Factors associated with early childhood caries incidence among high caries-risk children
Factors associated with early childhood caries incidence among high caries-risk children
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DOI：
10.1111/cdoe.12161
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发表时间：
2015-08-01
影响因子：
2.3
通讯作者：
Cavanaugh, Joseph E.
中科院分区：
文献类型：
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作者：
Ghazal, Tariq;Levy, Steven M.;Cavanaugh, Joseph E.
ObjectivesTo评估不同的行为因素和早期儿童龋齿（ECC）在African-American pre-school children. MethodsNinety-nine-6名年龄在3- 22个月的非洲裔美国儿童基线之间的关系被招募从一个高龋齿风险，非氟化的非洲裔美国人社区在尤宁敦，亚拉巴马。根据世界卫生组织（WHO）的标准，这些儿童在平均年龄1.1岁、2.0岁、3.1岁和4.0岁时每年进行牙科检查。所有儿童在每次研究访视时均接受氟化物涂膜应用。家长每半年填写一次问卷，提供口腔卫生和饮食信息。采用梯形法则的曲线下面积（AUC）总结纵向暴露数据。ECC发病率和行为危险因素之间的双变量和多变量关系分别使用逻辑回归和负二项模型对二分和计数因变量进行评估，自变量定义为1岁，结果刷牙频率越高，每日100%消费频率的AUC复合值越大果汁与较低的龋齿发病率相关（P值分别为0.01和0.049，OR值分别为0.34和0.37）。每日食用含糖食物的频率和3岁以前看牙医的历史的AUC越大，ECC的发生率越高（OR =9.22和4.57，P值分别为0.002和0.03）.结论对于生活在非氟社区的这些儿童，更频繁地食用加糖食物，更少地食用100%果汁，刷牙频率较低和报告以前看过牙医与更高的ECC发病率显著相关。
ObjectivesTo assess the relationships between different behavioral factors and Early Childhood Caries (ECC) in African-American pre-school children.MethodsNinety-six African-American children aged 3-22months old at baseline were recruited from a high caries risk, non-fluoridated African-American community in Uniontown, Alabama. The children had dental examinations annually following World Health Organization (WHO) criteria at mean ages 1.1, 2.0, 3.1 and 4.0years. All children received fluoride varnish application at each study visit. Parents provided oral hygiene and dietary information semiannually by completing questionnaires. Area-under-the-curve (AUC) with the trapezoidal rule was used to summarize longitudinal exposure data. Bivariate and multivariable relationships between ECC incidence and behavioral risk factors were assessed using logistic regression and negative binomial modeling for dichotomous and count dependent variables, respectively, with the independent variables defined at age 1, age 3 and as the AUC.ResultsGreater frequency of toothbrushing and greater AUC composite of daily frequency of consumption of 100% juices were associated with lower incidence of dental caries (P-values=0.01 and 0.049, ORs=0.34 and 0.37, respectively). Greater AUC of daily frequency of consumption of sweetened foods and history of a previous visit to a dentist by age 3 were associated with greater incidence of ECC (ORs=9.22 and 4.57, P-values=0.002 and 0.03, respectively).ConclusionFor these children living in a non-fluoridated community, more frequent consumption of sweetened food, less frequent consumption of 100% juice, less frequent toothbrushing, and reporting a previous visit to a dentist were significantly associated with greater ECC incidence.