The relationship between anxiety and dental treatment experience in 5-year-old children
The relationship between anxiety and dental treatment experience in 5-year-old children
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DOI：
10.1038/sj.bdj.4810070
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发表时间：
2003-05-10
影响因子：
2.6
通讯作者：
Blinkhorn, AS
中科院分区：
文献类型：
--
作者：
Milsom, KM;Tickle, M;Blinkhorn, AS
目的探讨5岁儿童牙科焦虑、就诊情况与既往治疗史的关系。方法对埃尔斯米尔港和切斯特市5岁儿童进行横断面调查。对所有儿童进行临床检查，并记录DMFT及其各成分。向参与的儿童的父母发送了一份邮寄问卷，以确定儿童是定期看牙医，还是只在遇到问题时才去看牙医。此外，父母还被要求判断他们和他们的孩子是否对牙科治疗感到焦虑。家庭的社会经济地位是用他们居住的选区的汤森德物质匮乏指数来衡量的。使用卡方检验和t检验评估焦虑与报告就诊次数、龋齿经历、既往拔牙和修复史之间的双变量关系。结果1745名儿童接受了临床检查和问卷调查，1437名家长回答，应答率为82.3%。十分之一的父母(10.8%)认为他们的孩子患有牙科焦虑症。焦虑儿童显著高于正常儿童(p<0.05)。
Objectives To examine the relationship between dental anxiety, dental attendance and past treatment history in 5-year-old children after taking into account confounding influences.Methods A cross sectional study of all 5-year-old children living in Ellesmere Port and Chester. All children were clinically examined and dmft and its components were recorded. A postal questionnaire was sent to parents of participating children to identify whether children attended the dentist on a regular asymptomatic basis or only when experiencing problems. Additionally parents were asked to judge whether they and their child were anxious about dental treatment. The socio-economic status of the family was measured using the Townsend Material Deprivation Index of the electoral ward in which they resided. The bivariate relationships between anxiety and reported attendance, caries experience, past extraction and restoration history were assessed using chi-square and t-tests. Multiple logistic regression analyses were used to identify predictors for dental anxiety.Results A total of 1,745 children received both a clinical examination and a questionnaire and 1,437 parents responded, a response rate of 82.3%. One in ten parents (10.8%) judged their child to be dentally anxious. Anxious children had significantly (p