摘要
目的分析厦门市3～6岁儿童龋病发生的相关因素并进行危险性评估,为全面制定儿童龋病预防的综合措施,尤其是为高危患龋儿童的口腔健康保健提供依据。方法采取多阶段、分层、整群抽样的方法,对厦门市幼儿园3～6岁儿童进行患龋情况调查,并通过发放问卷,对患儿的生长发育、饮食习惯、口腔行为、家庭情况、生活环境、干预措施等6个方面的16个变量进行掊2检验及Logistic forward回归分析,建立回归模型。结果厦门市3～6岁儿童的乳牙患龋率为71.77%,龋均为4.70,龋面均为7.43。月龄、进食碳酸饮料频率、睡前进食、进食奶制品频率、开始刷牙年龄、家长受教育程度、托幼机构、居住地、家长的口腔保健知识、局部用氟、子女数目、进食甜食频率等与儿童龋病的发生具有相关性,性别、每天刷牙次数、牙膏种类和家庭收入与儿童龋病的发生无相关性。建立的儿童龋病回归模型可在一定程度上对患龋危险性进行预测。结论对儿童龋病应综合防治,从小培养儿童健康的饮食习惯,加强对家长的口腔健康知识教育,并合理局部用氟。
Objective To analysis the variables associated with deciduous dental caries for risk assessment, and provide the scientific foundation for preventing deciduous dental caries, particularly for the high-risk caries children＇s oral health care. Methods The sampling method was multi-stage, stratified and whole flock in this study. The questionnaire was designed for aged 3 to 6 years old children to determine causing factors of caries on the aspects of growth, eating habits, oral behavior, family situation, living environment and interventions. These factors were analyzed by χ2 test, then Logistic forward regression was applied to select the interrelated ones and regression model was established. Results The prevalence of dental caries, dmft, dmfs of 3 to 6 years old children in Xiamen city was 71.77%, 4.70, 7.43, respectively. There was significant relationship between deciduous dental caries and age, frequency of consumption of carbonated drinks, eating before sleep, frequency of consumption of milky products, age to start brushing, education level of parents, nursery school type, residence, oral health knowledge of parents, topical fluoride, children number, frequency of consumption of sweet food. Gender, brushing frequency per day, income of family and the type of toothpaste were not found statistically significant in this study. Caries regression model was established and could predict the risk of children suffering from caries. Conclusion Prevention of caries in children should be integrate control. Culturing scientific dietary habits from childhood, strengthening dental care guidance for parent, and using topical fluoride can prevent caries effectively.
出处
《国际口腔医学杂志》
CAS
2009年第6期635-638,642,共5页
International Journal of Stomatology
关键词
龋病
乳牙
危险因素
回归分析
dental caries
primary teeth
riskfactor
regression analysis
