Silva T P D, Lemos Y R, Filho M V, Carneiro D P A, Vedovello S A S
Orthodontics, University Centre of Herminio Ometto Foundation, Brazil.
Community Dent Health. 2022 Aug 30;39(3):211-216. doi: 10.1922/CDH_00061Silva006.
To identify any association between the psychosocial impact of malocclusion and academic performance in adolescents.
Cross-sectional study in a sample of 297 adolescents aged 10 to 14 years old enrolled in public schools. A self-complete questionnaire enquiring about socioeconomic, demographic, and psychological characteristics and the Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) was administered in classrooms. The school provided documents related to School Performance (average grade in the Portuguese subject and absences). A conceptual structure was built, and independent variables were inserted hierarchically into logistic models for school performance (outcome). Independent variables were: Gender, age, caries status (DMFT), orthodontic treatment need (IOTN-DHC), psychological impact (PIDAQ) and school commitment (class absences and missed classes).
Boys (OR = 3.56; 95% CI: 1.54-8.21) with caries experience (OR = 2.77; 95% CI: 1.23-6.23), need for orthodontic treatment (OR = 0.40; 95% CI; 0.18-0.91) and adolescents who reported a psychological impact (OR = 2.70; 95% CI: 1.16-6.30) had worse school performance.
Boys with caries and malocclusion experience who reported the psychological impact of the need for orthodontic treatment are more likely to have worse school performance.
确定青少年错牙合畸形的心理社会影响与学业成绩之间的关联。
对297名年龄在10至14岁、就读于公立学校的青少年样本进行横断面研究。在教室里发放一份自我填写的问卷，询问社会经济、人口统计学和心理特征以及《牙齿美学心理社会影响问卷》（PIDAQ）。学校提供与学业成绩相关的文件（葡萄牙语学科的平均成绩和缺勤情况）。构建了一个概念结构，并将自变量分层纳入学业成绩（结果）的逻辑模型中。自变量包括：性别、年龄、龋病状况（DMFT）、正畸治疗需求（IOTN-DHC）、心理影响（PIDAQ）和学校出勤率（课堂缺勤和缺课情况）。
有龋病经历的男孩（比值比[OR]=3.56；95%置信区间[CI]：1.54-8.21）、需要正畸治疗的男孩（OR=2.77；95%CI：1.23-6.23）以及报告有心理影响的青少年（OR=2.70；95%CI：1.16-6.30）学业成绩较差。
有龋病和错牙合畸形经历且报告有正畸治疗需求心理影响的男孩更有可能学业成绩较差。
