Journal of Prevention and Treatment for Stomatological Diseases ›› 2018, Vol. 26 ›› Issue (3): 184-188.doi: 10.12016/j.issn.2096-1456.2018.03.009

• Prevention and Treatment Practice • Previous Articles     Next Articles

Study of the relationship between family environmental factors and dental caries status in children

Shuang CHEN1(), Xiaojuan ZENG1(), Qiulin LIU1, Bolin CHEN1, Beisi CHEN2   

  1. 1. Public Health Department, the Affiliated Stomatology Hospital of Guangxi Medical University, Nanning 530021, China;
    2. The General Hospital Airport Hospital of Tianjin Medical University , Tianjin 300308, China;
  • Received:2017-08-30 Revised:2017-09-13 Online:2018-03-20 Published:2018-08-31

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Abstract:

Objective To assess family environmental factors that impact caries in children during a follow-up study for family-based community oral health promotion models. Methods This study was conducted from June to December 2015. A total of 200 households were selected from Jinzhou community in Nanning with the random sampling method. The data were collected through oral examinations and questionnaire surveys of family members. A logistic regression model was used to analyze the relationship between family environment factors, such as socioeconomic and family-related behaviors, and caries in children. Results After adjustment for confounding factors, families in which more than 1, 000 mL of sugar drinks were purchased per month; those in which the family members had a low frequency of brushing (occasionally or not); those in which the mother had a high frequency of drinking sweet drinks (more than one time each day), brushed with low frequency (less than 2 times), had no regular oral examination in the past year, or had low scores in oral health attitude and knowledge; those in which the father/mother had a low level of education (short-cycle courses and under); and those with a low annual household income (less than 50, 000 RMB) had children with high rates of dental caries. Families purchasing sugar drinks >1 000 mL per month were 2.22 times more likely than families purchasing sugar drinks ≤1 000 mL per month to have caries in children. Conclusion Family environmental factors exert a certain influence on children's caries, and this information is a useful reference for a follow-up study.

Key words: Family environmental factors, Socioeconomic status, Family behavior, Children, Caries

CLC Number: 

  • R781.1

Table 1

Univariate analysis of family environmental factors that affect dental caries in children"

家庭环境因素 分组 儿童人数 （%） 患龋人数（%） χ2值 P值
父/母学历 大专及以下 111（49.6） 75（67.6） 11.45 0.001
本科及以上 113（50.4） 51（45.1）
家庭年收入 5万元以下 132（58.9） 83（62.9） 6.97 0.031
5~10万元 50（22.3） 26（52.0）
10万元以上 42（18.8） 17（40.5）
家庭每月购买含糖饮料量 ≤1 000 mL 146（65.2） 72（49.3） 8.19 0.004
> 1 000 mL 78（34.8） 54（69.2）
家庭成员刷牙频率 每天刷牙均≥2次 72（32.1） 33（45.8） 10.59 0.005
有每天刷牙 < 2次者 84（37.5） 44（52.4）
有偶尔刷/不刷牙者 68（30.4） 49（72.1）
母亲饮用含糖饮料频率 每天≥1次 21（9.4） 17（81.0） 6.11 0.047
每周≥1次 119（53.1） 66（55.5）
很少/从不 84（37.5） 43（51.2）
母亲刷牙频率 每天≥2次 188（83.9） 100（53.2） 4.45 0.035
每天 < 2次 36（16.1） 26（72.2）
母亲过去一年定期口腔检查情况 是 25（11.2） 9（36.0） 4.69 0.030
否 199（88.8） 117（58.8）
母亲口腔健康态度、知识评分 高 138（61.6） 69（50.0） 5.71 0.017
低 86（38.4） 57（66.3）

Table 2

Logistic regression analysis of family environmental factors that affect dental caries in children"

家庭环境因素 患龋人数
（n = 224）		 未调整模型OR
（95%CI）		 P值 调整模型OR
（95%CI）		 P1值
民族 壮族及其他 38 1 -
汉族 88 1.12（0.64~1.98） 0.69
性别 男 54 1 -
女 72 1.85（1.09~3.16） 0.024
年龄 12岁 4 1 -
9~11岁 22 3.21（0.78~13.22） 0.107
6~8岁 100 2.22（0.63~7.84） 0.217
家庭人口数 ≤3人 91 1 -
> 3人 35 1.71（0.90~3.25） 0.102
父/母学历 本科及以上 75 1 - 1 -
大专及以下 51 2.53（1.47~4.36） 0.001 2.54（1.45~4.46） 0.001
家庭年收入 10万元以上 17 1 - 1 -
5~10万元 26 1.59（0.70~3.65） 0.271 1.57（0.67~3.68） 0.304
5万元以下 83 2.49（1.23~5.07） 0.012 2.26（1.08~4.71） 0.030
家庭每月购买含糖饮料量 ≤ 1 000 mL 72 1 - 1 -
> 1 000 mL 54 2.31（1.30~4.13） 0.005 2.20（1.19~4.05） 0.012
家庭成员刷牙频率 有偶尔刷/不刷牙者 49 1 - 1 -
有每天刷牙 < 2次者 44 0.43（0.22~0.84） 0.014 0.46（0.23~0.94） 0.034
每天刷牙均≥2次 33 0.33（0.16~0.66） 0.002 0.34（0.17~0.72） 0.004
母亲饮用含糖饮料频率 每天≥1次 17 1 - 1 -
每周≥1次 66 0.29（0.93~0.92） 0.036 0.25（0.08~0.80） 0.019
很少/从不 43 0.25（0.08~0.80） 0.019 0.20（0.06~0.66） 0.009
母亲刷牙频率 每天≥2次 100 1 - 1 -
每天<2次 26 2.29（1.05~5.01） 0.038 2.61（1.15~5.90） 0.022
母亲过去一年定期口腔检查情况 是 9 1 - 1 -
否 117 2.54（1.07~6.02） 0.035 2.48（1.02~6.07） 0.046
母亲口腔健康态度、知识评分 高 69 1 - 1 -
低 57 2.25（1.97~3.43） 0.018 2.14（1.20~3.82） 0.010
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