Association between caregiver opposition to topical fluoride and COVID-19 vaccines.
Association between caregiver opposition to topical fluoride and COVID-19 vaccines.
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DOI：
10.1016/j.vaccine.2022.12.018
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发表时间：
2023-01-27
期刊：
影响因子：
5.5
通讯作者：
Chi, Donald L
中科院分区：
文献类型：
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作者：
Saini, Sapna J;Carle, Adam C;Forsyth, Anna R;Chi, Donald L
反对在牙科环境中使用局部氟化物的护理人员可能会反对其他预防性健康治疗，包括COVID-19疫苗。该研究的目的是检查护理人员反对局部氟化物和COVID-19疫苗之间的关联。这项研究在华盛顿州西雅图的华盛顿大学进行。18岁以下儿童的讲英语的照顾者有资格参加。于2021年2月至9月进行了一项85项REDCap调查。预测变量是局部氟化物反对（否/是）。结果是COVID-19疫苗反对（否/是）。这些模型包括以下协变量：儿童和照顾者年龄;照顾者种族和民族，教育水平，牙科保险类型，养育方式，政治意识形态和宗教信仰;和家庭收入。逻辑回归模型产生了比值比（OR）和95%置信区间（α = 0.05）。651名照顾者参与了研究，403名拥有完整数据的照顾者被纳入最终回归模型。平均儿童年龄为8.5岁（SD 4.2），平均照顾者年龄为42.1岁（SD 9.1），53.0%的照顾者为女性，57.3%自报为白色，65.5%由医疗补助保险。局部氟化物与COVID-19疫苗反对之间存在显著正相关（OR = 3.13; 95% CI：1.87，5.25; p < 0.001）。与COVID-19疫苗反对相关的其他因素包括保守的政治观点（OR = 2. 77; 95% CI：1. 26，6. 08; p <0. 011）和较低的教育程度（OR = 3. 47; 95% CI：1. 44，8. 38; p <0. 006）。反对在牙科环境中使用局部氟化物的护理人员更有可能反对为他们的孩子接种COVID-19疫苗。未来的研究应确定解决局部氟化物和疫苗对抗的方法，以预防儿童疾病。
Caregivers who oppose topical fluoride in dental settings may be opposed to other preventive health treatments, including COVID-19 vaccines. The study objective was to examine the association between caregiver opposition to topical fluoride and COVID-19 vaccines. The study took place at the University of Washington in Seattle, WA. English-speaking caregivers of children aged < 18 years were eligible to participate. An 85-item REDCap survey was administered from February to September 2021. The predictor variable was topical fluoride opposition (no/yes). The outcome was COVID-19 vaccine opposition (no/yes). The models included the following covariates: child and caregiver age; caregiver race and ethnicity, education level, dental insurance type, parenting style, political ideology, and religiosity; and household income. Logistic regression models generated odds ratios (OR) and 95 % confidence intervals (α = 0.05). Six-hundred-fifty-one caregivers participated, and 403 caregivers with complete data were included in the final regression model. Mean child age was 8.5 years (SD 4.2), mean caregiver age was 42.1 years (SD 9.1), 53.0 % of caregivers were female, 57.3 % self-reported as white, and 65.5 % were insured by Medicaid. There was a significant positive association between topical fluoride and COVID-19 vaccine opposition (OR = 3.13; 95 % CI: 1.87, 5.25; p < 0.001). Other factors associated with COVID-19 vaccine opposition included conservative political views (OR = 2.77; 95 % CI: 1.26, 6.08; p < 0.011) and lower education (OR = 3.47; 95 % CI: 1.44, 8.38; p < 0.006). Caregivers opposed to topical fluoride in dental settings were significantly more likely to oppose COVID-19 vaccines for their child. Future research should identify ways to address both topical fluoride and vaccine opposition to prevent diseases in children.