平顶山市8岁学龄儿童患龋状况及影响因素分析
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摘要
目的了解平顶山市8岁学龄儿童龋病流行状况,探讨影响龋病发生发展的危险因素。方法参考"第三次全国口腔健康调查"的标准,采用分层整群抽样的方法,对1 762名适龄儿童进行口腔检查和问卷调查。结果平顶山市8岁学龄儿童患龋率84. 68%,龋均4. 79,城乡结合区域及农村儿童患龋率和龋均明显高于城市,差异有统计学意义(P<0. 05);乳、恒牙患龋率分别为83. 65%、25. 77%;城乡类型(OR=22. 42)、家庭收入(OR=10. 21)、睡前是否有吃零食习惯(OR=8. 01)、吃完零食是否刷牙(OR=6. 00)、进食甜食频率(OR=8. 28)、刷牙方法(OR=8. 88)、家长是否检查刷牙效果(OR=9. 15)是影响患龋率的因素。结论平顶山市农村及城乡结合区域儿童患龋率较高,应加强口腔健康教育和龋病预防控制工作。
Objective To investigate the prevalence of dental caries( DA) among school children aged 8 years in Pingdingshan City,and to explore the risk factors affecting the occurrence and development of DA. Methods A stratified cluster sampling method was used to select 1,762 school children aged 8 years in Pingdingshan City,and then oral examinations and questionnaire surveys were conducted according to the standard of the 3 rd Chinese National Oral Health Survey. Results The prevalence rate of dental caries in the school children aged 8 years in Pingdingshan City was 84. 68%,with an average decayed-missing-filled teeth( DMFT) of 4.79. The prevalence rates of dental caries and the average DMFT in suburban and rural children were higher than those in urban children,showing statistically significant differences( P<0.05). The prevalence rates of dental caries in the deciduous and permanent dentitions were 83.65% and 25.77% respectively. The factors contributing to dental caries included urban and rural types( OR = 22.42),family income( OR = 10.21),having a habit of snacking before going to bed( OR = 8.01),not brushing teeth after eating snacks( OR = 6.00),the frequency of eating dessert( OR = 8.28),the method of brushing teeth( OR = 8. 88)and checking the brushing effect by parents( OR = 9.15). Conclusions The prevalences rate of dental caries in rural and suburban children in Pingdingshan City are high; and hence,it is necessary to strengthen oral health education and dental caries prevention and control.
Objective To investigate the prevalence of dental caries( DA) among school children aged 8 years in Pingdingshan City,and to explore the risk factors affecting the occurrence and development of DA. Methods A stratified cluster sampling method was used to select 1,762 school children aged 8 years in Pingdingshan City,and then oral examinations and questionnaire surveys were conducted according to the standard of the 3 rd Chinese National Oral Health Survey. Results The prevalence rate of dental caries in the school children aged 8 years in Pingdingshan City was 84. 68%,with an average decayed-missing-filled teeth( DMFT) of 4.79. The prevalence rates of dental caries and the average DMFT in suburban and rural children were higher than those in urban children,showing statistically significant differences( P<0.05). The prevalence rates of dental caries in the deciduous and permanent dentitions were 83.65% and 25.77% respectively. The factors contributing to dental caries included urban and rural types( OR = 22.42),family income( OR = 10.21),having a habit of snacking before going to bed( OR = 8.01),not brushing teeth after eating snacks( OR = 6.00),the frequency of eating dessert( OR = 8.28),the method of brushing teeth( OR = 8. 88)and checking the brushing effect by parents( OR = 9.15). Conclusions The prevalences rate of dental caries in rural and suburban children in Pingdingshan City are high; and hence,it is necessary to strengthen oral health education and dental caries prevention and control.
引文
[1]季成叶.现代儿童少年卫生学[M].第2版.北京:人民卫生出版社,2010:439.
[2]周学东.龋病学[M].北京:人民卫生出版社,2011:214-216.
[3]齐小秋.第三次全国口腔健康流行病学调查报告[M].北京:北京人民卫生出版社,2008:16-24.
[4]栾可峰,孙菊敏,董建霞. 2016年潍坊城乡二年级学生患龋状况及口腔行为习惯的调查[J].实用预防医学,2017,24(11):1337-1339.
[5]董惠斌,姚杏娟.常州市8岁儿童龋病流行状况[J].中国学校卫生,2016,37(7):1110-1113.
