认知能力作为印度班加罗尔青少年大学生社会经济和口腔健康状况的一个决定因素

Cognitive Ability as a Determinant of Socioeconomic and Oral Health Status among Adolescent College Students of Bengaluru, India.

作者信息

Karnam Rekha Rao, Kumar Naganandini Samapth, Eshwar Shruthi, Deolia Shravani

机构信息

Senior Lecturer, Department of Public Health Dentistry, KLE Dental College and Hosiptal , Bengaluru, Karnataka, India .

Professor, Department of Public Health Dentistry, NIMS Dental College , Jaipur, Rajasthan, India .

出版信息

J Clin Diagn Res. 2016 Dec;10(12):ZC62-ZC66. doi: 10.7860/JCDR/2016/21132.9102. Epub 2016 Dec 1.

DOI:10.7860/JCDR/2016/21132.9102

PMID:28209007

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5296580/

Abstract

INTRODUCTION

Levels of oral health and economic status are unequally distributed throughout the population. Inequality has multiple causes and that the effect of Socio Economic Status (SES) and demographic factors, on oral health is mediated through several factors. Association between cognitive ability and oral health had been demonstrated in older age groups but adolescents and younger adults have received relatively little attention in this field.

AIM

To establish the role of cognitive ability as a determinant of SES and oral health status among adolescent college students of Benagluru, Karnataka, India.

MATERIALS AND METHODS

A cross-sectional study was conducted among 1000 adolescents aged 17-19 years. Six government and six private first grade colleges were selected by multi-stage random sampling. Cognitive ability was assessed using digit symbol substitution test and digit span test. Dental caries and periodontal status were recorded by extent of bleeding, presence of calculus, periodontal pockets, loss of attachments using Community Periodontal Index, decayed, missing and filled teeth surfaces using Decayed, Missing, Filled Teeth and Surfaces Index. SES status was assessed using Kuppuswamy scale. Chi-square test was used to check the association of cognitive ability with oral health indicators and SES status. Regression analysis was performed to assess the effect of cognitive ability on oral health indicators after adjusting for SES and effect of SES status on oral health indicators after adjusting for indicators of cognitive ability.

RESULTS

Significant association and negative correlation between cognitive ability and indicators for oral health was seen in the regression models. Cognitive ability attributed for nearly 30% changes in the indicators for oral health after adjusting for SES and SES attributed for nearly 25% variance in indicators for oral health after adjusting for cognitive ability.

CONCLUSION

There is a potential role of cognitive ability in SES and oral health.

摘要

引言

口腔健康水平和经济状况在整个人口中分布不均。不平等有多种原因，社会经济地位（SES）和人口因素对口腔健康的影响是通过多种因素介导的。认知能力与口腔健康之间的关联在老年人群体中已得到证实，但青少年和年轻成年人在该领域受到的关注相对较少。

目的

确定认知能力在印度卡纳塔克邦班加罗尔青少年大学生的SES和口腔健康状况决定因素中的作用。

材料与方法

对1000名17 - 19岁的青少年进行了横断面研究。通过多阶段随机抽样选择了六所政府和六所私立一年级学院。使用数字符号替换测试和数字广度测试评估认知能力。通过出血程度、牙石存在情况、牙周袋、附着丧失情况，使用社区牙周指数记录龋齿和牙周状况，使用龋失补牙面指数记录龋、失、补牙面情况。使用库普苏瓦米量表评估SES状况。采用卡方检验检查认知能力与口腔健康指标和SES状况之间的关联。在调整SES后进行回归分析，以评估认知能力对口腔健康指标的影响；在调整认知能力指标后进行回归分析，以评估SES状况对口腔健康指标的影响。