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[巴西学龄前儿童的母乳喂养、奶瓶喂养、吮吸习惯与错牙合畸形]

[Breast-feeding, bottle-feeding, sucking habits and malocclusion in Brazilian preschool children].

作者信息

Leite-Cavalcanti Alessandro, Medeiros-Bezerra Priscila K, Moura Cristiano

机构信息

Universidade Estadual da Paraíba, Paraíba, Brasil.

出版信息

Rev Salud Publica (Bogota). 2007 Apr-Jun;9(2):194-204. doi: 10.1590/s0124-00642007000200004.

Abstract

OBJECTIVE

This study was aimed at verifying the prevalence of nutritive (breast-feeding and bottle-feeding) and non-nutritive sucking habits and the presence of malocclusion in Brazilian preschool children.

MATERIAL AND METHODS

The study was a cross-sectional oral health survey of 342 children (196 boys and 146 girls) between the ages of 3 and 5 in Campina Grande, Brazil. The data was collected by interviews with the children's mothers or minders and by clinical examinations carried out by a calibrated examiner (kappa = 0,86). Descriptive statistics using the EPI-INFO Program (version 3.3) and Chi-square test at 0.05 probability level were produced.

RESULTS

Sucking habit prevalence was very high in all groups, ranging from 70 % to 77,4 %. Malocclusion was present in 87 %, dummy use in 84,8 % and finger-sucking in 7,2 %. About 84,2 % of the children had a history of bottle-feeding and 79,9 % showed some evidence of malocclusion at the time of dental examination. There were significant differences for the following variables: sucking habits and malocclusion; breast-feeding time and sucking habits; breast-feeding time and malocclusion; type of feeding and sucking habits; and type of feeding and malocclusion.

CONCLUSION

Dummy-sucking incidence was higher than that of finger-sucking in Brazilian children. Sucking habit incidence was higher in bottle-fed children than in breast-fed children. The relationship between incidence of habits and malocclusion was statistically significant.

摘要

目的

本研究旨在核实巴西学龄前儿童营养性(母乳喂养和奶瓶喂养)及非营养性吮吸习惯的流行情况以及错牙合畸形的存在情况。

材料与方法

该研究是对巴西坎皮纳格兰德市342名3至5岁儿童(196名男孩和146名女孩)进行的横断面口腔健康调查。数据通过与儿童母亲或监护人访谈以及由经过校准的检查者进行临床检查收集(卡帕值 = 0.86)。使用EPI-INFO程序(3.3版)进行描述性统计,并在0.05概率水平进行卡方检验。

结果

所有组的吮吸习惯流行率都非常高,范围在70%至77.4%之间。87%的儿童存在错牙合畸形,84.8%的儿童使用安抚奶嘴,7.2%的儿童吮指。约84.2%的儿童有奶瓶喂养史,79.9%的儿童在牙科检查时显示出一些错牙合畸形的迹象。以下变量存在显著差异:吮吸习惯与错牙合畸形;母乳喂养时间与吮吸习惯;母乳喂养时间与错牙合畸形;喂养方式与吮吸习惯;以及喂养方式与错牙合畸形。

结论

在巴西儿童中,使用安抚奶嘴的发生率高于吮指。奶瓶喂养儿童的吮吸习惯发生率高于母乳喂养儿童。习惯发生率与错牙合畸形之间的关系具有统计学意义。

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