潍坊市 8-9 岁儿童牙科恐惧症、心理弹性及相关因素研究。

Study of dental phobia, psychological resilience, and related factors in children aged 8-9 years in Weifang city.

机构信息

Dept. of Oral and Maxillofacial Surgery, School of Stomatology, Weifang Medical University, Weifang 261000, China.

Dept. of Stomatology, Affiliated Hospital of Weifang Medical University, Weifang 261000, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2023 Feb 1;41(1):73-79. doi: 10.7518/hxkq.2023.01.010.

DOI:10.7518/hxkq.2023.01.010

PMID:38596944

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9988447/

Abstract

OBJECTIVES

To investigate the influencing factors of children's dental fear (CDF) and the relationship of CDF with resilience in children aged 8-9 years in Weifang city to provide evidence for the early prevention and intervention of CDF.

METHODS

Random cluster sampling method was applied. A total of 1 995 children aged 8-9 years from 10 primary schools in four districts of Weifang city were selected from June to October 2021 as the survey objects. General information questionnaire, the children's fear survey schedule-dental sub-scale, and adolescent resilience scale were used in the investigation.

RESULTS

The CDF detection rate was 31.78% (634 cases) in children aged 8-9 years in Weifang city, including 28.41% (296 cases) in boys and 35.47% (338 cases) in girls. Multivariate logistic analysis showed that female gender [odds ratio ()=1.329, 95% confidence interval ()=1.062-1.665], dental caries (=1.961, 95%=1.330-2.891), dental pain (=2.133, 95%=1.700-2.676), and dental treatment experience (=3.621, 95%=2.888-4.540) are risk factors for CDF. Parents with tertiary education or higher (=2.123, 95%=1.546-2.916; =3.304, 95%=2.368-4.612), high scores in the positive cognition factor of the psychological resilience-personal strength dimension (=1.520, 95%=1.141-2.025), high scores in the interpersonal assistance factor of the psychological resilience-support strength dimension (=3.819, 95%=2.743-5.318), and high scores in the family support factor (=5.634, 95%=4.047-7.844) were protective factors for CDF occurrence (<0.05).

CONCLUSIONS

Children with high psychological resilience scores have low CDF incidence, and good parenting practices are beneficial in reducing CDF incidence.

摘要

目的

调查潍坊市 8-9 岁儿童牙科恐惧（CDF）的影响因素及其与儿童弹性的关系，为 CDF 的早期预防和干预提供依据。

方法

采用随机整群抽样方法，于 2021 年 6 月至 10 月选取潍坊市 4 个区 10 所小学 8-9 岁儿童 1995 名作为调查对象，采用一般情况问卷、儿童恐惧调查日程表-牙科量表和青少年弹性量表进行调查。

结果

潍坊市 8-9 岁儿童 CDF 检出率为 31.78%（634 例），其中男童检出率为 28.41%（296 例），女童检出率为 35.47%（338 例）。多因素 logistic 分析显示，女童（比值比=1.329，95%置信区间=1.062-1.665）、龋齿（比值比=1.961，95%置信区间=1.330-2.891）、牙痛（比值比=2.133，95%置信区间=1.700-2.676）和牙科治疗经历（比值比=3.621，95%置信区间=2.888-4.540）是 CDF 的危险因素。父母具有大专及以上学历（比值比=2.123，95%置信区间=1.546-2.916；比值比=3.304，95%置信区间=2.368-4.612）、心理弹性-个人力量维度积极认知因子得分较高（比值比=1.520，95%置信区间=1.141-2.025）、心理弹性-支持力量维度人际帮助因子得分较高（比值比=3.819，95%置信区间=2.743-5.318）和家庭支持因子得分较高（比值比=5.634，95%置信区间=4.047-7.844）是 CDF 发生的保护因素（<0.05）。