Relationship between family function and oral health-related behaviors of 5-year-old children in Guangzhou

doi:10.3877/cma.j.issn.1674-1366.2018.06.003

Abstract

Abstract:

Objective

To explore the association between family function and the children′s oral health-related behaviors and caries status.

Methods

A cross-sectional study was conducted in a sample of 1332 children aged 5 years and their caregivers from 2011 August to December in Guangzhou. Data of the socio-demographic factors, family function, the caregivers′ and the children′s oral health-related behaviors, were collected through questionnaires which were completed by the caregivers. T test and multiple logistic regression were used to analyze the relationship between family function and the children′s oral health-related behaviors and caries.

Results

The results of t test showed that family function was significantly related to the children′s tooth brushing frequency (t = -2.275, P = 0.023) , but not significantly related to the children′s frequency of sweet snack intake, utilization of dental service, and pattern of dental visits (P>0.05) . In the multiple logistic regression model, the children′s tooth brushing frequency was not significantly associated with family function, but significantly associated with the children′s gender, mother′s and father′s education, caregiver′s tooth brushing frequency and oral health knowledge.

Conclusion

Family function has no impact on the oral health-related behaviors of the 5-year-old children in Guangzhou.

Key words: Child, Health behavior, oral, Psychosocial factors, Family function

Rongmin Qiu, Lixia Yu, Ye Tao, Wenting Jian, Bingchun Li, Huancai Lin. Relationship between family function and oral health-related behaviors of 5-year-old children in Guangzhou[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2018, 12(06): 342-346.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhkqyxyjzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-1366.2018.06.003

