心理社会风险暴露限制 常规儿科口腔健康护理
Dorota T Kopycka-Kedzierawski1, Changyong Feng2,3, Ronald J Billings1
1Department of Dentistry, Eastman Institute for Oral Health, University of Rochester, Rochester, New York.
AJPM focus
|February 15, 2024
概括
父母抑郁症显著影响学龄前儿童的口腔健康检查,增加错过的预约. 这突显了儿童早期口腔健康差异的一个关键因素.
科学领域:
- 口腔健康 口腔健康
- 儿科牙科 儿科牙科
- 公共卫生 公共卫生
背景情况:
- 定期的口腔健康检查对于学龄前儿童的牙科护理至关重要.
- 影响幼儿出勤的因素需要进一步调查.
- 了解出勤障碍是减少口腔健康不平等的关键.
研究的目的:
- 确定影响学龄前儿童日常口腔卫生检查出席的社会,心理和背景因素.
- 分析家长抑郁症对约会遵守的影响.
- 探索早期口腔健康差异的潜在机制.
主要方法:
- 这是一项为期两年的前性队列研究,涉及189名学龄前儿童.
- 概括估计方程 (GEE) 用于分析诊所出院率的预测指标.
- 多重后勤回归模型报告了几率比率 (OR) 和95%信心区间 (CI).
主要成果:
- 常规访问的取消和不出现率高于研究访问,在COVID-19大流行期间增加.
- 父母抑郁症与取消或不出席预约的可能性增加显著相关 (OR=1.06,CI=1.03,1.09),无论访问类型如何.
- 在分析中调整了社会人口统计学因素.
结论:
- 父母抑郁症是幼儿口腔保健出席率降低的可靠预测因素.
- 父母抑郁症可能是导致早期口腔健康不平等的机制.
- 解决家长的心理健康问题对于改善儿科口腔保健的准入至关重要.
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