Association of general anxiety and pediatric dental preventive examination utilization, National Survey of Children's Health, 2021.

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Special Care in Dentistry Pub Date : 2024-09-01 Epub Date: 2024-05-06 DOI:10.1111/scd.13015

R Constance Wiener, Christopher Waters, Ruchi Bhandari

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引用次数: 0

Abstract

Introduction: Many factors influence preventive dental health service access for children. The objective of this research was to examine one factor, general anxiety, in accessing at least one preventive dental examination in the past 12 months in children with special healthcare needs (CSHCN) and children without special healthcare needs (CWSHCN).

Methods: National Survey of Children's Health (NSCH) 2021 were obtained for this cross-sectional research. Chi-square and logistic regression analyses were used to determine association of anxiety and past 12-month preventive dental examinations.

Results: The sample included 10 493 CSHCN, and 35 675 CWSHCN. Overall, 72.7% had past 12-month preventive dental examinations, and 9.9% had a healthcare provider indicate they had general anxiety. CSHCN with anxiety, CWSHCN with anxiety, and CSHCN without anxiety were more likely to have a past 12-month preventive dental examination visit than CWSHCN without anxiety (Adjusted Odds Ratios: 1.86, 1.39, 1.32, respectively).

Conclusion: Our results suggest children with general anxiety (both CSHCN and CWSHCN) are more likely to have had at least one regular preventive dental visit within the past 12 months than CWSHCN and without general anxiety. There is a need for further understanding the relationship of general anxiety and dental health to improve the health of all children.

Practical implications: CWSHCN without anxiety need individualized, comprehensive care with enough time, attention, instruction, and rewards to demonstrate to parents/guardians the importance of making routine preventive dental examinations a priority for their child.

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一般焦虑与儿童牙科预防性检查利用率的关系，全国儿童健康调查，2021 年。

导言：影响儿童获得预防性牙科保健服务的因素很多。本研究的目的是调查有特殊医疗保健需求的儿童（CSHCN）和无特殊医疗保健需求的儿童（CWSHCN）在过去 12 个月中至少接受过一次预防性牙科检查的一个因素--一般焦虑：这项横断面研究获得了 2021 年全国儿童健康调查（NSCH）的数据。采用卡方和逻辑回归分析确定焦虑与过去 12 个月预防性牙科检查的相关性：样本包括 10 493 名 CSHCN 和 35 675 名 CWSHCN。总体而言，72.7%的人在过去 12 个月中进行过预防性牙科检查，9.9%的人曾被医疗服务提供者告知患有一般焦虑症。与没有焦虑症的儿童相比，有焦虑症的 CSHCN、有焦虑症的 CWSHCN 和没有焦虑症的 CSHCN 在过去 12 个月中进行预防性牙科检查的可能性更大（调整后的比值比分别为 1.86、1.39 和 1.32）：我们的研究结果表明，与没有焦虑症的儿童相比，有焦虑症的儿童（包括 CSHCN 和 CWSHCN）更有可能在过去 12 个月内至少接受过一次定期牙科预防检查。有必要进一步了解普遍焦虑与牙科健康之间的关系，以改善所有儿童的健康状况：实际意义：没有焦虑症的儿童慢性病患者需要个性化的全面护理，并需要足够的时间、关注、指导和奖励，以向家长/监护人展示将常规预防性牙科检查作为孩子优先事项的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Special Care in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

2.40

自引率

14.30%

发文量

120

期刊介绍： Special Care in Dentistry is the official journal of the Special Care Dentistry Association, the American Association of Hospital Dentists, the Academy of Dentistry for Persons with Disabilities, and the American Society for Geriatric Dentistry. It is the only journal published in North America devoted to improving oral health in people with special needs.