Children's Dental Health, School Performance, and Psychosocial Well-Being

Children's Dental Health, School Performance, and Psychosocial Well-Being
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DOI:
10.1016/j.jpeds.2012.05.025
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发表时间:
2012-12-01
影响因子:
5.1
通讯作者:
Wehby, George L.
Wehby, George L.
中科院分区:
医学2区
文献类型:
--
作者:
Cristina Guarnizo-Herreno, Carol;Wehby, George L.

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目的评估口腔健康对美国全国代表性儿童的学习成绩和心理社会幸福感的影响。研究设计:我们分析了2007年全国儿童健康调查的40752-41988名儿童的数据。通过调整人口统计学、社会经济和健康特征的回归模型,评估牙齿问题和母亲分级的牙齿健康对学校成绩和心理社会健康结果的影响。结果牙齿问题与学校成绩和心理社会健康水平的下降显著相关。有牙病的儿童更有可能在学校出现问题(OR=1.52;95%CI:1.37-1.72)和缺课(OR=1.42;95%CI:1.23-1.64),而不太可能完成所有要求的家庭作业(OR=0.76;95%CI:0.68-0.85)。牙齿问题与害羞、不快乐、无价值的感觉和友善程度降低有关。牙科问题对15~17岁青少年的不幸福感和价值感的影响最大。结论预防和治疗牙科问题,改善牙科健康状况,有利于儿童的学业成就和认知及心理社会发展。(《儿科杂志》2012;161:1153-9)。
Objective To assess the effects of dental health on school performance and psychosocial well-being in a nationally representative sample of children in the US.Study design We analyzed data from the 2007 National Survey of Children's Health for 40 752-41 988 children. The effects of dental problems and maternal-rated dental health on school performance and psychosocial wellbeing outcomes were evaluated using regression models adjusting for demographic, socioeconomic, and health characteristics.Results Dental problems were significantly associated with reductions in school performance and psychosocial well-being. Children with dental problems were more likely to have problems at school (OR = 1.52; 95% CI: 1.37-1.72) and to miss school (OR = 1.42; 95% CI: 1.23-1.64) and were less likely to do all required homework (OR = 0.76; 95% CI: 0.68-0.85). Dental problems were associated with shyness, unhappiness, feeling of worthlessness, and reduced friendliness. The effects of dental problems on unhappiness and feeling of worthlessness were largest for adolescents between 15 and 17 years.Conclusion Preventing and treating dental problems and improving dental health may benefit child academic achievement and cognitive and psychosocial development. (J Pediatr 2012;161:1153-9).