Absenteeism among preschool children due to oral problems
Absenteeism among preschool children due to oral problems
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DOI：
10.1007/s10389-015-0697-0
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发表时间：
2016-02-01
影响因子：
1.8
通讯作者：
Granville-Garcia, Ana Flavia
中科院分区：
文献类型：
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作者：
Barbosa Neves, Erick Tassio;Firmino, Ramon Targino;Granville-Garcia, Ana Flavia
目的了解巴西坎皮纳格兰德市公立和私立幼儿园836名学龄前儿童因口腔问题缺课的情况及相关因素。家长/监护人回答了巴西版的幼儿口腔健康影响量表，该量表询问儿童的一生。因变量为错过幼儿园、日托或学校。向父母/监护人发放了一份关于社会人口变量(儿童性别、儿童年龄、母亲受教育程度和家庭收入)的调查问卷。对龋齿、创伤牙科损伤(TDI)和错牙合的临床检查由三名曾接受过培训和校准练习(Kappa：0.85-0.90)的牙医进行。结果学龄前儿童口腔问题缺勤率为8.4%。空洞龋病是最常见的口腔健康问题(47.9%)，其次是错牙合(34.8%)和TDI(33.7%)。在最终模型中，空洞龋齿是唯一与学龄前儿童旷课相关的变量(P=0.012；OR=2.872；95%CI：1.266~6.514)。结论学龄前儿童因口腔问题而旷课的发生率为8.4%，且与空洞龋病的发生有关。
Aim To evaluate the prevalence of preschool absenteeism due to oral problems and associated factors in a representative sample of children aged 3-5 years old.Subject and methods A cross-sectional study was conducted with 836 children randomly selected from public and private preschools in the city of Campina Grande, Brazil. Parents/guardians answered the Brazilian version of the Early Childhood Oral Health Impact Scale, which asked about to the whole life of the child. The item Bmissed preschool, daycare or school was the dependent variable. A questionnaire addressing socio-demographic variables (child's sex, child's age, mother's schooling and household income) was administered to parents/guardians. Clinical exams for dental caries, traumatic dental injury (TDI) and malocclusion were performed by three dentists who had previously undergone training and calibration exercises (Kappa: 0.85-0.90). Descriptive, analytical statistics were conducted, followed by logistic regression for complex samples (alpha=5 %).Results The prevalence rate of preschool absenteeism due to oral problems was 8.4 %. Cavitated dental caries was the most common oral health problem (47.9 %), followed by malocclusion (34.8 %) and TDI (33.7 %). Cavitated dental caries was the only variable to remain associated with preschool absenteeism in the final model (p=0.012; OR=2.872; 95 % CI: 1.266-6.514).Conclusion The prevalence of preschool absenteeism due to oral problems was 8.4 % and was associated with the occurrence of cavitated dental caries.