PhD Program of Biotechnology and Industry, Da-Yeh University, Dacun, Changhua, Taiwan, Republic of China.
School of Dentistry, Baiturrahmah University, Kuranji, Padang, Indonesia.
Sci Rep. 2020 Aug 11;10(1):13567. doi: 10.1038/s41598-020-70104-z.
The Indonesian family life survey (IFLS) is used for formulating various government policies. Our preliminary study using data from the IFLS showed increase in the prevalence of toothache from 2007 to 2014. Hence, a need to analyse the factors associated with toothache using structural equation modelling (SEM) for identifying the direct and indirect association of factors with toothache was evident. The objective of this study is to analyse the complex relationships between toothache and its associated risk factors. This cross-sectional study was conducted on the data obtained from the IFLS in 2014. The IFLS data pertaining to toothache and its prevalence were analysed using the STATA software, and the multifaceted relationship was analysed using SEM. The prevalence of toothache among Indonesian children was 15.55% (1,959 of 12,595). SEM showed the direct association between toothache and age (p < 0.001) and parent awareness of children's health conditions (p < 0.005) and food consumption frequency (p < 0.001). Parents' education level and residential area showed an indirect association with toothache, mediated by socio-economic status and parent awareness of children's health conditions (p < 0.001). We identified the multifaceted relationship between toothache and the social covariates. Parents' awareness of their children's health conditions mediated several indirect associations, highlighting its importance.
印度尼西亚家庭生活调查（IFLS）被用于制定各种政府政策。我们使用 IFLS 数据进行的初步研究表明，2007 年至 2014 年期间，牙痛的患病率有所增加。因此，需要使用结构方程模型（SEM）分析与牙痛相关的因素，以确定因素与牙痛之间的直接和间接关联。本研究的目的是分析牙痛与其相关危险因素之间的复杂关系。这项横断面研究是基于 2014 年 IFLS 获得的数据进行的。使用 STATA 软件分析 IFLS 中与牙痛及其流行率相关的数据，并使用 SEM 分析多方面的关系。印度尼西亚儿童的牙痛患病率为 15.55%（12595 名儿童中有 1959 名）。SEM 显示，牙痛与年龄（p<0.001）、父母对子女健康状况的认识（p<0.005）和食物消费频率（p<0.001）之间存在直接关联。父母的教育水平和居住区域通过社会经济地位和父母对子女健康状况的认识与牙痛呈间接关联（p<0.001）。我们确定了牙痛与社会协变量之间的多方面关系。父母对子女健康状况的认识通过几种间接关联起中介作用，突出了其重要性。
