González-Martínez Farith, Sánchez-Pedraza Ricardo, Carmona-Arango Luis
Departamento de Investigación, Facultad de Odontología, Universidad de Cartagena.
Rev Salud Publica (Bogota). 2009 Aug;11(4):620-30. doi: 10.1590/s0124-00642009000400013.
Describing the occurrence of dental caries in preschool children from the Boquilla neighbourhood in Cartagena and relating it to risk factors reported in the medical literature.
The sample consisted of 238 preschool children aged 3 to 5. Average age was 4.1. Regarding gender, there were 116 boys and 122 girls. The children were individually selected in a probabilistic way, bearing in mind the size of the population from the chosen educational institution; a questionnaire and clinical instrument were used. The data was analysed according to outcome using Odd ratios for bivariate analysis and logistical regression for multivariable analysis.
Caries prevalence was 60 %, mainly occurring amongst 5 year old children. The major risk factors observed were parents having not progressed to more than secondary level studies and a background of caries. A 26.6 OR was obtained at the moment of adjusting the logistical regression estimators for having a background of caries, 3.37 OR for daily candy consumption and 2.17 OR for non-exposure to fluorides.
The presence of caries in this population could be explained by means of the three associated risk factors mentioned above. This evidence may become changed when other circumstances, moments and places are involved in children having the same characteristics.
描述卡塔赫纳博基利亚社区学龄前儿童龋齿的发生情况,并将其与医学文献中报道的风险因素相关联。
样本包括238名3至5岁的学龄前儿童。平均年龄为4.1岁。在性别方面,有116名男孩和122名女孩。根据所选教育机构的人口规模,以概率抽样的方式对儿童进行个体选择;使用了一份问卷和临床检查工具。数据根据结果进行分析,双变量分析采用比值比,多变量分析采用逻辑回归。
龋齿患病率为60%,主要发生在5岁儿童中。观察到的主要风险因素是父母学历不超过中学水平以及有龋齿病史。在对有龋齿病史的情况进行逻辑回归估计调整时,得到的比值比为26.6,每日食用糖果的比值比为3.37,未接触氟化物的比值比为2.17。
该人群中龋齿的存在可以通过上述三个相关风险因素来解释。当涉及具有相同特征儿童的其他情况、时期和地点时,这一证据可能会有所变化。