Spatial Heterogeneity and Risk Factors of Dental Caries in 12-Year-Old Children in Shanxi Province,China  

作　　者：Ruxia Hou Tingting Yang Jiajia Liu Hao Chen Wen Kang Junming Li Xiaotong Shi Yi Liang Junyu Liu Bin Zhao Xiangyu Wang 

机构地区：[1]Shanxi Medical University School and Hospital of Stomatology,Taiyuan 030001,Shanxi,China [2]Shanxi Province Key Laboratory of Oral Diseases Prevention and New Materials,Taiyuan 030001,Shanxi,China [3]School of Statistics,Shanxi University of Finance and Economics,Taiyuan 030006,Shanxi,China

出　　处：《Biomedical and Environmental Sciences》2024年第10期1173-1183,共11页生物医学与环境科学（英文版）

基　　金：supported by scientific research project of the Health Commission of Shanxi Province[NO.2018104];Science and Technology Innovation Project of Shanxi Province[NO.2020L0217 and 2022L172];Key Research and Development Projects of Shanxi Province[NO.A2021-113];Chinese Stomatological Association Dental Doctors Caries Prevention Ability Improvement Project[NO.CSA-ICP2022-05].

摘　　要：Objective This study aimed to explore the spatial heterogeneity and risk factors for dental caries in 12-year-old children in Shanxi province,China.Methods The data encompassed 3,721 participants from the two most recent oral health surveys conducted across 16 districts in Shanxi Province in 2015 and 2018.Eighteen specific variables were analyzed to examine the interplay between socioeconomic factors,medical resources and environmental conditions.The Geo-detector model was employed to assess the impacts and interactions of these ecological factors.Results Socioeconomic factors(Q=0.30,P<0.05)exhibited a more substantial impact compared to environmental(Q=0.19,P<0.05)and medical resource factors(Q=0.25,P<0.05).Notably,the urban population percentage(UPP)demonstrated the most significant explanatory power for the spatial heterogeneity in caries prevalence,as denoted by its highest q-value(q=0.51,P<0.05).Additionally,the spatial distribution’s heterogeneity of caries was significantly affected by SO2 concentration(q=0.39,P<0.05)and water fluoride levels(q=0.27,P<0.05)among environmental factors.Conclusion The prevalence of caries exhibited spatial heterogeneity,escalating from North to South in Shanxi Province,China,influenced by socioeconomic factors,medical resources,and environmental conditions to varying extents.

关 键 词：CARIES Socioeconomic factors Natural environment Oral health services Spatial heterogeneity analysis Risk factors 

分 类 号：R788.1[医药卫生—口腔医学]