摘要
目的探讨父母外出务工对广西壮族自治区玉林市农村低龄儿童口腔健康相关指标的影响,为玉林市农村低龄留守儿童口腔健康促进提供依据。方法于2021年9月在玉林市玉州区的乡镇中抽签随机抽取3个乡镇,对抽取的乡镇中的农村幼儿园编号,再在每个乡镇中抽取4所农村幼儿园,总共12所幼儿园,共抽取1300名3~5岁农村户口儿童进行口腔检查,对其家长进行口腔健康问卷调查,对比分析留守儿童和非留守儿童在人口学、社会经济学和口腔健康相关指标之间的差异,并采用多因素分析父母外出务工对儿童口腔健康相关指标的影响。结果广西壮族自治区玉林市玉州区留守儿童的患龋率(79.0%)、龋均(5.2±4.6)高于非留守儿童患龋率(62.9%)和龋均(3.6±4.3),差异具有统计学意义(χ^(2)患龋率=31.639,P患龋率<0.001;χ^(2)龋均=5.715,P龋均<0.001)。留守儿童进食甜食频率≥1次/天的比例(75.5%)高于非留守儿童(68.8%),差异有统计学意义(χ^(2)=6.163,P=0.013);留守儿童含糖类液体奶瓶入睡的比例(38.0%)高于非留守儿童(31.3%),差异有统计学意义(χ^(2)=5.496,P=0.019);留守儿童使用含氟牙膏的比例(14.9%)及家长的口腔健康态度得分[(5.5±1.8)分]分别低于非留守儿童使用含氟牙膏比例(19.9%)和家长的口腔健康态度得分[(5.8±1.6)分],差异具有统计学意义(χ^(2)使用含氟牙膏=4.474,P使用含氟牙膏=0.034;t口腔健康态度得分=-4.647,P口腔健康态度得分=0.008)。留守儿童中可视菌斑指数>20%者的比例为59.8%,高于非留守儿童(45.1%),差异有统计学意义(χ^(2)=23.137,P<0.001)。多因素回归分析显示,留守儿童进食甜食频率≥1次/天的比例较非留守儿童高(OR=1.368,95%CI=1.040~1.801);留守儿童的家长口腔健康态度得分比非留守儿童低(t=-2.168,P=0.030,95%CI=-0.406~-0.020);留守儿童可视菌斑指数>20%的比例较非留守儿童高(OR=1.658,95%CI=1.278~2.152);留守儿童的患龋
Objective This study aimed to explore the influence of migration on the oral health outcomes among the early childhood children in Yulin,and provide a basis for promoting rural left-behind children′s oral health in Yulin.Methods In September 2021,three townships were randomly selected in the townships of Yuzhou District,Yulin City.The rural kindergartens were numbered in the selected townships,then four rural kindergartens were randomly selected in each township,and a total of 12 kindergartens with 1300 rural children at the age of 3-5 years were recruited for oral examination.Their deciduous teeth were examined by dentists and oral health questionnaire survey was conducted for their parents.The differences between the left-behind and non-left-behind children were analyzed in demographic,socioeconomics and oral health related indicators.Multivariate logistic regression was used to analyze the influence of parental migration factors on oral health related indicators.Results The caries prevalence of the left-behind children(79.0%)was higher than that of the non-left-behind children(62.9%)with statistical significance(χ^(2)=31.639,P<0.001).The mean dmft of the left-behind children(5.2±4.6)was significantly higher than that of the non-left-behind children(3.6±4.3,χ^(2)=5.715,P<0.001).The proportion of the left-behind children taking sweetmeats more than once a day(75.5%)was statistically higher than that of the non-left-behind children(68.8%,χ^(2)=6.163,P=0.013).The proportion of the left-behind children sleeping with sugary liquid bottles(38.0%)was significantly higher than that of the non-left-behind children(31.3%,χ^(2)=5.496,P=0.019).The proportion of the left-behind children using fluoride toothpaste(14.9%)was significantly lower than that of the non-left-behind children(19.9%,χ^(2)=4.474,P=0.034).The oral health attitude scores of the parents in the left-behind children group(5.5±1.8)were statistically lower than those of the parents in the non-left-behind children group(5.8±1.6,t=-4.647,P=0.008).The
作者
刘传瑾
李伶
王园红
陈永洁
覃子芸
邱荣敏
Chuanjin Liu;Ling Li;Yuanhong Wang;Yongjie Chen;Ziyun Qin;Rongmin Qiu(College&Hospital of Stomatology,Guangxi Medical University,Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction,Guangxi Clinical Research Center for Craniofacial Deformity,Guangxi Health Commission Key Laboratory of Prevention and Treatment,Nanning 530021,China;Department of Stomatology,The First People′s Hospital of Yulin,Yulin 537000,China;Guangxi Medical University,Department of Stomatology,Kaiyuan Langdong Hospital,Nanning 530029,China)
出处
《中华口腔医学研究杂志（电子版）》
CAS
2023年第3期180-187,共8页
Chinese Journal of Stomatological Research(Electronic Edition)
基金
广西重点研发计划(2021AB11097)
广西医疗卫生适宜技术开发与推广应用项目(S2020041)
广西医药卫生自筹经费科研课题(20191651)
南宁市青秀区科技计划(2020039)。
关键词
龋病
留守儿童
农村人口
口口腔健康
健康行为
Caries
Left-behind children
Rural polulation
Oral health
Health behavior
