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ObjectiveTo analyze the visual status and its influencing factors among preschool children in Tongzhou District. MethodsFrom March to August 2022， a stratified cluster sampling was used to include 2 199 preschool children as study subjects. Visual acuity examination and parental questionnaire surveys were conducted， and a multivariate logistic regression model was used to analyze the influencing factors for visual abnormalities. ResultsThe detection rate of abnormal naked-eye vision among 2 199 students was 13.60%. The rates of visual abnormalities in children aged 4， 5， and 6 were 9.02%， 18.01%， and 11.82%， respectively. Multivariate logistic regression revealed that compared with boys， children between 4 and 5 years old， children who first played with electronic products at the age of ≥4 ， those with good home lighting， those who often/always took a break and looked into the distance after using your eyes for 30 minutes， those who never watched TV at a distance < 2 meters， and children with parental knowledge-attitude-practice （KAP） scores above 0.7， girls （OR=1.411，95%CI： 1.095‒1.819）， children between 5 and 6 years old （OR=2.303，95%CI： 1.726‒3.071） ， children who first played with electronic products under 4 years old （OR=2.464，95%CI： 1.120‒5.424）， those with poor home lighting environment （OR=2.229，95%CI： 1.295‒3.835）， those who never （OR=1.862，95%CI：1.115‒3.110） or occasionally/ sometimes （OR=1.997，95%CI：1.268‒3.145） took a break and looked into the distance after using your eyes for 30 minutes， those who watched TV occasionally/sometimes at a distance < 2 meters （OR=1.369，95%CI： 1.011‒1.855）， and those with parental KAP scores under 0.7 （OR=1.780，95%CI： 1.005‒3.155） had a higher risk of abnormal visual acuity. ConclusionThe prevalence of abnormal visual acuity in preschool children is high， and there are multiple influencing factors. Attention should be paid to vision screening and healthy eye-use behavior education for preschool children to reduce the occurrence of visual abnormalities.
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RESUMEN: La Caries Temprana de la Infancia (CTI) es una forma de caries dental agresiva que afecta a niños, y en el último reporte nacional reveló una prevalencia de caries del 50 % en niños de 4 años de edad de la Región Metropolitana de Santiago (Soto et al., 2007). El objetivo de este estudio es validar un cuestionario que permita recolectar información relacionada con diversos factores de riesgo de caries en niños preescolares. Para la validación del cuestionario se determinó la validez de convergencia y discriminación, la consistencia interna y la confiabilidad test retest del instrumento en dos muestras independientes. Se aplicó el instrumento al cuidador principal de 118 preescolares entre 24 a 71 meses de edad, que asisten a jardines infantiles de dependencia particular (bajo riesgo de caries) y la Fundación INTEGRA (alto riesgo de caries) en la Región Metropolitana de Santiago, Chile. Se realizaron exámenes clínicos dentales por 2 odontólogos calibrados utilizando en el criterio OMS e ICDAS II. Se estimó un modelo de regresión logística y se evalúo la capacidad de discriminación del puntaje a través de una curva ROC. El cuestionario mostró una validez de discriminación de 0,95 entre ambos grupos y de la pregunta global 0,61 y una consistencia interna del cuestionario de 0,72. En la validez de convergencia se encontró que no existe asociación estadísticamente significativa entre el puntaje del cuestionario y la pregunta global dicotomizada (OD) 1,061. No obstante, se evidenció que si existe asociación estadísticamente significativa entre el puntaje del cuestionario y el grupo riesgo de caries (bajo y alto) (OD) 1,961. La estabilidad temporal mediante comparaciones Test - Retest calculado con el índice de Kappa osciló entre 0,37 a 1. Por lo tanto, se puede concluir que el presente cuestionario es un instrumento válido para discriminar riesgo de caries, permitiendo un mejor análisis de los determinantes de la caries dental en la población preescolar chilena.
ABSTRACT: Early Childhood Caries (ECC) is an aggressive form of tooth decay, and the last national unpublished reports reveal a caries prevalence of 50 % at 4 years of age in children, in the Santiago Metropolitan Region (Soto et al., 2007). The objective of this study is to validate a questionnaire that allows the collection of information related to several caries risk factors in preschoolchildren. For the validation of the questionnaire, the convergence and discrimination validity, the internal consistency and the retest, test reliability of the instrument were determined in two independent samples. The instrument was applied to the main caregiver of 118 preschoolers between 24 and 71 months of age, who attend private childcare centers (low caries risk) and the INTEGRA Foundation childcare (high caries risk) in the Metropolitan Region of Santiago, Chile. Dental clinical examinations were performed by two calibrated dentists using the OMS and ICDAS II criteria. A logistic regression model was estimated and the ability to discriminate the score through an ROC curve was evaluated. The questionnaire showed a validity of discrimination of 0.95 between both groups and of the global question 0.61 and an internal consistency of the questionnaire of 0.72. In the convergence validity, it was found that there is no statistically significant association between the questionnaire score and the dichotomized global question (RE) 1.061. However, it was evidenced that there is a statistically significant association between the questionnaire score and the caries risk group (low and high) (OD) 1.961. Temporal stability by means of Test - Retest comparisons calculated with the Kappa index ranged from 0.37 to 1. Therefore, it can be concluded that the present questionnaire is a valid instrument for discriminating caries risk, allowing a better analysis of the determinants of dental caries in the Chilean preschool population.
