上海市杨浦区12岁儿童患龋状况及相关因素分析  

Caries status and related factors among 12-year-old children in Yangpu District,Shanghai

作　　者：黄胜春 李威 周康 HUANG Shengchun;LI Wei;ZHOU Kang(Yangpu District Dental Center,Shanghai 200090,China)

机构地区：[1]上海市杨浦区牙病防治所,上海200090

出　　处：《上海预防医学》2023年第12期1232-1235,1241,共5页Shanghai Journal of Preventive Medicine

基　　金：中华口腔医学会口腔健康教育创新·闪耀计划项目(CSA-OHE2021-02)。

摘　　要：【目的】调查上海市杨浦区12岁儿童患龋状况及相关影响因素,为杨浦区制订儿童口腔疾病预防政策及措施提供相关数据支持。【方法】2021年,按照随机原则在上海市杨浦区随机抽取5所普通初中,采用整群抽样法,从5所初中共抽取839名12周岁儿童作为本次研究的调查对象。调查内容包括口腔健康检查和龋病相关影响因素的问卷调查,使用logistic回归分析儿童患龋的相关影响因素。【结果】共调查839名儿童,纳入有效数据830例。其中男性426人(51.30%),女性404人(48.70%)。830名儿童中,总患龋人数203人,患龋率为24.46%,龋补充填比为32.60%,龋均为0.63。多因素logistic回归分析,母亲学历大专及以上(OR=0.849,95%CI:0.732~0.984)、刷牙2次‧d^(−1)(OR=0.827,95%CI:0.703~0.973)、照顾者自身刷牙2次‧d^(−1)(OR=0.843,95%CI:0.726~0.983)是降低患龋率的有效因素。甜点心进食≥1次‧d^(−1)(OR=1.397,95%CI:1.197~1.342)、女性(OR=1.482,95%CI:1.347~1.671)是儿童龋病的相关因素。【结论】上海市杨浦区12岁儿童患龋率为24.46%,性别、母亲学历、儿童刷牙次数、甜点心进食频率和照顾者自身刷牙次数是影响患龋率的主要因素。[Objective]To investigate the prevalence and risk factors of dental caries and its related influencing factors in 12-year-old children in Yangpu District,Shanghai,and to provide relevant data support for the formulation of oral health policies and measures for children.[Methods]In 2021,83912-year-old children were randomly selected from five ordinary junior high schools in Yangpu District.The investigation included an oral health examination and a questionnaire survey on factors related to dental caries.Logistic regression analysis was used to analyze the influencing factors of dental caries.[Results]Among the 839 participants,data from 830 were included.Among them,426 were male(51.3%)and 404 were female(48.7%).Of the 830 children,203 had dental caries,resulting in a caries prevalence of 24.46%,a caries supplemental filling ratio of 32.6%,and a DMFT of 0.63.Multivariate logistic regression analysis revealed that a mother’s education level of college or above(OR=0.849,95%CI:0.732‒0.984),brushing teeth twice a day(OR=0.827,95%CI:0.703‒0.973),and the caregiver brushing teeth twice a day(OR=0.843,95%CI:0.726‒0.983)were effective factors in reducing the caries rate.Factors associated with childhood dental caries included consuming sweets≥1 time per day(OR=1.397,95%CI:1.197‒1.342)and female gender(OR=1.482,95%CI:1.347‒1.671).[Conclusion]The prevalence of dental caries among 12-year-old children in Yangpu District is 24.46%.Gender,maternal education,the frequency of children's toothbrushing,the frequency of sweet consumption,and the caregiver’s toothbrushing frequency are the main factors affecting the prevalence of dental caries in children.

关 键 词：龋齿 患龋率 第一恒磨牙 儿童 杨浦区 

分 类 号：R1[医药卫生—公共卫生与预防医学] R734.2