Associations of ethnicity/race and socioeconomic status with early childhood caries patterns
Associations of ethnicity/race and socioeconomic status with early childhood caries patterns
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DOI：
10.1111/j.1752-7325.2006.tb02547.x
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发表时间：
2006-12-01
影响因子：
2.3
通讯作者：
Mayne, ST
中科院分区：
文献类型：
--
作者：
Psoter, WJ;Pendrys, DG;Mayne, ST
目的：该项目的目的是评估种族/人种、家庭收入和护理人员教育水平作为1）任何幼儿龋齿和2）四种乳牙列龋齿模式的预测因素。方法：1994年2月至1995年9月期间，五名检查员对亚利桑那州5-59个月大的学前儿童进行了目视检查。在检查时获得自我报告的人口统计学信息，包括家庭收入、护理人员教育水平和种族/人种。进行了多变量分析，以评估收入，教育和种族/种族与患有任何龋齿的儿童以及在3，850次检查中发现的每种拟议龋齿模式的关联。结果：收入和教育程度与：1）任何早期儿童龋齿和2）上颌切牙龋齿模式呈负相关。这些龋齿模式和少数民族/种族地位之间的正相关也被确定。三个额外的龋齿口内模式表现出更多样的社会经济地位（SES），种族/种族和收入和教育的协会。结论：这项研究支持种族/种族和社会地位与任何早期儿童龋齿的关联。龋齿的模式被认为是与特定的和不同的社会经济人口指标。这些发现的实际重要性在于，ECC的全球测量，而不考虑特定的龋齿模式，导致疾病的实质性非差异性错误分类的可能性。这样做的后果是可能掩盖重要的ECC-SES-种族/人种关联。这反过来又降低了普查和调查的能力，无法准确查明最有可能患上幼儿保育综合症的人群。
Objectives: The purpose of this project was to evaluate ethnicity/race, household income and caregiver education level as predictors of 1) any early childhood caries, and 2) each of four proposed patterns of primary dentition caries. Methods: Between February 1994 and September 1995, five examiners visually examined Arizona pre-school children ages 5-59 months old. Self-reported demographic information including family income, caregiver education level and ethnicity/race were obtained at the time of examination. Multivariate analyses were conducted to assess the association of income, education and ethnicity/race with a child having any caries and with each of the proposed caries patterns seen in 3,850 examinations. Results: Income and education were inversely associated with: 1) any early childhood caries, and 2) the maxillary incisor caries pattern. A positive association between these caries patterns and minority ethnicity/race status was also identified. Three additional caries intraoral patterns demonstrated more varied associations with socioeconomic status (SES), ethnicity/race and income and education. Conclusions: This study supports the association of both ethnicity/race and social status with any early childhood caries. The patterns of caries were each found to be associated with specific and different socioeconomic-demographic indicators. The practical importance of these findings is that global measurement of ECC, without regard to specific caries pattern, leads to the potential for substantial non-differential misclassification of disease. The consequence of this is the potential for important ECC-SES-ethnicity/race associations to be masked. This, in turn, decreases the ability of surveys and investigations to accurately identify sub-groups of the population at greatest risk of developing ECC.