尼日利亚拉各斯社区内关于产妇对为婴儿建立口腔之家的认知情况的调查。
A community survey on maternal perception about the initiation of dental home for infants in Lagos, Nigeria.
机构信息
Department of Child Dental Health, Faculty of Dental Sciences, College of Medicine University of Lagos, Lagos, Nigeria.
Department of Preventive Dentistry, Faculty of Dentistry, Lagos State University College of Medicine, Lagos, Nigeria.
出版信息
Pan Afr Med J. 2021 Oct 6;40:78. doi: 10.11604/pamj.2021.40.78.24441. eCollection 2021.
INTRODUCTION
because efforts directed toward oral health promotion and disease prevention are fundamentally superior to dental rehabilitation after disease development, early preventive dental visits are widely encouraged by dental professional and academic stakeholders. Aim: this study aimed to determine the perceptions and practices of mothers with regards to the establishment of dental home at four local government areas (LGAs) in Lagos, Nigeria.
METHODS
was a community-based descriptive household survey conducted amongst mothers in Alimosho, Ikorodu, Surulere and Epe LGAs of Lagos State. Socio-demographic data, information about the importance of primary teeth, knowledge about dental home as well as their child´s age at first dental visit and reasons for attending was obtained with a validated, structured interviewer administered questionnaire. Descriptive statistics, Chi-square and multivariable regression analysis were conducted, and the level of significance was set at P<0.05.
RESULTS
the highest proportion of the mothers were aged between 26-30 years (27.4%; mean age: 34.58±7.8 years) and had a tertiary level of education (n=206, 59.9%); most respondents (n=80, 51.4%) did not know the age a child should be taken to the dental clinic for the first time and had not taken their child for any dental visit (n=229, 65.4%). Out of those who had previously taken their child for dental visits, the greater proportion (n=115, 95.0%) took the child when he/she was older than one year of age. Overall, only 126 (36.0%) respondents had a good perception about oral health and the need for a dental home while 224 (64.0%) respondents had poor knowledge. Logistic regression analysis of predictor variables that showed mothers with a tertiary level of education (OR=0.108; CI=0.0023-0.495) and those with 2-3 children (OR=0.482; CI=0.253-0.920) had significant lower odds of poor perception about the importance of a dental home.
CONCLUSION
maternal knowledge and practices with regards to dental home were poor and inadequate. It is necessary to create more awareness among parents/caregivers, especially through antenatal and immunization clinics to establish the concept of dental home.
引言
由于针对口腔健康促进和疾病预防的努力从根本上优于疾病发展后的口腔康复，因此口腔专业人士和学术利益相关者广泛鼓励早期预防性牙科就诊。目的：本研究旨在确定拉各斯州四个地方政府区域（LGA）的母亲对建立口腔之家的看法和做法。
方法
这是一项在拉各斯州阿利莫绍、伊科罗杜、苏拉雷和埃佩 LGA 进行的基于社区的家庭调查。使用经过验证的、由访谈者管理的结构化问卷，获取社会人口统计学数据、关于乳牙重要性的信息、对口腔之家的了解以及他们孩子的首次牙科就诊年龄和就诊原因。进行描述性统计、卡方检验和多变量回归分析，显著性水平设置为 P<0.05。
结果
母亲中比例最高的是年龄在 26-30 岁之间的（27.4%；平均年龄：34.58±7.8 岁），接受过高等教育（n=206，59.9%）；大多数受访者（n=80，51.4%）不知道孩子应该在几岁时去牙科诊所第一次就诊，并且没有带孩子进行任何牙科就诊（n=229，65.4%）。在那些之前带孩子去看过牙科的人中，更大比例（n=115，95.0%）是在孩子一岁以上时带他们去的。总体而言，只有 126（36.0%）名受访者对口腔健康和建立口腔之家的必要性有良好的认识，而 224（64.0%）名受访者的知识水平较差。对显示母亲接受高等教育（OR=0.108；CI=0.0023-0.495）和有 2-3 个孩子的母亲（OR=0.482；CI=0.253-0.920）的预测变量进行逻辑回归分析表明，他们对口腔之家重要性的看法较差的可能性较低。
结论
母亲对口腔之家的知识和做法很差且不足。有必要在父母/照顾者中提高认识，特别是通过产前和免疫接种诊所来建立口腔之家的概念。
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