National Cancer Control Programme, Ministry of Health, Sri Lanka.
Health Promotion Bureau, Ministry of Health, Sri Lanka.
Community Dent Health. 2023 Nov 30;40(4):227-232. doi: 10.1922/CDH_00017Gunasinghe06.
Early Childhood Caries (ECC) has been common among preschoolers in Sri Lanka over decades. A broad spectrum of determinants that act upon different levels is responsible for its development. Therefore, the relationships among these determinants should be studied extensively to control ECC.
Descriptive cross-sectional study with multistage cluster sampling.
Registered preschools in Gampaha District.
A total of 1038 three to four-year-olds and their mothers.
Direct, indirect, and total effects of the determinants of ECC in structural equation models.
Sweet consumption had direct effects from permissive parenting (β=0.26, p=0.00) and the sweet consumption behaviour of the family (β=0.17, p=0.01). Oral hygiene behaviours had direct effects from permissive parenting (β=-0.46, p=0.00) and maternal oral health related self-efficacy (β=0.23, p=0.00). The dental attendance pattern had total effects from knowledge (β=0.18, p=0.00) and permissive parenting (β=-0.16, p=0.00).
Parenting style, family sweet consumption behaviour and maternal oral health related self-efficacy were the most influential second-line determinants that affected oral health behaviours: sweet consumption, oral hygiene, and dental attendance pattern for the development of ECC.
在斯里兰卡，数十年以来，幼儿龋病（ECC）在学龄前儿童中很常见。一系列作用于不同层面的决定因素导致了其发展。因此，应该广泛研究这些决定因素之间的关系，以控制 ECC。
描述性的横断面研究，采用多阶段聚类抽样。
在 Gampaha 区注册的幼儿园。
共 1038 名三至四岁的儿童及其母亲。
结构方程模型中 ECC 决定因素的直接、间接和总效应。
甜食消费行为从宽容型育儿（β=0.26，p=0.00）和家庭甜食消费行为（β=0.17，p=0.01）中具有直接效应。口腔卫生行为从宽容型育儿（β=-0.46，p=0.00）和母亲口腔健康相关自我效能（β=0.23，p=0.00）中具有直接效应。就诊模式从知识（β=0.18，p=0.00）和宽容型育儿（β=-0.16，p=0.00）中具有总效应。
育儿方式、家庭甜食消费行为和母亲口腔健康相关自我效能是影响口腔健康行为（甜食消费、口腔卫生和就诊模式）发展为 ECC 的最具影响力的二线决定因素。
