摘要
目的了解广州市5岁儿童乳牙龋病流行趋势及影响因素,为制订科学、有效的防控措施提供理论依据。方法比较分析广州市2008与2015年两次"广州市儿童口腔健康流行病学抽样调查"中5岁组儿童相关调查数据,并对2015年广州市5岁儿童龋病发生的影响因素进行分析。结果广州市5岁儿童乳牙患龋率、龋均以及因龋充填率分别由2008年的56.11%、3.04和3.01%上升至2015年的76.78%、5.47和4.05%。2008年和2015年农村儿童患龋率和龋均(2008年:78.89%,5.33;2015年:86.05%,6.91)均高于城市儿童(2008年:48.52%,2.28;2015年:74.22%,5.07),而因龋充填率农村儿童(2008年:1.04%;2015年:1.15%)则均低于城市儿童(2008年:4.55%;2015年:5.14%);患龋率、龋均及因龋充填率两次调查男女童间差异均无统计学意义(P>0.05)。2015年72.06%的乳牙龋发生在上乳中切牙和第一、二乳磨牙中;70.31%龋坏的乳牙发生在32.16%的儿童中。多因素分析结果显示睡前有进食甜食习惯(OR=1.45,95%CI:1.08～1.94),2岁后才开始刷牙(OR=1.41,95%CI:1.06～1.86),父母学历低(OR=1.58,95%CI:1.19～2.11)以及家庭经济状况差(OR=1.81,95%CI:1.23～2.67)是儿童乳牙龋病发生的危险因素。结论广州市5岁儿童乳牙患龋情况严重、呈上升趋势,且治疗率低,应进一步加强防龋和治疗措施,降低儿童龋病发生率。
Objective To study the prevalence and risk factors of caries among 5-year-old children in Guangzhou,in order to provide theoretical evidence for developing scientific and effective interventions. Methods Data of 5-year-old children in＂Sampling survey on oral health epidemiology of children in Guangzhou＂were collected and compared between2008 and 2015.And the influencing factors of dental caries in 5-year-old children were analyzed. Results The prevalence of caries,mean dmft and filling rate in children aged 5 years in Guangzhou increased from 56.11%,3.04 and 3.01%in2008 to 76.78%,5.47 and 4.05%in 2015,respectively.In both 2008 and 2015,caries prevalence and mean dmft in rural children（2008：78.89%,5.33;2015：86.05%,6.91）were higher than those of urban children（2008：48.52%,2.28;2015：74.22%,5.07）.However,the filling rate of rural children（2008：1.04%;2015：1.15%）were lower than that of urban children（2008：4.55%;2015：5.14%）.And there were no significant differences on caries prevalence,mean dmft and filling rate between boys and girls（all P〉0.05）.In 2015,72.06%of caries occurred in the upper middle teeth and the first or second molars,and 70.31% of the total caries number of teeth occurred in 32.16% of the children.Multivariate conditional Logistic regression showed that habit of eating sweets before bedtime（OR=1.45,95%CI：1.08～1.94）,starting to brush teeth after 2 years old（OR=1.41,95% CI：1.06～1.86）,lower education background of parents（OR=1.58,95%CI：1.19～2.11）and poor family economic status（OR=1.81,95% CI：1.23～2.67）were risk factors for caries among children. Conclusion The prevalence of caries among 5-year-old children in Guangzhou is serious,showing an upward trend and low treatment rate.Therefore,the anti-caries and treatment measures should be adopted to reduce the incidence of caries in children.
作者
刘伟
熊莉华
林蓉
林琳
陈思宇
刘伟佳
郭重山
LIU Wei;XIONG Li-hua;LIN Rong;LIN Lin;CHEN Si-yu;LIU Wei-jia;GUO Chong-shan(Guangzhou Center for Disease Control and Prevention,Guangzhou,Guangdong 510440,China)
出处
《中国儿童保健杂志》
CAS
2018年第11期1267-1270,共4页
Chinese Journal of Child Health Care
关键词
乳牙
龋病
口腔流行病学
比较
deciduous teeth
caries
oral epidemiology
comparison
