Freeman R, Breistein B, McQueen A, Stewart M
School of Clinical Dentistry, Queen's University of Belfast, UK.
Community Dent Health. 1997 Dec;14(4):253-7.
To investigate the influence of social deprivation upon the diet, dental health behaviours and dental health status of five-year-old children in Northern Ireland.
Cross-sectional study.
Fifty-eight primary schools in North and West Belfast.
A nine per cent (240) random sample of 2,666 five-year-old children resident and attending school in North and West Belfast.
Dental health status measured by dmft index; parental assessments of the child's dental health behaviours: parental dental attendance patterns and attitudes towards dental health; parental assessments of the child's diet and snacking behaviours: parental attitudes towards snack foods; and demographic profile of child's family.
One hundred and sixty-three children were examined, a 68 per cent response. The majority of the families were either in low income employment or unemployed. Sixty-eight per cent of children had experience of dental caries. Dental decay was unrelated to parental employment status but more children from unemployed families attended when in pain. The diet of the children was related to both employment status and parental attitude and was reflected in their caries experience. Caries experience was dependent upon parental dental attendance, the consumption of carbonated drinks and sugar containing bedtime drinks.
The results suggest that unemployment and parental attitudes are important as determinants of dental caries in five-year-old children from North and West Belfast. These factors may influence the child's dental health care as well as type of diet.
调查社会剥夺对北爱尔兰五岁儿童饮食、口腔健康行为及口腔健康状况的影响。
横断面研究。
贝尔法斯特北部和西部的58所小学。
从居住在贝尔法斯特北部和西部并在当地上学的2666名五岁儿童中随机抽取9%（240名）作为样本。
用dmft指数衡量口腔健康状况；家长对孩子口腔健康行为的评估：家长的看牙模式及对口腔健康的态度；家长对孩子饮食和吃零食行为的评估：家长对零食的态度；以及孩子家庭的人口统计学特征。
检查了163名儿童，应答率为68%。大多数家庭要么从事低收入工作，要么失业。68%的儿童有龋齿经历。龋齿与家长的就业状况无关，但失业家庭中有更多孩子在疼痛时才去看牙。孩子们的饮食与就业状况和家长态度都有关，这在他们的龋齿经历中有所体现。龋齿经历取决于家长的看牙情况、碳酸饮料的摄入量以及睡前喝含糖饮料的情况。
结果表明，失业和家长态度是贝尔法斯特北部和西部五岁儿童龋齿的重要决定因素。这些因素可能会影响孩子的口腔保健以及饮食类型。
