Assessing the relationship between children's oral health status and that of their mothers
Assessing the relationship between children's oral health status and that of their mothers
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DOI：
10.14219/jada.archive.2011.0061
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发表时间：
2011-02-01
影响因子：
3.9
通讯作者：
Tinanoff, Norman
中科院分区：
文献类型：
--
作者：
Dye, Bruce A.;Vargas, Clemencia M.;Tinanoff, Norman
背景。作者进行了一项研究，以描述幼儿口腔健康与其母亲口腔健康之间的关系。
方法。作者利用第三次全国健康和营养检查调查的数据以及相关的出生证明关联文件，为2至6岁的儿童编制了1184对母子样本。作者以儿童的龋齿患病情况和未经治疗的龋齿状况作为因变量进行了逻辑回归和累积逻辑回归分析。他们评估了母亲未经治疗的龋齿状况和牙齿缺失状况以及其他协变量，包括年龄、种族/民族和贫困状况。
结果。母亲未经治疗的龋齿程度高的儿童，其龋齿患病程度（已治疗或未治疗的龋齿）较高的可能性是母亲无未经治疗龋齿的儿童的三倍多（比值比[OR]为3.5；95%置信区间[CI]为2.0 - 6.2）。在母亲牙齿缺失与其子女的龋齿患病情况之间也观察到了类似的关系。母亲牙齿缺失程度高的儿童，其龋齿患病程度较高的可能性是母亲无牙齿缺失的儿童的三倍多（OR为3.3；95%置信区间[CI]为1.8 - 6.4）；对于牙齿中度缺失的母亲，OR为2.3（95%置信区间[CI]为1.5 - 3.5）。
结论。母亲的口腔健康状况是其子女口腔健康状况的有力预测因素。
实践意义。儿童的预防计划应基于龋齿风险评估。这项研究的结果表明，从儿童母亲那里获得的关于其口腔健康状况的基本信息对于帮助牙医确定儿童的龋齿风险是有价值的。
Background. The authors conducted a study to describe the relationship between the oral health of young children and that of their mothers.Methods. Using data from the Third National Health and Nutrition Examination Survey and a related birth certificate linked file, the authors compiled a sample of 1,184 mother/child pairs for children aged 2 through 6 years. The authors performed logistic and cumulative logistic regression analyses by using children's caries experience and untreated caries status as dependent variables. They evaluated the mothers' untreated caries status and tooth loss status along with other covariates, including age, race/ethnicity and poverty status.Results. Children of mothers who had high levels of untreated caries were more than three times as likely (odds ratio [OR] 3.5; 95 percent confidence interval [CI], 2.0-6.2) to have higher levels of caries experience (treated or untreated dental caries) compared with children whose mothers had no untreated caries. A similar relationship was observed between mothers' tooth loss and caries experience among their children. The children of mothers with high levels of tooth loss were more than three times as likely (OR, 3.3; 95 percent CI, 1.8-6.4) to have higher levels of caries experience compared with children of mothers with no tooth loss; for mothers with moderate tooth loss, the OR was 2.3 (95 percent CI, 1.5-3.5).Conclusions. Mothers' oral health status is a strong predictor of the oral health status of their children.Practice Implications. Preventive plans for children should be based on a caries risk assessment. The results of this study demonstrate that basic information obtained from the child's mother regarding her oral health status is valuable in helping the dentist determine the child's caries risk.