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儿童龋齿患病情况与社会资本之间的关系——一项试点研究

Relationship between Dental Caries Experience and Social Capital among Children - A Pilot Study.

作者信息

Kumar Yeturu Sravan, Rakesh P S, Kalyana-Chakravarthy Pentapati, Kumar S Vijay

机构信息

Department of Public Health Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.

Centre for Public Health, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.

出版信息

Indian J Community Med. 2019 Oct;44(Suppl 1):S3-S6. doi: 10.4103/ijcm.IJCM_11_19.

Abstract

BACKGROUND

The effect of larger and distal environmental and societal factors on oral health is established and the concept of social capital (SC) is gaining importance.

AIM

The aim of the study is to evaluate the association of dental caries (DC) experience of children with parental social SC.

METHODS

A cross-sectional survey was conducted among 200 pairs of 5-12-year-old children and their parents of Kaloor (65 division), Kerala. A 30-item self-administered neighborhood SC Index questionnaire. DC of children was assessed as per the WHO guidelines.

RESULTS

The final analysis included 186 pairs of children and parents, out of which 54.8% were boys. The mean caries experience of children was 3.3 ± 3.7. A significantly higher proportion of parents rated their children as "poor oral health" in caries experienced group than caries-free group ( = 0.006). No other significant differences were found with total SC and demographic variables except for "frequency of having meal together." Regression analysis showed that trust, control, and political domains were significant with carious status. On adjusting the confounders that were significant in bivariate analysis, only control domain of the SC remained significant.

CONCLUSION

The social control domain (family members or neighbors actions that seek to correct deviant behavior) of SC was associated with caries experience of the children. Distal factors such as SC can influence the caries status of children.

摘要

背景

更大范围和更广泛的环境及社会因素对口腔健康的影响已得到证实,社会资本(SC)的概念正变得越来越重要。

目的

本研究的目的是评估儿童龋齿(DC)经历与父母社会资本之间的关联。

方法

在喀拉拉邦卡洛尔(65分区)对200对5至12岁的儿童及其父母进行了横断面调查。采用一份30项的自我管理的邻里社会资本指数问卷。根据世界卫生组织指南评估儿童的龋齿情况。

结果

最终分析纳入了186对儿童和父母,其中54.8%为男孩。儿童的平均龋齿经历为3.3±3.7。在有龋齿经历的组中,父母将孩子评为“口腔健康差”的比例显著高于无龋齿组(P = 0.006)。除了“一起用餐的频率”外,在社会资本总量和人口统计学变量方面未发现其他显著差异。回归分析表明,信任、控制和政治领域与龋齿状况显著相关。在调整双变量分析中显著的混杂因素后,只有社会资本的控制领域仍然显著。

结论

社会资本的社会控制领域(家庭成员或邻居旨在纠正越轨行为的行动)与儿童的龋齿经历相关。社会资本等远端因素可影响儿童的龋齿状况。

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