上海市浦东社区学龄前儿童乳牙龋齿现况和家长知信行调查

Relationship between preschooler＇s primary tooth caries and parental knowledge-behavior-knowledge of oral health in Hudong community in Pudong new area

目的 调查上海市浦东社区学龄前儿童乳牙龋齿的现况和家长的知信行状况.方法 采用分层随机整群抽样方法选取沪东社区9所幼儿园共1 179名儿童,通过儿童口腔检查和家长问卷调查,了解儿童乳牙龋齿患病率和相关的影响因素.结果 1 179名儿童乳牙龋齿患病率为53.2％,龋均为2.79,不同年龄组乳牙龋齿患病情况存在统计学意义（P＜0.05）;多因素分析显示,学龄前儿童乳牙龋齿影响因素为年龄（P＜0.05）、家长受教育程度（P＜0.05）、家长帮助儿童刷牙（P＜0.05）、儿童睡前进甜食（P＜0.05）、家长对乳牙治疗认知情况（P＜0.05）.结论 浦东社区学龄前儿童乳牙患龋齿较高,乳牙龋齿患病程度与儿童年龄、家长受教育程度、家长有关乳牙龋齿防治知识以及儿童不良饮食习惯密切相关.

Objective To explore the primary teeth caries status of preschoolers in Pudong community and its relevant factors of parental knowledge-belief-practice （KBP）.Methods Using stratified random cluster sampling,a total of 1 179 children from 9 kindergartens in Hudong community in Pudong new area were examined.Oral cavity check-ups and parental questionnaire survey were conduced to understand the primary teeth caries rate of preschoolers and its related influencing factors.Results The prevalence rate of primary teeth caries was 53.2% and DMFT 2.79.The prevalence rate of primary teeth caries had statistical significance in different age groups （P 〈 0.05）.Multi-factor analysis showed that the influencing factors of primary teeth caries were age （P 〈 0.05）,parental education level （P 〈 0.05）,parental assistance of teeth brushing （P 〈 0.05）,children eating sweets before bedtime （P 〈 0.05） and parental awareness for treating primary teeth （P 〈 0.05）.Conclusions The prevalence rate of primary teeth caries is high among the preschoolers of Pudong.And age,parental education level,parental preventive knowledge of teeth caries and poor eating habits are significant factors correlated with the incidence of dental caries in children.