河北省廊坊地区5岁学龄前儿童乳牙龋相关行为危险因素调查研究

The caries related risk factors of 5 years old preschool children in Langfang,Hebei province

目的调查河北廊坊地区5岁儿童乳牙龋相关行为危险因素,为有针对性地提出乳牙龋防治策略提供依据。方法采用分层、多阶段、随机、整群抽样的方法获得5岁儿童711名,由监护人填写结构式问卷,收回有效问卷682份,应答率95.9%。结果 25.2%的儿童每天至少进食1次含糖食品。55.2%的5岁儿童每天刷牙,2岁前开始刷牙的只有12.0%。家长报告只有18.3%的孩子使用含氟牙膏,超过60.3%的家长不知道含氟牙膏对牙齿的作用,66.3%的家长不知道窝沟封闭能防龋。绝大部分家长对儿童口腔保健的态度积极。龋危险因素存在城乡差异,且与家长文化程度相关。结论适宜在该地区有针对性开展乳牙龋综合健康教育和促进活动。

Objective To investigate the caries related risk factors of 5 years old preschool children in Lang- fang, Hebei province. Methods A multiple stratified and cluster randomized sampling method was used to gain 7 115 years old preschool children. Structured questionnaire were used to collect related information. Re- sponse rate was 95.90//oo. Results The percentage of children consumes sugary food everyday was 25.2~. 55.2% of children brushed their teeth everyday reported by their guardian. The percentage of children started to clean teeth before 2 years old was 12.0%. 18.3o/oo of children use fluoridated toothpaste and more than 60.3~//oo of guard- ian did not know the effect of fluoridated toothpaste on teeth. More than 66.3% of guardian did not know preven- tive effect of sealant on the caries. The attitude of the majority of guardian to oral health was positive. The distri- bution of caries related risk factors was related to urbanization and guardian＇s education. Conclusion Integrated and specified oral health education and promotion program is urgent for the studied population.