更复杂的特殊护理需求与超重状况及青少年龋齿问题之间的关联。

Association between more complex special care needs and overweight status and adolescents' difficulty with dental caries.

作者信息

Bhoopathi Vinodh, Wells Christine, Tripicchio Gina, Tran Nini Chaichanasakul

机构信息

Section of Public and Population Oral Health, University of California at Los Angeles School of Dentistry, Los Angeles, California, USA.

Statistical Methods and Data Analytics, University of California at Los Angeles Office of Advanced Research Computing, Los Angeles, California, USA.

出版信息

J Public Health Dent. 2024 Sep;84(3):321-328. doi: 10.1111/jphd.12622. Epub 2024 May 11.

DOI:10.1111/jphd.12622

PMID:38733308

Abstract

OBJECTIVE

Little is known about dental caries experience in adolescents with overweight and complex special health care needs (SHCNs).

METHODS

Adolescent data (10-17 years) from the 2016-2020 National Survey of Children's Health (n = 91,196) was analyzed. The sample was grouped into the following: more complex SHCN and overweight, more complex SHCN without overweight, less complex SHCN and overweight, less complex SHCN without overweight, no SHCN but with overweight, and neither SHCN nor overweight. A multivariable-adjusted logistic regression model was conducted.

RESULTS

Adolescents with more complex SHCNs with (OR: 1.82, 95% CI: 1.44-2.30, p < 0.001) or without overweight (OR: 1.51, 95% CI: 1.30-1.76, p < 0.001) were at higher odds of experiencing dental caries compared to healthy adolescents. No significant associations were observed between adolescents with less complex or no SHCN regardless of the overweight status with healthy adolescents.

CONCLUSIONS

Adolescents with more complex SHCNs, irrespective of overweight status, experienced a higher caries severity than adolescents with no SHCNs or overweight.

摘要

目的

对于有超重问题且有复杂特殊医疗保健需求（SHCNs）的青少年的龋齿经历，人们了解甚少。

方法

分析了2016 - 2020年全国儿童健康调查（n = 91196）中的青少年数据（10 - 17岁）。样本分为以下几组：更复杂的SHCN且超重、更复杂的SHCN但无超重、较不复杂的SHCN且超重、较不复杂的SHCN但无超重、无SHCN但超重、既无SHCN也无超重。进行了多变量调整的逻辑回归模型分析。

结果

与健康青少年相比，有更复杂SHCN且超重（比值比：1.82，95%置信区间：1.44 - 2.30，p < 0.001）或有更复杂SHCN但无超重（比值比：1.51，95%置信区间：1.30 - 1.76，p < 0.001）的青少年患龋齿的几率更高。无论超重状况如何，较不复杂或无SHCN的青少年与健康青少年之间未观察到显著关联。