Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada.
Nigeria Institute of Medical Research, Yaba, Lagos State, Nigeria.
Eur Arch Paediatr Dent. 2023 Apr;24(2):177-185. doi: 10.1007/s40368-022-00767-x. Epub 2022 Nov 11.
The current study sought to determine the associations between maternal mental health and oral habits, dental anxiety, and dental service utilization of 6- to 12-year-old children in Ile-Ife, Nigeria.
Data were obtained from a household survey involving 1411 mothers and their 6- to 12-year-old children. Data collected were the confounding (maternal age, child's age at last birthday, sex at birth and socioeconomic status), independent (maternal psychological distress, and depression status) and dependent (child's non-nutritive oral habits, dental anxiety level, and most recent dental visit) variables. Bivariate analyses were conducted to test the associations between the dependent and independent variables. After controlling for confounding variables, the associations between the dependent and independent variables were determined using multivariable linear and logistic regression analyses.
Overall, 479 (33.9%) reported one oral habit, 189 (13.4%) reported two and 99 (7.0%) children reported three or more oral habits. Only 25 (1.7%) children reported a dental visit in the year preceding the study. Higher maternal psychological distress was associated with higher dental anxiety in children (AOR: 0.094; 95% CI - 0.080 to - 0.293; p < 0.001). There was no significant association between maternal psychological distress, child's non-nutritive oral habits, and the child's most recent dental visit. There was also no association between maternal depression and the child's non-nutritive oral habits, dental anxiety level, and most recent dental visit.
Maternal psychological distress was a significant risk indicator for dental anxiety, but not for dental service utilization or non-nutritive oral habits among children in Ile-Ife, Nigeria. Maternal educational status was also associated with dental anxiety. Further research is needed to elucidate the study's findings.
本研究旨在确定尼日利亚伊费市 6 至 12 岁儿童的母亲心理健康状况与口腔习惯、牙齿焦虑症和牙科服务利用之间的关联。
数据来自一项涉及 1411 名母亲及其 6 至 12 岁儿童的家庭调查。收集的数据包括混杂因素（母亲年龄、孩子上次生日时的年龄、出生时的性别和社会经济状况）、独立因素（母亲的心理困扰和抑郁状况）和依赖因素（孩子的非营养性口腔习惯、牙齿焦虑程度和最近一次看牙）。进行了双变量分析以检验依赖变量和独立变量之间的关联。在控制混杂变量后，使用多变量线性和逻辑回归分析确定依赖变量和独立变量之间的关联。
总体而言，479 名（33.9%）报告有一个口腔习惯，189 名（13.4%）报告有两个，99 名（7.0%）儿童报告有三个或更多口腔习惯。只有 25 名（1.7%）儿童在研究前一年有过看牙的记录。母亲的心理困扰程度越高，儿童的牙齿焦虑程度越高（AOR：0.094；95%CI -0.080 至 -0.293；p<0.001）。母亲的心理困扰、儿童的非营养性口腔习惯与儿童最近一次看牙之间没有显著关联。母亲的抑郁与儿童的非营养性口腔习惯、牙齿焦虑程度和最近一次看牙之间也没有关联。
在尼日利亚伊费市，母亲的心理困扰是儿童牙齿焦虑的一个重要风险指标，但不是牙科服务利用或非营养性口腔习惯的指标。母亲的教育程度也与牙齿焦虑有关。需要进一步研究来阐明研究结果。
