摘要
目的调查喀什市维吾尔族、汉族3~5岁儿童患龋情况及患龋风险因素的相关资料,建立儿童个体龋风险评估（caries risk assessment,CRA）模型,为当地儿童龋病风险性评估和制定综合防控计划提供样本及参考数据。方法采用分层、整群抽样的方式随机抽取喀什市3所幼儿园397名3~5岁健康儿童作为研究对象,进行口腔检查和龋风险评估。分别应用卡方检验、方差分析及Logistic回归分析方法对龋风险评估相关因素进行统计分析。结果 （1）喀什市3~5岁汉族与维吾尔族儿童分布在CAR低度组、中度组和高度组三组比较差异均有统计学意义（χ~2=8.055,P=0.018）。（2）汉族与维吾尔族儿童的龋在不同CAR分度组的差异均具有统计学意义（F1=47.46,P=0.000;F2=74.5,P=0.000）。（3）汉族和维吾尔族在龋风险评估各组之间的患龋率差异有统计学意义（χ~2_1=98.21,P=0.000;χ~2_2=154.89,P=0.000）。（4）多因素Logistic回归分析风险评估相关因素结果显示：年龄更大[OR=1.769,P=0.001]、母亲患有龋齿[OR=2.274,P=0.004]、经常用奶瓶和牛奶或果汁[OR=0.705,P=0.000]、经常吃零食[OR=4.825,P=0.000]是婴幼儿龋的危险因素;刷牙[OR=0.319,P=0.019]、辅助儿童刷牙[OR=0.305,P=0.002]是婴幼儿龋的保护因素。结论喀什市3~5岁儿童患龋情况严重,龋风险评估高的儿童占大多数,应加强口腔健康教育,开展多种防龋措施。
Objective To investigate the incidence and risk factors of dental caries among Uyghur vs Han children of 3to 5years old in Kashi city and provide samples and reference data for caries risk assessment（CRA）and prevention in the region.Methods A stratified,multistage cluster sampling method was used to select 397 healthy children of 3to 5years from three kindergartens in Kashi who were given oral examination and caries risk assessment.The relevant risk factors were analyzed.Results（1）The differences between3-5years old Han and Uyghur children in Kashi in different CRA groups of low,moderate and high risk were statistically significant（χ~2=8.055,P=0.018）.（2）The DMFT data of each CRA group were statistically different between Han and Uyghur children（F1=47.46,P=0.000;F2=74.5,P=0.000）.（3）The incidences of dental caries in each CRA group were statistically different between Hans and Uyghurs（χ~2_1=98.21,P=0.000;χ~2_2=54.89,P=0.000）.（4）Multivariate logistic regression analysis showed that the risk factors for early childhood caries were older child age[OR=1.769,P=0.001],mothers with caries[OR=2.274,P=0.004],frequent bottle-feeding of milk or juice[OR=0.705,P=0.000],and frequent snacks[OR=4.825,P=0.000],while toothbrushing [OR=0.319,P=0.019]and toothbrushing with assistance[OR=0.305,P=0.002]were the protective factors.Conclusion The incidence of dental caries of children at age of 3to 5years in Kashi are high,most of whom have high CRA scores.Oral health education should be strengthened and preventive measures should be taken.
出处
《中国微生态学杂志》
CAS
CSCD
2016年第9期1044-1048,共5页
Chinese Journal of Microecology
基金
新疆维吾尔自治区科技计划项目(201333105)
新疆研究生科研创新项目(XJGRI2015076)
关键词
龋风险评估
患龋率
龋均
民族
低龄儿童龋病
Caries risk assessment
Prevalence of dental caries
DMFT
Ethnic
Early childhood caries
