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中国 7-9 岁儿童患龋状况及其相关危险因素分析。

The Prevalence of Dental Carious Lesions and Associated Risk Factors in Chinese Children Aged 7-9 Years.

出版信息

Oral Health Prev Dent. 2024 Jul 26;22:349-356. doi: 10.3290/j.ohpd.b5628793.

Abstract

PURPOSE

To investigate the prevalence, severity, oral distribution, and associated risk factors of carious lesions in the pri- mary teeth in children in Jinzhou, China, aged 7-9 years.

MATERIALS AND METHODS

A total of 1603 primary school students aged 7-9 years old from public and private schools in Jinzhou were recruited using multi-stage, stratified, and random sampling methods for cross-sectional studies. Carious lesions in the primary teeth of school-age children were detected and recorded according to the World Health Organiza- tion standard, and a questionnaire was collected from a parent or guardian with information on the relevant risk factors for the child. Odds ratios and 95% confidence intervals of factors related to carious lesions were estimated using binary logistic regression analysis (p<0.05).

RESULTS

The prevalence of carious lesions in the primary teeth was 74.5%, the average number of carious lesions was 3.02, and dmft was 4.08 ± 2.74. There were 655 cases (77.1%) of dental carious lesions in boys and 546 cases (72.5%) in girls, and the difference between them was statistically significant (p<0.05). Binary logistic regression analysis showed that the mother's educational level, brushing frequency, brushing time, and consumption of soft drinks, desserts, and sweets were all associated with a higher prevalence of carious lesions (p<0.05).

CONCLUSIONS

The children in our sample had a high incidence of carious lesions of the primary teeth, especially the man- dibular primary molars. Social demographic factors, oral hygiene habits, and dietary habits all play an important role in the occurrence of carious lesions.

摘要

目的

调查中国锦州市 7-9 岁儿童乳牙龋病的流行程度、严重程度、口腔分布及相关危险因素。

材料与方法

采用多阶段、分层、随机抽样方法,选取锦州市公立和私立学校 1603 名 7-9 岁小学生进行横断面研究。按照世界卫生组织标准,检测并记录学龄儿童乳牙龋病情况,并从家长或监护人处收集与儿童相关危险因素的问卷。采用二项逻辑回归分析(p<0.05),估计与龋病相关因素的比值比和 95%置信区间。

结果

乳牙龋病的患病率为 74.5%,平均龋失补牙数为 3.02,dmft 为 4.08±2.74。男生中 655 例(77.1%)有牙体龋病,女生中 546 例(72.5%),差异有统计学意义(p<0.05)。二项逻辑回归分析显示,母亲的受教育程度、刷牙频率、刷牙时间以及软饮料、甜食和糖果的消费与更高的龋病患病率有关(p<0.05)。

结论

本研究样本中的儿童乳牙龋病发病率较高,尤其是下颌乳磨牙。社会人口因素、口腔卫生习惯和饮食习惯都在龋病的发生中起着重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55f0/11619910/d72eae9706b4/ohpd-22-349-g001.jpg

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