广西百色市壮、汉族儿童口腔健康行为比较及风险因素分析  

Comparison of oral health behaviors of Zhuang and Han ethnic children in Baise,Guangxi

作　　者：张艺山 莫丹 蒋依玲 邓思成 吴冬燕 黄华[1] 邱荣敏[1] Yishan Zhang;Dan Mo;Yiling Jiang;Sicheng Deng;Dongyan Wu;Hua Huang;Rongmin Qiu(College&Hospital of Stomatology,Guangxi Medical University,Guangxi Key Laboratory of Oral and Maxillofacial Rehabilitation and Reconstruction,Guangxi Clinical Research Center for Craniofacial Deformity,Guangxi Health Commission Key Laboratory of Prevention and Treatment,Nanning 530021,China)

机构地区：[1]广西医科大学口腔医学院/附属口腔医院,广西口腔颌面修复与重建研究重点实验室,广西颅颌面畸形临床医学研究中心,广西壮族自治区卫生健康委员会口腔感染性疾病防治重点实验室,南宁530021

出　　处：《中华口腔医学研究杂志（电子版）》2023年第3期172-179,共8页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：广西医科大学青年科学基金(GXMUYSF201320)。

摘　　要：目的通过比较广西壮族自治区百色市壮、汉族3~5岁儿童口腔健康行为差异,探讨儿童的口腔健康行为是否受到民族、社会经济学相关风险因素的影响。方法于2016年9月将广西百色市23所幼儿园编号后随机选取3所幼儿园,在3所幼儿园随机抽取壮、汉族3~5岁儿童各自共196例。使用问卷调查及口腔检查收集儿童口腔健康行为数据;采用单因素分析结果,多因素logistic回归模型分析口腔健康行为是否受到民族、社会经济相关风险因素的影响。结果每日饮用甜果汁频率1次以上的比例,壮族儿童(41.84%)高于汉族儿童(3.06%),差异有统计学意义(χ^(2)=84.64,P<0.001);睡觉前总是或偶尔进食含糖食物或饮用含糖饮品的比例,壮族儿童(74.00%)高于汉族(28.06%),差异有统计学意义(χ^(2)=82.69,P<0.001);3岁前开始清洁牙齿的比例,壮族儿童(65.31%)高于汉族(25.00%),差异有统计学意义(χ^(2)=64.29,P<0.001);每日刷牙2次以上的比例,壮族儿童(66.33%)高于汉族(19.39%),差异有统计学意义(χ^(2)=88.17,P<0.001);每日辅助孩子清洁牙齿的家长比例,壮族(65.31%)高于汉族(23.98%),差异有统计学意义(χ^(2)=67.73,P<0.001)。多因素分析结果显示,壮族儿童日常果汁摄入量比汉族儿童高9.52倍(OR=9.52,95%CI=3.00~30.19);壮族儿童睡觉前进食含糖食物或饮用含糖饮品的风险比汉族儿童高3.94倍(OR=3.94,95%CI=2.32~6.68);壮族儿童开始清洁牙齿的年龄比汉族儿童更早(OR=3.29,95%CI=1.92~5.63);且壮族的儿童每日清洁牙齿频率更高(OR=4.97,95%CI=3.01~8.22);家长辅助孩子清洁牙齿的次数相比于汉族更频繁(OR=2.88,95%CI=1.74~4.76);此外,母亲的受教育程度、工作与孩子的口腔健康行为有一定的关系。结论民族与社会经济学因素是影响壮、汉族儿童口腔健康行为的风险因素。Objective To compare and analyze the distribution differences of oral health behaviors of Zhuang and Han ethnic children aged at 3-5 years in Baise,Guangxi,and to explore whether children′s health behaviors are affected by ethnic and socioeconomic risk factors.Methods In September 2016,three kindergartens were randomly selected after the numbering of 23 kindergartens in Baise,Guangxi.Zhuang and Han ethnic children aged at 3-5 years(196 each nation)were randomly selected from three kindergartens.The single factor analysis was used to analyze oral health behaviors of children.Multiple logistic regression was used to explore whether ethnic factor affected oral health behaviors.Results The proportion of Zhuang ethnic children(41.84%)who consumed sweet fruit juice more than once a day was significantly higher than that of Han children(3.06%,χ^(2)=84.64,P<0.001).The proportion of Zhuang children(74.00%)who always or intermittently took desserts and sweet drinks before bedtime was statistically higher than that of Han children(28.06%,χ^(2)=82.69,P<0.001).The proportion of Zhuang ethnic children who started brushing teeth before the age of 3(65.31%)was significantly higher than that of Han ethnic(25.00%,χ^(2)=64.29,P<0.001).The proportion of Zhuang ethnic children who brushed their teeth more than twice a day(66.33%)was significantly higher than that of Han Chinese(19.39%,χ^(2)=88.17,P<0.001).The proportion of Zhuang ethnic parents who assisted their children in cleaning their teeth daily was significantly higher(65.31%)than that of Han ethnic parents(23.98%,χ^(2)=67.73,P<0.001).The results of the multifactorial analysis showed that Zhuang ethnic children had 9.52 times higher risk of daily consumption of juice(OR=9.52,95%CI=3.00-30.19)and 3.94 times higher risk of taking desserts/sweet drinks before bedtime than Han ethnic children(OR=3.94,95%CI=2.32-6.68).Besides,Zhuang ethnic children started cleaning their teeth at an earlier age(OR=3.29,95%CI=1.92-5.63)and more frequently each day(OR=4.97,95%CI=3.01-8.22)than

关 键 词：龋齿 儿童 学龄前 健康行为 少数民族 

分 类 号：R788[医药卫生—口腔医学]