Zerihun Legesse, Demissie Banchiamlak, Makonnen Eyasu, Berhane Yemane
Department of Physiology, Faculty of Medicine, AAU.
Ethiop Med J. 2006 Jan;44(1):43-8.
This study identified factors that are associated with dental fluorosis among school adolescents in an endemic area using a control design. Data were collected using a directed self-administered questionnaire. Dental fluorosis was confirmed by a dentist. Out of the 472 students who participated in the study, 398 had dental fluorosis and the remaining 74 were free of dental fluorosis. A logistic regression analysis revealed children born in Wonji compared to those born elsewhere [Adjusted OR (95% CI): 5.12 (2.68, 9.75)]; males compared to female [Adjusted OR (95% CI): 2.76 (1.52, 5.00)]; and those who obtained their regular drinking water from pipe distribution compared to those who obtained water from other sources [Adjusted OR (95% CI): 3.5 (1.24, 10.02] were more likely to have dental fluorosis. Students in the age group 13-14 year compared to those in 11-12 year were less likely to have dental fluorosis [Adjusted OR (95% CI): 0.43 (0.25, 0.76)]. The findings indicate that the risk of dental fluorosis is still much higher for the population in Wonji and recommend strengthening appropriate intervention systems at household and community levels.
本研究采用对照设计,确定了某地方性氟中毒流行地区青少年学生中与氟斑牙相关的因素。数据通过定向自填问卷收集。氟斑牙由牙医确诊。在参与研究的472名学生中,398人患有氟斑牙,其余74人无氟斑牙。逻辑回归分析显示,与出生在其他地方的儿童相比,出生在翁吉的儿童[调整后比值比(95%置信区间):5.12(2.68,9.75)];男性与女性相比[调整后比值比(95%置信区间):2.76(1.52,5.00)];以及那些通过管道供水获得日常饮用水的人,与那些从其他水源取水的人相比[调整后比值比(95%置信区间):3.5(1.24,10.02)]更易患氟斑牙。与11 - 12岁的学生相比,13 - 14岁年龄组的学生患氟斑牙的可能性较小[调整后比值比(95%置信区间):0.43(0.25,0.76)]。研究结果表明,翁吉地区人群患氟斑牙的风险仍然高得多,并建议加强家庭和社区层面的适当干预系统。