May Honey Ohn, Urban D' Souza, Khin Maung Ohn
A qualitative study on negative attitude toward electrocardiogram learning among undergraduate medical students
Tzu chi medical journal
promotion oral health children recognized one components healthpromoting schools hpss however studies addressed supportive school environments childrens oral health study aimed evaluate status dental caries school children hpss objective examining impact supportive school environment oral health considering lifestyles individual children socioeconomic characteristics communities data 2043 5thgrade students 21 elementary schools ichikawa city 2008 2013 analyzed childrens oral health status evaluated using decayed missing filled permanent teeth dmft index selfreported lifestyle questionnaire survey school environment promoting toothbrushing community socioeconomic characteristics derived national census data included analyses bivariate analyses conducted evaluate childrens dmft status zeroinflated negative binominal zinb regression used assess relationships dmft variables prevalence dental caries permanent teeth 5thgrade children aged 1011 years 333 mean dmft score sd 083 150 according multilevel zinb regression analysis children schools afterlunch toothbrushing time showed higher odds ratio excess zero dmft 147 95 ci 100215 p 0049 compared schools without neither bivariate analysis zinb model analysis revealed significant influence childrens gender use toothpaste fluoride schoolbased environment supportive oral health significantly associated zero dmft status children schoolbased efforts considering socioeconomic characteristics area warrant attention even declining prevalence dental caries