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芬兰大脑出生队列研究中父母牙科焦虑的两年轨迹及其与父母和儿童口腔保健程序的关联

Two-Year Trajectories of Dental Anxiety in Parents and Their Association with Parents' and Children's Oral Healthcare Procedures in FinnBrain Birth Cohort Study.

作者信息

Lahti Satu, Kataja Eeva-Leena, Suominen Auli, Palo Katri, Ogawa Mika, Kallio Anu, Räikkönen Outi, Pohjola Vesa, Rantavuori Kari, Karlsson Linnea, Karlsson Hasse

机构信息

Department of Community Dentistry, University of Turku, 20014 Turku, Finland.

FinnBrain Birth Cohort Study, Department of Clinical Medicine, Turku Brain and Mind Center, University of Turku, 20014 Turku, Finland.

出版信息

Dent J (Basel). 2024 Mar 7;12(3):72. doi: 10.3390/dj12030072.

Abstract

We aimed to identify parents' dental anxiety trajectories and the association of the trajectories with the number of parents' and their children's oral healthcare procedures in the FinnBrain Birth Cohort Study. Dental anxiety was measured with the Modified Dental Anxiety Scale at gestational weeks (gw) 14 and 34, as well as 3 and 24 months (mo) after childbirth. Oral healthcare procedures from gw14 to 24 mo were obtained from the national patient data register and categorized as preventive and treatment. Trajectories were identified with latent growth mixture modelling for 2068 fathers and 3201 mothers. Associations between trajectories and procedures adjusted for education were analyzed using unordered multinomial logit models. Fathers' trajectories were stable low (80.1%), stable high (3.4%), stable moderate (11.0%), moderate increasing (3.9%) and high decreasing (1.6%). Mothers' trajectories were stable low (80.7%), stable high (11.2%), moderate increasing (5.3%) and high decreasing (2.8%). Mothers with decreasing dental anxiety had a higher number of preventive and treatment procedures. Fathers with decreasing dental anxiety had a higher number of preventive and treatment procedures, while fathers with increasing dental anxiety had fewer procedures. Children of mothers with stable low dental anxiety had higher number of preventive procedures. There seems to be a two-way association between dental anxiety trajectories and oral healthcare procedures.

摘要

在芬兰脑发育出生队列研究中,我们旨在确定父母的牙科焦虑轨迹,以及这些轨迹与父母及其子女口腔保健程序数量之间的关联。在妊娠第14周和第34周以及产后3个月和24个月时,使用改良牙科焦虑量表测量牙科焦虑。从国家患者数据登记处获取妊娠第14周到产后24个月的口腔保健程序,并将其分为预防性和治疗性程序。对2068名父亲和3201名母亲采用潜在增长混合模型确定轨迹。使用无序多项logit模型分析轨迹与经教育调整后的程序之间的关联。父亲的轨迹为稳定低焦虑(80.1%)、稳定高焦虑(3.4%)、稳定中度焦虑(11.0%)、中度增加(3.9%)和高度降低(1.6%)。母亲的轨迹为稳定低焦虑(80.7%)、稳定高焦虑(11.2%)、中度增加(5.3%)和高度降低(2.8%)。牙科焦虑降低的母亲有更多的预防性和治疗性程序。牙科焦虑降低的父亲有更多的预防性和治疗性程序,而牙科焦虑增加的父亲程序较少。牙科焦虑稳定低的母亲的孩子有更多的预防性程序。牙科焦虑轨迹与口腔保健程序之间似乎存在双向关联。

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