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伊朗南部 2-5 岁儿童口腔健康相关生活质量的预测因素。

Predictors of oral health-related quality of life in 2-5 year-old children in the South of Iran.

机构信息

Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Research Center of Prevention and Epidemiology of Non-Communicable Disease, Department of Biostatistics and Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

出版信息

Health Qual Life Outcomes. 2020 Dec 11;18(1):384. doi: 10.1186/s12955-020-01587-7.

Abstract

BACKGROUND

Dental and oral diseases can have negative impacts on children's quality of life. The aim of this study was to determine the predictors of oral health-related quality of life (OHRQoL) in the children aged 2-5 years old.

MATERIALS AND METHODS

A total number of 288 children aged between 2 and 5 years were selected and stratified by gender from three community health centres located in the city of Jahrom, south of Fars Province, Iran. The data collection tool was a researcher-made questionnaire whose validity and reliability was confirmed. The questionnaire was completed by parents/caregivers of the children. A multiple linear regression analysis was performed with quality of life as the dependent variable and, based on covariance structural analysis, evaluated the goodness of fit of the resulting structural equations models.

RESULTS

The results showed that predisposing factors with a coefficient of 0.0457 (p = 0.015) and reinforcing factors ones with a coefficient of 0.2748 (p < 0.001) were correlated with the oral health behaviours. Moreover, there was a relationship between such behaviours with a coefficient of 0.1612 (p < 0.001) and oral health status and the given status with a coefficient - 0.9714 was correlated with OHRQoL (p < 0.001). Based on the covariance structural analysis, the resulting model was found to exhibit a reasonable goodness of fit.

CONCLUSION

The predictors of the children's OHRQoL included predisposing, strengthening, oral health behaviours and oral health status. Therefore, planning to enhance supportive family behaviours and to boost predisposing factors including knowledge, attitudes, perceived benefits, and self-efficacy in parents and their oral health behaviours is recommended.

摘要

背景

口腔疾病会对儿童的生活质量产生负面影响。本研究旨在确定 2-5 岁儿童口腔健康相关生活质量(OHRQoL)的预测因素。

材料与方法

从伊朗法尔斯省南部 Jahrom 市的三个社区卫生中心,按照性别对 2-5 岁的 288 名儿童进行分层抽样。数据收集工具是一个由研究人员制作的问卷,其有效性和可靠性已得到证实。该问卷由儿童的父母/照顾者填写。使用多元线性回归分析,将生活质量作为因变量,并根据协方差结构分析评估所得结构方程模型的拟合优度。

结果

结果表明,具有 0.0457 系数(p=0.015)的倾向因素和具有 0.2748 系数(p<0.001)的增强因素与口腔健康行为相关。此外,口腔健康行为与口腔健康状况之间存在相关性,其系数为 0.1612(p<0.001),而给定状况的系数为-0.9714,与 OHRQoL 相关(p<0.001)。根据协方差结构分析,所得模型表现出合理的拟合优度。

结论

儿童 OHRQoL 的预测因素包括倾向因素、增强因素、口腔健康行为和口腔健康状况。因此,建议计划增强支持性家庭行为,并提高父母的知识、态度、感知益处、自我效能感等倾向因素,以及他们的口腔健康行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb69/7730757/13863d457ade/12955_2020_1587_Fig1_HTML.jpg

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