江苏省3~5岁儿童龋病相关因素调查分析  

An investigation of related factors of dental caries among 3-to 5-year-old children in Jiangsu Province

作　　者：刘怡然[1] 沈红[1] 仇颖莹 沈家平[1] LIU Yiran;SHEN Hong;QIU Yingying;SHEN Jiaping(Jiangsu Key Laboratory of Oral Diseases,Nanjing Medical University,Department of Pediatric and Preventive Dentistry,Affiliated Hospital of Stomatology,Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学口腔疾病研究江苏省重点实验室,南京医科大学附属口腔医院儿童口腔预防科,江苏南京210029 [2]苏州科技城医院口腔科,江苏苏州215153

出　　处：《口腔医学》2020年第4期342-347,共6页Stomatology

基　　金：公益性行业科研专项(201502002);第四次全国口腔健康流行病学调查(2015—2018);江苏高校优势学科建设工程资助项目(2018-87);江苏省预防医学课题(Y2018103)。

摘　　要：目的了解江苏省3~5岁儿童龋病相关因素,为江苏省儿童口腔保健工作提供信息支持。方法采用分层多阶段等容量随机抽样的方法,抽取江苏省3~5岁儿童1337人,对家长进行问卷调查,对龋病相关因素进行统计分析。结果江苏省3~5岁儿童在3岁以前开始刷牙的有29.92%,每天刷牙2次的儿童占33.13%,含氟牙膏的使用率为17.27%。每天至少进食一种含糖食品的儿童占58.26%,经常在睡前进食含糖食品的儿童为9.95%,仅28.05%的儿童从不睡前进食含糖食品。81.90%的家长对口腔保健持积极态度,而仅有24.08%的家长具有较高的口腔保健知识水平,仅有17.13%的家长每天帮助孩子刷牙。Logistic回归结果显示患龋风险与儿童年龄呈正相关,且农村高于城市。结论江苏省学龄前儿童龋病相关饮食习惯和口腔卫生行为欠佳,家长口腔卫生知识不足;应对学龄前儿童及家长尤其是农村地区儿童家长强化口腔健康宣教。Objective To investigate the related factors of dental caries among 3-to 5-year-old children in Jiangsu Province and to provide information support for oral health care service.Methods The sampling process was conducted with a multistage stratified equal capacity method.A total of 1337 children were recruited.Their parents or grandparents completed a questionnaire during a faceto-face interview.Related factors of dental caries were statistically analyzed.Results A total of 29.92% children started toothbrushing before 3 years old,33.13% children brushed their teeth twice a day,17.27% children used toothpaste with fluoride,58.26% children had at least one kind of sugary food or drink every day,9.95% children often had desserts before bedtime.Only 28.05% children never had desserts before sleep.A total of 81.90% parents had positive attitude towards oral health while only 24.08% had a higher level of oral health knowledge,and only 17.13% helped their children brush teeth every day.Logistic regression analysis showed a positive correlation between age and caries risk,and children living in rural areas were associated with a higher probability of caries.Conclusion Preschool children in Jiangsu Province have poor eating habits and oral hygiene behaviors and their parents have insufficient oral health knowledge.Therefore,oral health education should be strengthened among preschool children and their parents,especially in rural areas.

关 键 词：3~5岁儿童 龋病 相关因素 LOGISTIC回归分析 

分 类 号：R780.1[医药卫生—口腔医学]