Sankeshwari R M, Ankola A V, Tangade P S, Hebbal M I
Department of Public Health Dentistry, KLE VK Institute of Dental Sciences, Belgaum, India,
Eur Arch Paediatr Dent. 2013 Jun;14(3):147-53. doi: 10.1007/s40368-013-0035-6. Epub 2013 May 17.
To ascertain if there were any association of socio-demographic factors and dietary habits with early childhood caries (ECC).
A cross-sectional study was conducted on 1,250 children 3-5 years of age. A self-designed validated questionnaire was prepared comprising two parts, one pertaining to socio-demographic data and the other related to a 3-day diet diary. Socio-economic stratification was based on Kuppuswamy's classification. Diet history was obtained via a 3-day diet diary completed by the parents. A calibrated examiner conducted the oral examinations of the preschool children. Dental caries was assessed by using WHO criteria. Chi-square test and logistic regressions described the strength of the associations.
The prevalence rate of ECC was 63.17 %. Significant associations were obtained between ECC and age of the child, number of siblings in the family, mother's education, sucrose exposure in between meals, sucrose exposure at meals, total frequency of sucrose exposure, and total sweet score. However, non-significant association of ECC was observed with socio-economic status.
Many of the socio-demographic and dietary factors were significantly associated with ECC. It would be appropriate to plan health education strategies for parents and care takers by inculcating socio-demographic factors with emphasis on reduced sucrose intake. ECC should be regarded as a serious public health problem.
确定社会人口统计学因素和饮食习惯与幼儿龋齿(ECC)之间是否存在关联。
对1250名3至5岁的儿童进行了一项横断面研究。编制了一份经过验证的自行设计问卷,包括两部分,一部分涉及社会人口统计学数据,另一部分与一份为期3天的饮食日记有关。社会经济分层基于库普苏瓦米分类法。通过父母填写的为期3天的饮食日记获取饮食史。一名经过校准的检查人员对学龄前儿童进行口腔检查。使用世界卫生组织标准评估龋齿情况。卡方检验和逻辑回归描述了关联的强度。
ECC的患病率为63.17%。在ECC与儿童年龄、家庭中兄弟姐妹的数量、母亲的教育程度、餐间蔗糖摄入量、进餐时蔗糖摄入量、蔗糖摄入的总频率以及总甜度得分之间获得了显著关联。然而,未观察到ECC与社会经济地位之间存在显著关联。
许多社会人口统计学和饮食因素与ECC显著相关。通过灌输社会人口统计学因素并强调减少蔗糖摄入量,为家长和照顾者制定健康教育策略是合适的。ECC应被视为一个严重的公共卫生问题。