Livny Alon, Assali Rula, Sgan-Cohen Harold D
Department of Community Dentistry, Hebrew University-Hadassah School of Dental Medicine, Jerusalem, Israel.
BMC Public Health. 2007 Jul 24;7:167. doi: 10.1186/1471-2458-7-167.
ECC is commonly prevalent among underprivileged populations. The Jahalin Bedouin are a severely deprived, previously nomadic tribe, dwelling on the eastern outskirts of Jerusalem. The aim of this study was to assess ECC prevalence and potentially associated variables.
102 children aged 12-36 months were visually examined for caries, mothers' anterior dentition was visually subjectively appraised, demographic and health behavior data were collected by interview.
Among children, 17.6% demonstrated ECC, among mothers, 37.3% revealed "fairly bad" anterior teeth. Among children drinking bottles there was about twice the level of ECC (20.3%) than those breast-fed (13.2%). ECC was found only among children aged more than one year (p < 0.001); more prevalent ECC (55.6%) was found among large (10-13 children) families than among smaller families (1-5 children: 13.5%, 6-9 children: 15.6%) (p = 0.009); ECC was more prevalent among children of less educated mothers (p = 0.037); ECC was more prevalent among mothers with "fairly poor" anterior dentition (p = 0.04). Oral hygiene practices were poor.
ECC levels in this community were not very high but neither low. This changing population might be on the verge of a wider dental disease "epidemic". Public health efforts clearly need to be invested towards the oral health and general welfare of this community.
奶瓶龋在贫困人群中普遍流行。贾哈林贝都因人是一个极度贫困的游牧部落，居住在耶路撒冷东郊。本研究的目的是评估奶瓶龋的患病率及潜在相关变量。
对102名12至36个月大的儿童进行龋齿视诊检查，对母亲的前牙进行主观视诊评估，通过访谈收集人口统计学和健康行为数据。
在儿童中，17.6%患有奶瓶龋，在母亲中，37.3%的人前牙“相当差”。奶瓶喂养的儿童中奶瓶龋的发生率（20.3%）约为母乳喂养儿童（13.2%）的两倍。奶瓶龋仅在一岁以上的儿童中发现（p<0.001）；大家庭（10至13个孩子）中奶瓶龋的患病率更高（55.6%），而小家庭（1至5个孩子：13.5%，6至9个孩子：15.6%）中较低（p=0.009）；母亲受教育程度较低的儿童中奶瓶龋更普遍（p=0.037）；前牙“相当差”的母亲所生儿童中奶瓶龋更普遍（p=0.04）。口腔卫生习惯较差。
该社区奶瓶龋水平虽不很高但也不低。这一不断变化的人群可能正处于更广泛的口腔疾病“流行”边缘。显然需要投入公共卫生力量来关注该社区的口腔健康和总体福利。
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