Prevalence of early childhood caries among very young urban Boston children compared with US children.
Prevalence of early childhood caries among very young urban Boston children compared with US children.
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DOI：
10.1111/j.1752-7325.2008.00116.x
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发表时间：
2009
影响因子：
2.3
通讯作者：
Kressin NR
中科院分区：
文献类型：
--
作者：
Nunn ME;Dietrich T;Singh HK;Henshaw MM;Kressin NR
本研究的目的是将在波士顿两个城市医疗中心的初级保健儿科医生就诊的 1 至 3 岁儿童的早期儿童龋齿 (ECC) 患病率与作为第三次全国健康和营养检查调查 (NHANES III) 一部分进行调查的美国同龄儿童的 ECC 患病率进行比较，并与美国同龄儿童的危险因素相比，评估这组儿童中 ECC 的危险因素。将来自波士顿两个城市医疗中心的 787 名 1 至 3 岁儿童的特征与作为 NHANES III 调查的 3,644 名类似年龄的美国儿童的特征进行了比较。比较了人口统计和社会特征以及按假定危险因素划分的 ECC 患病率。多元逻辑回归模型适合同时评估假定的危险因素和组间差异。种族、年龄、以前看牙医、父母的教育程度和家庭收入与 ECC 患病率显着相关。父母的出生地是一个显着的影响因素，波士顿移民儿童的 ECC 低于美国移民儿童。与美国移民父母的儿童相比，波士顿城市移民父母的儿童的 ECC 患病率较低，这可能反映了自 NHANES III 以来美国移民构成的变化或波士顿地区与美国相比不同的移民构成。这一发现强调了对移民进行进一步研究的必要性，以了解可能影响口腔健康的文化习俗。最后，幼儿中 ECC 患病率较低，这凸显了早期干预对于减少 ECC 的重要性。
The aims of this study were to compare prevalence of early childhood caries (ECC) in 1- to 3-year-old children seeing primary-care pediatricians at two urban medical centers in Boston to the prevalence of ECC in similarly aged US children surveyed as part of the Third National Health and Nutrition Examination Survey (NHANES III) and to assess risk factors for ECC among this cohort of children compared with risk factors among similarly aged US children. Characteristics of 787 1- to 3-year-old children from two urban Boston medical centers were compared with those of 3,644 similarly aged US children surveyed as part of NHANES III. Demographic and social characteristics and ECC prevalence by putative risk factors were compared. A multiple logistic regression model was fit to assess putative risk factors and difference between groups simultaneously. Race, age, previous dental visit, parents’ education, and household income were significantly associated with ECC prevalence. Parents’ place of birth was a significant effect modifier with lower ECC among Boston children of immigrants than among US children of immigrants. Lower ECC prevalence among urban Boston children of immigrant parents compared with US children of immigrant parents may reflect changing immigrant composition in the United States since NHANES III or a different immigrant composition in the Boston area compared with the United States. This finding reinforces the need for further research of immigrants in order to understand cultural practices that may affect oral health. Finally, low ECC prevalence among very young children reinforces the importance of early intervention in reducing ECC.
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影响因子：
7.6
作者：
OSULLIVAN, DM;TINANOFF, N
通讯作者：
TINANOFF, N
影响因子：
120.7
作者：
Mouradian, WE;Wehr, E;Crall, JJ
通讯作者：
Crall, JJ
影响因子：
2.3
作者：
Kaste, LM;Drury, TF;Beltran, E
通讯作者：
Beltran, E
影响因子：
2.3
作者：
Shiboski, CH;Gansky, SA;Pollick, HF
通讯作者：
Pollick, HF
影响因子：
3.3
作者：
Satcher, DS
通讯作者：
Satcher, DS