儿童口腔健康行为与龋齿发生状况的相关性分析

Correlation analysis of children’s oral health behaviors and caries

目的观察北京市顺义区儿童的口腔健康行为,分析口腔健康行为与龋齿发生的相关性。方法抽取2017年1月—2018年1月北京市顺义区医院469名11~12岁儿童的健康体检资料为研究对象,全部儿童均接受牙齿健康检查,并采用北京市顺义区口腔健康流行病学调查表调查口腔健康行为。观察儿童患龋率,依据龋齿发生状况将全部儿童分为发生组和未发生组,比较两组口腔健康行为情况,分析口腔健康行为对龋齿发生的影响。结果469名儿童中,有85名儿童患有龋齿,发生率为18.12%,发生组的有效刷牙情况(偶尔刷或从不刷)、开始刷牙的年龄(>5岁)、每天刷牙次数(1次)、未使用含氟牙膏、每天甜食进食频率(≥2次)、未定期口腔健康检查占比均高于未发生组(P<0.05);经logistic回归分析检验结果显示,有效刷牙情况(偶尔刷或从不刷)、开始刷牙的年龄(>5岁)、每天刷牙次数(1次)、未使用含氟牙膏、每天甜食进食频率(≥2次)、未定期口腔健康检查均是儿童龋齿发生的影响因素(OR>1,P<0.05)。结论北京市顺义区儿童的口腔健康行为存在差异,不良的口腔健康行为可能是诱发龋齿的主要因素,二者间有明显的相关性,临床应尽早评估儿童的口腔健康行为情况,并针对性采取合理干预,以减少龋齿的发生。

Objective To observe the oral health behavior of children in Shunyi District of Beijing and to analyze the correlation between oral health behavior and the occurrence of dental caries.Methods The physical examination data of 469 children aged between 11 and 12 years old in the Hospital of Shunyi District Beijing from January 2017 to January 2018 were selected as the research objects.All the children received dental health examination,and oral health behaviors were investigated by using the oral health epidemiology questionnaire in Shunyi District,Beijing.The incidence of caries in children was observed,and all children were divided into occurrence group and non-occurrence group according to the incidence of dental caries,the effects of oral health behaviors on the occurrence of dental caries were analyzed.Results Of the 469 children,85 children had dental caries,with an incidence rate of 18.12%;the proportion of effective brushing(occasionally or never),the age to start brushing(>five years old),the frequency of brushing teeth(once a day),the frequency of not using fluoride toothpaste,the frequency of sweets eating(≥two times a day),and the proportion of no regular oral health examination in the occurrence group were all higher than those in the occurrence group(P<0.05);brushing their teeth checked by logistic regression analysis results showed that the effective case(occasionally OR never),start brushing age(>five years old),number of brushing teeth every day(once a day),without the use of fluoride toothpaste,frequency of sweets to eat every day(≥two times)OR higher,not regular oral health inspection are the influence factors in the devebopment of dental caries in children(OR>1,P<0.05).Conclusion There are differences in oral health behaviors among children in Shunyi District of Beijing,bad oral health behaviors may be the main cause of dental caries,and there is a significant correlation between them.In order to reduce the incidence of dental caries,it is necessary to evaluate children’s oral health behaviors as early as possible and take appropriate interventions.