Income trajectories affect treatment of dental caries from childhood to young adulthood: a birth cohort study.
Income trajectories affect treatment of dental caries from childhood to young adulthood: a birth cohort study.
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收入轨迹影响从儿童期到成年早期的龋齿治疗：一项出生队列研究。
DOI：
10.1590/1807-3107bor-2018.vol32.0036
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发表时间：
2018
影响因子：
2.5
通讯作者：
K. Peres
中科院分区：
文献类型：
--
作者：
M. Peres;Pingzhou Liu;F. Demarco;A. E. R. Silva;F. Wehrmeister;A. Menezes;K. Peres
我们的目的是分析家庭收入轨迹对从儿童到青年龋齿增加的影响。从1993年Pelanmar（巴西）出生队列研究，在6岁，12岁和18岁的龋齿测量数据进行了分析。302名参与者的家庭收入在出生时以及4岁、11岁、15岁和18岁时进行了评估。母亲的教育程度、刷牙频率、看牙医次数、乳牙龋齿及出生体重为协变量。一个潜在的类增长分析进行了表征随时间变化的变量的轨迹。通过广义线性混合模型评估了收入轨迹对6岁至18岁龋齿增加的影响。调整后，从6岁到18岁的龋齿和缺牙（DMT）数量的增加与家庭收入轨迹有关。与稳定高收入组相比，DMT的发病率比（IRR）在稳定低收入组为2.36，在低收入组为1.71，在高收入组为1.64。稳定的低收入组与稳定的高收入组相比，补牙的IRR为0.55。家庭收入的流动性影响龋齿的治疗模式。收入轨迹组之间的差异被发现在龋齿指数的组成部分，而不是在疾病的经验。
We aimed to analyze the effects of family income trajectories on the increase in dental caries from childhood to young adulthood. Data from the 1993 Pelotas (Brazil) birth cohort study, in which dental caries was measured at ages 6, 12, and 18 years, were analyzed. Family income of 302 participants was assessed at birth, and at 4, 11, 15, and 18 years of age. Mother's education, toothbrushing frequency, dental visiting, dental caries in primary dentition, and birth weight were covariates. A latent class growth analysis was conducted to characterize trajectories of time-varying variables. The influence of income trajectories on the increase in dental caries from age 6 to age 18 was evaluated by a generalized linear mixed model. After adjustment, the increases in numbers of decayed and missing teeth (DMT) from age 6 to age 18 were associated with family income trajectory. The incident rate ratios (IRR) of DMT compared with the group of stable high incomes were 2.36 for stable low incomes, 1.71 for downward, and 1.64 for upward. The IRR of teeth being filled in stable low-income groups compared with stable high-income groups was 0.55. Family income mobility affected treatment patterns of dental caries. Differences across income trajectory groups were found in the components of dental caries indices rather than in the experience of disease.