摘要
目的了解北京市通州区2~4岁幼儿园入园儿童龋齿发生情况及其影响因素,为开展儿童龋齿防治工作提供依据。方法基于通州区妇幼保健信息系统,收集2016年1月1日至2017年12月31日期间2~4岁足月产(37周≤孕周<42周)儿童入园体检记录及出生信息,获取其人口学特征、围产及出生情况、入园体检及口腔检查等资料,分析不同特征儿童龋齿率,并利用多因素logistic回归分析儿童龋齿的影响因素。结果共纳入12 555名足月产2~4岁儿童,男童占51.2%,以3岁儿童为主,占75.1%,父母户口至少一方在北京占70.2%。儿童总体龋齿率为23.7%,2、3、4岁儿童分别为16.9%、25.2%、48.1%,随着儿童年龄增加呈上升趋势(P<0.01)。二元logistic回归分析结果显示年龄增加(OR3岁=1.67;OR4岁=4.58)、父母户口均在外地(OR=1.13)的儿童龋齿发生风险较高。结论北京市通州区2~4岁入园儿童龋齿率较高,年龄增加以及父母均为外地户口的儿童龋齿发生风险较高。应重点关注学龄前儿童龋齿发生情况,做好对学龄前儿童口腔健康监测工作。
Objective To investigate the prevalence of dental caries among children aged 2-4 years in Tongzhou District,Beijing and explore its influencing factors. Methods Physical examination records and birth information of children with full-term birth(37 weeks ≤ gestational week<42 weeks)from January 1,2016 to December 31,2017 were collected from the maternal and child health information system in Tongzhou District. The prevalence of dental caries was calculated,and multivariate logistic regression was used to determine factors influencing dental caries. Results A total of12 555 children aged 2-4 years with full term were included. Of the participants,51.2% were boys,most(75.1%)were aged 3 years,and 70.2% had at least one parent’s domicile registered in Beijing. The overall prevalence rate of dental caries was 23.7%. The prevalence rates of dental caries were 16.9%,25.2%,and 48.1% for children aged 2,3,and 4 years,respectively,showing an upward trend with the increase of children’s age(P <0.01). The binary logistic regression analysis showed that the children with increased age(OR3 yearsold=1.67;OR4 yearsold=4.58)and whose parents’ domiciles were registered in other places(OR=1.13)had higher risks of dental caries. Conclusion The prevalence of dental caries was high for children aged 2-4 years in Tongzhou District,Beijing. The risks of dental caries were higher for the children with the increase of age and whose parents’ domiciles were registered in other places. Attention should be paid to the occurrence of dental caries in preschool children,and the oral health of preschool children should be monitored.
作者
孟召学
刘美岑
曲雪琪
陈春屹
黄玥
周虹
MENG Zhao-xue;LIU Mei-cen;QU Xue-qi;CHEN Chun-yi;HUANG Yue;ZHOU Hong(Tonghzou Maternal&Child Health Hospital of Beijing,Beijing 101110,China;School of Public Health,Peking University)
出处
《华南预防医学》
2020年第3期223-226,共4页
South China Journal of Preventive Medicine
基金
广东省科技计划项目(2014A020212458)。
关键词
儿童
龋齿
影响因素
Children
Dental caries
Influencing factors
