Division of Public Health and Community Dentistry, School of Dentistry, University of California Los Angeles, Los Angeles, California.
Department of Biostatistics, Fielding School of Public Health, University of California Los Angeles, Los Angeles, California.
Community Dent Oral Epidemiol. 2019 Dec;47(6):520-527. doi: 10.1111/cdoe.12494. Epub 2019 Oct 1.
To develop child- and parent-reported toolkits for active caries and caries experience in children and adolescents, ages 8-17.
A sample of 398 child/parent dyads recruited from 12 dental practices in Los Angeles County completed a computer-assisted survey that assessed oral health perceptions. In addition, children received a dental examination that identified the presence or absence of active caries and caries experience. A Multiple Adaptive Regression Splines model was used to identify a subset of survey items associated with active caries and caries experience. The splines and coefficients were refined by generalized cross-validation. Sensitivity and specificity for both dependent variables were evaluated.
Eleven child self-reported items were identified that had sensitivity of 0.82 and specificity of 0.45 relative to active caries. Twelve parent-reported items had a sensitivity of 0.86 and specificity of 0.50. Seven child self-reported items had a sensitivity of 0.86 and specificity of 0.34, and 11 parent-reported items had a sensitivity of 0.86 and specificity of 0.47 for caries experience.
The survey items identified here are useful in distinguishing children with and without active caries and with and without caries experience. This research presents a path towards using children's and their parents' reports about oral health to screen for clinically determined caries and caries exposure. The items identified in this study can be useful when clinical information is unavailable.
为 8-17 岁儿童和青少年开发主动龋和龋病经历的儿童和家长报告工具包。
从洛杉矶县的 12 家牙科诊所招募了 398 对儿童/家长进行了一项计算机辅助调查，该调查评估了口腔健康感知。此外，儿童接受了口腔检查，以确定是否存在活动性龋和龋病经历。使用多适应性回归样条模型确定与活动性龋和龋病经历相关的一组调查项目。通过广义交叉验证对样条和系数进行了优化。评估了两个因变量的敏感性和特异性。
确定了 11 项儿童自我报告项目，这些项目在活动性龋方面的敏感性为 0.82，特异性为 0.45。12 项家长报告项目的敏感性为 0.86，特异性为 0.50。7 项儿童自我报告项目的敏感性为 0.86，特异性为 0.34，11 项家长报告项目的敏感性为 0.86，特异性为 0.47，用于龋病经历。
这里确定的调查项目有助于区分有和没有活动性龋和有和没有龋病经历的儿童。本研究为利用儿童及其家长对口腔健康的报告来筛查临床确定的龋病和龋病暴露提供了一条途径。在临床信息不可用时，本研究中确定的项目可能很有用。
