父母/照护者代理报告儿童龋齿经历的准确性以及与社会经济环境的关联：一项横截面数据关联研究。

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Community dental health Pub Date : 2024-08-30 DOI:10.1922/CDH_00073Cousins06

K Cousins, D Conway, P Bradshaw, A Sherriff

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引用次数: 0

摘要

目的比较家长/护理人员对其 5 岁子女龋齿情况的代理报告与流行病学调查中临床医生对同一儿童龋齿情况的检查。确定不同地区社会经济群体在准确性上的差异：一项横断面数据链接研究将苏格兰成长（GUS）研究和国家牙科检查计划（NDIP）学校流行病学调查的数据联系起来。将3008名儿童的家长/照护者代理报告的龋病经历与临床医生测量的龋病经历进行了比较，并根据家庭居住地区的社会经济贫困水平（苏格兰多重贫困指数（SIMD））对数据进行了分层。计算了敏感性、特异性、阳性预测值 (PPV) 和阴性预测值 (NPV)，并按 SIMD 进行了分层：总体而言，家长/照护者代理报告的灵敏度较低（42.3% 95%CI：39.0, 45.7），且随着贫困程度的降低而降低（SIMD-1（最贫困）：49.4%；SIMD-5：49.4%）：49.4%至SIMD-5（最贫困）：37.2%).总体而言，以及在不同地区的社会经济贫困水平下，特异性始终很高（总体=96.2%，95%CI：95.3，97.0；SIMD-1：94.4%，SIMD-5：97.8%）。在家长/照护者报告有龋齿经历（GUS）的儿童中，发现有龋齿经历（NDIP）的比例很高（PPV=81.8%，95%CI：78.2，84.9）：结论：家长/监护人对 5 岁儿童龋齿经历的代理报告灵敏度很低，在最贫困地区的儿童中灵敏度最低。相比之下，报告其子女有龋齿经历的家长/照护者的报告准确度相当高。本研究的结论是，在儿童群体调查中，代理报告龋齿经历的灵敏度不足以取代临床医生检查龋齿经历的评估，并强调了将数据链接到常规数据集的重要性。

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The accuracy of parent/carer proxy-reporting of caries experience in children and association with socioeconomic circumstances: a cross-sectional data linkage study.

Objectives: To compare parent/carer proxy-reported dental caries experience of their 5-year-old child with epidemiological survey clinician examination of caries experience in the same children. To determine any differences in the accuracy by area-based socioeconomic group.

Methods: A cross-sectional data linkage study linked data from the Growing Up in Scotland (GUS) study and the National Dental Inspection Programme (NDIP) school epidemiology survey. Parent/carer proxy-reported caries experience was compared with clinician-measured caries experience on n=3008 children, and data were stratified by home-residential area-based socioeconomic deprivation levels (Scottish Index of Multiple Deprivation (SIMD)). Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated overall and stratified by SIMD.

Results: Overall, parent/carer proxy-reporting had low sensitivity (42.3% 95%CI: 39.0, 45.7) that decreased with decreasing deprivation (SIMD-1(most deprived): 49.4% to SIMD-5 (least deprived): 37.2%). Specificity remained consistently high overall and across area-based socioeconomic deprivation levels (overall=96.2%, 95%CI: 95.3, 97.0; SIMD-1: 94.4% SIMD-5: 97.8%). In children whose parents/carers reported them to have caries experience (GUS) a high percentage were found to have caries experience (NDIP) (PPV=81.8%, 95%CI: 78.2, 84.9).

Conclusion: Parent/carer proxy-reporting of caries experience in 5-year-old children had very low sensitivity and was lowest in children from the least deprived areas. In contrast, parents/carers who reported their child had caries experience did so reasonably accurately. This study concludes that proxy reporting caries experience is not sufficiently sensitive to replace clinician examination in assessing dental caries experience in surveys of child populations and highlights the importance of data linkage to routine datasets.

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来源期刊

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.