Dental caries in 0-to 5-year-old Brazilian children:: prevalence, severity, and associated factors
Dental caries in 0-to 5-year-old Brazilian children:: prevalence, severity, and associated factors
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DOI：
10.1111/j.1365-263x.2007.00831.x
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发表时间：
2007-07-01
影响因子：
3.8
通讯作者：
Feldens, Carlos Alberto
中科院分区：
文献类型：
--
作者：
Ferreira, Simone Helena;Beria, Jorge U.;Feldens, Carlos Alberto
客观的。这项横断面研究调查了巴西学龄前儿童龋齿的患病率和严重程度及其与人口和社会经济变量的关系。方法。研究对象包括巴西南部卡诺阿斯政府托儿所的 1487 名 0 至 5 岁儿童。与自变量（年龄、性别、母亲受教育程度和家庭收入）相关信息的调查问卷由父母完成。临床检查由五名经过培训的检查员进行，结果使用灵巧指数（世界卫生组织标准）表示，包括白点。本研究考虑的结果是龋齿发生率（deft > 0）和龋齿严重程度（deft）。结果。百分之四十的儿童 (589/1487) 出现龋齿[平均敏捷 (SD)：1.53 (2.75)]。 Deft随着年龄的增长而增加（P < 0.001），并且在低教育水平（P = 0.001）和低家庭收入（P = 0.001）母亲的孩子中显着更高。龋齿患病率和严重程度的最大增加发生在 1 岁和 2 岁年龄组之间。逻辑回归表明，在调整混杂因素后，母亲完成的教育程度< 4 年，患龋齿的几率更高。结论。这些发现表明需要制定预防方案，该方案应从婴儿出生第一年开始，并特别关注母亲教育水平较低的家庭。
Objective. This cross-sectional study investigated the prevalence and severity of dental caries and their association with demographic and socio-economic variables in Brazilian preschoolers.Methods. The study population comprised 1487 0- to 5-year-old children attending government nurseries in Canoas, southern Brazil. Questionnaires regarding information related to the independent variables (age, gender, maternal level of education, and family income) were completed by the parents. Clinical examinations were carried out by five trained examiners and results were expressed using the deft index (World Health Organization criteria), including white spots. The outcomes considered in this study were caries occurrence (deft > 0) and caries severity (deft).Results. Forty per cent of the children (589/1487) presented dental caries [mean deft (SD): 1.53 (2.75)]. Deft increased with age (P < 0.001) and was significantly higher in children from mothers with low educational level (P = 0.001) and low family income (P = 0.001). The greatest increase in caries prevalence and severity occurred between age groups of 1 and 2 years. Logistic regression demonstrated higher odds of dental caries with mother's completing < 4 years education, after adjusting for confounding.Conclusion. These findings indicate the need for preventive programmes, which should begin in the first year of life, with special attention given to families with mothers presenting low education levels.