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

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...

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Publicado en:Community Dentistry & Oral Epidemiology Vol. 40; no. 5; pp. 451 - 459
Autores principales: Goettems, Marília L., Ardenghi, Thiago M., Demarco, Flávio F., Romano, Ana R., Torriani, Dione D.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Oct2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2012
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      pub: Wiley-Blackwell
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        10.1111/j.1600-0528.2012.00694.x
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        atl: Children's use of dental services: influence of maternal dental anxiety, attendance pattern, and perception of children's quality of life.
      aug:
        au:
          Goettems, Marília L.
          Ardenghi, Thiago M.
          Demarco, Flávio F.
          Romano, Ana R.
          Torriani, Dione D.
        affil: Department of Social and Preventive Dentistry, School of Dentistry, Federal University of Pelotas
      sug:
        subj:
          Dental Care for Children Trends
          Health Resource Utilization Evaluation
          Mothers Psychosocial Factors
          Quality of Life Evaluation
          Human
          Child, Preschool
          Male
          Female
          Cross Sectional Studies
          Brazil
          Psychological Tests
          Scales
          Descriptive Statistics
          P-Value
          Interviews
          kappa Statistic
          Data Analysis, Statistical
          Data Analysis Software
          Poisson Distribution
          Confidence Intervals
          Educational Status
          Child, Preschool: 2-5 years
          Male
          Female
      ab: 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 older children ( PR, 2.14) visited a dentist with higher frequency. Conclusions Use of dental care services by preschool children was low, and treatment was neglected even among children who had visited a dentist. Children of mothers with low schooling level who do not visit a dentist regularly were at greater risk of not receiving dental care. Maternal perception of their child's oral health motivated visits to the dentist.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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