儿童气和幼儿:系统性审查和元分析
Swetha Sriram1, Subhashree Sahoo1, M S Muthu2
1Post-Graduate Student, Centre for Early Childhood Caries Research (CECCRe), Department of Pediatric and Preventive Dentistry, Sri Ramachandra Dental College and Hospital, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India.
Pediatric dentistry
|June 1, 2024
概括
儿童的气质,特别是气质困难,与早期儿童 (ECC) 有着强烈的关联. 这次系统审查发现了重要的联系,尽管证据的确定性非常低.
科学领域:
- 儿科牙科 儿科牙科
- 儿童心理学 儿童心理学
- 公共卫生 公共卫生
背景情况:
- 幼儿 (ECC) 是影响幼儿的重大公共卫生问题.
- 孩子的气质,一组天生的行为倾向,可能会影响与口腔健康相关的行为.
- 了解气质和ECC之间的关系对于有针对性的预防策略至关重要.
研究的目的:
- 系统地审查和综合有关儿童气质和幼儿 (ECC) 之间的联系的现有证据.
- 评估证据的质量,并确定与ECC相关的特定气质特征.
主要方法:
- 在多个数据库 (PubMed,EMBASE,Scopus等) 中进行了全面的系统搜索. 在2023年1月之前.
- 包括的研究涉及6岁或更年轻的儿童,使用经过验证的工具测量ECC和气质.
- 偏差风险和证据质量使用既有方法 (纽卡斯尔-太华,AXIS,GRADE) 进行了评估.
主要成果:
- 纳入了15项涉及6667名参与者的研究,其中7项符合元分析的条件.
- 作为气质特征的持久性与ECC没有显著的关联.
- 在困难的气和ECC (OR = 2.63) 之间发现了强烈的关联.
结论:
- 儿童气质和幼儿牙之间存在积极的关联,特别是在气质困难的情况下.
- 量化发现支持这种联系,尽管证据的整体确定性非常低.
- 需要进一步的研究来证实这种关联,并探索潜在的机制.
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