家庭环境因素与儿童患龋状况的相关性研究  

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

作　　者：陈霜 曾晓娟[1] 刘秋林[1] 陈柏霖[1] 陈贝斯 CHENG Shuang;ZENG Xiaojuan;LIU Qiulin;CHEN Bolin;CHEN Beisi(Public Health Department, the Affiliated Stomatology Hospital of Guangxi Medical University, Nanning 530021, China;The General Hospital Airport Hospital of Tianjin Medical University , Tianjin 300308, China)

机构地区：[1]广西医科大学附属口腔医院公共健康科,广西南宁530021 [2]天津医科大学总医院空港医院,天津300308

出　　处：《口腔疾病防治》2018年第3期184-188,共5页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：国家自然科学基金(81660181);广西医疗卫生重点科研课题(重2011034)

摘　　要：目的分析家庭环境因素与儿童患龋状况的关系,为后续探索以家庭为单位的社区口腔健康促进模式提供参考。方法 2015年6月-12月采用单纯随机抽样的方法,在南宁市金洲社区抽取200户家庭作为研究对象,对家庭成员进行口腔检查和问卷调查;运用Logistic回归模型分析社会经济、口腔健康行为等家庭环境因素与儿童患龋的关系。结果调整混杂因素后,每月购买含糖饮料量>1 000 m L、家庭成员有偶尔刷/不刷牙者、母亲刷牙每天<2次、母亲过去一年无定期口腔检查、母亲饮用含糖饮料每天≥1次及口腔健康态度与知识评分低、父/母亲学历为大专及以下、家庭年收入5万元以下的家庭儿童患龋率高。每月购买含糖饮料量>1 000 m L的家庭儿童患龋风险是每月购买含糖饮料量≤1 000 m L的2.20倍(P<0.05)。结论家庭环境因素对儿童患龋存在一定影响。Objective To assess family environmental factors that impact caries in children during a follow-upstudy for family-based community oral health promotion models.Methods This study was conducted from June to December2015.A total of200households 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 than1,000mL 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 than2times),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 than50,000RMB)had children with high rates of dental caries.Families purchasing sugar drinks>1000mL per month were2.22times more likely than families purchasing sugar drinks≤1000mL 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.

关 键 词：家庭环境因素 社会经济状况 家庭行为 儿童 龋 

分 类 号：R781.1[医药卫生—口腔医学]