Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University, Seoul, Korea; Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
Community Dent Oral Epidemiol. 2014 Feb;42(1):70-8. doi: 10.1111/cdoe.12065. Epub 2013 Aug 12.
Early childhood caries (ECC) is a common oral disease among young Korean children. The purpose of this study was to examine the relationship of ECC with preschool children's oral health behavior and caregivers' oral health in Ulsan, Korea.
In 2006, cross-sectional survey of 1214 children under 6 years old and their care givers were surveyed. Two dentists examined according to the WHO criteria. Outcome variable was ECC, and explanatory variables were preschool children's oral health behavior and caregivers' oral health. The chi-square test and multiple log-binomial regression models were performed.
The prevalence of simple ECC was 47.5% and that of severe ECC was 34.8%. In bivariate analysis, ECC prevalence was increased according to children's age, caregiver's age, and type of housing. In multiple log-binomial regression models, preschool children's irregular oral checkup [prevalence ratio (PR): 1.7 for simple ECC and 1.8 for severe ECC] and frequent snack and soda drinking (PR: 1.2 for simple ECC, and 1.6 for severe ECC) were significant factors.
This study demonstrates that the prevalence of ECC was high among Korean children. Early intervention programs for preschool children's oral health behavior should be developed based on the risk factors identified in this study.
婴幼儿龋(ECC)是韩国幼儿常见的口腔疾病。本研究旨在探讨韩国蔚山婴幼儿龋与学龄前儿童口腔健康行为和照顾者口腔健康的关系。
2006 年,对 1214 名 6 岁以下儿童及其照顾者进行了横断面调查。两名牙医按照世界卫生组织(WHO)的标准进行检查。因变量为 ECC,解释变量为学龄前儿童的口腔健康行为和照顾者的口腔健康。采用卡方检验和多对数二项式回归模型进行分析。
单纯性 ECC 的患病率为 47.5%,重度 ECC 的患病率为 34.8%。在单变量分析中,ECC 的患病率随儿童年龄、照顾者年龄和住房类型的增加而增加。在多对数二项式回归模型中,学龄前儿童不定期口腔检查(单纯性 ECC 的患病率比[PR]:1.7;重度 ECC 的 PR:1.8)和频繁吃零食和喝苏打水(单纯性 ECC 的 PR:1.2;重度 ECC 的 PR:1.6)是显著的影响因素。
本研究表明,韩国儿童 ECC 的患病率较高。应根据本研究确定的危险因素,为学龄前儿童的口腔健康行为制定早期干预计划。