重庆市12岁儿童第一恒磨牙龋患率及相关因素研究  

Prevalence of first permanent molar caries and its influencing factors among 12-year-old children in Chongqing

作　　者：丁贤彬[1] 吕晓燕[1] 周智[2] 唐文革[1] 罗凯颖 Ding Xianbin;Lyu Xiaoyan;Zhou Zhi;Tang Wenge;Luo Kaiying(Department of Chronic Non-Communicable Disease Prevention and Control,Chongqing Center for Disease Control and Prevention,Chongqing 400042,China;Department of Preventive Dentistry and Health Care,Stomatological Hospital of Chongqing Medical University,Chongqing 401147,China;Department of Stomatology,Qianjiang Central Hospital,Chongqing 409000,China)

机构地区：[1]重庆市疾病预防控制中心慢性非传染性疾病预防控制所,重庆400042 [2]重庆医科大学附属口腔医院预防保健科,重庆401147 [3]重庆市黔江区中心医院口腔科,重庆409000

出　　处：《保健医学研究与实践》2024年第6期25-30,共6页Health Medicine Research and Practice

基　　金：重庆第一批公共卫生重点学科(渝卫办发〔2022〕72号)。

摘　　要：目的了解重庆市12岁儿童第一恒磨牙龋患率及相关因素,为开展儿童口腔疾病综合干预提供建议。方法采用随机整群抽样的方法在重庆市6个区县抽取12岁儿童进行问卷调查与口腔健康检查,采用SPSS 25.0进行统计分析,第一恒磨牙龋患率相关因素采用多因素Logistic回归分析。结果共计调查12岁儿童3770人,其中男生与女生分别为1953人(51.80%)与1817人(48.20%);城市与农村儿童分别占49.97%与50.03%;正确刷牙率为26.37%;口腔健康知识知晓率为2.23%;对口腔健康持正确态度的儿童比例为67.88%;牙龈出血和牙石检出率分别为33.69%与4.62%,接受过窝沟封闭的占42.86%。12岁儿童第一恒磨牙龋患率为33.69%,龋均为1.47。多因素Logistic回归分析结果提示,农村居住(OR=1.38,95%CI:1.20~1.59)、每天饮用碳酸饮料或含糖饮料(OR=1.38,95%CI:1.05~1.82)、每天摄入甜点或糖果(OR=1.30,95%CI:1.07~1.58)、牙龈出血(OR=0.70,95%CI:0.60~0.81)、牙石(OR=2.17,95%CI:1.58~2.96)、接受过窝沟封闭(OR=0.61,95%CI:0.53~0.70)是重庆市12岁儿童第一恒磨牙龋患率的影响因素。结论重庆市12岁儿童龋患率高,正确刷牙率低,窝沟封闭率低,应针对龋患率的影响因素开展有针对性的干预,扩大窝沟封闭的覆盖率,降低儿童龋患率。Objective To understand the prevalence of first permanent molar caries and its influencing factors among 12-yearold children in Chongqing,providing recommendations for comprehensive interventions in children's dental health.Methods A random cluster sampling method was employed to select 12-year-old children from six districts and counties in Chongqing for a questionnaire survey and dental health examination.Statistical analysis was conducted using SPSS 25.0,and multivariate logistic regression was used to analyze factors influencing the prevalence of first permanent molar caries.Results A total of 377012-year-old children were surveyed,with 1953 boys(51.80%)and 1817 girls(48.20%);49.97%were urban children,and 50.03%were rural children.The correct brushing rate was 26.37%;the awareness rate of dental health knowledge was 2.23%;67.88%of children had a correct attitude towards dental health;the prevalence rates of gingival bleeding and dental calculus were 33.69%and 4.62%,respectively.Moreover,42.86%had received pit and fissure sealing treatment.The prevalence of first permanent molar caries among 12-year-old children was 33.69%,with a mean decayed,missing,and filled teeth(DMFT)score of 1.47.Multivariate logistic regression analysis indicated that rural residence(OR=1.38,95%CI:1.20~1.59),daily consumption of carbonated or sugary drinks(OR=1.38,95%CI:1.05~1.82),daily intake of sweets or candies(OR=1.30,95%CI:1.07~1.58),gingival bleeding(OR=0.70,95%CI:0.60~0.81),dental calculus(OR=2.17,95%CI:1.58~2.96),and receiving pit and fissure sealing treatment(OR=0.61,95%CI:0.53~0.70)were factors influencing the prevalence of first permanent molar caries.Conclusion The prevalence of dental caries among 12-year-old children in Chongqing remains high,with low correct brushing and pit and fissure sealing rates.Targeted interventions should be carried out based on the influencing factors,and efforts should be made to expand the coverage of pit and fissure sealing to reduce the caries rate among children.

关 键 词：儿童 第一恒磨牙 龋患率 窝沟封闭 

分 类 号：R781.1[医药卫生—口腔医学]