社会因素和祖辈口腔健康行为对儿童龋病发生的影响

Effect of social factors and oral health behaviors of grandparents on dental caries of children

目的:研究社会因素和祖辈口腔健康行为与儿童龋病的关系,为儿童龋病预防工作提供依据。方法:参考世界卫生组织《口腔健康调查基本方法》(第四版),采用随机、整群抽样的方法,抽取深圳市龙岗区10家托幼机构3～5岁幼儿1052名,检查其乳牙列患龋情况。随机抽取50%受检幼儿祖辈以及125名受检托幼机构幼师进行问卷调查,Lojistic多因素回归分析乳牙龋病影响因子。结果:1052名3～5岁幼儿乳牙患龋率58.61%,龋均2.76;性别差异无统计学意义(P>0.05)。祖辈刷牙行为、牙科就诊行为等口腔健康行为与儿童龋病发生相关;祖辈看护、文化程度、受检幼师龋病知识认知度、文化程度等社会因素与儿童患龋有关。结论:祖辈口腔健康行为和相关社会因素影响儿童龋病发生,应把祖辈和幼儿教师口腔健康教育工作纳入儿童龋病预防工作计划。

Objective:To explore the correlation between dental caries of children and social factors and oral health behaviors of grandparents,provide evidence for prevention of dental caries of children.Methods:1 052 children aged 3～5 years old from 10 nurseries and kindergartens in Longgang District were selected by random sampling,the caries incidence of deciduous teeth was detected,half of grandparents and 125 tested kindergartens' teachers were surveyed by a questionnaire,effect factors of deciduous teeth caries were analysed by logistic regression analysis.Results:The caries incidence of deciduous teeth was 58.61%,and the mean dmft was 2.76,there was no difference between girls and boys(P>0.05).There was correlation between oral health behaviors and dental visiting behavior of grandparents,grandparents' care,education level,cognition degree of caries,education level of tested teachers and the caries incidence of deciduous teeth.Conclusion:The caries incidence of deciduous tooth of children is affected by oral health behaviors of grandparents and related social factors,the dental health education for them ought to be integrated into children dental caries prevention planning.