Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
Taiwan Society of Oral Health, Keelung 201, Taiwan.
Int J Environ Res Public Health. 2019 Mar 22;16(6):1047. doi: 10.3390/ijerph16061047.
This study assessed the differences between immigrants and natives in terms of combined effects of sugar-sweetened beverage (SSB) or snack consumption and preventive behaviors for severe early childhood caries (SECC) through a large-scale survey of 31,565 native and 1046 immigrant child⁻parent pairs in Taiwan. Children aged 3⁻5 years underwent dental examinations, and parents completed structured questionnaires. Immigrants had a significantly higher SECC prevalence than native children (32.3% vs. 19.4%). A combined effect of SECC was observed in native children who did not receive assistance when brushing teeth at night before sleep and those who consumed SSBs more than four times weekly (adjusted odds ratio (aOR) = 4.8). Moreover, native children who did not use dental floss and who consumed snacks more than four times weekly had an aOR of 4.1 for SECC. The combined effects of children with immigrant parents who did not receive assistance when brushing their teeth at night before sleep and those who consumed snacks more than four times weekly had an aOR of 8.2 for SECC. The results suggest the necessity of cross-cultural caries prevention programs for immigrants. Parents must limit children's SSB and snack intake, and implement preventive measures to reduce SECC development.
本研究通过对台湾 31565 名本地和 1046 名移民儿童-家长对进行大规模调查，评估了移民和本地人在含糖饮料（SSB）或零食消费与预防严重婴幼儿龋（SECC）的综合效应方面的差异。3-5 岁的儿童接受了牙齿检查，家长完成了结构化问卷。移民儿童的 SECC 患病率明显高于本地儿童（32.3%比 19.4%）。在未在睡前帮助儿童刷牙以及每周饮用 SSB 超过四次的本地儿童中观察到 SECC 的综合效应（调整后的优势比（aOR）=4.8）。此外，未使用牙线且每周食用零食超过四次的本地儿童，其 SECC 的 aOR 为 4.1。睡前未帮助儿童刷牙且每周食用零食超过四次的移民儿童父母的儿童的综合效应，其 SECC 的 aOR 为 8.2。结果表明，需要为移民制定跨文化的龋病预防计划。父母必须限制儿童 SSB 和零食的摄入量，并采取预防措施，以减少 SECC 的发展。
