Objectives: To investigate the influencing factors of children's dental fear (CDF) and the relationship of CDF with resilience in children aged 8-9 years in Weifang city to provide evidence for the early prevention and intervention of CDF.
Methods: Random cluster sampling method was applied. A total of 1 995 children aged 8-9 years from 10 primary schools in four districts of Weifang city were selected from June to October 2021 as the survey objects. General information questionnaire, the children's fear survey schedule-dental sub-scale, and adolescent resilience scale were used in the investigation.
Results: The CDF detection rate was 31.78% (634 cases) in children aged 8-9 years in Weifang city, including 28.41% (296 cases) in boys and 35.47% (338 cases) in girls. Multivariate logistic analysis showed that female gender [odds ratio (OR)=1.329, 95% confidence interval (CI)=1.062-1.665], dental caries (OR=1.961, 95%CI=1.330-2.891), dental pain (OR=2.133, 95%CI=1.700-2.676), and dental treatment experience (OR=3.621, 95%CI=2.888-4.540) are risk factors for CDF. Parents with tertiary education or higher (OR=2.123, 95%CI=1.546-2.916; OR=3.304, 95%CI=2.368-4.612), high scores in the positive cognition factor of the psychological resilience-personal strength dimension (OR=1.520, 95%CI=1.141-2.025), high scores in the interpersonal assistance factor of the psychological resilience-support strength dimension (OR=3.819, 95%CI=2.743-5.318), and high scores in the family support factor (OR=5.634, 95%CI=4.047-7.844) were protective factors for CDF occurrence (P<0.05).
Conclusions: Children with high psychological resilience scores have low CDF incidence, and good parenting practices are beneficial in reducing CDF incidence.
目的: 研究潍坊市8~9岁学龄儿童牙科畏惧症（CDF）的相关影响因素以及与心理弹性之间的关系，为CDF的早期预防和干预提供依据。方法: 采用整群随机抽样方法，于2021年6-10月抽取潍坊市4区10所小学1 995名8~9儿童作为调查对象，采用一般情况调查问卷、儿童畏惧调查-牙科分量表及青少年心理弹性量表进行调查。结果: 研究发现潍坊市8~9岁儿童CDF检出率为31.78%（634例），其中男生检出率为28.41%（296例），女生检出率为35.47%（338例）。多因素Logistic分析显示，性别为女性［比值比（OR）=1.329，95%置信区间（CI）=1.062~1.665］、有龋齿（OR=1.961，95%CI=1.330~2.891）、有牙痛经历（OR=2.133，95%CI=1.700~2.676）及有牙科治疗经历（OR=3.621，95%CI=2.888~4.540）是CDF发生的危险因素；父母受过大专及以上教育（OR=2.123，95%CI=1.546~2.916；OR=3.304，95%CI=2.368~4.612），心理弹性个人力维度中积极认知因子得分高（OR=1.520，95%CI=1.141~2.025），心理弹性支持力维度中人际协助因子得分高（OR=3.819，95%CI=2.743~5.318）及家庭支持因子得分高（OR=5.634，95%CI=4.047~7.844）是CDF发生的保护因素（P<0.05）。结论: 心理弹性评分高的儿童CDF发生率低，同时良好的教养方式有益于降低CDF的发生。.
Keywords: children’s dental fear; psychological resilience; relevance; school-age children.