上海口腔医学

上海口腔医学 ›› 2020, Vol. 29 ›› Issue (1): 69-74.doi: 10.19439/j.sjos.2020.01.014

• 论著 • 上一篇    下一篇

沪昆两地母亲与婴幼儿龋病风险关系的对比研究

毕潮1, 卓文剑2, 孟敏3, 李艳萍3, 陆海霞2,*, 韩晓兰1,*   

  1. 1.安徽医科大学第一附属医院 口腔科,安徽 合肥 230000;
    2.上海交通大学医学院附属第九人民医院·口腔医学院 口腔预防科,国家口腔疾病临床医学研究中心, 上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011;
    3.昆明市妇幼保健院 口腔科,云南 昆明 650031
  • 收稿日期:2019-03-29 出版日期:2020-02-25 发布日期:2020-03-09
  • 通讯作者: 韩晓兰,E-mail:656443500@qq.com;陆海霞,E-mail:ritalu0225@hotmail.com。*共同通信作者
  • 作者简介:毕潮(1993-),女,硕士研究生,E-mail:599311533@qq.com
  • 基金资助:
    上海市重中之重临床医学中心 （2017ZZ01011）

A comparative study of the relationship of mothers' and infants' risk of dental caries between Shanghai and Kunming

BI Chao1, ZHUO Wen-jian2, MENG Min3, LI Yan-ping3, LU Hai-xia2, HAN Xiao-lan1   

  1. 1.Department of Stomatology, First Affiliated Hospital of Anhui Medical University. Hefei 230000, Anhui Province;
    2.Department of Preventive Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai 200011;
    3.Department of Stomatology, Kunming Maternal And Child Health Care Hospital. Kunming 650031, Yunnan Province, China
  • Received:2019-03-29 Online:2020-02-25 Published:2020-03-09

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摘要： 目的：比较上海和昆明两地母亲的不同社会人口学背景、自身口腔健康状况和喂养婴儿的习惯对1月龄婴儿龋病风险水平影响的差异,探讨不同地域影响婴儿龋病风险水平的因素。方法：通过问卷调查和口腔临床检查,收集上海市黄浦区和昆明市西山区1月龄婴儿及其母亲的情况,同时收集母亲和婴儿的口腔内菌斑样本,评估母亲和婴幼儿龋病风险水平。采用SPSS 22.0软件包对数据进行统计分析,利用多因素Logistic回归分析筛查出沪昆两地对1月龄婴儿龋病风险水平的影响因素。结果：共有上海的165对母子和昆明的161对母子参与调查,分别有17个（10.3%）和10个（6.2%）婴儿的龋病风险水平为高危。多因素Logistic分析结果显示,在上海,怀孕前有吸烟习惯的母亲（OR=6.9,P=0.030）和学历较低（OR=6.1,P=0.035）的母亲,其孩子具有更高的龋病风险。在昆明,龋失补牙面数（decayed missing filled surface,DMFS）值较高的母亲,其孩子具有更高的龋病风险（OR=1.1,P=0.031）。结论：上海和昆明的儿童患龋风险水平在婴儿1个月时的影响因素分别为母亲怀孕前吸烟、较低学历与母亲的口腔龋病状况。

关键词: 上海, 昆明, 低龄儿童龋, 龋病风险, 母亲, 多因素分析

Abstract: PURPOSE: To compare the differences of influence of mothers' different socio-demographic background, their oral health status and feeding behavior on their one-month-old infants' risk of dental caries between Shanghai and Kunming, and to explore the factors affecting infants' risk of dental caries in different regions. METHODS: One-month-old infants and their mothers from Huangpu district of Shanghai and Xishan district of Kunming were recruited in the study. Oral plaque samples of mothers and their infants were collected to assess their risk of dental caries. Statistical analysis was performed using SPSS 22.0 software package, and multivariate logistic regression analysis was used to screen the factors affecting the risk of infantile rickets in Shanghai and Kunming. RESULITS: A total of 165 mother-child pairs in Shanghai and 161 mother-child pairs in Kunming participated in the survey, and the proportion of infants who were at high risk of caries was 10.3% and 6.2%, respectively. The result of multivariate logistic analysis indicated that the infants whose mother smoked before pregnancy (OR=6.9, P=0.030) and attained lower education level (OR=6.1, P=0.035) had higher risk of caries in Shanghai; while in Kunming, the infants whose mother had higher DMFS values were at higher risk of caries (OR=1.1, P=0.031). CONCLUSIONS: Factors affecting one-month-old infants' risk of caries in Shanghai and Kunming were pre-pregnancy maternal cigarette smoking, mother's lower education level and mother's dental caries status, respectively.

Key words: Shanghai, Kunming, Early childhood caries, Risk of caries, Mother, Multivariate analysis

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