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11至12岁小学生的龋齿风险评估:卢旺达尼亚鲁根盖区的案例

Dental Caries Risk Assessment in Primary School Children Aged 11 to 12 years: Case of Nyarugenge District, Rwanda.

作者信息

Nsabimana Usiel, Isyagi Moses, Rutayisire Reverien, Nyirazinyoye Laetitia

机构信息

Department of Preventive and Community Dentistry, School of Dentistry, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Legacy Specialty Clinics, Kigali, Rwanda.

出版信息

Rwanda J Med Health Sci. 2023 Jul 31;6(2):113-122. doi: 10.4314/rjmhs.v6i2.2. eCollection 2023 Jul.

Abstract

BACKGROUND

Dental caries in children is a public health concern affecting 60-90% of children worldwide. Dental caries perturbs children's eating ability, school performance as well as overall quality of life. This study aimed to determine the prevalence of dental caries and its risk factors among children aged 11 to 12 years in Nyarugenge District in Kigali, Rwanda.

METHODS

The cross-sectional analytical study design involved 400 children from Nyarugenge district. By stratified sampling, we selected Gitega and Butamwa primary schools and used systematic sampling to choose the pupils into the sample. An interview and oral examination were performed. Descriptive statistics and logistic regression were done.

RESULTS

Dental caries was observed in 25.5% of children. Deep pits and fissures carried a two-fold risk of getting dental caries than children without deep pits and fissures (OR = 2.4, 95% CI = [1.5; 4.0], P-value < 0.001). Dental plaque was identified as a risk factor for getting dental caries (OR=2.2, 95% CI = [1.2; 3.3], P-value: 0.01).

CONCLUSION

Dental caries is a public health concern associated with poor oral hygiene, deep pit, and fissures among children aged 11 to 12 years old. Oral hygiene education, application of ART, and regular screening programs are in need.

摘要

背景

儿童龋齿是一个公共卫生问题,影响着全球60%-90%的儿童。龋齿会干扰儿童的进食能力、学业表现以及整体生活质量。本研究旨在确定卢旺达基加利尼亚鲁根盖区11至12岁儿童龋齿的患病率及其危险因素。

方法

横断面分析研究设计涉及尼亚鲁根盖区的400名儿童。通过分层抽样,我们选择了吉特加和布塔姆瓦小学,并采用系统抽样方法选择学生纳入样本。进行了访谈和口腔检查。进行了描述性统计和逻辑回归分析。

结果

25.5%的儿童观察到龋齿。与没有深窝沟的儿童相比,深窝沟患龋齿的风险高出两倍(比值比=2.4,95%置信区间=[1.5;4.0],P值<0.001)。牙菌斑被确定为患龋齿的一个危险因素(比值比=2.2,95%置信区间=[1.2;3.3],P值:0.01)。

结论

龋齿是一个公共卫生问题,与11至12岁儿童口腔卫生差、窝沟深有关。需要进行口腔卫生教育、应用非创伤性修复治疗(ART)和定期筛查项目。

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