Factors associated with mutans streptococci among young WIC-enrolled children.
Factors associated with mutans streptococci among young WIC-enrolled children.
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WIC 注册儿童中与变形链球菌相关的因素。
DOI：
10.1111/j.1752-7325.2012.00335.x
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发表时间：
2012
影响因子：
2.3
通讯作者：
Dawson,DeborahV
中科院分区：
文献类型：
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作者：
Weber-Gasparoni,Karin;Goebel,BryceM;Drake,DavidR;Kramer,KatherineWO;Warren,JohnJ;Reeve,Johnmarshall;Dawson,DeborahV
目的：本研究的目的是评估12 - 49月龄儿童中变异链球菌（MS）的存在或不存在与其他协变量之间的关系。方法：采用基线信息对411名儿童进行数据分析，这些儿童参加了爱荷华州妇女、婴儿和儿童特殊补充食品计划（WIC），参与了一项心理教育研究。采用半定量方法（RODAC板）评估儿童的质谱。采用d1d2.3标准进行口腔检查，检查门牙和磨牙是否有可见菌斑。母亲们完成了一系列详细的问卷调查，内容涉及孩子的口腔健康、社会经济地位、孩子的饮食/口腔卫生习惯、饮料消费等行为。评估与MS存在的双变量关系，然后使用logistic回归进行多变量建模（α = 0.05）。结果：144例（35%）患儿出现多发性硬化症。与MS存在的双变量关系被确定为多个协变量，包括人口统计学特征、饮料消费类型、龋齿和牙菌斑测量。多因素logistic回归模型显示，儿童多发性硬化症的存在与儿童的非白人种族、牙齿数量、蛀牙病变的存在、牙菌斑的比例和较低的母亲教育水平呈正相关。结论：多发性硬化症的存在与较高的龋齿和牙菌斑评分、较低的母亲教育程度和非白人种族背景有关。
Objectives:The objective of this study is to assess relationships between the presence or absence of mutans streptococci (MS) and other covariates in children aged 12‐49 months.Methods:Data were analyzed using baseline information from 411 children enrolled in the Special Supplemental Food Program for Women, Infants and Children (WIC) who participated in a psychoeducational study in Iowa. Children were assessed for MS using a semiquantitative method (RODAC plates). Dental examinations using d1d2.3criteria and presence of visible plaque on incisors and molars were completed. Mothers completed a series of detailed questionnaires regarding their child's oral health, their socioeconomic status, their child's dietary/oral hygiene habits, and beverage consumption, among other behaviors. Bivariate relationships with the presence of MS were assessed and followed by multivariable modeling using logistic regression (alpha = 0.05).Results:MS was present in 144 children (35 percent). Bivariate relationships with MS presence were identified for multiple covariates that included demographic characteristics, type of beverage consumption, dental caries, and plaque measures. Multivariate logistic regression modeling suggested that MS presence in children was positively associated with nonwhite race of the child, number of teeth present, presence of cavitated lesions, proportion of teeth with plaque, and lower levels of maternal education.Conclusions:The presence of MS was associated with greater caries and plaque scores and with low maternal education and nonwhite racial background.