巴西南部农村地区母亲抑郁与幼儿龋齿之间的关联：一项基于人群的横断面研究。

Association between maternal depression and early childhood caries in rural southern Brazil: a population-based cross-sectional study.

作者信息

Camerini A V, Silva A E R, Feldens C A, Meucci R D, Prietsch S O M

机构信息

Faculty of Medicine, Universidade Federal do Rio Grande, Rio Grande, RS, Brazil.

Postgraduate Program in Dentistry, School of Dentistry, Universidade Federal de Pelotas, 457 Gonçalves Chaves Street, 5th Floor, Pelotas, RS, Brazil.

出版信息

Eur Arch Paediatr Dent. 2025 May 6. doi: 10.1007/s40368-025-01047-0.

DOI:10.1007/s40368-025-01047-0

PMID:40325296

Abstract

PURPOSE

The aim of the present study was to investigate the association between maternal depressive symptoms and Early Childhood Caries (ECC) in children residing in rural communities in southern Brazil.

METHODS

A population-based cross-sectional study was conducted with 236 children aged 1-5 years and their mothers. Mothers answered the Patient Health Questionnaire (PHQ-9) addressing depressive symptoms and a structured questionnaire investigating demographic, socioeconomic and behavioural characteristics. The mothers and children underwent oral health examinations using the WHO criteria (DMFT and dmft index, respectively). The outcome was the occurrence of ECC (dmft ≥ 1) and the main exposure was symptoms of maternal depression. Poisson regression with robust variance was used to estimate prevalence ratios and 95% confidence intervals adjusted for potential confounding variables.

RESULTS

Overall, 37.7% of the children had ECC and 21.5% of the mothers had symptoms of depression. The prevalence of ECC was significantly higher among children of mothers with depressive symptoms (52.0%) compared to those of mothers without symptoms (34.6%). The multivariate analysis showed that the likelihood of ECC was nearly 50% higher in children whose mothers presented depressive symptoms (PR = 1.46; 95% CI 1.04-2.05) compared to those with mothers without depressive symptoms.

CONCLUSION

The symptoms of maternal depression increased the likelihood of ECC in preschool children living in a rural area.

摘要

目的

本研究旨在调查巴西南部农村社区儿童的母亲抑郁症状与幼儿龋齿（ECC）之间的关联。

方法

对236名1至5岁的儿童及其母亲进行了一项基于人群的横断面研究。母亲们回答了关于抑郁症状的患者健康问卷（PHQ-9）以及一份调查人口统计学、社会经济和行为特征的结构化问卷。母亲和孩子分别按照世界卫生组织标准接受了口腔健康检查（分别为DMFT和dmft指数）。结果是ECC的发生（dmft≥1），主要暴露因素是母亲的抑郁症状。采用具有稳健方差的泊松回归来估计患病率比值和针对潜在混杂变量调整后的95%置信区间。

结果

总体而言，37.7%的儿童患有ECC，21.5%的母亲有抑郁症状。有抑郁症状母亲的孩子中ECC的患病率（52.0%）显著高于没有症状母亲的孩子（34.6%）。多变量分析显示，与母亲没有抑郁症状的孩子相比，母亲有抑郁症状的孩子患ECC的可能性高出近50%（PR = 1.46；95% CI 1.04 - 2.05）。