Dental caries experience and determinants in young adults of the Northern State Medical University, Arkhangelsk, North-West Russia: a cross-sectional study.
Dental caries experience and determinants in young adults of the Northern State Medical University, Arkhangelsk, North-West Russia: a cross-sectional study.
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DOI：
10.1186/s12903-017-0426-x
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发表时间：
2017-11-28
期刊：
影响因子：
2.9
通讯作者：
Trovik TA
中科院分区：
文献类型：
--
作者：
Drachev SN;Brenn T;Trovik TA
关于俄罗斯年轻人龋齿的经验和危险因素的信息很少。我们调查了俄罗斯西北部医学和牙科学生的龋齿经历和决定因素。这项横断面研究包括来自俄罗斯阿尔汉格尔斯克北方国立医科大学的442名医学和309名牙科本科生，年龄在18-25岁之间。从结构化的自我管理问卷中获得有关社会人口因素和口腔健康行为（看牙医的规律性、刷牙的频率、使用含氟牙膏和不刷牙）的信息。龋齿经验是基于龋齿（D）缺失（M）填充（F）牙齿（T）指数和显着龋（SiC）指数，通过牙科检查进行评估。DMFT指数≥9的学生被安排在SiC组。采用负二项门槛和多变量二项logistic回归进行统计分析。龋病患病率（DMFT >0）为96.0%，总体平均DMFT指数为7.58（DT：0.61，MT：0.12，FT：6.84），相应的SiC指数为12.50。年龄21-25岁（发生率比[IRR] = 1.09，95%置信区间[CI]：1.01-1.18），女性（IRR = 1.10，95% CI：1.01-1.20），高主观社会经济地位（SES）[IRR = 1.11，95% CI：不刷牙（IRR = 1.09，95%CI：1.00-1.19）与较高的DMFT指数相关。在报告定期牙科就诊的学生中，DMFT指数也增加（IRR = 1.22，95%CI：1.10-1.36），但他们在无龋齿组中的优势降低（优势比[OR] = 0.38，95%CI：0.18-0.82）。被归类为SiC组的重要预测因素是年龄较大（OR = 1.41，95%CI：1.03-1.92），高主观SES（OR = 1.57，95%CI：1.13-2.19）和定期牙科就诊（OR = 2.34，95%CI：1.56-3.51）。在我们的俄罗斯医学和牙科学生中观察到龋齿的高患病率和高DMFT指数，以FT为主。年龄、性别、主观社会经济地位、定期看牙和不刷牙是龋齿经历的决定因素。
Little information exists about the experience of and risk factors for dental caries in young adults in Russia. We investigated dental caries experience and determinants in medical and dental students in North-West Russia. This cross-sectional study included 442 medical and 309 dental undergraduate students of Russian nationality aged 18–25 years from the Northern State Medical University, Arkhangelsk, Russia. Information on socio-demographic factors and oral health behaviour (regularity of dental visits, frequency of tooth-brushing, using toothpaste with fluoride, and skipping tooth-brushing) was obtained from a structured, self-administered questionnaire. Dental caries experience was based on the decayed (D) missing (M) filled (F) teeth (T) index and the Significant Caries (SiC) index, which were assessed through dental examination. Students with a DMFT index ≥9 were placed in the SiC group. Negative binomial hurdle and multivariable binary logistic regressions were used for statistical analyses. The prevalence of dental caries (DMFT >0) was 96.0%, overall mean DMFT index was 7.58 (DT: 0.61, MT: 0.12, and FT: 6.84), and the corresponding SiC index was 12.50. Age 21–25 years (incidence rate ratio [IRR] = 1.09, 95% confidence interval [CI]: 1.01–1.18), being a female (IRR = 1.10, 95% CI: 1.01–1.20), high subjective socioeconomic status (SES) [IRR = 1.11, 95% CI: 1.02–1.21], and skipping tooth-brushing (IRR = 1.09, 95% CI: 1.00–1.19) were associated with a higher DMFT index. DMFT index also increased among students who reported regular dental visits (IRR = 1.22, 95% CI: 1.10–1.36), but their odds of being in the dental caries-free group decreased (odds ratio [OR] = 0.38, 95% CI: 0.18–0.82). Significant predictors of being categorised to the SiC group were older age (OR = 1.41, 95% CI: 1.03–1.92), high subjective SES (OR = 1.57, 95% CI: 1.13–2.19), and regular dental visits (OR = 2.34, 95% CI: 1.56–3.51). A high prevalence of dental caries and high DMFT index, with a dominance of FT, were observed in our Russian medical and dental students. Age, sex, subjective SES, regular dental visits, and skipping tooth-brushing were determinants of dental caries experience.
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影响因子：
2.4
作者：
Kumar, S.;Motwani, K.;Kulkarni, S.
通讯作者：
Kulkarni, S.
影响因子：
7.6
作者：
Peres, MA;Peres, KG;de Lacerda, JT
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de Lacerda, JT
影响因子：
2.1
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Morgan, MV
影响因子：
2.1
作者：
Hopcraft, M. S.;Yapp, K. E.;Morgan, M. V.
通讯作者：
Morgan, M. V.
影响因子：
2.1
作者：
Roberts-Thomson, K.;Stewart, J. F.
通讯作者：
Stewart, J. F.