青少年连贯感与口腔健康行为及牙龈出血的关联

Association of sense of coherence with oral health behaviors and gingival bleeding among adolescents.

作者信息

Nagpal Ruchi, Gupta Anil, Marya Charu Mohan, Mushtaq Imran, Tandon Shourya

机构信息

Department of Public Health Dentistry, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India.

Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, SGT University, Gurugram, Haryana, India.

出版信息

J Indian Soc Periodontol. 2021 Mar-Apr;25(2):150-155. doi: 10.4103/jisp.jisp_165_20. Epub 2021 Mar 1.

DOI:10.4103/jisp.jisp_165_20

PMID:33888948

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8041081/

Abstract

CONTEXT

Adolescents experience many types of gingival and periodontal diseases, including gingivitis, localized or generalized aggressive periodontitis, and periodontal complications of various systemic diseases. The occurrence of periodontal diseases is not only related to biotic factors but may also be affected by nonbiotic factors such as oral health behaviors and practices. Various factors that influence an individual's health-related behaviors include a psychosocial construct named sense of coherence (SOC).

AIM

The aim of this study is to investigate the association of SOC with oral health behaviors and gingival bleeding.

SETTINGS AND DESIGN

This was a cross-sectional, analytical study that was done in the school setting.

MATERIALS AND METHODS

A random sample of 850 adolescents was selected from nine schools of the Faridabad block of Faridabad district (Haryana) through the multistage cluster sampling technique. Methods of data collection included a combination of questionnaire administration and clinical examination. The questionnaire comprised sociodemographic variables, questions related to oral health behaviors, and Antonovsky's SOC scale. The questionnaire was interviewer administered.

STATISTICAL ANALYSIS

Unadjusted and adjusted rate ratios of gingival units having bleeding on probing were estimated by Poisson regression multilevel analysis in Statistical Package for the Social Sciences (SPSS) software for Microsoft Office.

RESULTS

Adolescents whose mothers had studied <8 years (relative risk [RR] 1.26; 95% confidence interval [CI] 1.04-1.38), who were males (RR 1.198; 95% CI 1.01-1.29), low SOC (RR 15.93; 95% CI 13.06-19.35), and toothbrushing frequency of less than once a day (RR 1.43; 95% CI 1.21-1.67) and children with plaque index >1 (RR 2.765; 95% CI 2.12-3.25) presented with the higher number of gingival units having bleeding.

CONCLUSION

SOC is associated with gingival bleeding through oral health behaviors.

摘要

背景

青少年会经历多种牙龈和牙周疾病，包括牙龈炎、局限性或广泛性侵袭性牙周炎以及各种全身性疾病的牙周并发症。牙周疾病的发生不仅与生物因素有关，还可能受到非生物因素的影响，如口腔健康行为和习惯。影响个体健康相关行为的各种因素包括一种名为连贯感（SOC）的心理社会结构。

目的

本研究的目的是调查连贯感与口腔健康行为及牙龈出血之间的关联。

设置与设计

这是一项在学校环境中进行的横断面分析研究。

材料与方法

通过多阶段整群抽样技术，从法里达巴德区（哈里亚纳邦）法里达巴德街区的9所学校中随机抽取了850名青少年作为样本。数据收集方法包括问卷调查和临床检查相结合。问卷包括社会人口统计学变量、与口腔健康行为相关的问题以及安东诺夫斯基的连贯感量表。问卷由访谈员进行发放。

统计分析

在用于Microsoft Office的社会科学统计软件包（SPSS）中，通过泊松回归多水平分析估计探诊时有出血的牙龈单位的未调整和调整后的率比。

结果

母亲受教育年限<8年的青少年（相对风险[RR]1.26；95%置信区间[CI]1.04 - 1.38）、男性青少年（RR 1.198；95% CI 1.01 - 1.29）、连贯感低的青少年（RR 15.93；95% CI 13.06 - 19.35）、每天刷牙频率少于一次的青少年（RR 1.43；95% CI 1.21 - 1.67）以及菌斑指数>1的青少年（RR 2.765；95% CI 2.12 - 3.25），其探诊时有出血的牙龈单位数量较多。