摘要
目的调查伊宁地区3～5岁维吾尔族和汉族儿童重度龋的流行情况及危险因素,为当地儿童龋病的防治提供科学依据。方法根据《第三次全国口腔健康流行病学调查方案》,采用多阶段、分层、整群抽样的方法,随机抽取伊宁地区城乡16所幼儿园的3～5岁维、汉两族儿童808名,对其进行口腔检查,并向家长发放问卷,对儿童的喂养方式、饮食习惯等方面进行调查,数据采用Logistic回归分析方法分析。结果伊宁地区儿童龋病的患病率为81.93%,龋均为4.45,重度婴幼儿龋的患病率为38.86%。多因素Logistic回归分析结果显示：年龄更大[OR=2.235,P〈0.001]、刷牙后/睡前进食情况频率更高[OR=1.742,P=0.011]、吃饼干、蛋糕更频繁[OR=1.698,P〈0.001]、孩子看电视时间更长[OR=1.365,P=0.021]是重度婴幼儿龋的危险因素;刷牙次数更多[OR=0.590,P=0.001]、帮助孩子刷牙[OR=0.724,P=0.003]是重度婴幼儿龋的保护因素。结论伊宁地区3～5岁维、汉两族儿童重度龋的患病率较高,应引起父母、幼儿园幼师、医务工作者的关注,开展婴幼儿龋的早期防治工作,以期降低当地儿童龋病的患病率,提高口腔健康水平。
Objective To investigate the risk factors of severe early childhood caries（SECC）among 3-5years old Uyghur and Han children in Yining,and provide scientific basis for prevention of children caries.Methods According to the methods of the third national oral health investigation in 2005,a stratified multistage cluster random sampling design was applied.The deciduous tooth caries of 808 Uyghur and Han children aged from three to five in 16 kindergartens were clinically examined.Data were collected through questionnaire from their parents and the results analyzed using Logistic regression analysis.Results The prevalence rate of primary tooth caries was 81.93%.The mean DMFT was 4.45,and the total prevalence rate of SECC was 38.86%.Multivariate logistic regression analysis showed that age [OR=2.235,P〈0.001],eating before bedtime/after tooth-brushing [OR =1.742,P =0.011],the frequency of eating cakes[OR=1.698,P〈0.001],the frequency of watching TV [OR=1.365,P=0.021]were the risk factors of SECC,while the frequency of brushing teeth [OR=0.590,P=0.001]and helping children brush teeth[OR=0.724,P=0.003]were the protective factors for SECC.Conclusion The prevalence of SECC in Yining is high.It should be highly concerned by parents,kindergarten teachers and doctors to correct children′s bad eating habits and develop good oral hygiene habits.Early measures should be implemented to reduce the prevalence of caries in local children.
出处
《中国微生态学杂志》
CAS
CSCD
2016年第3期289-293,共5页
Chinese Journal of Microecology
基金
新疆维吾尔自治区科技计划项目(201333105)
关键词
龋齿
低龄儿童
伊宁地区
危险因素
横断面研究
Dental caries
Preschool children
Region of Yining
Risk factor
Cross-sectional study
