1st Dental Clinic, Faculty of Medicine, P.J. Šafárik University in Košice and University Hospital of Luis Pasteur, Trieda SNP 1, 04011 Košice, Slovakia.
Department of Health Psychology, Faculty of Medicine, P.J. Šafárik University in Košice, Trieda SNP 1, 04011 Košice, Slovakia.
Int J Environ Res Public Health. 2019 Jul 12;16(14):2484. doi: 10.3390/ijerph16142484.
Oral health strongly affects overall health and is related to many factors. The aim of our study was to analyse oral health related behaviours (OHRBs) and gum bleeding among Slovak adolescents and assess the effect of socioeconomic factors on the outcomes.
Data from the Health Behaviour in School-aged Children study (HBSC) were used (N = 8896, age range = 10-16 years, M = 13.4; SD = 1.4; 50.9% boys). Sociodemographic and socioeconomic indicators and frequency of OHRBs (dental hygiene, toothbrush changing, preventive check-up) and gum bleeding were collected. Effects of sociodemographic and socioeconomic variables on outcome variables were analysed by binary logistic regression.
We found that prevalence of OHRBs slightly decreases with age, and worse outcomes were reported by boys compared to girls (OHRB odds ratio range 0.45-0.75, (95% C.I. range 0.40-0.91), gum bleeding 1.38 (95% C.I. 1.19-1.61), < 0.05). OHRBs were in most cases significantly associated with socioeconomic variables, lower affluence predicts worse outcomes (odds ratio range 0.76-0.88 (95% C.I. range 0.68-0.96), < 0.05).
Our study provides representative findings on ORHBs in Slovakia and shows important associations of socioeconomic factors related to adolescents' oral health issues.
口腔健康对整体健康有很大影响,与许多因素有关。我们的研究旨在分析斯洛伐克青少年的口腔健康相关行为(OHRBs)和牙龈出血情况,并评估社会经济因素对结果的影响。
本研究使用了来自健康行为在学龄儿童研究(HBSC)的数据(N=8896,年龄范围为 10-16 岁,M=13.4;SD=1.4;50.9%为男生)。收集了社会人口统计学和社会经济指标以及 OHRBs(口腔卫生、牙刷更换、预防检查)和牙龈出血的频率。采用二项逻辑回归分析社会人口统计学和社会经济变量对结果变量的影响。
我们发现,OHRBs 的流行率随着年龄的增长略有下降,且男生的结果比女生差(OHRB 比值比范围为 0.45-0.75,95%置信区间范围为 0.40-0.91),牙龈出血为 1.38(95%置信区间为 1.19-1.61),均<0.05)。OHRBs 在大多数情况下与社会经济变量显著相关,较低的富裕程度预示着较差的结果(比值比范围为 0.76-0.88,95%置信区间范围为 0.68-0.96),均<0.05)。
本研究提供了斯洛伐克 OHRBs 的代表性发现,并显示了与青少年口腔健康问题相关的社会经济因素的重要关联。