Finlayson T L, Asgari P, Dougherty E, Tadese B K, Stamm N, Nunez-Alvarez A
Graduate School of Public Health, San Diego State University.
Institute for Behavioral and Community Health.
Community Dent Health. 2018 May 30;35(2):89-94. doi: 10.1922/CDH_4201Finlayson06.
To identify associations between child, caregiver, and family-level factors and child dental utilization.
Cross-sectional oral health survey.
Caregivers and one study child (ages 0-17) from Mexican migrant families in northern San Diego county, CA (n=142).
Caregivers reported on child's dental care utilization history and related factors, including: child (age, gender, dental insurance, source of care, believed to have cavities), caregiver (marital status, income, education, acculturation level, depressive symptoms), and family cohesion. Descriptive and logistic regression models identified predisposing, enabling, and need factors associated with child dental utilization during the past year.
Most (76%) children had visited the dentist in the past year, while 8.6% had never been. Child factors (gender, insurance), caregiver factors (education, depressive symptoms), and family cohesion were each associated with child dental utilization in the bivariate analyses. In the final adjusted model, uninsured children were less likely to have a past year dental visit compared to insured children (Odds Ratio (OR) = 0.23, 95% Confidence Interval (CI) = 0.06-0.96). Children whose caregivers visited the dentist were 4.29 times more likely to visit the dentist in the past year (CI=1.36-13.61). Higher caregiver education was positively associated with child dental utilization (OR=4.50, CI=1.50-13.55).
Child age and dental insurance, and caregiver education and dental utilization history were associated with whether or not a child had a past year dental visit. Ensuring child dental coverage and caregiver access to dental care may promote regular dental utilization by children.
确定儿童、照料者及家庭层面的因素与儿童牙科就诊率之间的关联。
横断面口腔健康调查。
来自加利福尼亚州圣地亚哥县北部墨西哥移民家庭的照料者及一名研究儿童（0 - 17岁）（n = 142）。
照料者报告儿童的牙科护理利用史及相关因素，包括：儿童（年龄、性别、牙科保险、护理来源、认为有龋齿情况）、照料者（婚姻状况、收入、教育程度、文化适应水平、抑郁症状）以及家庭凝聚力。描述性和逻辑回归模型确定了过去一年中与儿童牙科就诊率相关的易患因素、促成因素和需求因素。
大多数（76%）儿童在过去一年看过牙医，而8.6%的儿童从未看过。在双变量分析中，儿童因素（性别、保险）、照料者因素（教育程度、抑郁症状）和家庭凝聚力均与儿童牙科就诊率相关。在最终调整模型中，与参保儿童相比，未参保儿童在过去一年看牙医的可能性较小（优势比（OR）= 0.23，95%置信区间（CI）= 0.06 - 0.96）。照料者看过牙医的儿童在过去一年看牙医的可能性是其他儿童的4.29倍（CI = 1.36 - 13.61）。照料者较高的教育程度与儿童牙科就诊率呈正相关（OR = 4.50，CI = 1.50 - 13.55）。
儿童年龄和牙科保险，以及照料者的教育程度和牙科就诊史与儿童在过去一年是否看过牙医有关。确保儿童牙科保险覆盖范围以及照料者能够获得牙科护理可能会促进儿童定期进行牙科就诊。
