Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.
Department of Dental Public Health, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia.
Community Dent Oral Epidemiol. 2020 Dec;48(6):561-569. doi: 10.1111/cdoe.12568. Epub 2020 Aug 10.
To describe early childhood caries (ECC) patterns and evaluate the associations with maternal caries experience and other factors.
A secondary analysis was undertaken using data from the Study of Mothers' and Infants' Life Events Affecting Oral Health (SMILE), a population-based birth cohort study. It used data from 1040 mother/child dyads. Standardized oral examinations of the mothers and the children were conducted when children were 2-3 years old to determine the prevalence of ECC (main outcome) and maternal caries experience (main exposure variable). Maternal sociodemographic characteristics, time-restricting conditions (relationship status, work status and number of children in the household) and dental health behaviours (brushing frequency and sugary beverage consumption) served as covariates. Data on child dental health behaviours were collected at two years of age. Multivariable models were generated for ECC to estimate prevalence ratios (PR) for the association between ECC and maternal caries experience, controlling for the covariates.
The prevalence of ECC among 2- to 3-year-old children was 10.6% (95%CI: 8.7%-12.5%). It was higher in children whose mothers had greater caries experience. Children whose mothers had higher caries experience had 86% (PR = 1.86 [1.27-2.72]) greater risk of having ECC than those whose mothers had low caries experience. Children whose teeth had not been brushed the night before had a higher risk of ECC (PR = 1.4 [1.01-1.9]) than their counterparts. Women born in Australia, New Zealand or the UK had offspring with lower risk of ECC.
Maternal caries experience was an independent risk factor for offspring ECC. However, good oral health behaviours practised by mothers for their children may alleviate such risk. Mothers need to be supported to adopt good oral health behaviours and a healthy diet for their child.
描述幼儿龋病（ECC）模式，并评估其与产妇龋病经历和其他因素的关联。
采用基于人群的出生队列研究“母亲和婴儿生活事件对口腔健康影响的研究（SMILE）”中的数据进行二次分析。该研究使用了 1040 对母婴对子的数据。当儿童 2-3 岁时，对母亲和儿童进行标准化口腔检查，以确定 ECC（主要结局）和产妇龋病经历（主要暴露变量）的患病率。产妇社会人口统计学特征、时间限制条件（关系状况、工作状况和家庭中儿童人数）和口腔健康行为（刷牙频率和含糖饮料摄入）作为协变量。在两岁时收集儿童的口腔健康行为数据。生成多变量模型，以估计 ECC 与产妇龋病经历之间的关联的患病率比（PR），并控制协变量。
2-3 岁儿童 ECC 的患病率为 10.6%（95%CI：8.7%-12.5%）。母亲龋病经历较高的儿童患病率更高。母亲龋病经历较高的儿童患 ECC 的风险比母亲龋病经历较低的儿童高 86%（PR=1.86[1.27-2.72]）。与前一天晚上未刷牙的儿童相比，ECC 的风险更高（PR=1.4[1.01-1.9]）。在澳大利亚、新西兰或英国出生的女性，其子女患 ECC 的风险较低。
产妇龋病经历是子女 ECC 的独立危险因素。然而，母亲为孩子实施的良好口腔健康行为可能会减轻这种风险。需要支持母亲为孩子采取良好的口腔健康行为和健康饮食。
