柬埔寨学龄前儿童早期龋齿（ECC）的社会行为风险因素：一项试点研究。
Socio-behavioural risk factors for early childhood caries (ECC) in Cambodian preschool children: a pilot study.
作者信息
Turton B, Durward C, Manton D, Bach K, Yos C
机构信息
Department of Dentistry, Faculty of Health Sciences, University of Puthisastra, #55 Street 180, Phnom Penh, Cambodia.
Elsdon Storey Chair of Child Dental Health, Melbourne Dental School, University of Melbourne, 720 Swanston Street, Melbourne, Australia.
出版信息
Eur Arch Paediatr Dent. 2016 Apr;17(2):97-105. doi: 10.1007/s40368-015-0215-7. Epub 2015 Dec 10.
AIM
This was to explore the socio-behavioural risk factors for ECC in Cambodia. Early childhood caries (ECC) is a significant health problem in Cambodia.
METHODS
A convenience sample of 362 primary caregiver-child dyads were selected. The children were aged between birth and 6 years old and participated in a structured interview and intra-oral examination.
RESULTS
ECC was diagnosed in 244 of 362 (65.6%) children and 178 (50.6%) had severe early childhood caries (sECC). There were significant associations between caries experience and tooth brushing, dietary, and nursing habits. The odds ratio (OR) for sECC in those children who started brushing before the age of 18 months was 0.41 (CI 0.18, 0.93). However, for those children who continued to breast-feed after the age of 2 years the OR was 5.31 (CI 1.50, 18.79).
CONCLUSIONS
The most prominent risk factors for ECC in the present study were lack of tooth brushing and breast-feeding past the age of 2 years.
目的
本研究旨在探究柬埔寨儿童早期龋（ECC）的社会行为风险因素。儿童早期龋在柬埔寨是一个严重的健康问题。
方法
选取了362对主要照料者与儿童的便利样本。儿童年龄在出生至6岁之间，参与了结构化访谈和口腔内检查。
结果
362名儿童中有244名（65.6%）被诊断为患有儿童早期龋，178名（50.6%）患有重度儿童早期龋（sECC）。龋齿经历与刷牙、饮食及喂养习惯之间存在显著关联。18个月前开始刷牙的儿童患重度儿童早期龋的比值比（OR）为0.41（可信区间0.18，0.93）。然而，2岁后仍继续母乳喂养的儿童患重度儿童早期龋的比值比为5.31（可信区间1.50，18.79）。
结论
本研究中儿童早期龋最突出的风险因素是不刷牙和2岁后仍进行母乳喂养。
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