2016年广州市越秀区3~15岁儿童青少年龋病流行现状及影响因素分析  

Analysis on prevalence and influencing factors of dental caries among children and adolescents aged 3-15 years,Yuexiu district,Guangzhou city,2016

作　　者：余少珍[1] 周焕宁[1] 兰智[1] 梁少明[1] 姚伯宁[1] YU Shao-zhen;ZHOU Huan-ning;LAN Zhi;LIANG Shao-ming;YAO Bo-ning(Yuexiu District Center for Disease Control and Prevention,Guangzhou,Guangdong,510055,China;不详)

机构地区：[1]广州市越秀区疾病预防控制中心,广东广州510055

出　　处：《预防医学论坛》2020年第10期757-760,共4页Preventive Medicine Tribune

基　　金：广州市越秀区科技和信息化局2016年科技计划项目(项目编号:2016-WS-015)。

摘　　要：目的了解广州市越秀区3~15岁9个年龄段儿童青少年龋病流行现状及影响因素,为制定适宜的学校口腔健康防治措施提供参考。方法2016年1~4月采取分层整群抽样的方法抽取广州市越秀区在校2318名3~15岁儿童青少年调查其口腔健康行为与健康状况,采用χ2检验与多因素Logistic回归分析其患龋率及影响因素。结果2016年广州市越秀区3~15岁儿童乳牙患龋率为55.70%,龋均为2.66;恒牙患龋率为15.19%,龋均为0.50;患龋率和龋均随着年龄增长而上升,男生、女生患龋率分别为35.06%、36.70%(P>0.05)。Logistic多因素回归分析表明3~5岁儿童患龋的危险因素有年龄5岁(OR=2.85)、经常睡前吃甜点或喝甜饮料(OR=1.83)、家长对孩子的牙齿口腔状况评价为一般或差(OR=3.69、8.95)(P<0.01);12~15岁青少年每月1~3次或每天1次以上进食甜点心(OR=1.99、2.52)、牙齿和口腔状况自评为一般(OR=2.04)是患龋的危险因素(P<0.05或<0.01)。结论广州市越秀区3~5岁儿童乳牙患龋率较高,不同学龄段儿童龋病状况与影响因素都不同。Objective To understand the caries status and associated factors in 9age groups children aged 3-15years old in Yuexiu district of Guangzhou city,so as to provide the reference for formulating appropriate preventive measures of oral health in schools.Methods In January-April,2016,students aged 3-15-year-old in Yuexiu district,Guangzhou city were sampled by stratified cluster sampling to investigate their oral health behavior and health status.The influencing factors of caries prevalence of permanent teeth were identified by Chi-square test and multivariant Logistic regression.Results In 2016,the prevalence of primary caries in 3-15-year-old children and adolescents in Yuexiu district was 55.70%,with an average DMFT of 2.66;and the prevalence of permanent teeth was 15.19%,with an average DMFT of 0.50.The prevalence of caries and average DMFT increased with age.The prevalence of caries in boys and girs was 35.06%and 36.70%respectively(P>0.05).Multivariate Logistic regression analysis showed that the risk factors of dental caries in children aged 3-5were aged 5(OR=2.81),often eating sweets or sweet drinks before going to bed(OR=1.82)and parents'general or poor evaluation of children's dental status(OR=3.67,8.89)(P<0.01).Multivariate logistic regression analysis showed that the risk factors of dental caries in 12-15-year-old were1-3times a month or more than 1times a day eating dessert(OR=1.99,2.52),general self-assessment tooth and oral condition(OR=2.04)(P<0.05or<0.01).Conclusion The prevalence of primary caries is high among children aged 3-5years in Yuexiu district,Guangzhou city,caries status and influencing factors are different in different school-age children.

关 键 词：儿童 龋病 流行病学研究 影响因素 预防措施 

分 类 号：R788.1[医药卫生—口腔医学]