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社会经济地位对儿童口腔健康的影响。

The effect of socio-economic status on children's dental health.

机构信息

Department of Paediatric Dentistry, School of Dentistry, National and Kapodistrian University of Athens, 115 27 Athens, Greece.

Department of Preventive and Community Dentistry, School of Dentistry, National and Kapodistrian University of Athens, 115 27 Athens, Greece.

出版信息

J Clin Pediatr Dent. 2024 Jul;48(4):52-60. doi: 10.22514/jocpd.2024.078. Epub 2024 Jul 3.


DOI:10.22514/jocpd.2024.078
PMID:39087214
Abstract

The aim of the present study was to record the oral health status of children from different socioeconomic backgrounds and correlate these findings with parent-associated factors. It comprised a cross-sectional study of healthy children, aged 6-12 years, attending either the Reception and Solidarity Center of the Municipality of Athens or the Postgraduate Paediatric Dentistry Department (NKUA) for dental care. Data regarding the demographics of both parents-guardians, as well as the children, and oral hygiene and dietary habits were collected through a structured questionnaire. This was followed by a thorough clinical examination evaluating oral hygiene status, gingival inflammation and caries experience. Analysis was based on the socioeconomic status (SES) of the parents which was according to the family income. Families with a monthly income of <1400 euros were considered as being of a low SES and families with incomes of >1400 euros as medium. Data were presented in frequency tables and significance of calculated differences was tested using chi-square and Fisher's exact tests. Multivariate regression analysis was used to detect possible risk factors for development of poor dental health. The sample consisted of 216 children (146 from a low and 70 from a medium SES) with a mean chronological age of 9.19 years. Parents from low SES were younger, of lower education, had lived abroad most of their lives and were unemployed or worked in the private sector. Children from low SES backgrounds reported infrequent dental visits, consumed more meals and had more sugary snacks. This was reflected in their worse dental health with significantly higher values for oral hygiene and caries indices. Despite the above differences, none of the parent-associated factors were significantly correlated to worse dental health. In conclusion, SES of parents is reflected in the oral health of children, although it is not a significant predictor of dental health.

摘要

本研究旨在记录来自不同社会经济背景的儿童的口腔健康状况,并将这些发现与家长相关因素相关联。这是一项针对健康儿童的横断面研究,年龄为 6-12 岁,他们在雅典市接待和团结中心或雅典国立卡波迪蒙蒂大学儿科牙科系(NKUA)接受牙科护理。通过结构化问卷收集了有关父母/监护人以及儿童的人口统计学数据,以及口腔卫生和饮食习惯。随后进行了彻底的临床检查,评估口腔卫生状况、牙龈炎症和龋齿情况。分析基于父母的社会经济地位(SES),这是根据家庭收入来确定的。月收入低于 1400 欧元的家庭被认为处于低 SES,而收入高于 1400 欧元的家庭则处于中等 SES。数据以频率表的形式呈现,并使用卡方检验和 Fisher 精确检验测试计算差异的显著性。使用多元回归分析来检测可能导致口腔健康状况不佳的危险因素。样本包括 216 名儿童(146 名来自低 SES,70 名来自中 SES),平均年龄为 9.19 岁。来自低 SES 的父母更年轻,受教育程度更低,大部分时间都在国外生活,失业或在私营部门工作。来自低 SES 背景的儿童报告说看牙医的次数较少,吃更多的餐,吃更多的含糖零食。这反映在他们更差的口腔健康状况上,口腔卫生和龋齿指数明显更高。尽管存在上述差异,但家长相关因素中没有一个与口腔健康状况不佳显著相关。总之,父母的 SES 反映在儿童的口腔健康状况上,尽管它不是口腔健康的显著预测因素。

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