Risk indicators for early childhood caries in 2-year-old children in southern China
Risk indicators for early childhood caries in 2-year-old children in southern China
复制标题
华南地区2岁儿童早期龋病风险指标
DOI：
10.1111/j.1834-7819.2010.01280.x
复制
发表时间：
2011-03-01
影响因子：
2.1
通讯作者：
Wong, M. C. M.
中科院分区：
文献类型：
--
作者：
Zhou, Y.;Lin, H. C.;Wong, M. C. M.
背景：本研究的目的是探讨儿童早期龋病（ECC）与生命历程中相关的社会经济、行为和生物学经历之间的关系。方法：对2岁儿童的横断面研究进行分析。一份问卷收集了参与者生命最初两年的社会经济和行为数据。在空化水平上记录龋病经历，并使用可见菌斑指数（VPI）评估口腔卫生。微生物学调查收集了变形链球菌菌落形成单位（CFU）的信息。结果是ECC。进行了双变量和多元逻辑回归分析。结果：本研究纳入394名儿童，其中109名患有ECC， 285名无龋。ECC组乳牙龋缺补（dmft）平均评分为3.65 +/- 3.12，龋缺补占评分的100%。最终的logistic回归分析结果显示，ECC与母亲在孩子出生时的受教育程度显著相关[< 12年vs. >= 12年，OR = 1.80]， VPI评分[> 60% vs. 0-20%, OR = 5.71]，变形链球菌[>= 10(5)CFU/ml vs. 0 CFU/ml, OR = 3.80]。结论：中国南方2岁儿童生命过程中的社会、行为和生物学因素与ECC的发展有关。
Background: The aim of this study was to explore the relationship between early childhood caries (ECC) and relevant socio-economic, behavioural and biological experiences in the life course of children.Methods: A cross-sectional study of 2-year-old children was analysed. A questionnaire collected socio-economic and behavioural data during the first two years of the participants' life. Caries experience was recorded at the level of cavitation and oral hygiene was assessed using the Visible Plaque Index (VPI). Microbiological investigation collected information on colony-forming units (CFU) of Streptococcus mutans (S. mutans). The outcome was ECC. Bivariate and multiple logistic regression analyses were performed.Results: The study included 394 children, with 109 having ECC and 285 being caries-free. The mean decayed, missing and filled primary teeth (dmft) score of the ECC group was 3.65 +/- 3.12, with decayed teeth making up 100% of the score. The results of the final logistic regression analysis showed that ECC was significantly associated with the mother's schooling at child's birth [< 12 years vs. >= 12 years, OR = 1.80], VPI score [> 60% vs. 0-20%, OR = 5.71], and S. mutans [>= 10(5) CFU/ml vs. 0 CFU/ml, OR = 3.80].Conclusions: Social, behavioural and biological factors during the life course of 2-year-old children in southern China are associated with the development of ECC.