Socio-behavioural factors and early childhood caries: a cross-sectional study of preschool children in central Trinidad.
Socio-behavioural factors and early childhood caries: a cross-sectional study of preschool children in central Trinidad.
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DOI：
10.1186/1472-6831-13-30
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发表时间：
2013-07-09
期刊：
影响因子：
2.9
通讯作者：
Kelly A
中科院分区：
文献类型：
--
作者：
Naidu R;Nunn J;Kelly A
幼儿龋齿（ECC）是一个公共卫生问题，因为它对儿童的健康，发育和福祉的影响。关于西印度群岛的幼儿口腔健康或社会和行为因素对学龄前儿童龋齿的患病率和严重程度的影响，我们知之甚少。本研究的目的是描述在特立尼达中部地区的学龄前儿童ECC的患病率和严重程度，并探讨其与社会和行为因素的关系。对特立尼达中部幼儿园随机抽样的3-5岁儿童进行了横断面调查。使用WHO标准（第3天视力诊断/气蚀），对父母同意的儿童进行口腔健康检查。一份自我报告的问卷分发给所有的父母和照顾者。变量包括社会人口统计学、口腔健康知识、态度和行为、可见龋齿经历和治疗需求。对251名儿童进行了检查，50.2%为男性，平均年龄为3.7岁（SD 0.67），71%为印度裔。儿童早期龋患病率为29.1%，儿童重度龋患病率为17.5%。29.9%的儿童有一定的治疗需求，12%的儿童需要紧急护理或转诊。Poisson广义线性混合模型分析发现，每天吃甜食超过两次（p < 0.001），父母牙齿健康评级较差（p <0.0001），以前的牙科就诊（p <0.0001）和难以找到牙科护理（p < 0.001）的儿童的可见龋齿发生率较高。特立尼达中部ECC的患病率和严重程度与口腔健康行为和获得牙科护理有关。口腔健康促进应包括为学龄前儿童的父母和照顾者提供更多支持性和实用的建议沿着改善获得牙科护理的机会，以实现初级预防和ECC管理。
Early childhood caries (ECC) is a public health problem due to its impact on children’s health, development and well being. Little is known about early childhood oral health in the West Indies or the influence of social and behavioural factors on the prevalence and severity of early childhood caries in this preschool population. The aims of this study were to describe the prevalence and severity of ECC in preschool children in a region of central Trinidad and to explore its relationship with social and behavioural factors. A cross-sectional survey was undertaken on children aged 3-5 years-old from a random sample of preschools in central Trinidad. Oral health examinations were conducted for children for whom parental consent was given, using WHO criteria (visual diagnosis / cavitation at d3). A self-reported questionnaire was distributed to all parents and caregivers. Variables included socio-demographics, oral health knowledge, attitudes and behaviours, visible caries experience and treatment need. 251 children were examined, 50.2% were male with a mean age of 3.7 years (SD 0.67) and 71% were of Indian ethnicity. The prevalence of ECC was 29.1% and the prevalence of severe early childhood caries (S-ECC) was 17.5%. 29.9% of children had some treatment need, with 12% in need of urgent care or referral. Poisson generalized linear mixed model analysis found a higher rate of visible caries experience for children who ate sweet snacks more than twice a day (p < 0.001), had poorer parental dental health ratings (p < 0.0001), a previous dental visit (p < 0.0001) and difficulty finding dental care (p < 0.001). The prevalence and severity of ECC in central Trinidad was related to oral health behaviours and access to dental care. Oral health promotion should include more supportive and practical advice for parents and caregivers of preschool children along with improved access to dental care to enable primary prevention and management of ECC.
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DOI：
10.14219/jada.archive.2009.0250
发表时间：
2009-06-01
影响因子：
3.9
作者：
Casamassimo, Paul S.;Thikkurissy, Sarat;Maiorini, Elyse
通讯作者：
Maiorini, Elyse
影响因子：
6.8
作者：
AKAIKE, H
通讯作者：
AKAIKE, H
影响因子：
2.2
作者：
Ramos-Jorge, M. L.;Marques, L. S.;Pordeus, I. A.
通讯作者：
Pordeus, I. A.
影响因子：
2.6
作者：
Milsom, KM;Tickle, M;Blinkhorn, AS
通讯作者：
Blinkhorn, AS
影响因子：
2.6
作者：
Ramos-Gomez, F. J.;Crystal, Y. O.;Featherstone, J. D. B.
通讯作者：
Featherstone, J. D. B.