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[社会环境对幼儿龋齿患病率的影响]

[Influence of social environment on caries prevalence in early childhood].

作者信息

Tusek Ivan, Carević Momir, Tusek Jasmina

出版信息

Srp Arh Celok Lek. 2011 Jan-Feb;139(1-2):18-24. doi: 10.2298/sarh1102018t.

Abstract

INTRODUCTION

Early childhood caries (ECC) is a special form of caries that affects decideous teeth with rapid progression and numerous complications.

OBJECTIVE

The aim of the study was to define the prevalence of ECC in children of the South Backa area, the importance of social environment for the prevalence and severity of ECC, and define the model for its prevention.

METHODS

The survey was the cross-sectional analytical study in the 10% sample of children, aged 13-64 months, different sex, social status and human environment. Severity and prevalence of ECC were assessed by dental check-ups. The epidemiological data were obtained by the interview of parents. The tests of significant statistical differences were performed by the analysis variance and chi2 (p < 0.05) test, as well as interdependence of ECC and single characteristics that could be a predictor of the disease by the logistic regression.

RESULTS

The prevalence of ECC was 30.5%. The highest disease frequency was found in children of male sex (35.1%), out of kindergardens (54.2%), in the third and the next born child in the family (46.9%) and in part-time employed mothers (47.2%) who had only elementary education (59.3%) and were poorly informed about oral health. The highest prevalence (47.1%) of ECC was found in children whose parents had the lowest income per month. Type 1 of ECC was the most presented one (75.0%).

CONCLUSION

The higher prevalence and more severe ECC were found in the third and the next born male child from rural environment.

摘要

引言

幼儿龋齿(ECC)是一种特殊形式的龋齿,它会影响乳牙,进展迅速且并发症众多。

目的

本研究的目的是确定南巴奇卡地区儿童中ECC的患病率、社会环境对ECC患病率和严重程度的重要性,并确定其预防模式。

方法

该调查是一项横断面分析研究,对13至64个月大、不同性别、社会地位和生活环境的儿童抽取10%的样本。通过牙科检查评估ECC的严重程度和患病率。通过对家长的访谈获取流行病学数据。采用方差分析和卡方检验(p < 0.05)进行显著统计学差异检验,并通过逻辑回归分析ECC与可能作为该疾病预测指标的单一特征之间的相互依存关系。

结果

ECC的患病率为30.5%。男性儿童(35.1%)、幼儿园外儿童(54.2%)、家庭中排行第三及之后出生的孩子(46.9%)以及仅接受过小学教育(59.3%)且对口腔健康了解甚少的兼职母亲所生的孩子(47.2%)中疾病发生率最高。每月收入最低的父母所生的孩子中ECC患病率最高(47.1%)。ECC 1型最为常见(75.0%)。

结论

农村环境中排行第三及之后出生的男性儿童ECC患病率更高且病情更严重。

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