口腔健康对学习成绩和旷课有影响吗?

Sarah Arangurem Karam, F. Costa, L. A. Chisini, R. Darley, F. F. Demarco, M. Corrêa
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摘要

目的:本研究旨在评估口腔健康与学习成绩和/或旷课之间的关系。研究方法在 PubMed、Web of Science、SCOPUS 和 LILACS/BVS 数据库中进行电子检索。我们纳入了评估龋齿、牙齿脱落、牙痛或口腔健康状况与旷课或学习成绩之间关系的观察性研究。研究必须包含具有代表性的人群样本:学童、儿童或青少年。在去除重复内容后,电子检索共产生了 3,789 篇文章。其中,25 项研究被纳入系统综述,13 项研究被纳入荟萃分析。分析结果考虑到荟萃分析中评估的所有研究,有 7 篇文章 100%符合乔安娜-布里格斯研究所的批判性评估清单,有 6 篇文章的正面回答在 90% 到 75% 之间。汇总效应显示,有龋齿的学生旷课的几率要高出 31%(OR 1.31;95%CI 1.12-1.54)。牙齿健康状况一般/较差的学生学习成绩较差的几率高出 50%(OR 1.50;95%CI 1.22-1.84),在学校出现问题的几率高出 34%(OR 1.34;95%CI 1.06-1.70)。有牙痛病史的学生缺课的几率要高出 3.7(OR 6.65;95%CI 1.60-8.32),因牙痛缺课的几率要高出 71%(OR 1.71;95%CI 1.15-2.56)。有牙痛病史的受试者学习成绩差的几率要高出 2.5 倍(OR 2.58;95%CI 2.04-3.27)。结论是因此,有口腔问题的学生更有可能休学,学习成绩也更差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Can oral health have an impact on academic performance and school absenteeism?
Aim: The study aimed to evaluate the association between oral health and academic performance and/or school absenteeism. Methods: Electronic searches were performed of the PubMed, Web of Science, SCOPUS and LILACS/BVS databases. We included observational studies that evaluated the association between dental caries, tooth loss, dental pain or oral health status with school absenteeism or academic performance. The studies had to contain a representative sample of the population: schoolchildren, children or adolescents. After the removal of duplicates, the electronic searches produced 3,789 articles. Of these, 25 studies were included in the systematic review and 13 in the meta-analysis. Results: Considering all the studies evaluated in the meta-analysis, seven articles satisfied 100% of the Joanna Briggs Institute Critical Appraisal checklist, and six contained between 90% and 75% positive answers. The pooled effects showed that the chances of school absenteeism were 31% higher in subjects with dental caries (OR 1.31; 95%CI 1.12-1.54). Students with fair/poor dental health had a 50% higher chance of suffering poor academic performance (OR 1.50; 95%CI 1.22-1.84) and 34% higher chance of having problems at school (OR 1.34; 95%CI 1.06-1.70). Students with a history of toothache had a 3.7 higher chance of being absent from school (OR 6.65; 95%CI 1.60-8.32) and 71% higher chance of missing class due to toothache (OR 1.71; 95%CI 1.15-2.56). Subjects with a history of toothache had a 2.5 times higher chance of suffering poor academic performance (OR 2.58; 95% CI 2.04-3.27). Conclusion: Therefore, students with oral problems were more likely to take time off school and present inferior academic performance.
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