An evaluation of NHANES III estimates of early childhood caries

An evaluation of NHANES III estimates of early childhood caries
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DOI:
10.1111/j.1752-7325.1999.tb03269.x
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发表时间:
1999-06-01
影响因子:
2.3
通讯作者:
Beltran, E
Beltran, E
中科院分区:
医学4区
文献类型:
--
作者:
Kaste, LM;Drury, TF;Beltran, E

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目的:本研究的目的是估计和评估美国12至23个月大的儿童中幼儿龋齿(ECC)的患病率。方法:1988-94年全国健康与营养调查(NHANES III)的公共使用数据集使用SUDAAN进行分析。使用了两种ECC病例定义。定义#1仅限于检查员调用的龋齿评分。定义#2广泛包括定义#1确定的儿童和那些可能有可疑龋齿评分的儿童。结果如下:NHANES III对12至23个月大儿童上颌前切牙龋齿的六年患病率估计为1.0%(定义1)和1.7%(定义2)。墨西哥裔美国人和经济上处于不利地位的儿童在幼儿保育委员会中有代表性。结论:在全国范围内,12至23个月大的儿童中ECC的患病率几乎无法检测到。ECC的进一步发展需要替代的研究设计和改进的病例定义。
Objectives: The purposes of this study were to estimate and evaluate the prevalence for the United States of early childhood caries (ECC) among children 12 to 23 months of age. Methods: The 1988-94 National Health and Nutrition Examination Survey (NHANES III) public-use data set was analyzed using SUDAAN. Two ECC case definitions were used. Definition #1 was restricted to the caries score called by the examiner. Definition #2 liberally included children identified by definition #1 and those possibly having questionable caries scores. Results: The NHANES III six-year prevalence estimates of caries in the maxillary anterior incisors of children 12 to 23 months of age were 1.0 percent for definition #1 and 1.7 percent for definition #2. Mexican-American and economically disadvantaged children were disproportionally represented with ECC. Conclusions: The prevalence of ECC among children 12 to 23 months of age is barely detectable at the national level. Alternative study designs and improved case definitions are needed for further advances in ECC.