https://zhkqyxyjzz.cma-cmc.com.cn/EN/Y2018/V12/I06/342

Figures/Tables 3

References 24

[1]	Watt RG. Emerging theories into the social determinants of health：implications for oral health promotion[J]. Community Dent Oral Epidemiol, 2002, 30(4):241-247.
[2]	Baker SR, Mat A, Robinson PG. What psychosocial factors influence adolescents′ oral health？[J]. J Dent Res, 2010, 89(11):1230-1235.
[3]	Smilkstein G. The family APGAR：a proposal for a family function test and its use by physicians [J]. J Fam Pract, 1978, 6(6):1231-1239.
[4]	齐小秋.第三次全国口腔健康流行病学调查报告[M].北京：人民卫生出版社，2008：20-24.
[5]	Díaz-Cárdenas S, González-Martínez F. The prevalence of dental caries related to family factors in schoolchildren from the city of Cartagena in Colombia [J]. Rev Salud Publica（Bogota）, 2010, 12(5):843-851.
[6]	张作记.行为医学量表手册 [M].北京：中华医学电子音像出版社，2005：54-56.
[7]	Lin HC, Wong MCM, Wang ZJ, et al. Oral health knowledge, attitudes, and practices of Chinese adults [J]. J Dent Res, 2001, 80(5):1466-1470.
[8]	Qiu RM, Tao Ye, Zhou Yan, et al. The relationship children′s oral health-related behaviors and their caregiver′s social support [J]. BMC Oral Health, 2016, 16(1):86.
[9]	Welles SL, Patel F, Chilton M. Does Employment-Related Resilience Affect the Relationship between Childhood Adversity, Community Violence, and Depression？[J]. J Urban Health, 2017, 94(2):233-243.
[10]	de Castro AB, Gee GC, Takeuchi DT. Examining alternative measures of social disadvantage among Asian Americans：the relevance of economic opportunity, subjective social status, and financial strain for health [J]. J Immigr Minor Health, 2010, 12(5):659-671.
[11]	肖倩，洪黛玲.学龄前儿童行为问题与家庭功能的相关性分析[J].中国健康心理学杂志，2008，16(5):527-529.
[12]	Li J, Mo PK, Wu AM, et al. Roles of Self-Stigma, Social Support, and Positive and Negative Affects as Determinants of Depressive Symptoms Among HIV Infected Men who have Sex with Men in China[J]. AIDS Behav, 2017, 21(1):261-273.
[13]	Hai S, Wang H, Cao L, et al. Association between sarcopenia with lifestyle and family function among community-dwelling Chinese aged 60 years and older[J]. BMC Geriatr, 2017, 17(1):187.
[14]	Lu C, Yuan L, Lin W, et al. Depression and resilience mediates the effect of family function on quality of life of the elderly [J]. Arch Gerontol Geriatr, 2017(71):34-42.
[15]	Nilsson KW, Sjöberg RL, Wargelius HL, et al. The monoamine oxidase A（MAO-A）gene, family function and maltreatment as predictors of destructive behaviour during male adolescent alcohol consumption [J]. Addition, 2007, 102(3):389-398.
[16]	Davis EM, Rovi S, Johnson MS, et al. Mental health, family function and obesity in African-American women [J]. J Natl Med Assoc, 2005, 97(4):478-482.
[17]	Trask PC, Paterson AG, Trask CL, et al. Parent and adolescent adjustment topediatric cancer：associations with coping, social support, and family function [J]. J Pediatr Oncol Nurs, 2003, 20(1):36-47.
[18]	Prazeres F, Santiago L. Relationship between health-related quality of life, perceived family support and unmet health needs in adult patients with multimorbidity attending primary care in Portugal：a multicenter cross-sectional study [J]. Health Qual Life Outcomes, 2016, 4(1):156.
[19]	Chen B, Peng Y, Zhou L, et al. Social support received by multidrug-resistant tuberculosis patients and related factors：a cross-sectional study in Zhejiang Province, People′s Republic of China [J]. Patient Prefer Adherence, 2016, 13(10):1063-1070.
[20]	Poutanen R, Lahti S, Tolvanen M, et al. Parental influence on children′s oral health-related behavior [J]. Acta Odontol Scand, 2006, 64(5):286-292.
[21]	Saied-Moallemi Z, Murtomaa H, Tehranchi A, et al. Oral health behaviour of Iranian mothers and their 9-year-old children [J]. Oral Health Prev Dent, 2007, 5(4):263-269.
[22]	Qiu RM, Wong MC, Lo EC, et al. Relationship between children′s oral health-related behaviors and their caregiver′s sense of coherence[J]. BMC Public Health, 2013(13):239.
[23]	Skaret E, Espelid I, Skeie MS, et al. Parental beliefs and attitudes towards child caries prevention：assessing consistency and validity in a longitudinal design [J]. BMC Oral Health, 2008(8):1.
[24]	Rajan P, Krishnan R, Kumar S, et al. Knowledge and Attitude about Early Childhood Caries among Pregnant Mothers from Low Socioeconomic Status：A Questionnaire Study [J]. J Pharm Bioallied Sci, 2017, 9(Suppl 1):S85-S87.

变量		人数	百分比（%）
性别		?	?
?	男	731	54.9
?	女	601	45.1
独生子女		?	?
?	是	936	70.3
?	非	396	29.7
照顾者		?	?
?	母亲	1141	85.7
?	父亲	72	5.4
?	祖父/母	119	8.9
父母的婚姻状况		?	?
?	有配偶	1309	98.3
?	无配偶	23	1.7
母亲的受教育程度		?	?
?	高中或以下	727	54.6
?	大专或以上	605	45.4
母亲的职业^a		?	?
?	第三类	248	18.6
?	第二类	794	59.6
?	第一类	290	21.8
父亲的教育程度		?	?
?	高中或以下	677	50.8
?	大专或以上	655	49.2
父亲的职业^a		?	?
?	第三类	52	3.9
?	第二类	846	63.5
?	第一类	434	32.6
家庭人均月收入		?	?
?	<2000元	262	19.7
?	2000 ~ 4999元	546	41.0
?	≥5000元	524	39.3

