Sawhney Seerat, Vu Theresa, Chen Fiona, Wong Kingsley, Zafar Sobia, Lopez Silva Claudia Patricia
School of Dentistry, UQ Oral Health Centre, The University of Queensland, Herston, Queensland, Australia.
Child Disability, Telethon Kids Institute, University of Western Australia, Perth, Western Australia, Australia.
Community Dent Oral Epidemiol. 2023 Jun;51(3):443-451. doi: 10.1111/cdoe.12755. Epub 2022 Jun 14.
This study investigated the dental attendance patterns of Australian children with and without disabilities using data from Growing up in Australia: The Longitudinal Study of Australian Children.
Data on 6470 participants within two groups (B cohort [aged 12-13]: n = 3381; K cohort [aged 16-17]: n = 3089) were used for the study. Binomial regression models were fitted to examine the association between disability status and dental attendance. The models were adjusted for gender, parent's country of birth, region of residence, highest parental education and household weekly income, and multiple imputations was used for handling missing data.
Children with disabilities constituted 2.4% and 3.8% of the study sample in the B and K cohort, respectively. The unadjusted risk ratio of irregular (vs. regular) dental attendance between children with and without disabilities was 1.07 (95% CI 0.78-1.46) in the B cohort and 1.15 (95% CI 0.93-1.42) in the K cohort. After adjustment and imputation, the risk ratios were 1.03 (95% CI 0.76-1.41) and 1.10 (95% CI 0.89-1.36) in the B and K cohort, respectively.
Dental attendance pattern was positively, but minimally, associated with disabilities in older children, and factors including region of residence, parental education and household income were related to disability status and dental attendance. Further studies are required to clarify the association and ascertain key factors that affect the health and wellbeing of children with disabilities.
本研究利用《澳大利亚儿童成长:澳大利亚儿童纵向研究》的数据,调查了澳大利亚残疾儿童和非残疾儿童的看牙模式。
本研究使用了两组(B队列[12 - 13岁]:n = 3381;K队列[16 - 17岁]:n = 3089)中6470名参与者的数据。采用二项式回归模型来检验残疾状况与看牙之间的关联。模型针对性别、父母出生国家、居住地区、父母最高学历和家庭每周收入进行了调整,并使用多重插补法处理缺失数据。
在B队列和K队列中,残疾儿童分别占研究样本的2.4%和3.8%。在B队列中,残疾儿童与非残疾儿童相比,不定期(与定期)看牙的未调整风险比为1.07(95%置信区间0.78 - 1.46);在K队列中为1.15(95%置信区间0.93 - 1.42)。经过调整和插补后,B队列和K队列的风险比分别为1.03(95%置信区间0.76 - 1.41)和1.10(95%置信区间0.89 - 1.36)。
大龄儿童的看牙模式与残疾呈正相关,但关联程度较小,居住地区、父母教育程度和家庭收入等因素与残疾状况和看牙情况有关。需要进一步研究来阐明这种关联,并确定影响残疾儿童健康和福祉的关键因素。