与贫困的 12 岁学龄儿童牙外伤相关的环境和个人因素：一项队列研究

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Dental Traumatology Pub Date : 2024-04-09 DOI:10.1111/edt.12955

Emmanuelle de Fátima Noberto Bezerra, Fernando José Herkrath, Mario Vianna Vettore, Maria Augusta Bessa Rebelo, Adriana Corrêa de Queiroz, Janete Maria Rebelo Vieira, Juliana Vianna Pereira, Mariana Oliveira da Silva Freitas, Ana Paula Corrêa de Queiroz Herkrath

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引用次数: 0

摘要

目的儿童和青少年牙齿外伤（TDIs）已成为全球公认的公共卫生问题。本研究的目的是评估环境和个人特征与 12 岁学龄儿童牙外伤之间的关系。材料与方法对生活在巴西玛瑙斯市贫困社区的 355 名学龄儿童进行了队列研究。研究人员在基线时评估了环境因素（居住地和社会经济指标）和个人特征，包括性别、家庭收入、父母/监护人受教育年限、牙齿咬合过度和开牙合（牙齿美学指数）、自尊（罗森伯格自尊量表）、协调感（协调感量表）、口腔健康信念、社会支持（社会支持评估）。在基线和 2 年随访时，使用奥布莱恩指数测量 TDI。通过确证因子分析和结构方程模型对数据进行了分析。结果基线TDI发病率为17.6%，随访2年时的TDI发病率为26.8%。较好的社会心理状态对 TDIs 的发生率有直接的保护作用（β = -.184）。较好的环境特征（β = -.135）和较大的过牙合（β = -.203）与较差的社会心理状态直接相关。父母/监护人受教育程度越高，其社会心理状况越好（β = .154）。社会心理状况对过高牙合（β = .036）、环境因素（β = .024）和父母/监护人受教育程度（β = -.027）与 TDIs 的关系起着中介作用。在 TDIs 的因果网络中，社会心理状态是一个相关的个体属性，因为它对 TDIs 的发生率有直接影响，同时也是背景因素、过度喷射和父母/监护人就学情况对 TDIs 发生率影响的中介因素。

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Contextual and individual factors associated with traumatic dental injuries in deprived 12-year-old schoolchildren: A cohort study

Aim

Traumatic dental injuries (TDIs) among children and adolescents have been acknowledged as of public health concern worldwide. The aim of the study was to assess the relationship between contextual and individual characteristics and TDIs in 12-year-old schoolchildren.

Materials and Methods

A cohort study was conducted with 355 schoolchildren living in deprived communities in the city of Manaus, Brazil. Contextual factors (place of residence and socio-economic indicators) and individual characteristics, including sex, family income, parents/guardians years of schooling, overjet and open bite (Dental Aesthetic Index), self-esteem (Rosenberg Self-Esteem Scale), sense of coherence (Sense of Coherence Scale), oral health beliefs, social support (Social Support Appraisals) were assessed at baseline. TDIs were measured at baseline and at 2-year follow-up using the O'Brien Index. Data were analysed through confirmatory factor analysis and structural equation modeling.

Results

The baseline prevalence of TDIs was 17.6% and the incidence of TDIs at 2-year follow-up was 26.8%. Better psychosocial status had a direct protective effect on the incidence of TDIs (β = −.184). Better contextual characteristics (β = −.135) and greater overjet (β = −.203) were directly associated with poor psychosocial status. Higher schooling of parents/guardians directly predicted better psychosocial status (β = .154). Psychosocial status mediated the relationship of greater overjet (β = .036), contextual factors (β = .024) and parental/guardian schooling (β = −.027) with TDIs.

Conclusions

Contextual factors and individual characteristics predicted TDIs. Psychosocial status was a relevant individual attribute in the causal network of TDIs, due to the direct effect on the incidence of TDIs as well as a mediator on the influence of contextual factors, overjet and parents/guardians schooling on the incidence of TDIs.

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来源期刊

Dental Traumatology 医学-牙科与口腔外科

CiteScore

6.40

自引率

32.00%

发文量

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.