Ear Problems Are Associated With Traumatic Dental Injuries Among Australian-Indigenous-Children.

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Xiangqun Ju, Gloria Mejia, Joanne Hedges, Lisa M Jamieson
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引用次数: 0

Abstract

Background/aim: The association between ear problems and traumatic dental injuries (TDIs) has not been examined in longitudinal cohort studies. The study aimed to estimate the effect of ear problems on TDIs in primary and permanent teeth among Australian Indigenous children.

Methods: The Longitudinal Study of Indigenous Children is a study of two representative cohorts of Indigenous Australian children, aged from 6 months to 2 years (baby cohort) or from 3.5 to 5 years (child cohort) at baseline (2008). The children's mother/primary carer undertook a face-to-face interview in 2008, repeated annually for the next 9 years. Ear problems included runny ears, perforated eardrum, total deafness, deaf in one ear, hearing loss/partially deaf, and other ear problems. TDIs were teeth and oral soft and hard tissue injuries. Multivariate survival analysis using Cox proportional regression models estimated hazards ratio (HR) were used in the analysis.

Results: A total of 870 from baby cohort and 668 from child cohort Indigenous children, who had no TDIs at baseline were included in the analysis. The prevalence of TDIs was 9.2%, 11.1%, and 6.6% in the total, baby, and child cohorts, respectively. Multivariable models for TDIs indicate children with ear problems had nearly four times (total: HR = 3.72, 95% CI: 1.82-6.77), five times (baby cohort: HR = 4.76, 95% CI: 1.59-11.63), and more than 15 times (child cohort: HR = 16.2, 95% CI: 4.78-49.28) the average hazard over time, than those without ear problems. After adjusting for all covariates, children with ear problems had more than 22 times (HR = 22.03, 95% CI: 4.50-87.07) TDIs than those without ear problems in the child cohort. Mothers/primary carers with lower educational level was positively associated with the incidence of TDIs.

Conclusion: Ear problems were a risk indicator for the increased incidence of TDIs in two large cohorts of Indigenous Australian children. Mothers/primary carers' educational level was a significant risk factor for TDIs.

澳大利亚土著儿童的耳朵问题与牙齿外伤有关。
背景/目的:纵向队列研究尚未对耳朵问题与牙外伤(TDI)之间的关系进行研究。本研究旨在估算耳朵问题对澳大利亚土著儿童乳牙和恒牙外伤的影响:土著儿童纵向研究 "是一项针对两个具有代表性的澳大利亚土著儿童队列的研究,这些儿童的基线年龄分别为 6 个月至 2 岁(婴儿队列)或 3.5 至 5 岁(儿童队列)(2008 年)。儿童的母亲/主要照顾者在 2008 年接受了一次面对面的访谈,在接下来的 9 年中每年重复一次。耳部问题包括流鼻涕、鼓膜穿孔、全聋、单耳聋、听力损失/半聋以及其他耳部问题。TDI包括牙齿和口腔软硬组织损伤。分析中采用了多变量生存分析,并使用考克斯比例回归模型估算了危险比(HR):共有 870 名婴儿队列和 668 名儿童队列的土著儿童被纳入分析,他们在基线时没有 TDIs。总队列、婴儿队列和儿童队列中的 TDI 患病率分别为 9.2%、11.1% 和 6.6%。TDIs的多变量模型显示,有耳部问题的儿童随着时间的推移,其平均危害是没有耳部问题的儿童的近4倍(总体:HR = 3.72,95% CI:1.82-6.77)、5倍(婴儿队列:HR = 4.76,95% CI:1.59-11.63)和15倍以上(儿童队列:HR = 16.2,95% CI:4.78-49.28)。对所有协变量进行调整后,在儿童队列中,有耳疾的儿童的 TDI 是无耳疾儿童的 22 倍多(HR = 22.03,95% CI:4.50-87.07)。教育水平较低的母亲/主要照顾者与 TDIs 的发生率呈正相关:结论:在两个大型澳大利亚土著儿童队列中,耳朵问题是导致TDI发病率增加的一个风险指标。母亲/主要照护者的教育水平是导致TDIs的重要风险因素。
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来源期刊
Dental Traumatology
Dental Traumatology 医学-牙科与口腔外科
CiteScore
6.40
自引率
32.00%
发文量
85
审稿时长
6-12 weeks
期刊介绍: Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.
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