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印度瓦尔达地区安甘瓦迪中心儿童的幼儿龋齿患病率及其决定因素。

Prevalence and determinant of early childhood caries among the children attending the Anganwadis of Wardha district, India.

作者信息

Gaidhane Abhay M, Patil Manoj, Khatib Nazli, Zodpey Sanjay, Zahiruddin Quazi Syed

机构信息

Department of Physiology, Datta Meghe Institute Medical Sciences, Wardha, Maharashtra, India.

出版信息

Indian J Dent Res. 2013 Mar-Apr;24(2):199-205. doi: 10.4103/0970-9290.116677.

Abstract

BACKGROUND

Dental caries is one of the most common chronic diseases of early childhood. Dental problems in early childhood have been shown to be predictive of future dental problems, growth and development by interfering with comfort, nutrition, concentration, and school participation.

AIM

To find out the prevalence of Early childhood caries (ECC) among the children attending the Anganwadis of Wardha district, to determine the feeding habits and their relationship to early childhood caries.

MATERIALS AND METHODS

Community-based cross-sectional study among the selected Anganwadis children of 2-5 years of Wardha district.

RESULT

A total 330 subjects, 105 children were found to be having ECC, 47 (30.92%) males and 58 (32.58%) females. Total 215 children belonged to 43-60 months age group. Out of these, 72 (33.48%) children were having ECC. A significant association was found between the history of bottle-feeding and ECC (P = 0.0218). Prevalence of ECC was more among those who were bottle-fed than those who were not bottle-fed.

CONCLUSION

Future health promotion and education programs in Anganwadis should include oral health issues and the risk factors for ECC, and its consequences should be addressed. Public-funded oral health program should be started and targeted at children from lower socioeconomic status. Effective strategies should be developed to promote use of brush and paste for cleaning teeth and discouraging inappropriate bottle-feeding, discouraging on demand consumption of chocolates and sugars.

摘要

背景

龋齿是幼儿期最常见的慢性疾病之一。幼儿期的牙齿问题已被证明会干扰舒适度、营养、注意力和学校参与度,从而预测未来的牙齿问题、生长和发育情况。

目的

了解瓦尔道哈地区参加安甘瓦迪中心的儿童中幼儿龋齿(ECC)的患病率,确定喂养习惯及其与幼儿龋齿的关系。

材料与方法

对瓦尔道哈地区选定的2至5岁安甘瓦迪中心儿童进行基于社区的横断面研究。

结果

总共330名受试者中,发现105名儿童患有ECC,其中47名(30.92%)为男性,58名(32.58%)为女性。共有215名儿童属于43至60个月年龄组。其中,72名(33.48%)儿童患有ECC。发现奶瓶喂养史与ECC之间存在显著关联(P = 0.0218)。奶瓶喂养儿童的ECC患病率高于非奶瓶喂养儿童。

结论

安甘瓦迪中心未来的健康促进和教育项目应包括口腔健康问题和ECC的危险因素,并且应解决其后果。应启动公共资助的口腔健康项目,并针对社会经济地位较低的儿童。应制定有效策略,促进使用牙刷和牙膏清洁牙齿,劝阻不当的奶瓶喂养,劝阻按需食用巧克力和糖类。

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