Pardi Vanessa, Castilho Giovanna Torqueto, Stewart Rachel, Luo Huabin, Wright Wanda G, Moss Mark Eric
School of Dental Medicine, East Carolina University, Greenville, NC, United States.
Department of Morphology and Children's Clinic, School of Dentistry, São Paulo State University (UNESP), Araraquara, Brazil.
Front Oral Health. 2024 Dec 4;5:1477036. doi: 10.3389/froh.2024.1477036. eCollection 2024.
The present study aimed to assess the association between family routines and dental caries and self-rated oral health status.
Data from the 2020-2021 National Survey of Children's Health (NSCH) completed at United States were used. Our outcome variables were self-reported dental caries (yes/no) and poor oral health condition (yes/no). Our independent variables were related to family routines: (1) Going to bed at the same time (yes/no); (2) Days having dinner together (0-7days); (3) Hours spent in front of the TV, computer, cell phone or other electronic devices (screen time); and (4) adequate sleep (yes/no). We used socioeconomic factors, health insurance coverage, family structure and neighborhood characteristics as covariates. Univariate and multiple logistic regression were used to analyze the data.
For the dental caries outcome, children with regular bedtimes (AOR = 0.68, 95% CI: 0.58-0.79), more frequent family dinners (AOR = 0.90, 95% CI: 0.85-0.96), and supportive neighborhoods (AOR = 0.88, 95% CI: 0.78-0.99) were less likely to report dental caries. Increased screen time (AOR = 1.10, 95% CI: 1.04-1.15) was associated with higher self-reported dental caries. For oral health status, children with regular bedtimes, (AOR = 0.60, 95% CI: 0.48-0.75), supportive neighborhoods (AOR = 0.81, 95% CI: 0.68-0.97), and with more neighborhood amenities (AOR = 0.92, 95% CI: 0.88-1.00) reported better health. More screen time (AOR = 1.11, 95% CI: 1.02-1.21) and poor neighborhood conditions (AOR = 1.13, 95% CI: 1.02-1.26) correlated with poor oral health.
Findings from this study indicate that family routines play a significant role in children's oral health. Future research should focus on interdisciplinary family- and community-level interventions that are tailored to support healthy habits and address the needs of families.
本研究旨在评估家庭日常活动与龋齿及自我评估的口腔健康状况之间的关联。
使用了在美国完成的2020 - 2021年全国儿童健康调查（NSCH）的数据。我们的结果变量是自我报告的龋齿（是/否）和口腔健康状况差（是/否）。我们的自变量与家庭日常活动有关：（1）同时上床睡觉（是/否）；（2）一起吃晚餐的天数（0 - 7天）；（3）花在电视、电脑、手机或其他电子设备前的时间（屏幕时间）；以及（4）充足的睡眠（是/否）。我们将社会经济因素、医疗保险覆盖范围、家庭结构和邻里特征作为协变量。使用单变量和多因素逻辑回归分析数据。
对于龋齿结果，有规律就寝时间的儿童（调整后比值比[AOR]=0.68，95%置信区间[CI]：0.58 - 0.79）、家庭晚餐更频繁的儿童（AOR = 0.90，95% CI：0.85 - 0.96）以及邻里环境支持的儿童（AOR = 0.88，95% CI：0.78 - 0.99）报告患龋齿的可能性较小。屏幕时间增加（AOR = 1.10，95% CI：1.04 - 1.15）与自我报告的龋齿率较高相关。对于口腔健康状况，有规律就寝时间的儿童（AOR = 0.60，95% CI：0.48 - 0.75）、邻里环境支持的儿童（AOR = 0.81，95% CI：0.68 - 0.97）以及邻里设施更多的儿童（AOR = 0.92，95% CI：0.88 - 1.00）报告的健康状况更好。更多的屏幕时间（AOR = 1.11，95% CI：1.02 - 1.21）和较差的邻里环境（AOR = 1.13，95% CI：1.02 - 1.26）与口腔健康差相关。
本研究结果表明家庭日常活动在儿童口腔健康中起着重要作用。未来的研究应侧重于跨学科的家庭和社区层面的干预措施，这些措施应量身定制以支持健康习惯并满足家庭的需求。
