Caries patterns and their relationship to infant feeding and socio-economic status in 2-4-year-old Chinese children

Caries patterns and their relationship to infant feeding and socio-economic status in 2-4-year-old Chinese children
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DOI:
10.1111/j.1875-595x.2000.tb00573.x
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发表时间:
2000-12-01
影响因子:
3.3
通讯作者:
Bedi, R
Bedi, R
中科院分区:
医学3区
文献类型:
--
作者:
Du, M;Bian, Z;Bedi, R

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目的:描述2-4岁儿童龋病的患病率、严重程度和类型,并评估儿童龋病经历与其喂养方式和社会经济背景(母亲的教育程度和家庭收入)之间的关系。设计:横断面调查。地点:中国湖北省汉川市郊区。参与者:426名儿童(250名男孩和176名女孩)的样本。方法:采用世界卫生组织龋病诊断标准对幼儿园进行口腔检查。母亲们完成了一份简短的调查问卷。结局指标:龋齿流行率;猖獗的龋齿;门牙龋齿;门牙和/或犬齿和臼齿中的龋齿;龋齿、缺失和填充牙齿/表面的平均数量(dmft/s)。结果:36%的儿童患龋,7%患猛性龋。在12%的儿童中发现了涉及乳磨牙以及门牙和/或犬齿的更广泛的龋齿模式。与母乳喂养的儿童相比,完全用奶瓶喂养的儿童患猖獗龋齿的风险是母乳喂养的儿童的五倍。结论:结果表明,婴儿喂养习惯可能是一个关键的危险因素,在这个国家的发展,在早期的年龄龋齿在其他地方。
Aims: To describe the prevalence, severity and patterns of caries in 2-4-year-old children and to evaluate the association between caries experience of the children and their feeding patterns and socio-economic background in terms of mothers' education and family income. Design: Cross-sectional survey. Setting: Suburban area of Hanchuan in Hubei province, China. Participants: A sample of 426 children (250 boys and 176 girls). Methods: Dental examinations were undertaken in kindergartens using World Health Organization diagnostic criteria for dental caries. Mothers completed a short questionnaire. Outcome measures: Prevalence of caries; rampant caries; caries in incisors; caries in incisors and/or canines and molars; mean number of decayed, missing and filled teeth/surfaces (dmft/s). Results: 36% of the children had caries, 7% had rampant caries. The more extensive pattern of caries involving primary molars as well as incisors and/or canines was seen in 12% of children. Children who had been wholly bottle-fed had five times the risk of having rampant caries compared to children who were breast-fed. Conclusions: The results indicated that infant feeding practice might be a key risk factor for the development of caries at an early age in this country as elsewhere.