Guardian Reports of Children's Sub-optimal Oral Health Are Associated With Clinically Determined Early Childhood Caries, Unrestored Caries Lesions, and History of Toothaches.
Guardian Reports of Children's Sub-optimal Oral Health Are Associated With Clinically Determined Early Childhood Caries, Unrestored Caries Lesions, and History of Toothaches.
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DOI：
10.3389/fpubh.2021.751733
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发表时间：
2021
影响因子：
5.2
通讯作者：
Divaris K
中科院分区：
文献类型：
--
作者：
Imes EP;Ginnis J;Shrestha P;Simancas-Pallares MA;Divaris K
背景：父母/监护人对他们孩子口腔健康的看法是他们临床确定的龋齿状况的有用代表，并已知影响牙科就医行为。在这项研究中，我们试图检验(1)监护人报告的一般/较差儿童口腔健康的社会和行为相关性，以及(2)量化这些报告与儿童早期龋病(ECC)、未修复的龋损和牙痛的患病率之间的关系。方法：我们使用了监护人报告的儿童口腔健康信息(分为一般/差和优秀/非常好/好)，这些信息是通过家长问卷获得的，调查对象为n=7965名参与者(平均年龄=52个月；范围=36-71个月)，这是一项2016至2019年间北卡罗来纳州儿童早期口腔健康的社区横断面流行病学研究。社会、人口统计、口腔健康相关的行为数据和儿童牙痛史(不包括牙痛)的报告也被收集在同一份问卷中。在n=6,328名儿童中，通过临床检查测量了未修复的ECC(即龋损)，其定义为存在一个或多个具有ICDAS≥3龋损的牙面。分析依赖于描述性和双变量方法，以及具有平均边际效应的多变量建模(A.M.E.)对数据聚集性的估计。[患病率(PR)和调整边际效应(AME)与95%可信区间(CI)]的相关性估计是通过使用Stata的Svy函数并考虑数据的聚集性的多水平广义线性模型获得的。结果：在本样本中，口腔健康一般/较差的患病率为15%--随着儿童年龄的增加而单调增加，与父母的教育程度呈负相关，在西班牙裔美国人(21%)和非裔美国人(15%)中高于非西班牙裔白人(11%)。每天刷牙不到两次，没有牙科，经常吃含糖零食和饮料与不良报告显著相关(P<；0.0005)。与口腔健康状况较好的儿童相比，口腔健康状况一般/较差的儿童患无法修复的龋损的可能性是前者的两倍[患病率(PR)=2.0；95%可信区间(CI)=1.8-2.1]，发生牙痛的可能性是后者的3.5倍[PR=3.5；95%CI=3.1-3.9]。结论：儿童口腔健康的监护人报告是临床和公共卫生的有价值的指标--重要的儿童口腔健康状况。监护人报告的儿童口腔健康状况一般/较差的人在社会人口统计、与口腔健康相关的做法、饮食和是否有牙科之家等方面具有明显的特征。
Background: Parents'/guardians' perceptions of their children's oral health are useful proxies of their clinically determined caries status and are known to influence dental care-seeking behavior. In this study, we sought to examine (1) the social and behavioral correlates of fair/poor child oral health reported by guardians and (2) quantify the association of these reports with the prevalence of early childhood caries (ECC), unrestored caries lesions and toothaches. Methods: We used guardian-reported child oral health information (dichotomized as fair/poor vs. excellent/very good/good) obtained via a parent questionnaire that was completed for n = 7,965 participants (mean age = 52 months; range = 36-71 months) of a community-based, cross-sectional epidemiologic study of early childhood oral health in North Carolina between 2016 and 2019. Social, demographic, oral health-related behavioral data, and reports on children's history of toothaches (excluding teething) were collected in the same questionnaire. Unrestored ECC (i.e., caries lesions) was measured via clinical examinations in a subset of n = 6,328 children and was defined as the presence of one or more tooth surfaces with an ICDAS ≥ 3 caries lesion. Analyses relied on descriptive and bivariate methods, and multivariate modeling with average marginal effect (A.M.E.) estimation accounting for the clustered nature of the data. Estimates of association [prevalence ratios (PR) and adjusted marginal effects (AME) with 95% confidence intervals (CI)] were obtained via multilevel generalized linear models using Stata's svy function and accounting for the clustered nature of the data. Results: The prevalence of fair/poor oral health in this sample was 15%–it increased monotonically with children's age, was inversely associated with parents' educational attainment, and was higher among Hispanics (21%) and African Americans (15%) compared to non-Hispanic whites (11%). Brushing less than twice a day, not having a dental home, and frequently consuming sugar-containing snacks and beverages were significantly associated with worse reports (P < 0.0005). Children with fair/poor reported oral health were twice as likely to have unrestored caries lesions [prevalence ratio (PR) = 2.0; 95% confidence interval (CI) = 1.8-2.1] and 3.5 times as likely to have experienced toothaches [PR = 3.5; 95% CI = 3.1-3.9] compared to those with better reported oral health. Conclusions: Guardian reports of their children's oral health are valuable indicators of clinical and public health-important child oral health status. Those with fair/poor guardian-reported child oral health have distinguishing characteristics spanning socio-demographics, oral-health related practices, diet, and presence of a dental home.
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影响因子：
7.6
作者：
Casamassimo, P. S.;Lee, J. Y.;Divaris, K.
通讯作者：
Divaris, K.
影响因子：
8
作者：
Divaris, Kimon;Lee, Jessica Y.;Vann, William F., Jr.
通讯作者：
Vann, William F., Jr.
DOI：
10.5005/jp-journals-10005-1894
发表时间：
2021-01
影响因子：
--
作者：
Alshammari FS;Alshammari RA;Alshammari MH;Alshammari MF;Alibrahim AK;Al Sineedi FA;Alkurdi KA;Alshammari AF
通讯作者：
Alshammari AF
DOI：
10.3390/ijerph17218056
发表时间：
2020-11-01
影响因子：
--
作者：
Divaris K;Slade GD;Ferreira Zandona AG;Preisser JS;Ginnis J;Simancas-Pallares MA;Agler CS;Shrestha P;Karhade DS;Ribeiro AA;Cho H;Gu Y;Meyer BD;Joshi AR;Azcarate-Peril MA;Basta PV;Wu D;North KE
通讯作者：
North KE
DOI：
10.14219/jada.archive.2009.0250
发表时间：
2009-06-01
影响因子：
3.9
作者：
Casamassimo, Paul S.;Thikkurissy, Sarat;Maiorini, Elyse
通讯作者：
Maiorini, Elyse