Prevalence and influencing factors of dental fear among 12-15-year-old children in Shenzhen

Abstract

Objective To understand the prevalence and influencing factors of Children’s Dental Fear (CDF) among 12-15-year-old children in Shenzhen city, so as to provide a framework to alleviate CDF and promote oral health.

Methods Multi-stage stratified random sampling was used to select 5 509 children, aged 12-15 years, to participate in this study, which was carried out from October to November, 2018. The Children’s Fear Survey Scheduling-Dental Subscale (CFSS-DS) and oral health examinations were conducted in Shenzhen.

Results The prevalence of dental fear in children aged 12, 13, 14, and 15 years in Shenzhen was 30.3%, 30.5%, 33.6%, and 26.9%, respectively (χ ² = 11.97, P = 0.01). The CFSS-DS scores were (29.86±13.23) (29.72±13.59) (31.23±14.47) (29.79±13.24), respectively ( F = 3.60, P = 0.01). The CFSS-DS scores of male and female participants were (27.92±13.69) and (32.62±13.12) ( t = −12.97, P<0.01), respectively, and the CDF prevalence rates were 23.8% and 38.8%, respectively (χ ² = 159.29, P<0.01). Multivariate Logistic regression analysis showed that gender, brushing frequency, visiting experience, oral knowledge level, oral health attitude, oral health and general health status were correlated with CDF ( P<0.05).

Conclusion Attention should be paid to the prevalence of dental phobia among children aged 12–15 years in Shenzhen, and comprehensive intervention measures should be taken to improve children’s oral health.

Abstract

【摘要】 目的 了解深圳市 12~15 岁儿童牙科畏惧症 (children’s dental fear, CDF) 流行现状及影响因素, 为改善儿童牙科 畏惧情况和开展专项口腔健康促进提供依据。 方法 2018 年 10 月—11 月, 在深圳市采用多阶段分层等容随机抽样方法 抽取 5 509 名 12~15 岁儿童作为调査对象, 米用儿童畏惧调査-牙科分量表 (Children’s Fear Survey Schedule-dental Subscale, CFSS-DS) 进行调査及口腔健康检査等。 结果 深圳市 12, 13, 14 和 15 岁儿童牙科畏惧症检出率分别为 30.3%, 30.5%, 33.6% 和 26.9%, 差异有统计学意义 (χ ² = 11.97, P = 0.01), CFSS-DS 得分分别为 (29.86±13.23,29.72±13.59,31.23± 14.47,29.79±13.24) 分, 差异有统计学意义 ( F =3.60, P = 0.01)。男生和女生 CFSS-DS 得分分别为 (27.92±13.69) 和 (32.62 ±13.12) ( t = −12.97, P<0.01), CDF 检出率分别为 23.8% 和 38.8% (χ ² = 159.29, P<0.01)。多因素非条件 Logistic 回归分析表 明, 性别、刷牙频次、就诊经历、口腔知识水平、口腔保健态度、口腔健康和全身健康状态与 CDF 相关均有统计学意义 ( P 值 均<0.05)。 结论 深圳市 12~15 岁儿童牙科畏惧症流行情况应引起重视, 应开展综合干预措施, 提升儿童口腔健康。