Peres Marco Aurélio, Peres Karen Glazer, de Barros Aluísio Jardim Dornellas, Victora Cesar Gomes
Department of Public Health, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
J Epidemiol Community Health. 2007 Feb;61(2):141-5. doi: 10.1136/jech.2005.044818.
To investigate the influence of family socioeconomic trajectories from childhood to adolescence on dental caries and associated behaviours.
Population-based birth cohort.
Representative sample of the population of subjects born in 1982 in Pelotas, Brazil.
Adolescents (n = 888) aged 15 years old were dentally examined and interviewed.
Dental caries index (DMFT), care index (F/DMFT), tooth brushing, flossing and pattern of dental services use.
Adolescents who were always poor showed, in general, a worse pattern of dental caries, whereas adolescents who never were poor had a better pattern of dental caries. Adolescents who had moved from poverty in childhood to non-poverty in adolescence and those who had moved from non-poverty in childhood to poverty in adolescence had similar dental pattern to those who were always poor except for the pattern of dental services use, which was higher in the first group. In all groups girls had fewer carious teeth, better oral hygiene habits and higher dental services use than boys.
Poverty in at least one stage of the lifespan has a harmful effect on dental caries, oral behaviours and dental services use. Belonging to upwardly mobile families between childhood and adolescence only contributed to improved dental care.
研究从童年到青少年时期家庭社会经济轨迹对龋齿及相关行为的影响。
基于人群的出生队列研究。
巴西佩洛塔斯1982年出生人群的代表性样本。
对888名15岁青少年进行了口腔检查和访谈。
龋齿指数(DMFT)、护理指数(F/DMFT)、刷牙、使用牙线情况及牙科服务使用模式。
总体而言,一直贫困的青少年龋齿情况更差,而从未贫困的青少年龋齿情况较好。童年时贫困但青少年时期脱贫的以及童年时非贫困但青少年时期陷入贫困的青少年,除牙科服务使用模式外,其龋齿模式与一直贫困的青少年相似,且第一组的牙科服务使用模式更高。在所有组中,女孩的龋齿数量更少,口腔卫生习惯更好,牙科服务使用频率更高。
生命周期中至少一个阶段的贫困对龋齿、口腔行为及牙科服务使用有有害影响。童年到青少年时期属于向上流动家庭仅有助于改善牙科护理。