lower E-F socioeconomic classes. Higher socioeconomic status and low externality appear to be protective factors. Low parental internality emerged as a risk factor for decay in primary teeth, possibly because the mother expects or delegates the action to others, delaying care. Parental perceptions of control over a child's health seem to impact preventive care and, consequently, the level of tooth decay among children.
龋齿影响着许多儿童，尤其是来自社会经济地位较低阶层的儿童。在这项横断面研究中，旨在调查社会人口统计学因素、父母态度以及监测点（个人对控制自身健康因素认知的指标）对巴西圣保罗一个中等城市5岁学龄前儿童龋齿患病率的影响。对426名儿童的ceo-d指数进行了评估；父母报告了社会人口统计学特征，并完成了两份关于监测点和父母态度的问卷。结果显示，52.35%的儿童患有龋齿；在社会经济地位较低的E-F阶层中，严重龋齿的发生率更高。较高的社会经济地位和低外部性似乎是保护因素。父母低内控性成为乳牙龋齿的一个风险因素，可能是因为母亲期望或将行动委托给他人，从而延迟了护理。父母对孩子健康控制的认知似乎会影响预防保健，进而影响儿童的龋齿水平。
