Mother-Perceived Social Capital and Children's Oral Health and Use of Dental Care in the United States

Mother-Perceived Social Capital and Children's Oral Health and Use of Dental Care in the United States
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DOI:
10.2105/ajph.2012.300845
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发表时间:
2013-03-01
影响因子:
12.7
通讯作者:
Rozier, R. Gary
Rozier, R. Gary
中科院分区:
医学2区
文献类型:
--
作者:
Iida, Hiroko;Rozier, R. Gary

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目标。我们研究了美国儿童中母亲感知的邻里社会资本与口腔健康状况和牙科保健使用之间的关系。我们分析了67388名儿童的数据,这些儿童的母亲参加了2007年全国儿童健康调查。我们用四项社会资本指数(SCI)测量母亲的感知社会资本,该指数捕捉邻里之间的相互帮助、支持和信任。因变量是母亲对孩子口腔健康的感知评分,未满足的牙科保健需求,以及缺乏前一年的预防性牙科检查。我们对每个结果进行了双变量和多变量逻辑回归分析。在我们控制了潜在的混杂因素后,母亲社会资本高(SCI = 5-7)和低(SCI >= 8)的孩子分别为15% (P = 0.05)和约40% (P = 0.05)
Objectives. We examined the association between mother-perceived neighborhood social capital and oral health status and dental care use in US children.Methods. We analyzed data for 67 388 children whose mothers participated in the 2007 National Survey of Children's Health. We measured mothers' perceived social capital with a 4-item social capital index (SCI) that captures reciprocal help, support, and trust in the neighborhood. Dependent variables were mother-perceived ratings of their child's oral health, unmet dental care needs, and lack of a previous-year preventive dental visit. We performed bivariate and multivariable logistic regression analyses for each outcome.Results. After we controlled for potential confounders, children of mothers with high (SCI = 5-7) and lower levels (SCI >= 8) of social capital were 15% (P =.05) and about 40% (P