Self-control and dental caries among elementary school children in Japan
Self-control and dental caries among elementary school children in Japan
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DOI：
10.1111/cdoe.12387
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发表时间：
2018-10-01
影响因子：
2.3
通讯作者：
Kato, Tsuguhiko
中科院分区：
文献类型：
--
作者：
Matsuyama, Yusuke;Fujiwara, Takeo;Kato, Tsuguhiko
目的儿童的自我控制能力与儿童期及以后生活中各种行为相关的健康问题有关。然而，关于自我控制和龋齿的研究，与刷牙或饮酒和饮食行为密切相关，是有限的。我们调查了自我控制和一年级儿童（6- 7岁）在日本的龋齿或填充乳牙（dft）的数量之间的关联，并评估了口腔健康行为对这种association.MethodsA横断面研究的所有一年级小学儿童和他们的照顾者在阿达奇病房（东京）在2015年进行的中介作用。临床确定的儿童dft状态与父母管理的自我控制问卷相关（n=4291;有效应答率=80.1%）。自我控制是通过以下一个问题来评估的：在过去的一个月里，你的孩子是否能够为了更好的未来而放弃他们想要做的事情，或者做他们不喜欢做的事情？Poisson回归分析进行了调整，以月为单位的年龄，性别，父母的教育程度和家庭收入。调解分析进行评估刷牙频率的调解效果，饮用含糖饮料和零食的饮食习惯的association. ResultsLowself-control的频率与较高的DFT调整后的所有协变量（平均比=1.09; 95%CI：1.06，1.12）。刷牙频率，饮用含糖饮料的频率和吃零食的习惯介导的自我控制和dft.ConclusionsStrengthening儿童的自我控制之间的关联分别为18.1%，36.1%和38.3%，可能会减少他们的龋齿通过改善他们的口腔健康行为。
ObjectivesChildren's self-control is associated with various behaviour-related health problems in childhood and later in life. However, studies on self-control and dental caries, strongly associated with toothbrushing or drinking and eating behaviour, are limited. We investigated the association between self-control and the number of decayed or filled primary teeth (dft) among first-grade children (6-7years old) in Japan and evaluated the mediation effect of oral health behaviour on this association.MethodsA cross-sectional study of all first-grade elementary school children and their caregivers in Adachi ward (Tokyo) was conducted in 2015. Clinically determined dft status among children and caregiver-administered questionnaires on self-control was linked (n=4291; valid response rate=80.1%). Self-control was assessed by the following single question: in the last month, was your child able to give up on things they want or do things that they do not like to do for better future outcomes? Poisson regression analysis was conducted adjusting for age in months, sex, parental educational attainment and household income. Mediation analysis was performed to evaluate the mediation effects of toothbrushing frequency, frequency of drinking sugar-sweetened beverages and snack-eating habits on the association.ResultsLower self-control was associated with higher dft after adjusting for all covariates (mean ratio=1.09; 95% CI: 1.06, 1.12). Toothbrushing frequency, frequency of drinking sugar-sweetened beverages and snack-eating habits mediated 18.1%, 36.1% and 38.3% of the association between self-control and dft, respectively.ConclusionsStrengthening children's self-control might decrease their dental caries by improving their oral health behaviour.