Freire Maria do Carmo Matias, Corrêa-Faria Patrícia, Costa Luciane Rezende
Universidade Federal de Goiás. Faculdade de Odontologia. Departamento de Saúde Oral. Goiânia, GO, Brasil.
Universidade Federal de Goiás. Faculdade de Odontologia. Programa de Pós-Graduação em Odontologia. Goiânia, GO, Brasil.
Rev Saude Publica. 2018 Apr 9;52:30. doi: 10.11606/S1518-8787.2018052000093.
To investigate the impact of dental pain on daily performances among five-year-old Brazilian children.
The study used data of 7,280 five-year-old children participating in the 2010 Brazilian Oral Health Survey (SBBrasil 2010 Project). Children were clinically examined and their parents or carers were interviewed at their homes. The outcome was the prevalence of the oral impacts on daily performance, and the explanatory variable was dental pain in the last six months. Other independent variables were children's gender and skin color/race, family income, household overcrowding, and caries experience (dmft). Rao-Scott test and Poisson regression for complex samples were carried out.
The prevalence of impacts on daily performances was 26.1% (95%CI 22.3-30.2). Significant associations were found between the outcome and pain, caries experience, and sociodemographic variables. After adjusting for the independent variables, only pain and caries remained significant. Impacts on daily performances were more frequent among children with pain (PR = 1.14, 95%CI 1.06-1.23) compared to those without pain. Children with low dmft (PR = 1.90, 95%CI 1.39-2.60) and those with high dmft (PR = 3.53, 95%CI 2.78-4.49) had a higher prevalence of impact than those with no caries experience.
Dental pain and caries had strong negative impacts on the five-year-old children's daily performances regardless of their demographic and socioeconomic characteristics.
调查牙齿疼痛对巴西五岁儿童日常行为表现的影响。
本研究使用了参与2010年巴西口腔健康调查(SBBrasil 2010项目)的7280名五岁儿童的数据。对儿童进行临床检查,并在其家中对其父母或照顾者进行访谈。结果变量是口腔问题对日常行为表现的影响发生率,解释变量是过去六个月内的牙齿疼痛。其他自变量包括儿童的性别、肤色/种族、家庭收入、家庭拥挤程度和龋齿经历(dmft)。进行了复杂样本的Rao-Scott检验和泊松回归分析。
日常行为表现受影响的发生率为26.1%(95%置信区间22.3 - 30.2)。在结果与疼痛、龋齿经历和社会人口统计学变量之间发现了显著关联。在对自变量进行调整后,只有疼痛和龋齿仍然具有显著性。与无疼痛的儿童相比,有疼痛的儿童日常行为表现受影响的情况更频繁(PR = 1.14,95%置信区间1.06 - 1.23)。dmft低的儿童(PR = 1.90,95%置信区间1.39 - 2.60)和dmft高的儿童(PR = 3.53,95%置信区间2.78 - 4.49)比无龋齿经历的儿童受影响的发生率更高。
无论五岁儿童的人口统计学和社会经济特征如何,牙齿疼痛和龋齿对他们的日常行为表现都有强烈的负面影响。