早年家庭收入是否会影响日后的牙痛经历？一项为期 14 年的前瞻性研究。
Does early-life family income influence later dental pain experience? A prospective 14-year study.
机构信息
Australian Research Centre for Population Oral Health, University of Adelaide, Adelaide, South Australia, Australia.
Community Oral Health Department, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Aust Dent J. 2017 Dec;62(4):493-499. doi: 10.1111/adj.12531. Epub 2017 Jul 6.
BACKGROUND
The aim of this study was to investigate the association between early-life family income and dental pain experience from childhood to early adulthood.
METHODS
Data came from a 14-year prospective study (1991/1992-2005/2006) carried out in South Australia, which included children and adolescents aged 4-17 years (N = 9875) at baseline. The outcome was dental pain experience obtained at baseline, 14 years later in adulthood and at a middle point of time. The main explanatory variable was early-life family income collected at baseline.
RESULTS
The prevalence of dental pain was 22.8% at baseline, 19.3% at 'middle time' and 39.3% at follow up. The proportion of people classified as 'poor' at baseline was 27.7%. Being poor early in life was significantly associated with dental pain at 14-year follow up (odds ratio = 1.45; 95% confidence interval = 1.27-1.66).
CONCLUSIONS
Early-life relative poverty is associated with more frequent dental pain across the 14-year follow up and may be a key exposure variable for later dental conditions.
背景
本研究旨在探讨儿童期至成年早期早期生活家庭收入与牙痛体验之间的关联。
方法
数据来自于南澳大利亚进行的一项为期 14 年的前瞻性研究（1991/1992-2005/2006），该研究纳入了基线时年龄为 4-17 岁的儿童和青少年（N=9875）。结果是基线、14 年后成年期和中间时间点的牙痛体验。主要解释变量是基线时收集的早期生活家庭收入。
结果
基线时的牙痛患病率为 22.8%，中间时间点为 19.3%，随访时为 39.3%。基线时“贫困”人群的比例为 27.7%。童年早期贫困与 14 年后的牙痛显著相关（优势比=1.45；95%置信区间=1.27-1.66）。
结论
早期相对贫困与 14 年随访期间更频繁的牙痛有关，可能是后期牙齿状况的关键暴露变量。
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