Determinants of Early Childhood Caries and their interactions: A Structural Equation Modelling approach.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Community dental health Pub Date : 2023-11-30 DOI:10.1922/CDH_00017Gunasinghe06

K A M M Gunasinghe, M S D Wijesinghe, N C Ratnayake

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Abstract

Objective: Early Childhood Caries (ECC) has been common among preschoolers in Sri Lanka over decades. A broad spectrum of determinants that act upon different levels is responsible for its development. Therefore, the relationships among these determinants should be studied extensively to control ECC.

Design: Descriptive cross-sectional study with multistage cluster sampling.

Setting: Registered preschools in Gampaha District.

Participants: A total of 1038 three to four-year-olds and their mothers.

Main outcome measures: Direct, indirect, and total effects of the determinants of ECC in structural equation models.

Results: Sweet consumption had direct effects from permissive parenting (β=0.26, p=0.00) and the sweet consumption behaviour of the family (β=0.17, p=0.01). Oral hygiene behaviours had direct effects from permissive parenting (β=-0.46, p=0.00) and maternal oral health related self-efficacy (β=0.23, p=0.00). The dental attendance pattern had total effects from knowledge (β=0.18, p=0.00) and permissive parenting (β=-0.16, p=0.00).

Conclusions: Parenting style, family sweet consumption behaviour and maternal oral health related self-efficacy were the most influential second-line determinants that affected oral health behaviours: sweet consumption, oral hygiene, and dental attendance pattern for the development of ECC.

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儿童早期龋齿的决定因素及其相互作用:结构方程建模方法。

目的:几十年来，早期儿童龋齿(ECC)在斯里兰卡的学龄前儿童中很常见。在不同层面上起作用的广泛决定因素是其发展的原因。因此，应广泛研究这些决定因素之间的关系，以控制ECC。设计:采用多阶段整群抽样的描述性横断面研究。地点:Gampaha区的注册幼儿园。参与者:共有1038名3至4岁的儿童和他们的母亲。主要结果测量:结构方程模型中ECC决定因素的直接、间接和总影响。结果:父母的纵容(β=0.26, p=0.00)和家庭的糖果消费行为(β=0.17, p=0.01)对糖果消费有直接影响。口腔卫生行为直接影响父母的纵容(β=-0.46, p=0.00)和母亲口腔健康相关的自我效能感(β=0.23, p=0.00)。就诊模式受知识(β=0.18, p=0.00)和父母纵容(β=-0.16, p=0.00)的总影响。结论:父母教养方式、家庭甜食消费行为和母亲口腔健康相关的自我效能感是影响口腔健康行为的最重要的二线决定因素:甜食消费、口腔卫生和牙科就诊模式对ECC的发展有影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.