Preventing Childhood Caries: A Review of Recent Behavioral Research
Preventing Childhood Caries: A Review of Recent Behavioral Research
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DOI：
10.1177/0022034515609034
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发表时间：
2016-01-01
影响因子：
7.6
通讯作者：
Tiwari, T.
中科院分区：
文献类型：
--
作者：
Albino, J.;Tiwari, T.
龋齿的病因反映了生化、微生物、遗传、社会和物理环境以及影响健康的行为因素之间复杂的相互作用。本综述更新了有关行为方法对 18 岁以下儿童预防龋齿有效性的文献。其中包括在个人、家庭和社区层面实施的行为干预研究，这些研究评估了龋齿增量减少的结果。仅考虑 2011 年以来发布的报告。尽管动机性访谈（涉及个人根据各自的生活环境做出有关口腔健康的决定）在四分之三的报告研究中被证明是有效的，但结果各不相同，而且更明确的试验正在进行中。对未来研究的建议包括检查干预措施的成本效益，以及重点了解口腔健康行为变化的机制和可能介导或缓和干预措施反应的变量。
The etiology of dental caries reflects a complex interplay of biochemical, microbial, genetic, social and physical environmental, and health-influencing behavioral factors. This review updates the literature on the efficacy of behavioral approaches to caries prevention for children up to 18 y of age. Included were studies of behavioral interventions implemented at individual, family, and community levels that assessed results in terms of reductions in caries increments. Only those reports published since 2011 were considered. Outcomes were variable, although motivational interviewing, which involves individuals in decisions about oral health within the context of their respective life circumstances, proved effective in 3 of 4 reported studies, and more definitive trials are underway. Recommendations for future research include examinations of the cost-effectiveness of interventions, as well as work focused on understanding the mechanisms underlying oral health behavior change and variables that may mediate or moderate responses to interventions.