口腔疾病防治 ›› 2017, Vol. 25 ›› Issue (3): 183-187.DOI: 10.12016/j.issn.2096-1456.2017.03.009

• 防治实践 • 上一篇    下一篇

广州市10~12岁儿童第一恒磨牙患龋影响因素分析

林蓉(), 刘伟, 熊莉华, 刘伟佳, 郭重山, 陈坤才()   

  1. 广州市疾病预防控制中心学校卫生科,广东广州(510440)
  • 收稿日期:2016-03-24 修回日期:2016-07-20 出版日期:2017-03-20 发布日期:2018-09-03
  • 作者简介:

    【作者简介】林蓉,主管医师,硕士, Email:rong_lin@yeah.net

  • 基金资助:
    广州市儿童六龄齿免费窝沟封闭项目(穗财保[2014]123号)

Analysis of influencing factors of dental caries in first permanent molars among children aged 10-12 years old in Guangzhou

Rong LIN(), Wei LIU, Li-hua XIONG, Wei-jia LIU, Chong-shan GUO, Kun-cai CHEN()   

  1. The Department of School Health, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, China
  • Received:2016-03-24 Revised:2016-07-20 Online:2017-03-20 Published:2018-09-03

摘要:

目的 了解广州市儿童第一恒磨牙患龋影响因素,为制定儿童龋病防治行为干预策略提供依据。方法 采用多阶段分层随机整群抽样方法,抽取广州市12个区(县级市)149所小学18 656名五、六年级学生为研究对象,进行口腔健康检查及问卷调查,调查时间为2014年9月。结果 18 656名儿童第一恒磨牙患龋率为18.19%,女生患龋率为19.96%,高于男生(16.71%),差异有统计学意义(χ2 = 32.817,P< 0.001)。采用广义混合线性模型,在控制学校聚集性及其他影响因素后,城乡、性别、是否做过窝沟封闭以及饮用甜牛奶、糖果/巧克力的食用频率5个因素入选模型,是龋齿发生的独立影响因素(P< 0.01);城乡、性别、是否做过窝沟封闭、糖果/巧克力食用频率与龋均有关联(P< 0.05)。结论 学龄儿童口腔健康教育应关注糖果/巧克力等高糖食品消费,关注城乡差异,同时,加大窝沟封闭项目宣传力度,提高公众知晓率;严格项目管理,提高封闭质量,保证防龋效果。

关键词: 龋齿, 患龋率, 第一恒磨牙, 窝沟封闭, 儿童

Abstract:

Objective To know the influencing factors of dental caries in first permanent molars among children aged 10-12 years old in Guangzhou, and to give references for dental caries prevention. Methods The samples were selected by stratified random sampling method. Oral health examination and questionnaires were applied to all the 18 656 children who were 5 or 6-grade in 149 primary schools. Results The prevalence of dental caries in first permanent molars was 18.19%. Girls accouted for 19.96%, which was significantly higher than that of boys (16.71%) (χ2 = 32.817, P< 0.001). Multiple regression analyses were used to investigate the influencing factors of dental caries in first permanent molars. After controlling school cluster and other factors, household register, gender, pit and fissure sealant, consumption of sweets and chocolates, consumption of sweet milk were influencing factors of permanent teeth caries. And household register, gender, pit and fissure sealant, consumption of sweets and chocolates were associated with mean DMFT. Conclusion school oral health education should focus on the consumption of sugars and cares should be put into the differences between urban and rural area. In addition, strengthening publicity of the sealant retention project,raising public awareness, and improving sealant retention quality are necessary to ensure the anti-caries effect.

Key words: Dental caries, Caries prevalenle rate, First permanent molars, Pit and fissure sealing, Children

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