Koposova Natalia, Eriksen Harald M, Widström Eeva, Handegård Bjørn Helge, Pastbin Mikhail, Koposov Roman
Institute of Clinical Dentistry, Faculty of Health Sciences, University of Tromsø, 9037, Tromsø, Norway.
Stomatologija. 2013;15(1):3-11.
To assess oral health and oral health associated factors in 12-year-olds and to establish determinants explaining variation in oral health among children representing two areas in the Barents region - Arkhangelsk in North-West Russia and Tromsø in Northern Norway.
The samples consisted of Russian (N=590) and Norwegian (N=264) 12-year-olds and their parents selected according to stratified one-stage cluster design. The study included clinical examination (children) and self-reports (children and parents). The child's oral health was recorded under field conditions. Statistical analyses were conducted on pooled samples of subjects.
The mean DMFT/S-scores were 3.0/4.4 for the Russian and 1.2/1.5 for the Norwegian children (p<0.001). In multiple logistic regressions, country of origin (OR=3.8) and filling obtained during last dental visit (OR=5.0) were showing the strongest association with child's dental caries (χ(2)=87; p<0.001). Among parent's variables showing the strongest association with child's dental caries were country of origin (OR=2.4) and oral health problems during the past two years (OR=1.8) (χ(2)=60; p<0.001).
Dental caries prevalence was higher among the Russian than the Norwegian children. The overall regression models were significant for both the child and parental variables. The results indicate different impact on child's oral health from children and parental determinants.
评估12岁儿童的口腔健康状况及与口腔健康相关的因素，并确定能够解释巴伦支地区两个地区（俄罗斯西北部的阿尔汉格尔斯克和挪威北部的特罗姆瑟）儿童口腔健康差异的决定因素。
样本包括按照分层单阶段整群设计选取的俄罗斯（N = 590）和挪威（N = 264）12岁儿童及其父母。该研究包括临床检查（儿童）和自我报告（儿童及父母）。在现场条件下记录儿童的口腔健康状况。对受试者的合并样本进行统计分析。
俄罗斯儿童的平均龋失补牙面/龋均（DMFT/S）得分分别为3.0/4.4，挪威儿童为1.2/1.5（p<0.001）。在多元逻辑回归中，原籍国（比值比[OR]=3.8）和上次牙科就诊时的补牙情况（OR = 5.0）与儿童龋齿的关联最为强烈（χ(2)=87；p<0.001）。在与儿童龋齿关联最为强烈的父母变量中，原籍国（OR = 2.4）和过去两年的口腔健康问题（OR = 1.8）（χ(2)=60；p<0.001）。
俄罗斯儿童的龋齿患病率高于挪威儿童。儿童和父母变量的总体回归模型均具有显著性。结果表明儿童和父母的决定因素对儿童口腔健康有不同影响。
