Predictors of dental visits for routine check-ups and for the resolution of problems among preschool children
Predictors of dental visits for routine check-ups and for the resolution of problems among preschool children
复制标题
DOI：
10.1590/s0034-89102012005000004
复制
发表时间：
2012-02-01
期刊：
影响因子：
--
通讯作者：
Peres, Karen Glazer
中科院分区：
文献类型：
--
作者：
Camargo, Maria Beatriz Junqueira;Barros, Aluísio J D;Peres, Karen Glazer
目的：估计患病率的牙科就诊学龄前儿童和使用牙科service.METHODS相关的因素：一项横断面研究进行了1,129个5岁的儿童从Pelanmar出生队列研究Pelanmar（巴西南部）2004年，从2009年9月至2010年1月。记录儿童一生中至少使用一次牙科服务的情况以及儿童第一次牙科就诊的原因。第一次看牙医的类别是：例行检查，解决问题，或从未看过牙医。口试和面谈是在儿童之家进行的。社会经济方面和独立变量相关的母亲和孩子进行了分析，使用多变量logistic regression.RESULTS：牙科就诊的患病率（两类合并）为37.0%。定期访问的主要预测因素是较高的经济地位，母亲有更多的学校教育，和母亲谁收到了有关预防的指导。主要的预测因素，因为一个问题访问是在过去的六个月里感到疼痛，母亲具有较高的教育水平，和母亲谁收到了有关预防指导。大约45.0%的母亲通常从牙医那里获得有关如何预防蛀牙的信息。坚持健康计划的母亲的孩子更有可能有一个例行的牙科visit.CONCLUSIONS：学前访问牙科服务的速度低于医疗预约（儿童保育）的速度。除了收入和教育，母亲的行为在常规访问中也起着重要作用。过去六个月报告的疼痛和大量受蛀牙影响的牙齿，独立于其他因素，与特定问题的访问有关。将口腔健康教育纳入妇幼保健计划是非常重要的。
OBJECTIVE: To estimate the prevalence of dental visits among preschool children and determine the factors associated with using dental services.METHODS: A cross-sectional study was conducted with 1,129 five-year-old children from the Pelotas Birth Cohort Study in Pelotas (Southern Brazil) 2004, from September 2009 to January 2010. Use of dental services at least once in the child's life and the reason for the child's first dental visit were recorded. The categories assigned for the first dental visit were: routine checkup, resolution of a problem, or never saw a dentist. The oral examinations and interviews were performed in the children's homes. Socioeconomic aspects and independent variables related to the mother and child were analyzed using multivariable logistic regression.RESULTS: The prevalence of dental visits (both categories combined) was 37.0%. The main predictors for a routine visit were higher economic status, mothers with more schooling, and mothers who had received guidance about prevention. Major predictors for a visit because of a problem were having felt pain in the previous six months, mothers with higher education level, and mothers who had received guidance about prevention. Approximately 45.0% of mothers received information about how to prevent cavities, usually from the dentist. Children of mothers who adhered to health programs were more likely to have had a routine dental visit.CONCLUSIONS: The rate of preschool visits to dental services was lower than the rate for medical appointments (childcare). In addition to income and education, maternal behavior plays an important role in routine visits. Pain reported in the last six months and a high number of teeth affected by tooth decay, independent of other factors, were associated with visits for a specific problem. It is important to integrate oral health instruction into maternal and child health programs.