马来西亚 11-12 岁原住民儿童的口腔健康相关生活质量。
Oral health-related quality of life among 11-12 year old indigenous children in Malaysia.
机构信息
Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, University of Malaya, 50603, Kuala Lumpur, Malaysia.
Department of Community Oral Health & Clinical Prevention, Faculty of Dentistry, University of Malaya, 50603 Kuala Lumpur, Malaysia.
出版信息
BMC Oral Health. 2019 Jul 15;19(1):152. doi: 10.1186/s12903-019-0833-2.
BACKGROUND
Poor oral health among Malaysian indigenous Orang Asli (OA) children may impact on their daily performances.
AIM
To assess the oral health status, related behaviours, and oral health-related quality of life (OHRQoL) among OA children in Cameron Highlands (CH), Malaysia, and to identify the predictor(s) for poor OHRQoL.
DESIGN
This was a cross-sectional study involving 249, 11-12 year old OA children from 4 OA primary schools in CH. The children completed a self-administered questionnaire comprising information on socio-demographics, oral health-related behaviours, and the Malay Child Oral Impacts on Daily Performances (Malay Child-OIDP) index followed by an oral examination. Data were entered into the SPSS version 23.0 software. Non-parametric tests and multiple logistic regression were used for data analysis.
RESULTS
The response rate was 91.2% (n = 227/249). The prevalence of caries was 61.6% (mean DMFT = 1.36, mean dft = 1.01) and for gingivitis was 96.0%. Despite the majority reported brushing their teeth ≥ 2x/day (83.7%) with fluoride toothpaste (80.2%), more than two-thirds chewed betel nut ≥ 1/day (67.4%). Majority of the children (97.8%) had a dental check-up once a year. Nearly three-fifths (58.6%) reported experiencing oral impacts on their daily performances in the past 3 months (mean score = 5.45, SD = 8.5). Most of the impacts were of "very little" to "moderate" levels of impact intensity with 90.2% had up to 4 daily performances affected. Most of the impacts were on eating (35.2%), cleaning teeth (22.0%) and relaxing activities (15.9%). Caries in primary teeth is associated with oral impacts among the OA children.
CONCLUSIONS
The 11-12 year old OA children in Cameron Highland had high prevalence of caries and gingivitis with the majority chewed betel nut regularly. Caries in primary teeth is associated with poor OHRQoL. Future programmes should target younger age group children to promote positive oral hygiene practices, reduce caries, and improve quality of life.
背景
马来西亚土著原住民（Orang Asli，简称 OA）儿童的口腔健康状况较差，可能会影响他们的日常表现。
目的
评估马来西亚金马仑高原（Cameron Highlands，简称 CH）OA 儿童的口腔健康状况、相关行为以及口腔健康相关生活质量（Oral Health-Related Quality of Life，简称 OHRQoL），并确定导致 OHRQoL 较差的预测因素。
设计
这是一项横断面研究，涉及来自 CH 4 所 OA 小学的 249 名 11-12 岁 OA 儿童。这些儿童完成了一份自我管理问卷，其中包括社会人口统计学信息、口腔健康相关行为以及马来儿童口腔日常活动影响评估量表（Malay Child Oral Impacts on Daily Performances，简称 Malay Child-OIDP）指数，随后进行口腔检查。数据输入 SPSS 版本 23.0 软件进行分析。使用非参数检验和多因素逻辑回归进行数据分析。
结果
应答率为 91.2%（n=227/249）。龋齿患病率为 61.6%（平均 DMFT=1.36，平均 dft=1.01），牙龈炎患病率为 96.0%。尽管大多数儿童报告每天刷牙≥2 次（83.7%）并使用含氟牙膏（80.2%），但超过三分之二的儿童每天咀嚼槟榔≥1 次（67.4%）。大多数儿童（97.8%）每年进行一次牙科检查。近五分之三（58.6%）的儿童在过去 3 个月内报告口腔对日常表现有影响（平均得分=5.45，标准差=8.5）。大多数影响的强度为“略有”到“中度”，90.2%的儿童每天有多达 4 项日常活动受到影响。大多数影响发生在进食（35.2%）、清洁牙齿（22.0%）和放松活动（15.9%）。儿童乳牙龋齿与 OA 儿童的口腔影响有关。
结论
金马仑高原 11-12 岁的 OA 儿童龋齿和牙龈炎患病率较高，大多数儿童经常咀嚼槟榔。儿童乳牙龋齿与较差的 OHRQoL 有关。未来的计划应针对年龄较小的儿童，以促进积极的口腔卫生习惯、减少龋齿，并提高生活质量。
Zotero 插件