Dental caries in 3-year-old children and smoking status of parents
Dental caries in 3-year-old children and smoking status of parents
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DOI：
10.1111/j.1365-3016.2008.00950.x
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发表时间：
2008-11-01
影响因子：
2.8
通讯作者：
Aoyama, Hitoshi
中科院分区：
文献类型：
--
作者：
Hanioka, Takashi;Nakamura, Etsuko;Aoyama, Hitoshi
环境烟草烟雾和口腔疾病之间存在联系。本研究采用711名36个月大的儿童的记录，探讨了儿童早期龋齿（ECC）和父母吸烟，特别是父亲吸烟之间的关系。以父母吸烟状况为自变量，以性别、居住地、出生顺序、主要饮料类型、每日含糖零食摄入频率、父母每日刷牙次数、含氟牙膏使用情况等为因变量，进行多因素Logistic回归分析，结果发现65%的儿童无龋。父母不吸烟的儿童（CN）、只有父亲吸烟的儿童（CF）和母亲吸烟而不考虑父亲吸烟状况的儿童（CM）分别占33%、33%和34%。CN、CF和CM的龋齿和患龋率的校正平均数[95%CI]分别为1.2 [0.8，1.6]、1.6 [1.2，2.0]和2.1 [1.7，2.5]，以及25.6%、35.3%和45.7%。多因素分析显示，患龋经历与父母吸烟有显著相关。CF和CM相对于CN的校正OR [95% CI]分别为1.52 [1.01，2.30]和2.25 [1.51，3.37]。这些结果表明ECC与父母吸烟的关联，虽然与父亲吸烟的关联弱于母亲吸烟。
An association has been suggested between environmental tobacco smoke and oral disease. The present study examined the relationship between early childhood caries (ECC) and parental smoking, particularly paternal smoking, using records of 711 36-month-old children. The smoking status of parents as an independent variable was entered in the multivariable logistic regression model for caries experience as the dependent variable with confounders: sex, residential location, and possible risks of ECC such as order of birth, type of main drink, frequency of daily intake of sugar-containing snacks, daily toothbrushing by parents and use of fluoridated toothpaste.About 65% of children were caries free. Children whose parents did not smoke (CN), those in whom only the father smoked (CF), and those whose mother smoked regardless of the smoking status of the father (CM) comprised 33%, 33% and 34% respectively. The adjusted mean number [95% CI] of decayed teeth and caries experience prevalence for CN, CF and CM were 1.2 [0.8, 1.6], 1.6 [1.2, 2.0] and 2.1 [1.7, 2.5], and 25.6%, 35.3% and 45.7% respectively. The relationship between caries experience and parental smoking was significant on multivariable analysis. The adjusted OR [95% CI] of CF and CM relative to CN was 1.52 [1.01, 2.30] and 2.25 [1.51, 3.37] respectively. These results indicate the association of ECC with parental smoking, although the association with paternal smoking was weaker than with maternal smoking.