Department of Pediatric and Community Dentistry, Philipps-University Marburg, Marburg, Germany.
Int J Public Health. 2012 Feb;57(1):207-15. doi: 10.1007/s00038-011-0291-3. Epub 2011 Sep 13.
To assess the prevalence of Early Childhood Caries (ECC) in a county in Northern Hesse and to correlate this parameter to various independent variables. Additionally to investigate the relationship between preventive measures and the socioeconomic status (SES).
In spring 2006, 1,082 preschool children were examined. According to WHO-criteria d(3+4)mft scores were recorded. Information about eating habits and preventive measures were collected by structured questionnaires. To compare the mean caries scores and preventive measures of various subgroups, non-parametric tests were performed. Variables associated with caries were included in a binary stepwise backward logistic regression analysis.
The mean d(3+4)mft score amounted to 1.88. Children with high SES had significantly less caries than children with low SES. Significant positive and negative associations of feeding practices and preventive measures to d(3+4)mft scores were observed. Differences between feeding practices and preventive measures were dependent on SES.
Long-term use of baby bottles at night is the most important factor of ECC. Differences in feeding practices and preventive measures in the various SES groups are evident but not that significant as supposed.
评估黑森州北部一个县的幼儿龋（ECC）患病率，并将这一参数与各种独立变量相关联。此外，还调查了预防措施与社会经济地位（SES）之间的关系。
2006 年春季，对 1082 名学龄前儿童进行了检查。根据世界卫生组织（WHO）标准，记录了 d（3+4）mft 评分。通过结构化问卷收集了有关饮食习惯和预防措施的信息。为了比较不同亚组的平均龋齿评分和预防措施，采用了非参数检验。将与龋齿相关的变量纳入二元逐步向后逻辑回归分析。
平均 d（3+4）mft 评分为 1.88。社会经济地位高的儿童龋齿明显少于社会经济地位低的儿童。喂养方式和预防措施与 d（3+4）mft 评分之间存在显著的正相关和负相关。喂养习惯和预防措施之间的差异取决于 SES。
夜间长期使用奶瓶是 ECC 的最重要因素。不同 SES 群体中喂养习惯和预防措施的差异明显，但并不像预期的那样显著。
