Oral health and the impact of socio-behavioural factors in a cross sectional survey of 12-year old school children in Laos.
Oral health and the impact of socio-behavioural factors in a cross sectional survey of 12-year old school children in Laos.
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DOI：
10.1186/1472-6831-9-29
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发表时间：
2009-11-16
期刊：
影响因子：
2.9
通讯作者：
Petersen, Poul Erik
中科院分区：
文献类型：
--
作者：
Jurgensen, Nanna;Petersen, Poul Erik
背景技术背景：近几十年来，低收入国家的儿童龋齿呈上升趋势，特别是12岁奥尔兹，这是世卫组织儿童的主要指标年龄组。这增加了对儿童生活产生负面影响的风险。一些数据显示东南亚低收入国家儿童的口腔健康状况。然而，关于口腔健康如何与社会行为因素相关的信息几乎没有。本研究的目的是：评估老挝12岁的青少年在城市和半城市环境中的口腔健康水平;研究口腔健康不良对生活质量的影响;分析口腔健康与社会行为因素之间的关联;调查肥胖与口腔健康之间的关系。在老挝万象（以下简称老挝）通过多级随机抽样选择12岁学龄儿童进行横断面研究。最终研究人群包括621名儿童。该研究包括：龋齿和牙周状况的临床登记，以及根据WHO的牙齿创伤评分;结构式问卷;人体测量数据的测量。结果：龋患率为56%（CI 95 = 52-60），龋均为1.8（SEM = 0.09）。牙龈出血的患病率为99%（CI 95 = 98-100），47%（CI 95 = 45-49）的现有牙齿受到影响。在7%（CI 95 = 5-9）的儿童中观察到创伤。在经常去看牙医和经常喝甜饮料的儿童中，蛀牙率很高。缺课、牙痛和一些日常生活活动的障碍与高dD成分相关。没有发现体重指数（BMI）与口腔健康或常见风险因素之间的关联。多变量分析显示，对健康的态度低或中度，牙科访问的历史和在上学时间喝含糖饮料的偏好的儿童患龋齿的风险高。低风险被发现的儿童与良好或平均感知自己的口腔健康。牙龈出血的高风险被认为是在半城市的儿童和boy.CONCLUSION：虽然龋齿水平是低的，它会造成相当大的负面影响，对日常生活。应实施以学校为基础的健康促进，重点是基于技能的学习和对健康的态度。
BACKGROUND: In recent decades low-income countries experienced an increasing trend in dental caries among children, particularly recorded in 12-year olds, which is the principal WHO indicator age group for children. This increases the risks of negative affects on children's life. Some data exist on the oral health status of children in low-income countries of Southeast Asia. However, information on how oral health is associated with socio-behavioural factors is almost not available. The aims of this study were to: assess the level of oral health of Lao 12-year-olds in urban and semi-urban settings; study the impact of poor oral health on quality of life; analyse the association between oral health and socio-behavioural factors; investigate the relation between obesity and oral health.METHODS: A cross sectional study of 12-year old schoolchildren chosen by multistage random sampling in Vientiane, Lao P.D.R (hereafter Laos). The final study population comprised 621 children. The study consisted of: clinical registration of caries and periodontal status, and scores for dental trauma according to WHO; structured questionnaire; measurement of anthropometric data. Frequency distributions for bi-variate analysis and logistic regression for multivariate analysis were used for assessment of statistical association between variables.RESULTS: Mean DMFT was 1.8 (SEM = 0.09) while caries prevalence was 56% (CI95 = 52-60). Prevalence of gingival bleeding was 99% (CI95 = 98-100) with 47% (CI95 = 45-49) of present teeth affected. Trauma was observed in 7% (CI95 = 5-9) of the children. High decay was seen in children with dental visits and frequent consumption of sweet drinks. Missed school classes, tooth ache and several impairments of daily life activities were associated with a high dD-component. No associations were found between Body Mass Index (BMI) and oral health or common risk factors. The multivariate analyses revealed high risk for caries for children with low or moderate attitude towards health, a history of dental visits and a preference for drinking sugary drinks during school hours. Low risk was found for children with good or average perception of own oral health. High risk for gingival bleeding was seen in semi-urban children and boys.CONCLUSION: Although the caries level is low it causes considerable negative impact on daily life. School based health promotion should be implemented focussing on skills based learning and attitudes towards health.