The Applied Health Research Centre of the Li Ka Shing Knowledge Institute at St Michael's Hospital.
Pediatrics Outcomes Research Team, Division of Paediatric Medicine, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada; and.
Pediatrics. 2014 Jun;133(6):e1594-600. doi: 10.1542/peds.2013-3725. Epub 2014 May 5.
To identify sociodemographic, dietary, and biological factors associated with families who do not receive dental care in early childhood and to identify risk factors associated with having cavities among children who receive early dental care.
A cross-sectional study of healthy Canadian children seen for primary health care between September 2011 and January 2013 was conducted through the TARGet Kids! practice-based research network in Toronto, Canada. Adjusted logistic regression was used to determine factors associated with children who were not seen by a dentist in early childhood and to determine risk factors associated with having dental cavities among children who received early dental care.
Of the 2505 children included in the analysis, <1% were seen by a dentist by 1 year of age. Older children were less likely to have never been to the dentist (odds ratio [OR], 0.88; 95% confidence interval [CI], 0.87-0.90). Low family income (OR, 2.73; 95% CI, 1.47-5.06), prolonged bottle use (OR, 1.43; 95% CI, 1.03-2.00), and higher intakes of sweetened drinks (OR, 1.20; 95% CI, 1.01-1.42) were associated with increased risk for never having been to the dentist. Among those who had been to the dentist, older children (OR, 1.04; 95% CI, 1.03-1.05), children of low income families (OR, 1.90; 95% CI, 1.17-3.10), and those of East Asian maternal ethnicity (OR, 1.91; 95% CI, 1.10-3.29) were more likely to have dental cavities.
Among healthy urban children seen by a primary care provider, those most susceptible to cavities were least likely to receive early dental care. These findings support the need for publicly funded universal early preventive dental care and underscore the importance for primary care physicians to promote dental care in early childhood.
确定与儿童在幼年时期未接受牙科保健相关的社会人口学、饮食和生物学因素，并确定接受早期牙科保健的儿童中出现龋齿的相关风险因素。
通过加拿大多伦多的 TARGet Kids! 以实践为基础的研究网络，对 2011 年 9 月至 2013 年 1 月期间接受初级保健的健康加拿大儿童进行了一项横断面研究。采用调整后的逻辑回归来确定儿童在幼年时期未接受牙科保健的相关因素，并确定接受早期牙科保健的儿童中出现龋齿的相关风险因素。
在纳入分析的 2505 名儿童中，不到 1%的儿童在 1 岁之前看过牙医。年龄较大的儿童不太可能从未看过牙医（比值比 [OR]，0.88；95%置信区间 [CI]，0.87-0.90）。家庭收入较低（OR，2.73；95% CI，1.47-5.06）、长时间使用奶瓶（OR，1.43；95% CI，1.03-2.00）和摄入更多含糖饮料（OR，1.20；95% CI，1.01-1.42）与从未看过牙医的风险增加相关。在那些看过牙医的儿童中，年龄较大的儿童（OR，1.04；95% CI，1.03-1.05）、低收入家庭的儿童（OR，1.90；95% CI，1.17-3.10）和东亚裔母亲的儿童（OR，1.91；95% CI，1.10-3.29）更有可能出现龋齿。
在接受初级保健提供者治疗的健康城市儿童中，最容易出现龋齿的儿童最不可能接受早期牙科保健。这些发现支持为所有儿童提供公共资助的普遍早期预防性牙科保健的必要性，并强调了初级保健医生在促进儿童早期牙科保健方面的重要性。
