Oral health behavior and parental cognition of first-grade children in urban and suburban areas of Shanghai

doi:10.19439/j.sjos.2023.05.016

Abstract

Abstract: PURPOSE: To investigate oral health behaviors of first-grade school children and parents' cognition of oral health in urban and suburban areas of Shanghai, and to analyze and compare the differences between the two areas, so as to provide reference for formulating oral health intervention measures and oral health education. METHODS: A total of 3 312 first-grade school-aged children in Shanghai were included by cluster random sampling method. Relevant data were collected through questionnaire survey of parents' oral health and clinical oral examination of children. Chi-square test was used to compare the differences in oral health behaviors of children and parents' oral health cognition between urban and suburban area with SAS 9.4 software package. RESULTS: The proportion of children who brush their teeth more than twice a day in urban and suburban areas was 72.55% and 44.26%, and the proportion of children who brushed their teeth with fluoride toothpaste was 53.25% and 44.79%, respectively. Compared with the suburban area, the brushing habits of school-aged children in urban area were better, the difference was statistically significant(P<0.05). In terms of medical habits, the proportion of children with no dental experience in urban and suburban areas was 26.99% and 44.08%, and the proportion of children with toothache in the past year was lower than that in the last dental visit, the difference was statistically significant (P<0.05). In terms of parents' cognition and attitude towards oral health knowledge, parents in urban areas were more correct than those in suburban areas, with the average correct rate being 82.56% and 70.42%, and the difference was statistically significant (P<0.05). CONCLUSIONS: There are regional differences in oral health behaviors of first-grade school children and parents' oral health knowledge between urban and suburban area in Shanghai. It is suggested that relevant government departments should strengthen oral health education and oral health behavior guidance for parents, and strengthen oral health investment in non-central urban areas.

Key words: Children, Caries, Oral health, Cognition, Urban and suburban

CLC Number:

R780.1

SU Hong-ru, WU Yi-pei, QIAN Wen-hao, ZHANG Hong-jun. Oral health behavior and parental cognition of first-grade children in urban and suburban areas of Shanghai[J]. Shanghai Journal of Stomatology, 2023, 32(5): 536-540.

References

[1] Kassebaum NJ, Smith AGC, Bernabé E, et al.Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors[J]. J Dent Res, 2017, 96(4): 380-387.
[2] 冯希平. 中国居民口腔健康状况—第四次中国口腔健康流行病学调查报告[A]//2018年中华口腔医学会第十八次口腔预防医学学术年会论文汇编[C]. 西安: 中华口腔医学会, 2018.
[3] 刘怡然, 沈红, 仇颖莹, 等. 江苏省3~5岁和12~15岁人群口腔卫生服务利用情况调查及相关因素分析[J].口腔医学, 2020, 40(5): 448-452.
[4] Alazmah A.Early childhood caries: a review[J]. J Contemp Dent Pract, 2017,18(8): 732-737.
[5] Jain R, Patil S, Shivakumar KM, et al.Sociodemographic and behavioral factors associated with early childhood caries among preschool children of Western Maharashtra[J]. Indian J Dent Res, 2018, 29(5): 568-574.
[6] Chen KJ, Gao SS, Duangthip D, et al.Early childhood caries and oral health care of Hong Kong preschool children[J]. Clin Cosmet Investig Dent, 2019,11: 27-35.
[7] Trubey RJ, Moore SC, Chestnutt IG.Children's toothbrushing frequency: the influence of parents' rationale for brushing, habits and family routines[J]. Caries Res, 2015,49(2): 157-164.
[8] Moynihan P.Sugars and dental caries: evidence for setting a recommended threshold for intake[J]. Adv Nutr, 2016, 7(1): 149-156.
[9] Thornton-Evans G, Junger ML, Lin M, et al.Use of toothpaste and toothbrushing patterns among children and adolescents-United States, 2013-2016[J]. MMWR Morb Mortal Wkly Rep, 2019, 68(4): 87-90.
[10] 陈琦雯, 施乐, 陆佳琪, 等. 上海市静安区152名聋哑学生口腔状况及龋病相关影响因素分析[J]. 上海口腔医学, 2021, 30(5): 526-530.
[11] Wigen TI, Wang NJ.Tooth brushing frequency and use of fluoride lozenges in children from 1.5 to 5 years of age: a longitudinal study[J]. Community Dent Oral Epidemiol, 2014, 42(5): 395-403.
[12] Boustedt K, Dahlgren J, Twetman S,et al.Tooth brushing habits and prevalence of early childhood caries: a prospective cohort study[J]. Eur Arch Paediatr Dent, 2020, 21(1): 155-159.
[13] De Jong-Lenters M, L'Hoir M, Polak E, et al. Promoting parenting strategies to improve tooth brushing in children: design of a non-randomised cluster-controlled trial[J]. BMC Oral Health, 2019, 19(1): 210-222.
[14] Fidler Mis N, Braegger C, Bronsky J, et al.Sugar in infants, children and adolescents: a position paper of the European society for paediatric gastroenterology, hepatology and nutrition committee on nutrition[J]. J Pediatr Gastroenterol Nutr, 2017, 65(6): 681-696.
[15] 曹采方. 对牙周病和龋齿患病率的思考—如何解读第三次全国口腔健康流行病学调查的资料[J]. 中华口腔医学杂志, 2013, 48(5): 257-259.
[16] Hooley M, Skouteris H, Boganin C, et al.Parental influence and the development of dental caries in children aged 0-6 years: a systematic review of the literature[J]. J Dent, 2012, 40(11): 873-885.
[17] Beljan M, Puharic Z, Žulec M, et al.Parent’s and children’s behavior and knowledge about oral health[J]. Acta Med Croatica, 2016, 70(3): 165-171.
[18] 丁贤彬,吕晓燕,毛德强,等.重庆市儿童口腔窝沟封闭干预的远期效果评估[J].现代预防医学, 2016, 43(7): 1202-1205.
[19] George A, Sousa MS, Kong AC, et al.Effectiveness of preventive dental programs offered to mothers by non-dental professionals to control early childhood dental caries: a review[J]. BMC Oral Health, 2019, 19(1): 172-180.