变量		人数	百分比（%）
性别		?	?
?	男	731	54.9
?	女	601	45.1
独生子女		?	?
?	是	936	70.3
?	非	396	29.7
照顾者		?	?
?	母亲	1141	85.7
?	父亲	72	5.4
?	祖父/母	119	8.9
父母的婚姻状况		?	?
?	有配偶	1309	98.3
?	无配偶	23	1.7
母亲的受教育程度		?	?
?	高中或以下	727	54.6
?	大专或以上	605	45.4
母亲的职业^a		?	?
?	第三类	248	18.6
?	第二类	794	59.6
?	第一类	290	21.8
父亲的教育程度		?	?
?	高中或以下	677	50.8
?	大专或以上	655	49.2
父亲的职业^a		?	?
?	第三类	52	3.9
?	第二类	846	63.5
?	第一类	434	32.6
家庭人均月收入		?	?
?	<2000元	262	19.7
?	2000 ~ 4999元	546	41.0
?	≥5000元	524	39.3

因变量		人数（%）	家庭功能得分（±s）	t值	P值
儿童的吃甜食频率		?	?	0.206	0.836
?	<1次/天	671（50.4）	7.2 ± 1.9	?	?
?	≥1次/天	661（49.6）	7.1 ± 1.9	?	?
儿童的刷牙频率		?	?	-2.275	0.023
?	≤1次/天	896（67.3）	7.1 ± 1.9	?	?
?	≥2次/天	436（32.7）	7.3 ± 1.8	?	?
儿童的看牙医行为		?	?	-0.767	0.443
?	没有	923（69.3）	7.1 ± 1.9	?	?
?	有	409（30.7）	7.2 ± 1.9	?	?
儿童的看牙医模式^a		?	?	-1.904	0.058
?	有问题才看	348（85.1）	7.1 ± 1.9	?	?
?	定期检查	61（14.9）	7.6 ± 1.7	?	?

因变量		人数（%）	家庭功能得分（±s）	t值	P值
儿童的吃甜食频率		?	?	0.206	0.836
?	<1次/天	671（50.4）	7.2 ± 1.9	?	?
?	≥1次/天	661（49.6）	7.1 ± 1.9	?	?
儿童的刷牙频率		?	?	-2.275	0.023
?	≤1次/天	896（67.3）	7.1 ± 1.9	?	?
?	≥2次/天	436（32.7）	7.3 ± 1.8	?	?
儿童的看牙医行为		?	?	-0.767	0.443
?	没有	923（69.3）	7.1 ± 1.9	?	?
?	有	409（30.7）	7.2 ± 1.9	?	?
儿童的看牙医模式^a		?	?	-1.904	0.058
?	有问题才看	348（85.1）	7.1 ± 1.9	?	?
?	定期检查	61（14.9）	7.6 ± 1.7	?	?

变量		调整后OR值（95% CI）	P值
家庭功能得分		-	-
性别		?	?
?	男	1	?
?	女	1.30（1.02 ~ 1.66）	0.034
是否独生子女		?	?
?	是	1	?
?	非	0.77（0.58 ~ 1.02）	0.072
照顾者		?	?
?	母亲	-	-
?	父亲	-	-
?	祖父/母	-	-
母亲的受教育程度		?	?
?	高中或以下	1	?
?	大专或以上	1.36（1.02 ~ 1.87）	0.035
母亲的职业		?	?
?	第三类	-	-
?	第二类	-	-
?	第一类	-	-
父亲的受教育程度		?	?
?	高中或以下	1	?
?	大专或以上	1.39（1.03 ~ 1.87）	0.031
父亲的职业		?	?
?	第三类	-	-
?	第二类	-	-
?	第一类	-	-
家庭人均月收入		?	?
?	<2000元	-	-
?	2000 ~ 4999元	-	-
?	≥5000元	-	-
照顾者的刷牙频率		?	?
?	≤1次/天	1	?
?	≥2次/天	3.57（2.61 ~ 4.87）	<0.001
照顾者的口腔健康知识得分		1.04（1.01 ~ 1.07）	0.030
照顾者的口腔健康态度得分		-	-

Please choose a citation manager

Content to export