新疆生产建设兵团某师3~22岁学龄前儿童及学生龋患率及相关因素分析  

Analysis of caries prevalence and related factors among preschool children and studentsaged 3-22 in a division of Xinjiang Production and Construction Corps

作　　者：何佳 户金凤 韩党 李毓 戚焱[2] 杜群 文静[2] HE Jia;HU Jin-feng;HAN Dang;LI Yu;QI Yan;DU Qun;WEN Jing(Shihezi University School of Medicine,Shihezi 832000,China)

机构地区：[1]石河子大学医学院,新疆石河子832000 [2]新疆生产建设兵团第二师疾病预防控制中心,新疆铁门关841007 [3]新疆生产建设兵团第二师焉耆医院,新疆焉耆841100

出　　处：《中国健康教育》2023年第9期814-820,共7页Chinese Journal of Health Education

基　　金：新疆兵团某师儿童青少年视力调查研究与分析(2020SFGG04)。

摘　　要：目的对新疆生产建设兵团某师3~22岁学龄前儿童及学生龋患率及相关因素进行调查分析,为学生龋病的防治工作提供科学依据。方法采取分层整群随机抽样的方法,2020年8—10月从新疆生产建设兵团某师城区和部分团场学校共选取4所幼儿园和12所学校3~22岁学龄前儿童及学生共4464人进行问卷调查,并进行口腔健康检查,采用χ^(2)检验和Logistic回归进行影响因素分析。结果4464名学龄前儿童及学生龋患率为57.55%,其中男生龋患率54.31%,女生龋患率61.10%,乳牙龋患率为58.23%,龋均1.87;恒牙龋患率为29.59%,龋均0.62。乳牙龋患率随年龄增长而递减,恒牙相反(P<0.05);恒牙龋患率女生高于男生,团场高于城镇(P<0.05),乳牙龋患率性别和监测点差异无统计学意义(P>0.05);非独生子女、偶尔或从不刷牙、进食糖果/巧克力每天一次及以上乳恒牙龋患率均较高;少数民族恒牙龋患率较高,汉族、进食含糖饮料、油炸食品每天一次及以上的乳牙龋患率较高(P<0.05)。多因素分析显示,非独生子女(OR=1.763,95%CI:1.150~1.543)为乳牙龋的危险因素,高年龄段(OR=0.058,95%CI:0.043~0.080)为乳牙龋保护因素。女生(OR=1.748,95%CI:1.506~2.029)、团场(OR=1.879,95%CI:1.606~2.198)、吃糖果/巧克力每天≥1次(OR=1.339,95%CI:1.150~1.543),高年龄段(OR=11.034,95%CI:1.014~1.767)为恒牙龋危险因素,每天刷牙(OR=0.488,95%CI:0.318~0.751)为恒牙龋保护因素。结论新疆生产建设兵团某师3~22岁学龄前儿童及学生龋患率高于全国中小学生平均水平,其乳恒牙龋患率及影响因素均存在差异,应分别采取针对性措施进行防治。Objective To investigate and analyze the prevalence and related factors of caries among preschool children and students aged 3-22 in a division of Xinjiang Production and Construction Corps,so as to provide scientific basis for the prevention and treatment of caries among students.Methods Astratified cluster random sampling was used to conduct a baseline survey of 4464 preschool children and students aged 3-22 from 4 kindergartens and 12 schools selected from a division of Xinjiang Production and Construction Corps urban area and some regimental farms schools from August to October 2020.The oral health examination was conducted and the influencing factors were analyzed by χ^(2)test and Logistic regression.Results The prevalence of caries was 57.55% in 4464 preschool children and students,including 54.31% in boys and 61.10% in girls.The prevalence of deciduous teeth was 58.23% with the mean caries of 1.87.The caries prevalence rate of permanent teeth was 29.59% with the mean caries of 0.62.The prevalence of deciduous teeth decreased with age,but the prevalence of permanent teeth was the opposite(P<0.05).The incidence of permanent tooth caries in female students was higher than that in male students,while the incidence of deciduous tooth caries in group farms was higher than that in urban areas(P<0.05);Non only children,occasional or never brushing teeth,eating candy/chocolate once a day or more had higher caries rates of deciduous and permanent teeth;The incidence of caries of permanent teeth was higher in ethnic minorities,while the incidence of caries of deciduous teeth was higher in Han people,and who ate sugary drinks and fried food once a day or more(P<0.05).Multivariate analysis showed that non-only child(OR=1.763,95%CI:1.150-1.543)was a risk factor for deciduous tooth caries,while older age(0R=0.058,95%CI:0.043-0.080)was a protective factor for deciduous tooth caries.Girls(OR=1.748,95%CI:1.506-2.029),round field(OR=1.879,95%CI:1.606-2.198),eating sweets/chocolates 1 or more times a day(0R=1.339,95%CI:1.150

关 键 词：新疆生产建设兵团 龋患率 3~22岁 学龄前儿童及学生 因素分析 

分 类 号：R193[医药卫生—卫生事业管理]