A longitudinal study of dental caries risk among very young low SES children.
A longitudinal study of dental caries risk among very young low SES children.
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DOI：
10.1111/j.1600-0528.2008.00447.x
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发表时间：
2009-04
影响因子：
2.3
通讯作者：
Tharp KM
中科院分区：
文献类型：
--
作者：
Warren JJ;Weber-Gasparoni K;Marshall TA;Drake DR;Dehkordi-Vakil F;Dawson DV;Tharp KM
在美国和其他地方，幼儿龋齿是一个具有挑战性的公共卫生问题；然而，关于幼儿的危险因素的信息有限。本研究的目的是评估18个月龋患病率的基线风险因素，作为对高危儿童进行纵向研究的一部分。从爱荷华州的一个农村社区招募了212名6-24个月大的儿童。研究对象参加了WIC项目，该项目为有孩子的低收入家庭提供营养支持。采用d1d2-3标准在基线和18个月后进行牙科检查。在直接龋蚀水平（d2-3或填充表面），以及在非空化水平（d1）和组合（d1， d2-3或f表面）测定龋患病率。在基线和9个月和18个月后收集危险因素数据。这些数据包括饮料消费数据、可见菌斑的存在、儿童使用含氟牙膏、母亲和儿童的变形链球菌（MS）水平以及家庭社会人口因素。18个月后，128名儿童（60%）仍在研究中。在这些儿童中，d-1d2-3/f水平龋的患病率从9%增加到77%，d2-3/f水平龋的患病率从2%增加到20%。在18个月的随访中，对d2-3f龋基线预测因素的Logistic回归模型发现，儿童中MS的存在（OR=4.4; 95% CI: 1.4, 13.9）和含糖饮料（OR=3.0; 95% CI: 1.1, 8.6）是唯一的显著危险因素。社会人口因素和含氟牙膏的使用在这些模型中不显著。结果表明，MS的早期殖民和含糖饮料的消费是高危人群早期儿童龋齿的重要预测因素。
Early childhood caries is a challenging public health problem in the United States and elsewhere; however, there is limited information concerning risk factors in very young children. The purpose of this study was to assess baseline risk factors for 18-month caries prevalence as part of a longitudinal study of high-risk children. 212 children 6–24 months of age were recruited from a rural community in Iowa. Subjects were enrolled in the WIC program, which provides nutritional support for low-income families with children. Dental examinations using d1d2-3 criteria were conducted at baseline and after 18 months. Caries prevalence was determined at the frank decay level (d2-3 or filled surfaces), as well as at the non-cavitated level (d1), and combined (d1, d2-3 or f surfaces). Risk factor data were collected at baseline and after 9- and 18- months. These data included beverage consumption data, presence of visible plaque, and use of fluoride toothpaste for children as well as mutans streptococci (MS) levels of mothers and children and family socio-demographic factors. 128 children (60%) remained in the study after 18 months. Among these children, prevalence of d-1d2-3/f level caries increased from 9% to 77%, while d2-3/f level caries increased from 2% to 20%. Logistic regression models for baseline predictors of d2-3f caries at the 18-month follow-up found presence of MS in children (OR=4.4; 95% CI: 1.4, 13.9) and sugar-sweetened beverages (OR=3.0; 95% CI: 1.1, 8.6) to be the only significant risk factors. Socio-demographic factors and use of fluoride toothpaste were not significant in these models. Results suggest that early colonization by MS and consumption of sugar-sweetened beverages are significant predictors of early childhood caries in high-risk populations.
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影响因子：
2.3
作者：
Psoter, WJ;Pendrys, DG;Mayne, ST
通讯作者：
Mayne, ST
DOI：
10.1034/j.1600-0528.2000.280401.x
发表时间：
2000-08-01
影响因子：
2.3
作者：
Dini, EL;Holt, RD;Bedi, R
通讯作者：
Bedi, R
影响因子：
8
作者：
Marshall, TA;Levy, SM;Stumbo, PJ
通讯作者：
Stumbo, PJ
影响因子：
2.3
作者：
Mattos-Graner, RO;Corrêa, MSNP;Mayer, MPA
通讯作者：
Mayer, MPA
影响因子：
3
作者：
Okada, M;Soda, Y;Kozai, K
通讯作者：
Kozai, K