Department of Pediatric Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
School of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
Int J Environ Res Public Health. 2021 Jan 4;18(1):319. doi: 10.3390/ijerph18010319.
Environmental tobacco smoke (ETS) has been linked to behavioral problems, but no study has assessed its relationship with dental anxiety. Therefore, this study's goal is to assess the relation between ETS and both behavioral problems and dental anxiety among children.
The study sample was collected from two centres in Jeddah from October 2019 to January 2020. Inclusion criteria included healthy 5-16-year-old children having their first dental visit with no emergency complaint. The questionnaire including general information, ETS exposure, the child's anxiety using the Abeer Children Dental Anxiety Scale (ACDAS) and dental behavior using the Frankl Behavioral Rating Scale.
Of 500 children, 337 (67.4% response rate) responded to the questionnaire, among whom 201 (59.6%) had been exposed to passive smoking compared to 136 (40.4%) who had not. Exposed children had a statistically significantly greater tendency to develop anxiety ( = 0.002) and demonstrate uncooperative behavior ( = 0.006). Generalized linear mode and binary regression analyses suggested that ETS has a statistically significant effect on children's dental anxiety and behavior ( < 0.05).
Children exposed to ETS demonstrated statistically significantly higher anxiety levels and uncooperative behavior in the dental clinic compared to those who were not exposed.
环境烟草烟雾（ETS）与行为问题有关，但尚无研究评估其与牙齿焦虑之间的关系。因此，本研究旨在评估 ETS 与儿童行为问题和牙齿焦虑之间的关系。
本研究样本于 2019 年 10 月至 2020 年 1 月从吉达的两个中心收集。纳入标准包括健康的 5-16 岁儿童，他们首次接受牙科就诊，没有急诊投诉。问卷包括一般信息、ETS 暴露、儿童焦虑（使用 Abeer 儿童牙科焦虑量表（ACDAS））和牙科行为（使用 Frankl 行为评定量表）。
在 500 名儿童中，有 337 名（67.4%的应答率）回答了问卷，其中 201 名（59.6%）接触过被动吸烟，而 136 名（40.4%）没有接触过。暴露于 ETS 的儿童表现出明显更大的焦虑倾向（ = 0.002）和表现出不合作行为（ = 0.006）。广义线性模型和二元回归分析表明，ETS 对儿童的牙齿焦虑和行为有统计学显著影响（ < 0.05）。
与未暴露于 ETS 的儿童相比，暴露于 ETS 的儿童在牙科诊所表现出明显更高的焦虑水平和不合作行为。