Subject(s)
Humans , Male , Female , Child, Preschool , Dental Caries/etiology , Dental Caries Susceptibility/physiology , Algorithms , Chile , Surveys and Questionnaires , ROC Curve , Risk Assessment , Dental Caries/microbiologyABSTRACT
Children under 6 years old are high-risk group for wheezing,and it is difficult but essential for these particular group to be diagnosed with asthma. In the past 30 years,researches based on asthma prediction models have been raised,but with no specific diagnostic criteria. Experts of childhood asthma in China had established empiri-cal diagnostic criteria since 1998 and optimized it continuously,but it was denied due to lack of further research of evi-dence-based medicine. Independent and operative diagnostic criteria was out of range since 2008,therefore diagnosis might be a great challenge for clinical physicians. Now,it is necessary to explore and establish diagnostic criteria based on evidence-based medicine as well as experience of experts. Scholars of childhood asthma in China have obtained 38 asthma-related parameters after massive search of related literatures,and obtained 5 parameters ultimately through Delphi method,single factor analysis and multi-factor regression analysis,and have valued them according to relevant intensity. The diagnostic criteria for cumulative integration of children under 6 years of age has been established initia-lly,which is still in the verification stage,but is expected to provide timely and accurate diagnosis for early childhood asthma.
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Objective To examine whether sleep problems are related to both emotional and behavioral problems in children aged 3-6 years.Methods A large cross-sectional study was conducted in Anqing,Wuhu,Tongling and Yangzhou from March to June 2015.A total of 8 900 preschool aged children were included.Sleep problems were obtained by using adapted BISQ completed by the parents or the people who took care of children.Emotional and behavioral problems of the children were accessed by using Strengths and Difficulties Questionnaire (SDQ),and multivariate logistic regression model was used for statistical analyses.Results The detected rates of emotional symptoms,conduct problems,hyperactivity problems,peer problems,total difficulties and prosocial behavior in preschool aged children were 9.0％,13.9％,18.9％,25.5％,13.6％ and 16.2％ respectively.All the detected rates were higher in boys than in girls except the higher rate of emotional symptoms.The proportions of children with high sleep quality,moderate sleep quality and poor or worse sleep quality were 3.9％,52.9％ and 43.2％ respectively.After controlling the confounding factors of demographic variables,including gender,age,delivery mode,birth weight,birth height and patent' s educational level,multinomial logistic regression analysis showed that the risk of emotional symptoms,conduct problems,hyperactivity problems,peer problems,total difficulties and prosocial behavior in children with longer sleep duration was lower than that in children with shorter sleep duration,the ORs were 0.86 (95％CI:0.77-0.95),0.85 (95％CI:0.78-0.93),0.85 (95％CI:0.79-0.92),0.87(95％CI:0.81-0.93),0.83 (95％CI:0.76-0.91) and 0.82 (95％CI:0.76-0.89) respectively.Compared with the children with good sleep quality,the risk of emotional symptoms,conduct problems,hyperactivity problems,peer problems,total difficulties and prosocial behavior were higher in children with poor or worse sleep quality,the ORs were 3.26 (95％CI:2.40-4.42),2.86 (95％CI:2.16-3.78),2.60 (95％ CI:2.00-3.38),1.96 (95％ CI:1.52-2.54),4.02 (95％ CI:3.06-5.27) and 2.56 (95％ CI:1.96-3.35) respectively.Conclusion There was a negative impact of shorter sleep and poor or worse sleep on emotional and behavioral problems of preschool aged children.
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Objective To examine whether sleep problems are related to both emotional and behavioral problems in children aged 3-6 years.Methods A large cross-sectional study was conducted in Anqing,Wuhu,Tongling and Yangzhou from March to June 2015.A total of 8 900 preschool aged children were included.Sleep problems were obtained by using adapted BISQ completed by the parents or the people who took care of children.Emotional and behavioral problems of the children were accessed by using Strengths and Difficulties Questionnaire (SDQ),and multivariate logistic regression model was used for statistical analyses.Results The detected rates of emotional symptoms,conduct problems,hyperactivity problems,peer problems,total difficulties and prosocial behavior in preschool aged children were 9.0％,13.9％,18.9％,25.5％,13.6％ and 16.2％ respectively.All the detected rates were higher in boys than in girls except the higher rate of emotional symptoms.The proportions of children with high sleep quality,moderate sleep quality and poor or worse sleep quality were 3.9％,52.9％ and 43.2％ respectively.After controlling the confounding factors of demographic variables,including gender,age,delivery mode,birth weight,birth height and patent' s educational level,multinomial logistic regression analysis showed that the risk of emotional symptoms,conduct problems,hyperactivity problems,peer problems,total difficulties and prosocial behavior in children with longer sleep duration was lower than that in children with shorter sleep duration,the ORs were 0.86 (95％CI:0.77-0.95),0.85 (95％CI:0.78-0.93),0.85 (95％CI:0.79-0.92),0.87(95％CI:0.81-0.93),0.83 (95％CI:0.76-0.91) and 0.82 (95％CI:0.76-0.89) respectively.Compared with the children with good sleep quality,the risk of emotional symptoms,conduct problems,hyperactivity problems,peer problems,total difficulties and prosocial behavior were higher in children with poor or worse sleep quality,the ORs were 3.26 (95％CI:2.40-4.42),2.86 (95％CI:2.16-3.78),2.60 (95％ CI:2.00-3.38),1.96 (95％ CI:1.52-2.54),4.02 (95％ CI:3.06-5.27) and 2.56 (95％ CI:1.96-3.35) respectively.Conclusion There was a negative impact of shorter sleep and poor or worse sleep on emotional and behavioral problems of preschool aged children.
