Department of Community Dentistry, University of Turku, Turku, Finland.
Center for Life Course Health Research, University of Oulu, Oulu, Finland.
Community Dent Oral Epidemiol. 2023 Apr;51(2):311-317. doi: 10.1111/cdoe.12742. Epub 2022 Mar 21.
The aim of the study was to examine if the tooth brushing frequency and use of fluoridated toothpaste of the mother and father were associated with the tooth brushing frequency and use of fluoridated toothpaste for their 1-year-old child.
This cross-sectional study is part of the FinnBrain Birth Cohort Study. Questionnaire data were obtained from 1672 mothers and 867 fathers on tooth brushing and use of fluoridated toothpaste, age, education, number of siblings and parity (when the child was 1-year-old). For 763 families (mother and father), data from both parents were available. Tooth brushing was dichotomized to at least twice daily (2× day) and less than 2× day, and use of fluoridated toothpaste for child to at least once daily and less than once daily. The association between brushing of child's teeth (both parents less than 2× day) and use of fluoridated toothpaste for the child (both parents less than once daily) with parent's own tooth brushing was modelled with logistic regression analyses adjusted for family-related variables (parents' age and education, number of older siblings) using odds ratios (OR) and 95% confidence intervals (CI).
Families in which both parents brushed their own teeth less than 2× day were more likely to brush their child's teeth less than 2× day than families in which both parents brushed their own teeth 2× day (OR = 9.23; 95%CI = 5.42-15.69). The likelihood of not brushing the child's teeth 2× day was less strong when at least one of the parents brushed his/her own teeth 2× day (mother 2× day: OR = 1.97; 95%CI = 1.25-3.10; father 2× day: OR = 2.85; 95%CI = 1.51-5.40).
Less frequent tooth brushing of both mothers and fathers was strongly associated with less frequent tooth brushing of their child. When educating parents on child oral home care, parents' own home care and inclusion of fathers also need more attention.
本研究旨在探讨父母的刷牙频率和使用含氟牙膏情况是否与 1 岁儿童的刷牙频率和使用含氟牙膏有关。
本横断面研究是芬兰脑出生队列研究的一部分。1672 名母亲和 867 名父亲在 1 岁时完成了关于刷牙和使用含氟牙膏、年龄、教育程度、兄弟姐妹数量和产次(当孩子 1 岁时)的问卷调查。对于 763 个家庭(母亲和父亲),可获得父母双方的数据。将儿童刷牙情况(父母双方均少于每天 2 次)和儿童使用含氟牙膏情况(父母双方均少于每天 1 次)分为二分类变量,使用比值比(OR)和 95%置信区间(CI),通过 logistic 回归分析调整家庭相关变量(父母年龄和教育程度、年龄较大的兄弟姐妹数量)后,分析儿童刷牙情况(父母双方均少于每天 2 次)和儿童使用含氟牙膏情况(父母双方均少于每天 1 次)与父母自身刷牙情况的相关性。
父母双方每天刷牙少于 2 次的家庭,其儿童每天刷牙少于 2 次的可能性是父母双方每天刷牙 2 次的家庭的 9.23 倍(OR=9.23;95%CI=5.42-15.69)。当父母中至少有一方每天刷牙 2 次时,儿童每天不刷牙 2 次的可能性较小(母亲每天刷牙 2 次:OR=1.97;95%CI=1.25-3.10;父亲每天刷牙 2 次:OR=2.85;95%CI=1.51-5.40)。
父母双方刷牙频率较低与儿童刷牙频率较低密切相关。在对家长进行儿童口腔家庭护理教育时,不仅要关注家长自身的口腔护理情况,也要关注父亲的情况。