Department of Dental Medicine, Division of Orthodontics and Pediatric Dentistry, Karolinska Institutet, Stockholm, Sweden.
Department of Pediatric Dentistry, Eastman Institute, Public Dental Health Service, Stockholm, Sweden.
Acta Paediatr. 2021 Aug;110(8):2405-2414. doi: 10.1111/apa.15882. Epub 2021 May 7.
To study the association of parental country of origin-expressed as low-, medium- and high-Human Development Index (HDI) countries-with caries experience in children of immigrant families in Stockholm.
This registry-based cohort study included all children born in 2000-2003 who resided in Stockholm County, Sweden, at age 3 years (n = 83,147) with follow-up at 7 years of age. A logistic regression was performed for the multivariate analysis with adjustments for socio-demographic factors.
After adjustments, logistic regression analyses revealed that, compared with Swedish children of the same age, the risk of caries was highest when the immigrant parents originated in a medium (OR 4.22 (95% CI 3.99:4.47)) or low (OR 2.80 (95% CI 2.56:3.06)) income country background at age 7 years, but was increased also for high-income country background, OR 1.77 (95% CI 1.52-2.05). Furthermore, the risk of presenting with caries experience at age 7 years increased for all children in the 1 (lowest) household income quintile in the host country Sweden.
This study shows that the developmental level of the parental country of birth as well as the family socioeconomic position in Sweden influence the risk for caries development in their children.
研究父母原籍国（低、中、高人类发展指数国家）与斯德哥尔摩移民家庭儿童龋齿经历的关系。
本基于登记的队列研究纳入了所有 2000-2003 年出生且在瑞典斯德哥尔摩县 3 岁时居住在该地区（n=83147）的儿童，并在 7 岁时进行随访。采用逻辑回归进行多变量分析，并调整了社会人口因素。
调整后，逻辑回归分析显示，与同年龄的瑞典儿童相比，父母原籍国为中低收入国家（7 岁时的相对风险为 4.22（95%CI 3.99:4.47））或低（相对风险为 2.80（95%CI 2.56:3.06））的移民子女患龋齿的风险最高，但高收入国家的背景也会增加患龋齿的风险，相对风险为 1.77（95%CI 1.52-2.05）。此外，在瑞典，所有处于第 1（最低）收入五分位数家庭的儿童在 7 岁时患龋齿的风险增加。
本研究表明，父母原籍国的发展水平以及瑞典的家庭社会经济地位会影响其子女龋齿的发生风险。
