Oral Health Determinants and Caries Outcome among Non-Privileged Children
Oral Health Determinants and Caries Outcome among Non-Privileged Children
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DOI：
10.1159/000360709
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发表时间：
2014-01-01
期刊：
影响因子：
4.2
通讯作者：
Mestrinho, Heliana D.
中科院分区：
文献类型：
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作者：
Carvalho, Joana C.;Silva, Eduardo F.;Mestrinho, Heliana D.
这项研究旨在确定口腔健康决定因素，这些决定因素在儿童早期就存在，可以改变，而且有证据表明，这些决定因素对非特权儿童样本的龋齿进展速度有调节作用。零假设是，与托儿所政策所证明的儿童机构环境相关的决定因素显著影响儿童的口腔健康。样本是由2511名1-5岁的巴西儿童组成的。记录龋病严重程度和活动性。父母接受了采访，托儿所回答了一份问卷。根据病例状态d(1)EFS，最终的多水平模型(广义线性混合模型)确定了与决定因素的显著关联，如夜间按需给儿童奶瓶喂养、不帮助儿童刷牙、确保在仅有牙齿问题的情况下去看牙医(p<；0.0001)以及在托儿所每天摄入2-4次含糖产品(p=0.026)。龋齿结果的可能性与与托儿所政策相关的决定因素有关，而不是为受过4年教育的母亲的孩子推广预防性口腔保健(OR=2.14p<；0.0015)和
The study aimed at identifying oral health determinants that are present in early childhood, are amenable to change and for which there is evidence of their modulation of the rate of caries progression in a sample of non-privileged children. The null hypothesis was that determinants associated with the child's institutional environment as evidenced by nursery policies significantly influenced the child's oral health. The sample was formed by 2,511 Brazilian 1-5-year-olds. Caries severity and activity were recorded. Parents were interviewed and nurseries answered a questionnaire. According to the case status d(1)efs, the final multilevel model (generalized linear mixed model) identified significant associations with determinants such as bottle-feeding the child during the night on demand, not assisting the child in toothbrushing, ensuring visit to the dentist in case of troubles with teeth only (p < 0.0001) and intake of sugary products 2-4 times daily at nursery (p = 0.026). The likelihood of caries outcomes was associated with determinants related to nursery policies, not promoting preventive oral health care for children of mothers with 4 years of education (OR = 2.14; p < 0.0015) and