Children's use of dental services: influence of maternal dental anxiety, attendance pattern, and perception of children's quality of life

作者：Marília Leão Goettems, Thiago Machado Ardenghi, Flávio Fernando Demarco, Ana Regina Romano, Dione Dias Torriani · 发表于：Community Dentistry And Oral Epidemiology · 年份：2012 · DOI：10.1111/j.1600-0528.2012.00694.x · 被引用次数：117 · 研究领域：Dental Anxiety and Anesthesia Techniques、Dental Health and Care Utilization、Dental Research and COVID-19

OBJECTIVES: The purpose of the study was to investigate the influence of a child's clinical condition; maternal characteristics such as dental anxiety and dental visit pattern; socioeconomic conditions; and maternal perception of the child's oral health-related quality of life (OHRQoL) on a child's use of dental care services. METHODS: A cross-sectional study of 608 mother-child dyads was conducted during the Children's Immunization Campaign in Pelotas, Brazil. Mothers answered a questionnaire regarding their use of dental services, dental anxiety (Dental Anxiety Scale), socioeconomic status, and perception of their children's OHRQoL (the Early Childhood Oral Health Impact Scale). Clinical examination of the children was performed to assess dental caries (dmf-t). Associations between the above-mentioned factors and child use of dental services were assessed using Poisson regression models (prevalence ratio [PR]; 95% CI; P ≤ 0.05). RESULTS: The majority of children (79.3%) had never had a dental appointment and of the children who had visited a dentist, 55 (43.65%) presented with untreated dental caries at the time of examination. More than half the mothers (60.2%) did not visit a dentist regularly. In the final model, low schooling level of mothers (PR, 0.64) and irregular visits to a dentist by the mother (PR, 0.48) were factors because of which a child did not have a dental appointment. Children who had experienced pain (PR, 1.56), those who had poor OHRQoL (PR, 1.49), and ...