印度东部有特殊医疗保健需求的儿童和青少年的创伤性牙科损伤与口腔健康相关的生活质量:病例对照研究。

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Sri Priya Narayanan, Shilpa Mahapatra, Hitesh Kumar Sahoo, Lipsa Padhihary, Shivani Gupta
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引用次数: 0

摘要

目的:这项匹配病例对照研究旨在调查在印度东部政府特殊学校就读的听力和/或视力受损儿童中牙科外伤(TDI)的患病率及其对口腔健康相关生活质量(OHRQoL)的影响:根据 228 份家长/监护人答复中的家长-护理人员认知问卷 (PCP-Q) 分数,采用两步聚类分析法确定病例和对照。病例包括对 OHRQoL 负面影响较大的儿童(89 名受试者),而对照组则包括对 OHRQoL 负面影响较小的儿童(139 名受试者)。两组儿童的年龄和性别相匹配,研究人员对病例/对照组的身份保密。研究人员进行了二元逻辑回归:研究对象的 TDI 患病率为 24.12%。与对照组受试者(16.5%)相比,报告有 TDI 病史的病例比例明显更高(36%)。患有 TDI 的儿童在所有 P-CPQ 分量表中的 OHRQoL 分数都要高得多。跌倒是导致TDI的最常见原因,主要发生在家中或学校,且无一人接受治疗:结论:TDI 严重影响这些儿童的 OHRQoL。缺乏治疗凸显了照顾者的意识和改善有特殊需求儿童的牙科就医条件的必要性。建议使用更大的样本和专门的 OHRQoL 工具开展进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Traumatic dental injuries and oral health-related quality of life in children and adolescents with special health care needs in Eastern India: A case-control study.

Aim: This matched case-control study aimed to investigate the prevalence of traumatic dental injuries (TDI) and its impact on oral health-related quality of life (OHRQoL) in hearing and/or visually impaired children attending government special schools in Eastern India.

Methods: A two-step cluster analysis was performed to define cases and controls based on the Parental-Caregivers Perceptions Questionnaire (PCP-Q) scores from the 228 parent/guardian responses. The cases included children with a higher negative impact on OHRQoL (89 subjects), whereas the controls were those with a lower negative impact on OHRQoL (139 subjects). Groups were matched for age and gender and researchers were blinded to case/control status. Binary logistic regression was performed.

Results: The prevalence of TDI among the study subjects was 24.12%. Compared to subjects in the control group (16.5%), a significantly higher proportion of cases (36%) reported a history of TDI. Children with TDI had considerably higher OHRQoL scores across all P-CPQ sub-scales. Falls were the most common cause of TDI, primarily at home or school and none received treatment.

Conclusion: TDI significantly impacts OHRQoL in these children. Lack of treatment highlights the need for caregiver awareness and improved dental access for children with special needs. Further research with larger samples and specialized OHRQoL tools is recommended.

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来源期刊
Special Care in Dentistry
Special Care in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
2.40
自引率
14.30%
发文量
120
期刊介绍: Special Care in Dentistry is the official journal of the Special Care Dentistry Association, the American Association of Hospital Dentists, the Academy of Dentistry for Persons with Disabilities, and the American Society for Geriatric Dentistry. It is the only journal published in North America devoted to improving oral health in people with special needs.
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