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Preschool-aged children are more likely to be diagnosed with asthma compared with elder children or adolescents.Diagnosis might be a great challenge for clinical physicians due to its specialties in symptom patterns, phenotype classifications and difficulties to apply measurements.For decades researches based on the diagnosis and prediction of asthma in preschool-aged children have never been stopped, meanwhile efforts should be made on the development of the diagnostic criteria for Chinese preschool-aged children.This article places spotlight on the development of diagnosis and prediction of asthma in early childhood throughout the world, thus provide references for the establishment of the diagnostic criteria for Chinese preschool-aged chilren.
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OBJETIVO: Verificar a prevalência e os fatores associados aos hábitos de sucção não nutritiva em crianças pré-escolares matriculadas em creches e pré-escolas de Natal (RN). MÉTODOS: Foi conduzido um estudo transversal com 1.190 crianças de ambos os sexos na faixa etária de 3 a 5 anos, matriculadas em creches e pré-escolas de Natal. Não foram incluídas no estudo crianças com fendas labiopalatinas, desordens temporomandibulares, ou aquelas submetidas a tratamento ortodôntico e/ou ortopédico; também não fizeram parte da amostra instituições de ensino especializadas em crianças portadoras de deficiência. Utilizou-se um questionário estruturado, respondido pelos pais ou responsável, com dados sobre a instituição, sexo e idade das crianças, escolaridade dos pais e questões relacionadas aos hábitos. A análise dos dados foi realizada através do teste do qui-quadrado e a regressão logística. RESULTADOS: Obteve-se prevalência de 40,2 por cento de hábitos de sucção não nutritiva, dos quais 27,7 por cento eram de sucção de chupeta e 12,5 por cento de dedo. Os hábitos de sucção apresentaram maior percentual para o sexo feminino, destacando-se a sucção de dedo (p = 0,02); em crianças com menos idade destacou-se a sucção de chupeta (p = 0,0006). Observou-se maior frequência de sucção de chupeta e de dedo, respectivamente, para o nível superior (p < 0,05) e fundamental (p < 0,05) de escolaridade dos pais. A regressão logística demonstrou que a menor idade dos indivíduos (p = 0,033) e o nível médio de escolaridade dos pais (p = 0,035) são fatores independentes para a persistência dos hábitos. CONCLUSÃO: Verificou-se uma alta prevalência de realização dos hábitos de sucção não nutritiva, apresentando como fatores de destaque a menor idade das crianças e o nível médio de escolaridade dos pais.
OBJECTIVE: To verify the prevalence and factors associated with nonnutritive sucking habits in preschool-aged children attending daycare centers and preschools in Natal, Brazil. METHODS: A cross-sectional study was conducted with 1,190 children of both sexes, aged 3 to 5 years, enrolled in daycare centers and preschools in Natal, Brazil. Exclusion criteria were: children with cleft lip and palate, temporomandibular joint disorders, or submitted to orthodontic and/or orthopedic treatment; as well as institutions specialized in children with disabilities. Parents or guardians answered a structured questionnaire providing information on the institution, children's sex and age, parents' educational level, and habit-related questions. Data analysis was performed using the chi-square test and logistic regression. RESULTS: A prevalence of 40.2 percent of nonnutritive sucking habits was obtained; of these, 27.7 percent were pacifier-sucking and 12.5 percent were finger-sucking habits. Girls showed a higher percentage of sucking habits, especially finger sucking (p = 0.02); younger children showed a higher prevalence of pacifier-sucking habits (p = 0.0006). A higher frequency of pacifier- and finger-sucking habits was associated, respectively, with parents' higher education (p < 0.05) and elementary education (p < 0.05). Logistic regression revealed that younger individuals (p = 0.033) and secondary education level of parents (p = 0.035) are independent factors for habit persistence. CONCLUSION: A high prevalence of nonnutritive sucking habits was verified, highlighting younger age groups and secondary education level of parents as important associated factors.