Association between maternal depression and early childhood caries in rural southern Brazil: a population-based cross-sectional study.

IF 2.3 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

European Archives of Paediatric Dentistry Pub Date : 2025-05-06 DOI:10.1007/s40368-025-01047-0

A V Camerini, A E R Silva, C A Feldens, R D Meucci, S O M Prietsch

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引用次数: 0

Abstract

Purpose: The aim of the present study was to investigate the association between maternal depressive symptoms and Early Childhood Caries (ECC) in children residing in rural communities in southern Brazil.

Methods: A population-based cross-sectional study was conducted with 236 children aged 1-5 years and their mothers. Mothers answered the Patient Health Questionnaire (PHQ-9) addressing depressive symptoms and a structured questionnaire investigating demographic, socioeconomic and behavioural characteristics. The mothers and children underwent oral health examinations using the WHO criteria (DMFT and dmft index, respectively). The outcome was the occurrence of ECC (dmft ≥ 1) and the main exposure was symptoms of maternal depression. Poisson regression with robust variance was used to estimate prevalence ratios and 95% confidence intervals adjusted for potential confounding variables.

Results: Overall, 37.7% of the children had ECC and 21.5% of the mothers had symptoms of depression. The prevalence of ECC was significantly higher among children of mothers with depressive symptoms (52.0%) compared to those of mothers without symptoms (34.6%). The multivariate analysis showed that the likelihood of ECC was nearly 50% higher in children whose mothers presented depressive symptoms (PR = 1.46; 95% CI 1.04-2.05) compared to those with mothers without depressive symptoms.

Conclusion: The symptoms of maternal depression increased the likelihood of ECC in preschool children living in a rural area.

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巴西南部农村孕产妇抑郁与幼儿龋齿之间的关系：一项基于人群的横断面研究

目的：本研究的目的是调查居住在巴西南部农村社区的儿童的母亲抑郁症状和早期儿童龋齿（ECC）之间的关系。方法：对236名1-5岁儿童及其母亲进行了以人群为基础的横断面研究。母亲们回答了关于抑郁症状的病人健康问卷（PHQ-9）和调查人口、社会经济和行为特征的结构化问卷。使用世卫组织标准（DMFT和DMFT指数分别）对母亲和儿童进行口腔健康检查。结果为发生ECC (dmft≥1)，主要暴露为产妇抑郁症状。采用稳健方差的泊松回归来估计患病率和校正潜在混杂变量后的95%置信区间。结果：总体而言，37.7%的儿童出现抑郁症状，21.5%的母亲出现抑郁症状。有抑郁症状母亲的儿童ECC患病率（52.0%）明显高于无抑郁症状母亲的儿童（34.6%）。多变量分析显示，母亲有抑郁症状的儿童发生ECC的可能性高出近50% (PR = 1.46；95% CI 1.04-2.05)，与没有抑郁症状的母亲相比。结论：母亲抑郁症状增加了农村学龄前儿童发生ECC的可能性。

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

European Archives of Paediatric Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

4.40

自引率

9.10%

发文量

期刊介绍： The aim and scope of European Archives of Paediatric Dentistry (EAPD) is to promote research in all aspects of dentistry for children, including interceptive orthodontics and studies on children and young adults with special needs. The EAPD focuses on the publication and critical evaluation of clinical and basic science research related to children. The EAPD will consider clinical case series reports, followed by the relevant literature review, only where there are new and important findings of interest to Paediatric Dentistry and where details of techniques or treatment carried out and the success of such approaches are given.