The relationship between parenting, family interaction and childhood dental caries: A case-control study
The relationship between parenting, family interaction and childhood dental caries: A case-control study
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DOI：
10.1016/j.socscimed.2014.06.031
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发表时间：
2014-09-01
影响因子：
5.4
通讯作者：
de Ruiter, C.
中科院分区：
文献类型：
--
作者：
de Jong-Lenters, M.;Duijster, D.;de Ruiter, C.
这项病例对照研究的目的是探索父母养育方式、亲子互动和儿童龋齿之间的关系，使用来自荷兰的5-8岁儿童的样本。病例被定义为具有四颗或四颗以上龋齿、缺失或充填牙齿的儿童，而对照组为无龋齿。病例(n=28)和对照组(n=26)分别从儿科牙科护理转诊中心和普通牙科诊所招募。使用结构化互动任务观察儿童主要照顾者的育儿实践和亲子互动，并随后对七个维度进行评分：积极参与、鼓励、解决问题、纪律、监督、强迫和人际氛围。所有结构化的互动任务都被录像，并由不了解牙齿状况的训练有素和经过校准的观察者进行编码。采用多元方差分析、独立样本T检验、X(2)检验和多元Logistic回归分析，分析病例组和对照组间父母教养方式的差异。对照组在积极参与、鼓励、解决问题和人际氛围等维度上的得分显著高于病例组。控制组的父母也不太可能表现出强迫行为。在对母亲的教育水平、刷牙频率和食用含糖食物和饮料的频率进行调整后，这些关联在统计上仍然显著，除非是强迫。病例组和对照组在纪律方面没有显著差异。总之，这项病例对照研究发现，父母养育方式、亲子互动质量和儿童龋齿之间存在显著关系。我们的研究结果表明，父母养育方式可能是龋病预防项目中需要考虑的一个重要因素。(C)2014爱思唯尔有限公司。保留所有权利。
The aim of this case-control study was to explore the relationship between parenting practices, parent-child interaction and childhood dental caries, using a sample of 5-8-year old children from the Netherlands. Cases were defined as children with four or more decayed, missing or filled teeth and controls were caries free. Cases (n = 28) and controls (n = 26) were recruited from a referral centre for paediatric dental care and a general dental practice, respectively. Parenting practices and parent child interactions of the child's primary caregiver were observed using Structured Interaction Tasks and subsequently rated on seven dimensions: positive involvement, encouragement, problem-solving, discipline, monitoring, coercion and interpersonal atmosphere. All Structured Interaction Tasks were videotaped, and coded by trained and calibrated observers blind to the dental condition. Differences in parenting dimensions between cases and controls were analysed using multivariate analysis of variance, independent samples T-tests, chi(2)-tests and multiple logistic regression analyses. Controls had significantly higher scores on the dimensions positive involvement, encouragement, problem-solving and interpersonal atmosphere, compared to cases. Parents of controls were also less likely to show coercive behaviours. These associations remained statistically significant after adjustment for the mother's education level, tooth brushing frequency and the frequency of consuming sugary foods and drinks, except for coercion. There was no significant difference in discipline between cases and controls. In conclusion, this case-control study found a significant relationship between parenting practices, parent child interaction quality and childhood dental caries. Our findings suggest that parenting practices may be an important factor to consider in caries preventive programs. (C) 2014 Elsevier Ltd. All rights reserved.