背景:牙科恐惧(DF)的病因是多因素的,涉及除牙科创伤经历以外的其他因素。
目的:研究,在青少年中,DF与暴露于儿童身体虐待(CPA)之间的关联,亲密伴侣暴力(IPV),和欺凌。
方法:我们从2017年对4977名15-17岁青少年的人群调查中提取了数据。问卷查询了社会经济背景因素,DF,自我感知的口腔健康,一般健康,和虐待儿童的风险。为了估计DF和暴露于虐待儿童之间的关联,采用多因素logistic回归分析。
结果:总体而言,8.2%报告DF,女孩(10.5%)报告DF的频率明显高于男孩(5%),未表明自己是女孩或男孩的青少年报告DF患病率最高(25.5%;p<.001)。15.3%曾遭受过儿童身体虐待;11.1%,至IPV;和11.2%,欺负。IPV和欺凌的经验,但不是身体虐待,与DF有统计学显著相关。暴露于任何类型暴力的青少年发展DF的几率是没有暴露于虐待儿童的青少年的1.9倍。
结论:暴力暴露与青少年的牙科恐惧有关。
BACKGROUND: The etiology of dental fear (DF) is multifactorial and involves other contributing factors than dental traumatic experiences.
OBJECTIVE: To
study, among adolescents, associations between DF and exposure to child physical abuse (CPA), intimate partner violence (IPV), and bullying.
METHODS: We extracted data from a population-based survey of 4977 adolescents who were 15-17 years old in 2017. The questionnaire queried socioeconomic background factors, DF, self-perceived oral health, general health, and exposure to child abuse. To estimate associations between DF and exposure to child abuse, we used multivariate logistic regression analysis.
RESULTS: Overall, 8.2% reported DF, girls (10.5%) reported DF significantly more often than boys (5%), and adolescents not identifying themselves as girl or boy reported the highest prevalence of DF (25.5%; p < .001). 15.3% had been exposed to child physical abuse; 11.1%, to IPV; and 11.2%, to bullying. Experiences of IPV and bullying, but not physical abuse, were statistically significantly associated with DF. The odds of developing DF for adolescents exposed to any type of violence was 1.9 times the odds for adolescents with no exposure to child abuse.
CONCLUSIONS: Exposure to violence is associated with dental fear in adolescents.