Early childhood caries in Switzerland: a marker of social inequalities.
Early childhood caries in Switzerland: a marker of social inequalities.
复制标题
DOI：
10.1186/s12903-015-0066-y
复制
发表时间：
2015-07-22
期刊：
影响因子：
2.9
通讯作者：
Madrid C
中科院分区：
文献类型：
--
作者：
Baggio S;Abarca M;Bodenmann P;Gehri M;Madrid C
幼儿龋齿（ECC）是全球社会不平等的标志，因为弱势儿童比同龄人更有可能患龋齿。这项研究的目的是确定ECC的流行率在儿童生活在讲法语的瑞士，在这个问题上的数据是稀缺的，并评估是否ECC是在这个国家的社会不平等的早期标志。该研究于2010年至2012年在洛桑儿童医院的初级保健机构进行。我们对856名36至71个月的儿童进行了ECC临床筛查，他们的照顾者（父母或法律的监护人）填写了一份问卷，包括社会经济背景（教育，职业，收入，识字和移民身份），牙齿护理和饮食习惯。计算患病率、患病比和Logistic回归。总体ECC患病率为24.8%。较高社会经济背景的儿童ECC发生率低于较低社会经济背景的儿童（患病率≤ 0.58）。这项研究报告了令人担忧的流行率ECC的儿童从36至71个月，生活在讲法语的瑞士。幼儿保育似乎是社会不平等的一个很好的标志，因为无论是来自瑞士还是移民背景的弱势儿童，都比处境较好的同龄人更容易患龋齿。所有弱势儿童（无论是移民还是瑞士人）都需要针对幼儿保育的具体预防干预措施。
Early childhood caries (ECC) is a marker of social inequalities worldwide because disadvantaged children are more likely to develop caries than their peers. This study aimed to define the ECC prevalence among children living in French-speaking Switzerland, where data on this topic were scarce, and to assess whether ECC was an early marker of social inequalities in this country. The study took place between 2010 and 2012 in the primary care facility of Lausanne Children’s Hospital. We clinically screened 856 children from 36 to 71 months old for ECC, and their caregivers (parents or legal guardians) filled in a questionnaire including items on socioeconomic background (education, occupation, income, literacy and immigration status), dental care and dietary habits. Prevalence rates, prevalence ratios and logistic regressions were calculated. The overall ECC prevalence was 24.8 %. ECC was less frequent among children from higher socioeconomic backgrounds than children from lower ones (prevalence ratios ≤ 0.58). This study reported a worrying prevalence rate of ECC among children from 36 to 71 months old, living in French-speaking Switzerland. ECC appears to be a good marker of social inequalities as disadvantaged children, whether from Swiss or immigrant backgrounds, were more likely to have caries than their less disadvantaged peers. Specific preventive interventions regarding ECC are needed for all disadvantaged children, whether immigrants or Swiss.