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肯尼亚内罗毕HIV阳性儿童口腔健康家庭护理习惯、零食习惯与龋齿经历的相关性研究

CORRELATION OF ORAL HEALTH HOME-CARE PRACTICES, SNACKING HABITS AND DENTAL CARIES EXPERIENCE AMONG HIV-POSITIVE CHILDREN IN NAIROBI, KENYA.

作者信息

Masiga M A, Machoki J M

机构信息

Department of Paediatric Dentistry and Orthodentists, School of Dental Sciences, University of Nairobi, Kenya.

出版信息

East Afr Med J. 2012 Jul;89(7):217-23.

PMID:26845800
Abstract

OBJECTIVE

To determine the correlation of oral health home-care practices, snacking habits and dental caries experience among 3-15 year-old-HIV-positive children attending out-patient clinic at the Kenyatta National Hospital, Kenya.

DESIGN

Cross-sectional descriptive study.

SETTING

Kenyatta National Hospital comprehensive care centre out-patient clinic.

SUBJECTS

Two hundred and twenty participants were selected by consecutive sampling. The children's socio-demographic characteristics and oral health home-care practices were obtained from parent or guardian interviews. Oral examination of the children was carried out to determine the presence of dental caries.

RESULTS

Of the 220 children in the study, 126 (57.3%) brushed their teeth at least once a day. Forty one (18.6%) children regularly consumed sweetened snacks daily. Almost all children (75.5%) were taking medication in the form of tablets and capsules. One hundred and seventy nine (81.4%) children had never had a dental visit. The prevalence of dental caries was 65% while the mean dmft and DMFT scores were 1.75 and 1.08 respectively. Caries experience was significantly higher for those children who frequently consumed sweetened snacks and those who took their medication in the form of sweetened syrups while it was lowest in those who brushed their teeth at least twice a day.

CONCLUSION

Dental caries experience was significantly higher among HIV-infected children who had increased frequency of consumption of sweetened snacks and those who used syrupy medication. There was poor attendance for dental treatment among the children.

摘要

目的

确定肯尼亚肯雅塔国家医院门诊就诊的3至15岁艾滋病毒阳性儿童的口腔健康家庭护理习惯、吃零食习惯与龋齿经历之间的相关性。

设计

横断面描述性研究。

地点

肯雅塔国家医院综合护理中心门诊。

研究对象

通过连续抽样选取220名参与者。通过对家长或监护人的访谈获取儿童的社会人口学特征和口腔健康家庭护理习惯。对儿童进行口腔检查以确定是否存在龋齿。

结果

在该研究的220名儿童中,126名(57.3%)每天至少刷牙一次。41名(18.6%)儿童每天经常食用加糖零食。几乎所有儿童(75.5%)都在服用片剂和胶囊形式的药物。179名(81.4%)儿童从未看过牙医。龋齿患病率为65%,而平均dmft和DMFT得分分别为1.75和1.08。经常食用加糖零食的儿童以及服用加糖糖浆形式药物的儿童的龋齿经历明显更高,而每天至少刷牙两次的儿童的龋齿经历最低。

结论

食用加糖零食频率增加的艾滋病毒感染儿童以及使用糖浆类药物的儿童的龋齿经历明显更高。这些儿童看牙治疗的就诊率很低。

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