缅甸曼德勒 5 岁儿童的自我报告口腔健康相关生活质量和龋齿患病情况。

Self-reported oral health-related quality of life and caries experiences of 5-year-old children in Mandalay, Myanmar.

机构信息

Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.

Restorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong (HKU), Pokfulam, Hong Kong.

出版信息

BMC Oral Health. 2024 Jan 6;24(1):31. doi: 10.1186/s12903-023-03803-4.

DOI:10.1186/s12903-023-03803-4

PMID:38184546

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10771686/

Abstract

BACKGROUND

This study aimed to examine the impact of dental caries and other potential socio-demographic factors on the oral health-related quality of life (OHRQoL) of preschool children from Myanmar. This was done using the Scale of Oral Health Outcomes for 5-year-old children (SOHO-5) as reported by both the children and their parents.

METHODS

A structured questionnaire was conducted to collect demographic information about the children and their caregivers, as well as socioeconomic data. The OHRQoL was assessed by interviewing the children and their parents using the Myanmar versions of SOHO-5c and SOHO-5p, respectively. Caries experience was assessed by two calibrated examiners and recorded using the dmft index. The Poisson regression model was adopted to investigate the association between OHRQoL and dental caries including socioeconomic factors.

RESULTS

A total of 454 pairs participated in the study. Among them, 64% of children and 70% of parents reported a negative impact on OHRQoL (with SOHO-5c and SOHO-5p scores exceeding 0). The mean score (SD) of the child self-report and parental version of the SOHO-5 was 1.86 (2.27) and 2.65 (3.13), respectively. Difficulties in eating and sleeping were the most commonly reported by both children and parents. The overall prevalence of dental caries was 87% (mean dmft score:5.59, SD:4.65). The final multivariate-adjusted model revealed that children with higher caries experiences were more likely to have lower OHRQoL for both child self-report (RR 4.38, 95% CI 3.16-6.14, p < 0.001) and parental report (RR 6.07, 95% CI 4.38-8.41, p < 0.001), respectively. A lower family income had a negative impact on the children's OHRQoL in child self-report (RR 1.59, 95% CI 1.26-2.04, p < 0.001) and parental report (RR 1.46, 95% CI 1.19-1.78, p < 0.001).

CONCLUSION

Two-thirds of the study children and their parents perceived the negative impact on children's OHRQoL. Higher caries experience and lower family income were associated with poorer OHRQoL of 5-year-old Myanmar children.

摘要

背景

本研究旨在探讨龋齿等潜在社会人口因素对缅甸学龄前儿童口腔健康相关生活质量（OHRQoL）的影响。这是通过使用儿童自身和家长报告的儿童口腔健康结果量表（SOHO-5）来实现的。

方法

采用结构化问卷收集儿童及其照顾者的人口统计学信息和社会经济数据。通过对儿童和家长进行缅甸版 SOHO-5c 和 SOHO-5p 访谈，分别评估 OHRQoL。两名经过校准的检查者评估龋齿患病情况，并使用 dmft 指数记录。采用泊松回归模型调查 OHRQoL 与龋齿（包括社会经济因素）之间的关联。

结果

共有 454 对儿童及其家长参与了这项研究。其中，64%的儿童和 70%的家长报告 OHRQoL 受到负面影响（SOHO-5c 和 SOHO-5p 评分超过 0）。儿童自我报告和家长版 SOHO-5 的平均得分（标准差）分别为 1.86（2.27）和 2.65（3.13）。儿童和家长最常报告的问题是进食和睡眠困难。总体龋齿患病率为 87%（平均 dmft 评分：5.59，标准差：4.65）。最终多变量调整模型显示，龋齿患病程度较高的儿童更有可能出现较低的 OHRQoL，儿童自我报告（RR 4.38，95%CI 3.16-6.14，p<0.001）和家长报告（RR 6.07，95%CI 4.38-8.41，p<0.001）。家庭收入较低对儿童的 OHRQoL 有负面影响，表现在儿童自我报告（RR 1.59，95%CI 1.26-2.04，p<0.001）和家长报告（RR 1.46，95%CI 1.19-1.78，p<0.001）。