广西柳州市城中区学龄前孤独症儿童口腔健康状况调查
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摘要
目的:了解广西柳州市城中区学龄前孤独症儿童口腔健康状况及相关影响因素,为孤独症儿童口腔预防保健工作提供依据。方法:采用WHO口腔健康状况调查的方法,对广西柳州市城中区学龄前孤独症儿童(观察组)及健康儿童(对照组)进行口腔健康检查和对家长进行问卷调查,通过单因素和多因素Logistic回归进行统计分析。结果:观察组男女比例2.71∶1,性别比较差异有统计学意义(P<0.05);观察组乳牙患龋率、龋均、可视菌斑≥2检出率均高于对照组,充填率低于对照组(P<0.05)。两组口腔健康行为、就医行为、家长口腔健康知识和态度比较,差异均有统计学意义(P<0.05)。观察组口腔卫生状况差的患龋风险是口腔卫生状况良好的3.137倍;观察组晚上睡觉前经常吃甜点或喝甜饮料的患龋风险是晚上睡觉前从不吃甜点或喝甜饮料的9.497倍。结论:孤独症儿童口腔患龋率高,充填率低;口腔卫生状况差和不良行为习惯是孤独症儿童患龋高风险因子。
Objective:To study the oral health status and related influencing factors of autism in preschool children in Liuzhou,Guangxi.Methods:Based on the standards of WHO Oral Health Survey,the oral health examination was performed in Liuzhou among preschool autistic children(observation group)and healthy children(control group),and a questionnaire survey was conducted among their parents.Results:The ratio of male and female was 2.71∶1 in the observation group(P<0.05).Dental caries incidence,dmft and the detection rate of visible plaque>2 were higher in the observation group than those in the control group,while the filling rate was lower(P<0.05).The oral health behavior,medical behavior,parents' oral health knowledge and attitude between the two groups were significantly different(P<0.05).Logistic regression analysis showed that poor oral condition and eating dessert or sweet drinks before sleep were risk factors for dental caries.Conclusion:The prevalence of dental caries among autistic children is higher,filling rate is lower.The risk factors for dental caries in autistic children are poor oral hygiene and bad behavior habits.
Objective:To study the oral health status and related influencing factors of autism in preschool children in Liuzhou,Guangxi.Methods:Based on the standards of WHO Oral Health Survey,the oral health examination was performed in Liuzhou among preschool autistic children(observation group)and healthy children(control group),and a questionnaire survey was conducted among their parents.Results:The ratio of male and female was 2.71∶1 in the observation group(P<0.05).Dental caries incidence,dmft and the detection rate of visible plaque>2 were higher in the observation group than those in the control group,while the filling rate was lower(P<0.05).The oral health behavior,medical behavior,parents' oral health knowledge and attitude between the two groups were significantly different(P<0.05).Logistic regression analysis showed that poor oral condition and eating dessert or sweet drinks before sleep were risk factors for dental caries.Conclusion:The prevalence of dental caries among autistic children is higher,filling rate is lower.The risk factors for dental caries in autistic children are poor oral hygiene and bad behavior habits.
引文
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[13]HAIM S,ELI S,NAOMI A A,et al.Oral health characteristics of preschool children with autistic syndrome disorder[J].Journal of Clinical Pediatric Dentistry,2016,40(1):21-25.
[14]DOUGLASS J M,TINANOFF N,TANG J M,et al.Dental caries patterns and oral health behaviors in Arizona infants and toddlers[J].Community Dent Oral Epidemiol,2001,29(1):14-22.
[15]RAITIO M,MOTTONN M,WHAT M.Tooth brushing and the occurrence of salivary mutans Strepococci in children at day care centers[J].Caries Res,1995,29:280-284.
[16]GIBSON S,WILLIAMS S.Dental caries in pre-school children:associations with social class,toothbrushing habit and consumption of sugars and sugar-containing foods[J].Further analysis of data from the National Diet and Nutrition Survey of children aged 1.5-4.5years.Caries Res,1999,33(2):101-113.
[17]VANOBBERGEN J,MARTENS L,LESAFFRE E,et al.Assessing risk indicators for dental caries in the primary dentition[J].Community Dent Oral Epidemiol,2001,29(6):424-434.
[18]AKPABIO A,KLAUSNER C P,INGLEHART M R.Mothers/guardians knowledge about promoting children’s oral health[J].J Dent Hyg,2008,82(1):12.
[19]SNIED-MOALLEMI Z,VIRTANEN J I,GHOFRAN-POUR F,et al.Influence of mothers’oral health knowledge and attitudes on their children’s dental health[J].Eur Arch Paediatr Dent,2008,9(2):79-83.
