Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.
Int J Dent Hyg. 2024 Aug;22(3):479-484. doi: 10.1111/idh.12603. Epub 2022 Oct 14.
The aim of this study was to examine whether an aggregate of health risk behaviours is associated with the number of untreated dental caries among 12- and 15-year-old children in England, Wales and Northern Ireland.
Data were from the Children's Dental Health Survey (CDHS) 2013, a nationally representative sample of England, Wales and Northern Ireland. The survey included assessment of oral health and data on socioeconomic, demographic and behavioural factors pertaining to children aged 12-15 years. Tooth condition (decayed, missing and filled) was assessed by NHS dentists. The survey included questions on age, sex, country, index of multiple deprivation, smoking, alcohol consumption, frequent sugar consumption and sweetened sodas, infrequent dental visit, infrequent toothbrushing and infrequent consumption of fresh fruits. Health risk behaviours were summed up to create an aggregate variable of health risk behaviour. The association between number of untreated caries and the aggregate of health risk behaviours was assessed using negative binomial regression and adjusting for age, sex, country and deprivation.
The total number of children included in the analysis was 4414. The mean number of untreated caries was generally higher among children with health risk behaviours. The aggregate of risk behaviour was associated with greater prevalence of untreated dental caries with rate ratio (RR) 1.26 (95% confidence interval: 1.18, 1.36).
This study demonstrated an association between an aggregate of health risk behaviours and untreated caries. The findings highlight the importance of addressing multiple risk factors not only those directly related to dental caries.
本研究旨在检验在英格兰、威尔士和北爱尔兰，12 至 15 岁儿童中，多种健康风险行为的综合情况是否与未经治疗的龋齿数量有关。
数据来自于 2013 年儿童口腔健康调查（CDHS），这是一项针对英格兰、威尔士和北爱尔兰的全国代表性抽样调查。该调查包括对口腔健康的评估以及与 12-15 岁儿童相关的社会经济、人口统计学和行为因素的数据。NHS 牙医评估了牙齿状况（龋齿、缺失和填补）。该调查包括有关年龄、性别、国家、多重剥夺指数、吸烟、饮酒、频繁摄入糖和含糖苏打水、不常看牙医、不常刷牙和不常吃新鲜水果的问题。将健康风险行为进行汇总，创建一个健康风险行为综合变量。使用负二项回归评估未经治疗的龋齿数量与健康风险行为综合情况之间的关联，并调整年龄、性别、国家和贫困因素。
纳入分析的儿童总数为 4414 名。有健康风险行为的儿童未经治疗的龋齿数量通常较高。风险行为的综合情况与未经治疗的龋齿患病率呈正相关，比率比（RR）为 1.26（95%置信区间：1.18，1.36）。
本研究表明，健康风险行为的综合情况与未经治疗的龋齿之间存在关联。研究结果强调了不仅要针对与龋齿直接相关的因素，还要解决多种风险因素的重要性。
