The association of early childhood caries and race/ethnicity among California preschool children
The association of early childhood caries and race/ethnicity among California preschool children
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DOI：
10.1111/j.1752-7325.2003.tb03472.x
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发表时间：
2003-12-01
影响因子：
2.3
通讯作者：
Pollick, HF
中科院分区：
文献类型：
--
作者：
Shiboski, CH;Gansky, SA;Pollick, HF
目的：本文探讨了种族/族裔在加州启蒙计划 (HS) 和非 HS 学龄前儿童中发生早期儿童龋齿 (ECC) 的作用。方法：利用 1993-94 年加州儿童口腔健康需求评估的口腔检查和问卷数据，我们使用各种定义和拟合逻辑回归模型计算了 ECC 的患病率，以探讨种族/族裔对 ECC 的影响，分别针对 HS 和非 HS 儿童，调整睡前饮食习惯和其他协变量。结果：在 2,520 名儿童中，有喝牛奶/甜食入睡史的最大比例是拉丁裔/西班牙裔（HS 中为 72%，非 HS 中为 65%）和 HS 亚洲人（56%）。 HS 亚洲人和拉丁裔/西班牙裔的 ECC 患病率最高（30%-33%），未经治疗的手杖患病率最高（49%-54%）。在控制社会经济地位变量的情况下，与 HS 白人相比，HS 亚洲人的 ECC 估计风险高出三倍以上；与非 HS 白人相比，非 HS 非洲裔美国人和亚洲人的 ECC 估计风险高出三倍以上。与不喝牛奶或任何甜食的儿童相比，喝牛奶或任何甜味物质入睡的儿童发生 ECC 的风险也显着更高。结论：针对 ECC 风险最高的种族亚群可能特有的文化/行为模式的研究似乎对于制定有效的预防策略至关重要。
Objectives: This paper explores the role of race/ethnicity in the occurrence of early childhood caries (ECC) among California Head Start (HS) and non-HS preschool children. Methods: Using oral examination and questionnaire data from the 1993-94 California Oral Health Needs Assessment of Children, we computed the prevalence of ECC using various definitions and fitted logistic regression models to explore the effect of race/ethnicity on ECC, separately for HS and non-HS children, adjusting for bedtime feeding habits and other covariates. Results:Among 2,520 children, the largest proportion with a history of failing asleep sipping milk/sweet substance was among Latinos/Hispanics (72% among HS and 65% among non-HS) and HS Asians (56%). HS Asians and Latinos/Hispanics had the largest prevalence of ECC (30%-33%) and untreated canes (49%-54%). The estimated risk for ECC was more than three times higher in HS Asians compared to HS whites and among non-HS African Americans and Asians compared to non-HS whites controlling for socioeconomic status variables. The risk of ECC was also significantly higher among children who fell asleep while sipping milk or any sweet substance compared to those who did not. Conclusion: Studies of the cultural/behavioral patterns that may be specific to ethnic subgroups with the highest risk for ECC seem essential to the development of effective prevention strategies.