2022年四川汉族地区农村12岁儿童恒牙患龋状况调查及影响因素分析  

Analysis on caries status and influencing factors in permanent teeth of 12 year old children in rural han areas of Sichuan Province

作　　者：卢雨航 谭馨 孙桃兰 严鑫淼 李淼晶 王卓[2] LU Yuhang;TAN Xin;SUN Taolan;YAN Xinmiao;LI Miaojing;WANG Zhuo(School of Public Health,Chengdu Medical College,Chengdu 610500,Sichuan Province,China;Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)

机构地区：[1]成都医学院公共卫生学院,成都610500 [2]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2024年第5期567-572,共6页Journal of Preventive Medicine Information

基　　金：四川省卫生健康委员会科研课题(项目编号:20PJ122)。

摘　　要：目的调查四川农村12岁儿童恒牙患龋状况及其影响因素,为相关部门开展儿童龋病防治提供参考依据。方法2022年采用整群随机抽样法在四川省随机抽取9个地级市,再从每个市抽取1个县,每个县中抽取3~4所乡镇小学,对12岁农村儿童进行口腔检查及问卷调查,并采用χ^(2)检验、多因素Logistic回归分析农村12岁儿童恒牙患龋影响因素。结果共调查2307名四川农村儿童,患龋率为32.90%,龋均为0.73,龋补充填比为2.89%。多因素Logistic回归分析显示性别(OR=1.517,95%CI:1.266~1.817)、是否每天刷牙(OR=0.663,95%CI:0.496~0.886)、蛋白质摄入(OR=0.729,95%CI:0.606~0.878)、零食(OR=1.383,95%CI:1.116~1.714)、口腔健康状况自我评价(OR一般=1.261,95%CI:1.037~1.534,OR较差=2.486,95%CI:1.762~3.508)、乳牙患龋(OR=1.350,95%CI:1.047~1.740)和牙齿发育状况(OR=2.486,95%CI:1.762~3.508)是影响儿童恒牙龋病的主要因素。结论四川农村儿童患龋率处于“低”水平,但该地儿童口腔卫生行为及口腔保健知识水平有待改善与提高,多部门之间应该加强口腔检查及口腔教育工作,以达到降低儿童患龋率的目的。Objective To investigate the status and influencing factors of caries in permanent teeth of12-year-old children in rural areas of Sichuan Province,and to provide reference for the prevention and treatment of caries in children.Methods In 2022,9 cities in Sichuan Province were randomly selected by cluster random sampling method,and then 1 county in each city and 2 primary schools in each county were selected.Oral examination and questionnaire survey were conducted among 12-year-old children.Chi-square test and multiple Logistic regression were used to analyze the influencing factors of caries in permanent teeth in 12-year-old rural children.Results A total of 2307 children in rural areas of Sichuan province were investigated.The prevalence of caries was 32.90%and caries were 0.73.The filling ratio was 2.89%.Multivariate logistic regression analysis showed gender(OR=1.517,95%CI:1.266-1.817),daily brushing(OR=0.663,95%CI:0.496-0.886),protein intake(OR=0.729,95%CI:0.606-0.878),snack(OR=1.383,95%CI:1.116-1.714),self-evaluation of oral health status(ORgeneral=1.261,95%CI:1.037-1.534,ORpoor=2.486,95%CI:1.762-3.508),deciduous tooth caries(OR=1.350,95%CI:1.047-1.740)and tooth development(OR=2.486,95%CI:1.762-3.508)were the main factors affecting caries of permanent tooth in children.Conclusions The prevalence of caries among children in rural areas of Sichuan province is at a“low”level,but the oral health behavior and knowledge level of children in this area need to be improved.

关 键 词：农村 12岁儿童 患龋率 影响因素 

分 类 号：R788.1[医药卫生—口腔医学]