Paediatric Dentistry and Orthodontics, Faculty of Dentistry, The University of Hong Kong, Hong Kong, SAR, China. wonghmg @ hkucc.hku.hk
Caries Res. 2011;45(4):370-6. doi: 10.1159/000330231. Epub 2011 Aug 3.
To assess the impact of early childhood caries (ECC) on the quality of life in a population of preschool children and their families in Hong Kong.
A random sample of 1,296 Chinese preschool children participated in the survey and were subjected to an oral examination for their ECC status by 2 trained examiners. The parents were asked to respond to the Early Childhood Oral Health Impact Scale (ECOHIS) and an extra set of questions concerning their sociodemographic background.
The final data analysis included 1,261 children with a mean (±SD) age of 3.9 ± 0.66 years. The prevalence figures for ECC and severe ECC were 19.9 and 15.2%, respectively. Decayed teeth were found in 34.3% of the children while only 5.2% had filled teeth. The mean (±SD) dmft in this group of children was 1.5 ± 2.98. Higher ECOHIS scores were found in parents with lower education or income level, or with children who were born in mainland China (p < 0.05), or with children who had decayed, missing, or filled teeth (p < 0.001). In multiple regression analyses, decayed teeth and filled teeth in primary dentition were the better predictors (p < 0.001) of the ECOHIS score among the various parent and child characteristics collected in this survey.
The findings of this study showed that parents of young children with dental caries experience perceived that both the children and other family members had poorer quality of life.
评估儿童龋病(ECC)对香港学龄前儿童及其家庭生活质量的影响。
随机抽取 1296 名中国学龄前儿童进行调查,并由 2 名经过培训的检查人员对其 ECC 状况进行口腔检查。要求家长回答儿童口腔健康影响量表(ECOHIS)和一组有关其社会人口背景的额外问题。
最终数据分析包括 1261 名平均(±SD)年龄为 3.9 ± 0.66 岁的儿童。ECC 和重度 ECC 的患病率分别为 19.9%和 15.2%。34.3%的儿童有龋齿,只有 5.2%的儿童有填充的牙齿。该组儿童的平均(±SD)dmft 为 1.5 ± 2.98。受教育程度或收入水平较低、孩子出生在中国内地、有龋齿、缺失或填充牙齿的父母的 ECOHIS 评分较高(p<0.05)。在多元回归分析中,乳牙的龋齿和填充是本调查中收集的各种父母和儿童特征中 ECOHIS 评分的更好预测指标(p<0.001)。
本研究结果表明,有龋齿儿童的父母认为儿童和其他家庭成员的生活质量较差。