家庭的年龄、出生国和婚姻状况是美国 5-19 岁儿童中牙釉质封闭剂、修复体和龋齿流行的强预测变量，而教育程度不是，NHANES 2005-2010。
Households' age, country of birth, and marital status, stronger predictor variables than education in the prevalence of dental sealants, restorations, and caries among US children 5-19 years of age, NHANES 2005-2010.
机构信息
Division of Community Oral Health, School of Dental Medicine, University of Pennsylvania, Philadelphia, USA.
出版信息
BMC Oral Health. 2019 Aug 27;19(1):195. doi: 10.1186/s12903-019-0896-0.
BACKGROUND
The aim of this study is to use data representative of the U.S. population to determine if households (HHs) age, birth country, and marital status, are strong predictors as HHs education for dental sealants, restorations, and caries in children 5 to 19 years of age.
METHODS
A cross sectional analysis was performed with oral health data from three waves of the National Health and Nutrition Examination Survey (NHANES 2005 to 2010). The sample size consisted of children 5 to 19 years of age (n = 9151) and households > 18 years of age (n = 31,034). Dependent variables included the number of children with dental sealants, restorations, and caries. HHs independent variables consisted of gender, age, race, country of birth, HHs education level, marital status, and HHs spouse education. Multivariate regression analysis models were adjusted for HHs citizenship, health insurance, family size, and children age categories.
RESULTS
The prevalence of children 5-19 years of age with dental sealants, restorations, and caries was 31.3, 43, and 15.8% respectively. The odds of children having sealants were higher among HHs with a college education or above OR 2.05 [1.54.-2.73] vs. HHs with a < 9th grade, in HHs ages 39-49 (OR 1.78 [1.41-2.24) vs. 18-29 years of age, and in HHs spouses with a college education and above OR 1.71 [1.14-2.56] vs. HHs with a < 9th grade. The odds of having at least one restored tooth were higher in children from HHs born in Mexico 1.74 [1.44-2.10] vs. US born. The highest odds for caries were among children from HHs that were never married 1.91 [1.47-2.48] vs. married HHs. In HHs with a college education the odds for caries in children were 0.31 (0.22-0.43) for college and above, and 0.78 (0.60-1.01) for some college.
CONCLUSIONS
The odds of children having dental sealants were higher in HHs with a college education, however, HHs ages 30-49 provided higher odds for sealants than spouses with college education. HHs birth place increased the odds of children with restorations more than HHs education. Children from HHs that never married had higher odds of experiencing dental caries. Recognizing the impact of these HHs characteristics could augment efforts in the prevention of adverse oral health outcomes in U.S. children. Households' age, country of birth, and marital status, stronger predictor variables than education in the prevalence of dental sealants, restorations, and caries among US children 5-19 years of age, NHANES 2005-2010.
背景
本研究旨在利用具有美国代表性的人群数据，确定家庭（HHs）的年龄、出生国和婚姻状况是否可以作为 HHs 教育程度的有力预测因素，以预测儿童（5-19 岁）的牙齿密封剂、修复体和龋齿情况。
方法
对来自三次全国健康和营养检查调查（NHANES 2005 至 2010 年）的数据进行横断面分析。样本量包括 5 至 19 岁的儿童（n=9151）和 18 岁以上的家庭（n=31034）。因变量包括有牙齿密封剂、修复体和龋齿的儿童数量。HHs 的自变量包括性别、年龄、种族、出生国、HHs 教育水平、婚姻状况和 HHs 配偶教育程度。多变量回归分析模型调整了 HHs 公民身份、健康保险、家庭规模和儿童年龄类别。
结果
5-19 岁儿童中，有 31.3%、43%和 15.8%的儿童分别有牙齿密封剂、修复体和龋齿。具有大学学历或以上的 HHs 的儿童有牙齿密封剂的几率更高，OR2.05[1.54.-2.73]vs. HHs 的教育程度低于 9 年级，OR1.78[1.41-2.24]vs. 18-29 岁，HHs 配偶具有大学学历或以上的 OR1.71[1.14-2.56]vs. HHs 教育程度低于 9 年级。HHs 出生于墨西哥的儿童的修复体几率更高，OR1.74[1.44-2.10]vs. 美国出生。从未结婚的 HHs 的儿童发生龋齿的几率最高，OR1.91[1.47-2.48]vs. 已婚 HHs。在具有大学学历的 HHs 中，儿童患龋齿的几率为 0.31（0.22-0.43）为大学及以上学历，0.78（0.60-1.01）为部分大学学历。
结论
具有大学学历的 HHs 儿童接受牙齿密封剂的几率更高，但 30-49 岁的 HHs 提供的密封剂几率高于具有大学学历的配偶。HHs 的出生地点增加了儿童接受修复体的几率，而不是 HHs 的教育程度。从未结婚的 HHs 的儿童发生龋齿的几率更高。认识到这些 HHs 特征的影响，可以加强努力，预防美国儿童不良口腔健康结果。家庭年龄、出生国和婚姻状况是美国 5-19 岁儿童牙齿密封剂、修复体和龋齿患病率的预测因素，比教育程度更强，NHANES 2005-2010。
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