摘要
目的调查分析河南省3~5岁儿童患龋状况及其影响因素,为儿童龋病预防工作提供流行病学依据。方法按照第四次全国口腔健康流行病学调查方案,采用分层多阶段随机抽样的方法,在河南省两县、两区选取12所幼儿园,随机抽取3~5岁儿童共1 296名进行乳牙患龋状况调查,并对家长进行口腔健康行为、知识和观念的问卷调查。结果 1 296名儿童中,患龋755名,患龋率为58.3%,龋均2.83。男、女童患龋率(60.5%,56.0%)和龋均(2.88,2.78)差异均无统计学意义(χ~2/F值分别为2.64,0.22,P值均>0.05)。3,4,5岁年龄组的患龋率分别为46.7%,60.9%,67.5%,龋均分别为2.02,2.85和3.64,差异均有统计学意义(χ~2/F值分别为40.00,21.68,P值均<0.01)。城市、农村儿童患龋率分别为58.9%,57.7%,龋均分别为2.87,2.79,差异无统计学意义(χ~2/F值分别为0.20,0.16,P值均>0.05)。多因素Logistic回归分析显示,年龄、出生后6个月内喂养方式、是否到牙科医院就诊过以及自评牙齿和口腔健康状况是河南省3~5岁儿童龋齿发生的影响因素(P值均<0.05)。结论河南省3~5岁儿童乳牙患龋状况严重。应采取积极的防治措施,提高儿童的牙齿健康水平。
Objective To investigate the epidemiology and associated factors of deciduous dental caries in 3-5 years old children in Henan Province, and to provide a epidemiological reference for prevention work of deciduous dental caries among children. Methods According to the basic methods of the Fourth National Oral Health Survey, 12 kindergartens were randomly selected from 2 counties and 2 districts in Henan Province and a total of 1 296 children aged 3-5 years old were randomly selected with stratified multi-stage random sampling method. The deciduous teeth of these children were examined for caries and their guardians were surveyed with questionnaires regarding oral health behavior, knowledge and attitude. Results Deciduous dental caries occurred in 755 children, accounting for 58.3% and the average decay-missing-filled teeth(dmft) was 2.83. The differences of prevalence of dental caries of boys and girls(60.5%, 56.0%) and mean dmft index(2.88, 2.78) were of no statistical significance(χ~2/F=2.64, 0.22, P>0.05). The prevalence of dental caries and mean dmft index for 3-, 4-and 5-year-old group was 46.7%, 2.02 and 60.9%, 2.85 and 67.5%, 3.64, respectively. There was statistical significance among three age groups(χ~2/F=40.00, 21.68, P<0.01). No significant difference was found in the dental caries prevalence and mean dmft index between urban(58.9%, 2.87) and rural area(57.7%, 2.79)(χ~2/F=0.20, 0.16, P>0.05). Multivariate logistic regression showed that age, feeding pattern within the first six months after birth, dental care experience and self-perceived oral health status associated with deciduous caries in 3-5 year-old children in Henan Province(P<0.05). Conclusion Dental caries prevalence is highly prevalent among preschool children in Henan Province. Effective caries precaution measures should be taken to improve oral health level of these children.
作者
王志刚
吉雅丽
何健
杨汴生
刘宝盈
刘学军
王丽茹
孙经
李凤娟
WANG Zhigang;JI Yali;HE Jian;YANG Biansheng;LIU Baoying;LIU Xuejun;WANG Liru;SUN Jing;LI Fengjuan(Department of Stomatology,Henan Provincial People's Hospital,Zhengzhou,450003,China)
出处
《中国学校卫生》
CAS
北大核心
2019年第9期1376-1379,共4页
Chinese Journal of School Health
基金
国家卫计委2015年度公益性行业科研专项项目(201502 002)
关键词
龋齿
患病率
回归分析
儿童
Dental caries
Prevalence
Regression analysis
Child
