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农业社区6至12岁学童龋齿的患病经历及患病率:一项横断面研究

Experience and Prevalence of Dental Caries in 6 to 12-Year-Old School Children in an Agricultural Community: A Cross-Sectional Study.

作者信息

Villalobos-Rodelo Juan José, Mendoza-Rodríguez Martha, Islas-Zarazúa Rosalina, Márquez-Rodríguez Sonia, Mora-Acosta Mariana, Pontigo-Loyola América Patricia, Márquez-Corona María de Lourdes, Medina-Solís Carlo Eduardo, Maupomé Gerardo

机构信息

School of Dentistry, Autonomous University of Sinaloa, Culiacan 80040, Mexico.

Department of Epidemiology, Institute of Social Security and Services for Government Workers, Culiacan 80000, Mexico.

出版信息

Children (Basel). 2021 Feb 3;8(2):99. doi: 10.3390/children8020099.

Abstract

OBJECTIVE

To describe the experience and prevalence of dental caries in schoolchildren aged 6-12 years belonging to agricultural manual worker households.

MATERIAL AND METHODS

A comparative cross-sectional study was conducted in two groups of schoolchildren: One considered "children of agricultural worker migrant parents" ( = 157) and the other "children of agricultural worker non-migrant parents" ( = 164). Epidemiological indices for dental caries were calculated for primary (dmft) and permanent (DMFT) dentitions, and compared in terms of age, sex, and the Simplified Oral Hygiene Index (SOHI). Two binary logistic regression models for caries prevalence in primary and permanent dentitions were generated in Stata.

RESULTS

For primary dentition, we observed the following dmft index: Non-migrants = 1.73 ± 2.18 vs. migrants = 1.68 ± 2.14. Additionally, we recorded the following caries prevalence: Non-migrants = 59.1% vs. migrants = 51.3%. For permanent dentition, we observed the following DMFT index: Non-migrants = 0.32 ± 0.81 vs. migrants = 0.29 ± 0.95. Further, we recorded the following caries prevalence: Non-migrants = 17.6% vs. migrants = 12.8%. No differences were observed for either dentition ( > 0.05) in caries indices and their components or in caries prevalence. When both caries indices (dmft and DMFT) were combined, the non-migrant group had a higher level of caries experience than the migrant group ( < 0.05). No relationship ( > 0.05) with migrant status was observed in either multivariate models of caries prevalence. However, age did exhibit an association ( < 0.05) with caries. Only the plaque component of SOHI was associated ( < 0.05) with caries in permanent dentition.

CONCLUSIONS

Although over half of school children from agricultural manual worker households had caries in either or both dentitions and a considerable proportion were untreated lesions, the prevalence levels were somewhat lower than other reports from Mexico in similar age groups. No statistically significant differences were found in caries experience or prevalence in either dentition between non-migrant and migrant groups.

摘要

目的

描述农业体力劳动者家庭中6至12岁学童的龋齿经历和患病率。

材料与方法

对两组学童进行了一项比较横断面研究:一组为“农民工父母的子女”(n = 157),另一组为“非农民工父母的子女”(n = 164)。计算了乳牙(dmft)和恒牙(DMFT)牙列的龋齿流行病学指数,并按年龄、性别和简化口腔卫生指数(SOHI)进行比较。在Stata中生成了两个关于乳牙和恒牙龋齿患病率的二元逻辑回归模型。

结果

对于乳牙列,我们观察到以下dmft指数:非移民组 = 1.73 ± 2.18,移民组 = 1.68 ± 2.14。此外,我们记录了以下龋齿患病率:非移民组 = 59.1%,移民组 = 51.3%。对于恒牙列,我们观察到以下DMFT指数:非移民组 = 0.32 ± 0.81,移民组 = 0.29 ± 0.95。此外,我们记录了以下龋齿患病率:非移民组 = 17.6%,移民组 = 12.8%。在龋齿指数及其组成部分或龋齿患病率方面,两组牙列均未观察到差异(P > 0.05)。当将两个龋齿指数(dmft和DMFT)合并时,非移民组的龋齿经历水平高于移民组(P < 0.05)。在龋齿患病率的多变量模型中,均未观察到与移民身份的关系(P > 0.05)。然而,年龄确实与龋齿存在关联(P < 0.05)。在恒牙列中,只有SOHI的菌斑成分与龋齿相关(P < 0.05)。

结论

尽管来自农业体力劳动者家庭的学童中超过一半在乳牙或恒牙列中患有龋齿,且相当一部分为未治疗的病变,但患病率水平略低于墨西哥其他类似年龄组的报告。非移民组和移民组在任何一组牙列的龋齿经历或患病率方面均未发现统计学上的显著差异。

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