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孕产妇常见精神障碍症状与幼儿龋齿的关联:巴西南部一个城市的横断面研究

Maternal Common Mental Disorders symptoms influence associated with early childhood dental caries: A cross-sectional study in a southern Brazilian city.

作者信息

Andreola Beber Gomes Márcia, Polina Pereira da Costa Vanessa, Leão Goettems Marília, Sousa Azevedo Marina

机构信息

Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil.

出版信息

Int J Paediatr Dent. 2021 May;31(3):344-350. doi: 10.1111/ipd.12685. Epub 2020 Jul 20.

Abstract

BACKGROUND

Maternal mental problems can interfere with the overall health and care of the child; some oral health studies have been trying to elucidate whether there is a relationship between maternal common mental disorders (CMD) and children's oral health status.

AIM

The aim was to investigate the influence of mothers that present CMD symptoms on their child's dental caries status.

DESIGN

This cross-sectional study was carried out in Pelotas with 530 mother/child (aged 2-5 years old) dyads recruited from an epidemiological survey in August 2015 during the national vaccination campaign. A questionnaire was used to determine mother's CMD symptoms using the Self-Reporting Questionnaire (SRQ-20) and socioeconomic/demographic variables which were used for adjustment. Dental caries examination was performed. The outcome was obtained using the dmfs (decayed, missing, filled surfaces) index, based on OMS guidelines. Poisson regression with robust variance was used to estimate the risk ratio and 95% confidence interval (CI).

RESULTS

Maternal CMD was positively associated with dental caries prevalence in children; the adjusted relative risk for every 1 SRQ-20 score increase was 1.06 (95% CI 1.00-1.12).

CONCLUSIONS

Our findings suggest that maternal mental health can impair children's oral health in relation to dental caries.

摘要

背景

母亲的心理问题会干扰孩子的整体健康和照料;一些口腔健康研究一直在试图阐明母亲的常见精神障碍(CMD)与孩子的口腔健康状况之间是否存在关联。

目的

旨在调查出现CMD症状的母亲对其孩子龋齿状况的影响。

设计

这项横断面研究在佩洛塔斯进行,从2015年8月全国疫苗接种活动期间的一项流行病学调查中招募了530对母婴(2至5岁)。使用一份问卷,通过自填式问卷调查(SRQ-20)确定母亲的CMD症状以及用于调整的社会经济/人口统计学变量。进行龋齿检查。根据世界卫生组织指南,使用dmfs(龋失补牙面)指数得出结果。采用稳健方差的泊松回归来估计风险比和95%置信区间(CI)。

结果

母亲的CMD与孩子的龋齿患病率呈正相关;SRQ-20评分每增加1分,调整后的相对风险为1.06(95%CI 1.00 - 1.12)。

结论

我们的研究结果表明,母亲的心理健康在龋齿方面会损害孩子的口腔健康。

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