[6]Ghazal TS,Levy SM,Childers NK,et al. Dental caries in high-risk,school-age African American children in Alabama:a six-year prospective[J]. Pediatr Dent,2016,38(3):224-230.
[7]李丹蕊,袁杰,王晓斐,等.哈尔滨市香坊区7周岁儿童龋病流行状况普查[J].现代口腔医学杂志,2016,30(3):176-178.
[8]张金山,吴补领,徐稳安,等.乳磨牙龋病和恒牙萌出与生长发育的相关性研究[J].口腔医学,2017,37(6):554-557.
[9]李骏,李劲松,高建民.西安市7~9岁儿童口腔健康状况及窝沟封闭情况[J].中国学校卫生,2014,35(3):438-441.
[10]Bafti LS,Hashemipour MA,Poureslami H,et al.Relationship between body mass index and tooth decay in a population of 3-6-year-old children in Iran[J]. Int J Dent,2015,2015:1-5.
[11]孙晓雯,蒋英英. 2014年潍坊地区城乡学龄前儿童患龋状况及其影响因素调查[J].实用预防医学,2016,23(6):691-696.
[12]Qadri G,Alkilzy M,Feng YS,et al. Overweight and dental caries:the association among German children[J]. Int J Paediatr Dent,2014,25(3):174-182.
[13]陈尚徽,高红琼,张娜,等. 3~6岁儿童家长口腔保健知识水平、态度和行为调查分析[J].中国妇幼保健,2015,30(33):5850-5852.
[14]李晓茹,杨烨,黄丰,等. 7岁儿童乳牙龋齿对第一恒磨牙患龋的影响[J].实用预防医学,2018,25(6):688-690.
[15]潘耀耀,韩晓兰.合肥市不同教育程度学生口腔健康认知及行为分析[J].中国学校卫生,2015,36(10):1546-1548.
[2]周学东.龋病学[M].北京:人民卫生出版社,2011:214-216.
[3]齐小秋.第三次全国口腔健康流行病学调查报告[M].北京:北京人民卫生出版社,2008:16-24.
[4]栾可峰,孙菊敏,董建霞. 2016年潍坊城乡二年级学生患龋状况及口腔行为习惯的调查[J].实用预防医学,2017,24(11):1337-1339.
[5]董惠斌,姚杏娟.常州市8岁儿童龋病流行状况[J].中国学校卫生,2016,37(7):1110-1113.
[6]Ghazal TS,Levy SM,Childers NK,et al. Dental caries in high-risk,school-age African American children in Alabama:a six-year prospective[J]. Pediatr Dent,2016,38(3):224-230.
[7]李丹蕊,袁杰,王晓斐,等.哈尔滨市香坊区7周岁儿童龋病流行状况普查[J].现代口腔医学杂志,2016,30(3):176-178.
[8]张金山,吴补领,徐稳安,等.乳磨牙龋病和恒牙萌出与生长发育的相关性研究[J].口腔医学,2017,37(6):554-557.
[9]李骏,李劲松,高建民.西安市7~9岁儿童口腔健康状况及窝沟封闭情况[J].中国学校卫生,2014,35(3):438-441.
[10]Bafti LS,Hashemipour MA,Poureslami H,et al.Relationship between body mass index and tooth decay in a population of 3-6-year-old children in Iran[J]. Int J Dent,2015,2015:1-5.
[11]孙晓雯,蒋英英. 2014年潍坊地区城乡学龄前儿童患龋状况及其影响因素调查[J].实用预防医学,2016,23(6):691-696.
[12]Qadri G,Alkilzy M,Feng YS,et al. Overweight and dental caries:the association among German children[J]. Int J Paediatr Dent,2014,25(3):174-182.
[13]陈尚徽,高红琼,张娜,等. 3~6岁儿童家长口腔保健知识水平、态度和行为调查分析[J].中国妇幼保健,2015,30(33):5850-5852.
[14]李晓茹,杨烨,黄丰,等. 7岁儿童乳牙龋齿对第一恒磨牙患龋的影响[J].实用预防医学,2018,25(6):688-690.
[15]潘耀耀,韩晓兰.合肥市不同教育程度学生口腔健康认知及行为分析[J].中国学校卫生,2015,36(10):1546-1548.