摘要
目的了解2024年成都市龙泉驿区7~9岁儿童患龋状况及影响因素,为制定辖区儿童龋病防治政策提供参考依据。方法2024年采用整群随机抽样法在成都市龙泉驿区所有街道各随机抽取2个小学,共抽取20个学校3443名7~9岁儿童及其家长分别进行口腔健康检查和问卷调查,采用χ^(2)检验、多因素Logistic回归分析7~9岁儿童患龋影响因素,检验水准α=0.05。结果3443名7~9岁儿童患龋率为66.25%,龋补率10.15%,恒牙患龋率22.39%,乳牙患龋率为62.97%,窝沟封闭率7.93%。多因素Logistic回归分析显示农村地区(OR=4.000,95%CI:3.369~4.749,P<0.001)、口腔健康状况自我评价(OR_(一般)=2.142,95%CI:1.787~2.568,P<0.001;OR_(较差)=5.204,95%CI:4.117~6.579,P<0.001)、含糖饮料消费频率(OR_(1~6次/周)=1.311,95%CI:1.080~1.592,P=0.006)、含糖奶制品及豆浆消费频率(OR_(≥1次/t天)=1.365,95%CI:1.048~1.777,P=0.021)、含氟牙膏使用情况(OR_否=1.266,95%CI:1.017~1.576,P=0.035)、家长对窝沟封闭能否预防儿童龋齿的认识(OR=1.312,95%CI:1.058~1.627,P=0.013)6个因素为龋齿发生的保护因素。结论2024年成都市龙泉驿区7~9岁儿童患龋率高,龋补率和窝沟封闭率低,应加强儿童口腔疾病综合防治工作,重点关注农村儿童防龋。
Objective To understand the caries status and influencing factors among 7-9-year-old children in Longquanyi District,Chengdu City in 2024,and to provide reference for formulating caries prevention and treatment policies for children in the district.Methods In 2024,a cluster random sampling method was used to randomly select two primary schools from each street in Longquanyi District,Chengdu City.A total of 3443 children aged 7-9 and their parents were selected from 20 schools for oral health examinations and questionnaire surveys.Chi-square tests and multivariate Logistic regression analysis were used to analyze the influencing factors of caries in 7-9-year-old children,with a significance level of α=0.05.Results The caries prevalence rate among the 3443 children aged 7-9 was 66.25%,with a caries filling rate of 10.15%,a permanent teeth caries rate of 22.39%,a deciduous teeth caries rate of 62.97%,and a pit and fissure sealant rate of 7.93%.Multivariate Logistic regression analysis showed that area of rural(odds ratio OR=4.000,95% confidence interval CI:3.369-4.749,P<0.001),self-evaluation of oral health condition(OR_(general)=2.142,95%CI:1.787-2.568,P<0.001;OR_(poor)=5.204,95%CI:4.117-6.579,P<0.001),the frequency of sugary beverage consumption(OR_(1-6 times/wee)=1.311,95%CI:1.080-1.592,P=0.006),the frequency of consuming sugary dairy products and soy milk(OR≥1 time/day=1.365,95%CI:1.048-1.777,P=0.021),no-using of fluoride toothpaste(OR=1.266,95%CI:1.017-1.576,P=0.035),and parents'awareness of whether pit and fissure sealing could prevent children's caries(OR=1.312,95%CI:1.058-1.627,P=0.013)were the six protective factors for the occurrence of dental caries.Conclusions In 2024,the caries prevalence rate among 7-9-year-old children in Longquanyi District,Chengdu City was high,while the caries filling rate and the pit and fissure sealant rate were low.Comprehensive prevention and treatment of children's oral diseases should be strengthened,with a focus on preventing caries among rural children.
作者
须文柳
师杨
黄琼
XU Wenliu;SHI Yang;HUANG Qiong(Longquanyi Center for Disease Control and Prevention,Chengdu 610100,Sichuan Province,China;Longquanyi Maternal and Child Health Hospital,Chengdu 610100,Sichuan Province,China.)
出处
《预防医学情报杂志》
2025年第12期1629-1637,共9页
Journal of Preventive Medicine Information
关键词
儿童
龋病
患龋率
影响因素
children
caries
caries prevalence
influencing factors
