Lennon Áine M, Musiol Christoph, Hiller Karl-Anton, Gade Nils, Buchalla Wolfgang, Brandstetter Susanne, Köninger Angela, Melter Michael, Apfelbacher Christian, Kabesch Michael, Lennon Áine M
Department of Conservative Dentistry and Periodontology, University Hospital Regensburg, Regensburg, Germany.
Private Practice, Fürstenstein, Germany.
Caries Res. 2025;59(4):237-254. doi: 10.1159/000542913. Epub 2024 Dec 2.
Introduction: This questionnaire-based investigation aimed to assess oral health behaviour (OHB) in 2-year-old children taking part in a birth cohort study and to identify relationships between general health, socioeconomic as well as psychosocial factors and OHB.
Factors examined were single-parent status, migration background, child's sex, parity, maternal age, education and social support, paternal employment, parental mental and physical health, and child health, data for which were collected at birth, 4 weeks, or 1 year. Participants who answered all OHB questions at 2 years (n = 730) were included. Nutritional score (NS), toothbrushing score (TS), and dental check-up score (CS) were used to calculate overall OHB score.
Overall OHB in this cohort was good. 62% ate fruit or vegetables daily, 75% brushed 2-3 times daily, and 61% had already had a dental check-up. Children of single mothers had significantly lower OHB scores. NS was significantly higher for children with migration background, children of mothers with better physical health or higher educational level, but lower for children of mothers reporting poor social support. TS was significantly lower in children of single mothers and children of fathers reporting poorer mental health. CS was significantly higher in children of multiparous mothers. This study highlights the relevance of social support and parental health, in contributing to OHB patterns.
Families with special healthcare needs or less robust social support may have difficulty maintaining good OHB.
.引言:这项基于问卷的调查旨在评估参与一项出生队列研究的2岁儿童的口腔健康行为(OHB),并确定一般健康、社会经济以及心理社会因素与OHB之间的关系。
所考察的因素包括单亲状况、移民背景、儿童性别、胎次、母亲年龄、教育程度和社会支持、父亲就业情况、父母的身心健康以及儿童健康状况,这些数据在出生时、4周或1岁时收集。纳入在2岁时回答了所有OHB问题的参与者(n = 730)。营养得分(NS)、刷牙得分(TS)和牙齿检查得分(CS)用于计算总体OHB得分。
该队列中的总体OHB状况良好。62%的儿童每天吃水果或蔬菜,75%的儿童每天刷牙2 - 3次,61%的儿童已经进行过牙齿检查。单亲母亲的孩子OHB得分显著较低。有移民背景的儿童、母亲身体健康状况较好或教育水平较高的儿童NS显著较高,但报告社会支持较差的母亲的孩子NS较低。单亲母亲的孩子和报告心理健康较差的父亲的孩子TS显著较低。多胞胎母亲的孩子CS显著较高。本研究强调了社会支持和父母健康对OHB模式的影响。
有特殊医疗需求或社会支持较弱的家庭可能难以维持良好的OHB。