[20]FRENCKEN J E,BOREUM-ANDERSSON K,MA-KONI F,et al.Effectiveness of an oral health education programme in primary school in Zimbabwe after 3.5years[J].Community Dent Oral Epidemiol,2001,29:253-259.
[21]台保军,江汉.学校口腔健康教育项目的3年效果评价[J].上海口腔医学,2006,15(6):591-595.
[22]JONES M,LEE J Y.ROZIER R G.Oral health literacy among adult patients seeking dental care[J].Am Dent Assoc,2007,138(9):1199-1208.
[2]卞金有.预防口腔医学[M].北京:人民卫生出版社,2005:23-56.
[3]罗明,覃洪金,黄美貌,等.孤独症儿童口腔健康行为及家长口腔保健知信行调查[J].护理学报,2016,23(4):44-46.
[4]许强,冯承芸,潘锦涛,等.深圳地区孤独症儿童龋齿状况调查[J].临床心身疾病杂志,2015,21(1):94-96.
[5]刘英群,朱颐馨.哈尔滨市3~6岁孤独症儿童乳牙患龋状况调查[J].中华口腔医学杂志,2011,46(1):104-106.
[6]NADYA A M,INNE S S,YETTY N.Description of the difference in plaque index between normal and autistic children age 6-12years[J].International Journal of Medicine and Public Health,2013,3(3):197-199.
[7]李进红,金冬梅,王晨,等.孤独症儿童龋病牙周病治疗需求及影响因素调查[J].中国儿童保健杂志,2016,24(4):437-440.
[8]EBTISSAM Z,MURSHID.Dental knowledge of educators and healthcare providers working with children with autism spectrum disorders[J].Saudi Medical Journal,2015,36(12):1477-1485.
[9]AMIRA A,EL KHATIB,MAGDA M,et al.Oral health status and behaviours of children with autism spectrum disorder:a case-control study[J].International Journal of Paediatric Dentistry,2014,24(4):314-323.
[10]RENNAN Y D,CYNTHIA K Y,NIGEL M K,et al.O-ral health among preschool children with autism spectrum disorders:A case-control study[J].Autiam:the International Journal of Research and Practice,2015,19(6):746-751.
[11]AWASTHI P,PESHWANI B,TIWARI S,et al.Evaluation and comparison of the efficacy of low fluoridated and calcium phosphate-based dentifrice formulations when used with powered and manual toothbrush in children with autism[J].Contemporary Clinical Dentistry,2015,6(1):188-191.
[12]MARSHALL J,SHELLER B,MANCL L,et al.Caries-risk assessment and caries status of children with autism[J].Pediatric Dentistry,2010,32(1):69-75.
[13]HAIM S,ELI S,NAOMI A A,et al.Oral health characteristics of preschool children with autistic syndrome disorder[J].Journal of Clinical Pediatric Dentistry,2016,40(1):21-25.
[14]DOUGLASS J M,TINANOFF N,TANG J M,et al.Dental caries patterns and oral health behaviors in Arizona infants and toddlers[J].Community Dent Oral Epidemiol,2001,29(1):14-22.
[15]RAITIO M,MOTTONN M,WHAT M.Tooth brushing and the occurrence of salivary mutans Strepococci in children at day care centers[J].Caries Res,1995,29:280-284.
[16]GIBSON S,WILLIAMS S.Dental caries in pre-school children:associations with social class,toothbrushing habit and consumption of sugars and sugar-containing foods[J].Further analysis of data from the National Diet and Nutrition Survey of children aged 1.5-4.5years.Caries Res,1999,33(2):101-113.
[17]VANOBBERGEN J,MARTENS L,LESAFFRE E,et al.Assessing risk indicators for dental caries in the primary dentition[J].Community Dent Oral Epidemiol,2001,29(6):424-434.
[18]AKPABIO A,KLAUSNER C P,INGLEHART M R.Mothers/guardians knowledge about promoting children’s oral health[J].J Dent Hyg,2008,82(1):12.
[19]SNIED-MOALLEMI Z,VIRTANEN J I,GHOFRAN-POUR F,et al.Influence of mothers’oral health knowledge and attitudes on their children’s dental health[J].Eur Arch Paediatr Dent,2008,9(2):79-83.
[20]FRENCKEN J E,BOREUM-ANDERSSON K,MA-KONI F,et al.Effectiveness of an oral health education programme in primary school in Zimbabwe after 3.5years[J].Community Dent Oral Epidemiol,2001,29:253-259.
[21]台保军,江汉.学校口腔健康教育项目的3年效果评价[J].上海口腔医学,2006,15(6):591-595.
[22]JONES M,LEE J Y.ROZIER R G.Oral health literacy among adult patients seeking dental care[J].Am Dent Assoc,2007,138(9):1199-1208.