Caries and its association with infant feeding and oral health-related behaviours in 3-4-year-old Brazilian children
Caries and its association with infant feeding and oral health-related behaviours in 3-4-year-old Brazilian children
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DOI：
10.1034/j.1600-0528.2000.280401.x
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发表时间：
2000-08-01
影响因子：
2.3
通讯作者：
Bedi, R
中科院分区：
文献类型：
--
作者：
Dini, EL;Holt, RD;Bedi, R
目的：探讨巴西3-4岁儿童的社会人口因素、婴儿喂养习惯、口腔卫生与龋齿患病率和模式的关系。方法：采用系统随机抽样的方法对1998年在巴西阿拉拉夸拉市市立幼儿园入学的儿童进行调查。临床检查由一名检查员使用dmft和dmfs指数和WHO标准进行。调查问卷的内容包括儿童的社会人口背景、口腔卫生和饮食史等。结果：46%的儿童出现龋齿；17%的人有更广泛的模式，包括磨牙和门牙。社会阶层、母亲受教育程度和终止母乳喂养的年龄与龋齿有统计学上的显著关联。80%的儿童仍在使用添加糖的奶瓶。当考虑到重要的变量时，只有终止母乳喂养的年龄与疾病的模式有显著的关系。从未接受过母乳喂养或母乳喂养超过24个月的儿童患龋齿的比例更高。结论：母亲母乳喂养时间长短与广泛龋齿之间的关系应在任何地方婴儿喂养政策或健康促进策略中予以考虑。应强调适当的母乳或奶瓶喂养的持续时间。
Objectives: To investigate the relationships between socio-demographic factors, infant feeding habits, oral hygiene and the prevalence and patterns of caries in Brazilian 3-4-year-olds. Methods: Systematic random sampling was used to select children enrolled in municipal nurseries in Araraquara, Brazil, in 1998. Clinical examinations were carried out by one examiner using dmft and dmfs indices and WHO criteria. Questionnaires for information related to the socio-demographic background, oral hygiene and dietary history of the children were completed by their mothers. Results: Caries was seen in 46% of the children; 17% of them had the more extensive pattern involving molars and incisors. Social class, mother's education, and age at which breast-feeding terminated showed statistically significant associations with caries. Feeding bottles with added sugars were still being given to 80% of the children. When the significant variables were taken into account only age at which breast-feeding terminated showed a significant relationship to the pattern of disease. Children who were never breast-fed or were breast-fed beyond the age of 24 months had a higher prevalence of the more extensive pattern of caries. Conclusions: The association between the length of time a mother breast-feeds and extensive caries should be a consideration in any local infant feeding policies or health promotion strategies. The duration for appropriate breast- or bottle-feeding should be emphasised.