一项关于环境指标与幼儿龋齿之间关联的生态学研究。
An ecological study of the association between environmental indicators and early childhood caries.
作者信息
Folayan Morenike Oluwatoyin, Tantawi Maha El, Gaffar Balgis, Schroth Robert J, Catillo Jorge L, Al-Batayneh Ola B, Kemoli Arthur, Díaz Aída Carolina Medina, Pavlic Verica, Raswhan Maher, Group For Early Childhood Caries Advocacy
机构信息
Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
出版信息
BMC Res Notes. 2020 Oct 7;13(1):474. doi: 10.1186/s13104-020-05321-w.
OBJECTIVES
A prior study described the association between ecosystem vitality, environmental health, and early childhood caries (ECC). The objective of this study was to determine the association between 24 global environmental indicators and ECC in 3-5-year-old children.
RESULTS
In 61 countries, 55.5% of 3-5-year-old children had ECC. Eight factors had a small effect-size association with ECC: percentage of area that is marine-protected (partial eta squared; ƞ = 0.03); species habitat index (ƞ = 0.06); percentage of tree-cover loss (ƞ = 0.03); regional marine trophic index (ƞ = 0.03); total carbon dioxide emission intensity (ƞ = 0.03); methane emission intensity (ƞ = 0.04); nitrous oxide emission intensity (ƞ = 0.06); and sulfur dioxide emission intensity (ƞ = 0.03). Regression analysis revealed that two of these factors were significantly associated with the prevalence of ECC: methane emission intensity was inversely associated with ECC prevalence (B = - 0.34, 95% CI = - 0.66, - 0.03; p = 0.03), and nitrous oxide had a direct association with ECC prevalence (B = 0.35, 95% CI = 0.04, 0.67; p = 0.03).
目的
先前的一项研究描述了生态系统活力、环境健康与幼儿龋齿（ECC）之间的关联。本研究的目的是确定24项全球环境指标与3至5岁儿童ECC之间的关联。
结果
在61个国家，55.5%的3至5岁儿童患有ECC。八个因素与ECC存在小效应量关联：海洋保护区面积百分比（偏 eta 平方；ƞ = 0.03）；物种栖息地指数（ƞ = 0.06）；树木覆盖损失百分比（ƞ = 0.03）；区域海洋营养指数（ƞ = 0.03）；二氧化碳排放总量强度（ƞ = 0.03）；甲烷排放强度（ƞ = 0.04）；氧化亚氮排放强度（ƞ = 0.06）；以及二氧化硫排放强度（ƞ = 0.03）。回归分析显示，其中两个因素与ECC患病率显著相关：甲烷排放强度与ECC患病率呈负相关（B = -0.34，95%置信区间 = -0.66，-0.03；p = 0.03），氧化亚氮与ECC患病率呈正相关（B = 0.35，95%置信区间 = 0.04，0.67；p = 0.03）。
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