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尼日利亚伊巴丹患有牙痛的学龄儿童对牙齿状况及口腔健康相关生活质量的满意度

Satisfaction with dental condition and oral health-related quality of life of school-age children with dental pain in Ibadan, Nigeria.

作者信息

Lawal Folake Barakat, Oke Gbemisola Aderemi

机构信息

Department of Periodontology and Community Dentistry, College of Medicine, University of Ibadan, Ibadan, Nigeria.

Department of Periodontology and Community Dentistry, University College Hospital, Ibadan, Ibadan, Nigeria.

出版信息

SAGE Open Med. 2021 Jun 14;9:20503121211025944. doi: 10.1177/20503121211025944. eCollection 2021.

Abstract

OBJECTIVES

The aim of the study was to determine the association between oral health-related quality-of-life domains and satisfaction with dental condition of school-age children with dental pain in Ibadan, Nigeria.

METHODS

This cross-sectional study was conducted among 1006 pupils aged 9-12 years who attended 18 randomly selected primary schools in Ibadan, Nigeria. An interviewer-administered questionnaire, Child Oral Impact on Daily Performances inventory in addition to oral examination was used to obtain data. Analysis was done with SPSS 23 and STATA 14 and -value set at <0.05.

RESULTS

The prevalence of self-reported dental pain was 10.2%. The mean Child Oral Impact on Daily Performances inventory score was 2.6(±7.2) overall and 9.8(±12.4) for pupils with pain. There was a greater impact on oral health-related quality of life of respondents who reported dental pain than in others (mean rank = 749.54 vs 475.4, U = 21,162,  < 0.001) compared to those with clinically assessed pain (mean rank = 541.21 vs 502.97, U = 6416,  = 0.489). Those who reported dental pain were more dissatisfied with their dental condition (odds ratio = 7.7, 95% confidence interval = 5.0-12.0,  < 0.001) compared to those with clinically assessed dental pain (odds ratio = 1.3, 95% confidence interval = 0.4-4.9,  = 0.687). The direct effect of pain on satisfaction with dental condition and Child Oral Impact on Daily Performances inventory was β = 0.74 (standard error = 0.12, 95% confidence interval = 0.50-0.97,  < 0.001) and β = 0.53 (standard error = 0.05, 95% confidence interval = 0.44-0.63,  < 0.001), respectively. The indirect effect was β = 0.12 (standard error = 0.039, 95% confidence interval = 0.05-0.20,  = 0.001) and the total effect was β = 0.86 (standard error = 0.11, 95% confidence interval = 0.64-1.08,  < 0.001);  = 0.21.

CONCLUSION

Self-reported dental pain significantly impacted the quality of life of the pupils to cause dissatisfaction with dental condition when compared to clinically assessed pain.

摘要

目的

本研究旨在确定尼日利亚伊巴丹患有牙痛的学龄儿童的口腔健康相关生活质量领域与对牙齿状况的满意度之间的关联。

方法

本横断面研究在尼日利亚伊巴丹随机选取的18所小学的1006名9至12岁学生中进行。除口腔检查外,还使用了由访谈员实施的问卷《儿童口腔对日常表现的影响量表》来获取数据。使用SPSS 23和STATA 14进行分析,设定P值<0.05。

结果

自我报告的牙痛患病率为10.2%。总体而言,儿童口腔对日常表现的影响量表平均得分为2.6(±7.2),有疼痛的学生为9.8(±12.4)。与无牙痛的受访者相比,报告有牙痛的受访者对口腔健康相关生活质量的影响更大(平均秩次=749.54对475.4,U=21162,P<0.001);与临床评估有疼痛的受访者相比(平均秩次=541.21对502.97,U=6416,P= 0.489)。与临床评估有牙痛的人相比,报告有牙痛的人对自己的牙齿状况更不满意(比值比=7.7,95%置信区间=5.0-12.0,P<0.001)(比值比=1.3,95%置信区间=0.4-4.9,P= 0.687)。疼痛对牙齿状况满意度和儿童口腔对日常表现影响量表的直接效应分别为β=0.74(标准误=0.12,95%置信区间=0.50-0. 97,P<0.001)和β=0.53(标准误=0.05,95%置信区间=0.44-0. 63,P<0.001)。间接效应为β=0.12(标准误=0.039,95%置信区间=0.05-0.20,P=0.001),总效应为β=0.86(标准误=0.11,95%置信区间=0.64-1.08,P<0.001);R2=0.21。

结论

与临床评估的疼痛相比,自我报告的牙痛对学生的生活质量有显著影响,导致对牙齿状况的不满。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4e9/8207297/beb7cb92ccd6/10.1177_20503121211025944-fig1.jpg

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