Department of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.
Boston University Center for Antiracist Research, Boston, MA, USA.
Community Dent Oral Epidemiol. 2021 Aug;49(4):362-368. doi: 10.1111/cdoe.12610. Epub 2021 Jan 3.
To assess the efficacy of a community-based childhood obesity prevention intervention targeting Sugar-sweetened beverage (SSB) consumption on self-rated oral health among children and their parents/caregivers.
This study is a secondary analysis of data from a pilot site-randomized intervention (H GO!) targeting SSB consumption and obesity risk among children. The 6-week SSB behavioural intervention was implemented in two Massachusetts Boys and Girls Club sites that were matched for size and racial/ethnic composition. Children ages 9-12 years and their parents/caregivers were eligible to participate. Data on self-rated oral health and sociodemographics were obtained via self-report surveys at baseline, 2 and 6 months. Generalized linear mixed regression models were used to estimate 2- and 6-month change in oral health associated with the intervention.
Data are from 100 child participants (46% female; 38% Black, 20% Hispanic, 13% White, 12% Multiracial, 11% Asian) and 87 parent participants (78.2% female; 37.9% Hispanic, 29.9% Black, 14.9% Asian, 10.3% White). At baseline, 47% of child participants rated their oral health as good, followed by very good (32%), fair (11%) and excellent (10%). Among parents, 46.3% rated their oral health as good, followed by very good (29.3%), excellent (9.8%), fair (9.7%) and poor (4.9%). The intervention was associated with 2- and 6-month improvements in child participants' mean self-rated oral health scores (β = 0.78; 95% CI: 0.48, 1.087; P < .001; β = 0.98; 95% CI: 0.61, 1.34; P < .001, respectively) and with 2-month improvements in parent participants' mean self-rated oral health (β = 0.42; 95% CI: 0.016, 0.82; P = .042).
Short-term improvements in oral health among children and their parents/caregivers were observed among those participating in a SSB behavioural intervention. Community-based behavioural programmes targeting SSB consumption may be a promising approach to promote oral health as well as prevent childhood obesity.
评估一项针对含糖饮料（SSB）消费的社区为基础的儿童肥胖预防干预措施对儿童及其父母/照顾者自我报告的口腔健康的效果。
这是一项针对儿童 SSB 消费和肥胖风险的试点现场随机干预（H GO！）数据的二次分析。为期 6 周的 SSB 行为干预在两个马萨诸塞州男孩和女孩俱乐部现场实施，这些现场根据规模和种族/族裔构成进行匹配。9-12 岁的儿童及其父母/照顾者有资格参加。在基线、2 个月和 6 个月时，通过自我报告调查获得自我报告的口腔健康和社会人口统计学数据。使用广义线性混合回归模型估计与干预相关的口腔健康在 2 个月和 6 个月的变化。
数据来自 100 名儿童参与者（46%为女性；38%为黑人，20%为西班牙裔，13%为白人，12%为多种族，11%为亚裔）和 87 名家长参与者（78.2%为女性；37.9%为西班牙裔，29.9%为黑人，14.9%为亚裔，10.3%为白人）。在基线时，47%的儿童参与者将自己的口腔健康评为良好，其次是非常好（32%）、一般（11%）和优秀（10%）。在家长中，46.3%将自己的口腔健康评为良好，其次是非常好（29.3%）、优秀（9.8%）、一般（9.7%）和差（4.9%）。该干预措施与儿童参与者自我报告的口腔健康评分在 2 个月和 6 个月时的改善相关（β=0.78；95%CI：0.48，1.087；P<0.001；β=0.98；95%CI：0.61，1.34；P<0.001），与父母参与者自我报告的口腔健康在 2 个月时的改善相关（β=0.42；95%CI：0.016，0.82；P=0.042）。
在参与 SSB 行为干预的儿童及其父母/照顾者中，观察到口腔健康的短期改善。针对 SSB 消费的以社区为基础的行为方案可能是促进口腔健康和预防儿童肥胖的一种有前途的方法。
