Modelling community, family, and individual determinants of childhood dental caries
Modelling community, family, and individual determinants of childhood dental caries
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DOI：
10.1111/eos.12118
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发表时间：
2014-04-01
影响因子：
1.9
通讯作者：
Verrips, Gijsbert H. W.
中科院分区：
文献类型：
--
作者：
Duijster, Denise;van Loveren, Cor;Verrips, Gijsbert H. W.
这项横断面研究经验性地测试了一个理论模型的路径和社区，家庭和个人的儿童龋齿的决定因素之间的相互关系，在一个样本的630，6岁的儿童来自荷兰。儿童的龋齿，缺失和补牙（dmft）分数是从牙科记录中提取的。一个有效的父母问卷被用来收集数据的社会人口特征，心理社会因素，口腔卫生行为。有关社区质量的数据来自荷兰中央统计局。结构方程模型表明，该模型是有效的后，应用一些修改。在修订后的模型中，较低的母亲教育水平与贫困的家庭组织，较低的社会支持水平，较低的牙科自我效能感，和外部的牙齿健康控制点。这些反过来又与较差的口腔卫生行为有关，这与儿童龋齿水平较高有关。此外，母亲文化程度较低和社区质量较差与儿童患龋率较高直接相关。这一模型促进了我们对儿童龋齿的决定因素及其作用途径的理解。这些途径的概念对于指导儿童龋齿预防方案的制定至关重要。为模型的进一步发展提出了建议。
This cross-sectional study empirically tested a theoretical model of pathways and inter-relationships among community, family, and individual determinants of childhood dental caries in a sample of 630, 6-year-old children from the Netherlands. Children's decayed, missing, and filled teeth (dmft) scores were extracted from dental records. A validated parental questionnaire was used to collect data on sociodemographic characteristics, psychosocial factors, and oral hygiene behaviours. Data on neighbourhood quality were obtained from the Dutch Central Bureau of Statistics. Structural equation modelling indicated that the model was valid after applying a few modifications. In the revised model, lower maternal education level was related to poorer family organization, lower levels of social support, lower dental self-efficacy, and an external dental health locus of control. These, in turn, were associated with poorer oral hygiene behaviours, which were linked to higher levels of childhood dental caries. In addition, lower maternal education level and poorer neighbourhood quality were directly associated with higher caries levels in children. This model advances our understanding of determinants of childhood dental caries and the pathways in which they operate. Conception of these pathways is essential for guiding the development of caries-preventive programmes for children. Clues for further development of the model are suggested.