社会资本与儿童口腔健康相关生活质量的关系受综合感知力调节：一项为期 10 年的队列研究。
Sense of coherence moderates the relationship between social capital and oral health‑related quality of life in schoolchildren: a 10-year cohort study.
机构信息
Department of Stomatology, School of Dentistry, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil.
Department of Health and Nursing Science, University of Agder, Campus Kristiansand, Universitetsveien 25, 4630, Kristiansand, Norway.
出版信息
Health Qual Life Outcomes. 2022 Apr 2;20(1):56. doi: 10.1186/s12955-022-01965-3.
BACKGROUND
This study aimed to evaluate the moderating effect of sense of coherence (SOC) on the relationship between social capital and oral health-related quality of life (OHRQoL) among schoolchildren.
METHODS
A cohort study was conducted in the city of Santa Maria, Brazil, involving children aged 1-5 years at baseline who were reassessed after 10 years in adolescence (11-15 years-old). Social capital was assessed at baseline and follow-up through social networks and social trust. Sense of coherence scale (SOC-13) and the short form of the Child Perceptions Questionnaire 11-14 (CPQ11-14) were measured at 10-years follow-up. Demographic and socioeconomic characteristics, and dental caries were also evaluated. Moderating effect of SOC on the relationship between social capital and OHRQoL was tested using multilevel adjusted Poisson regression analysis and simple slope test.
RESULTS
From the 639 subjects assessed at baseline, 429 were reassessed at follow-up (cohort retention rate 67.1%). Moderate and high levels of SOC demonstrated a moderating effect on the relationship between social capital and OHRQoL. Among individuals who presented low social capital at baseline and follow-up, those who had high SOC reported, respectively, an impact 63% and 70% lower on OHRQoL when compared to those with low SOC. The greatest margin effect was observed in individuals with low social capital and low SOC at follow-up (24.25; p < 0.05).
CONCLUSION
Our findings suggest that SOC moderates the negative impact of low social capital on poor OHRQoL in schoolchildren.
背景
本研究旨在评估社会资本与儿童口腔健康相关生活质量（OHRQoL）之间的关系中，社会连贯性（SOC）的调节作用。
方法
本队列研究在巴西圣玛丽亚市进行，纳入基线时年龄为 1-5 岁的儿童，并在 10 年后青少年期（11-15 岁）重新评估。基线和随访时通过社会网络和社会信任评估社会资本。在 10 年随访时使用简明社会支持量表（SOC-13）和儿童感知问卷 11-14 短式（CPQ11-14）进行测量。同时评估人口统计学和社会经济特征以及龋齿情况。使用多层次调整泊松回归分析和简单斜率检验来检验 SOC 对社会资本与 OHRQoL 之间关系的调节作用。
结果
在基线评估的 639 名受试者中，有 429 名在随访时重新评估（队列保留率为 67.1%）。SOC 的中等到高水平对社会资本与 OHRQoL 之间的关系具有调节作用。在基线和随访时 SOC 水平均较低的个体中，SOC 水平较高的个体报告的 OHRQoL 影响分别比 SOC 水平较低的个体低 63%和 70%。在随访时 SOC 水平较低的个体中，SOC 水平和社会资本水平均较低的个体观察到的边际效应最大（24.25；p<0.05）。
结论
我们的研究结果表明，SOC 调节了低社会资本对儿童 OHRQoL 不良影响。
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