Risk factors associated with early childhood caries among Wenzhou preschool children in China: a prospective, observational cohort study
| Autor: | Xiping Wang, Hongying Shi, Qiao Li, Zhiyuan Wei, Liqin Mei |
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| Rok vydání: | 2021 |
| Předmět: |
China
Dental Caries Susceptibility Public problem Family income Dental Caries Risk Factors Prevalence Medicine Humans Prospective Studies Aged business.industry Incidence (epidemiology) Oral health education General Medicine medicine.disease Cross-Sectional Studies Child Preschool Observational study business Early childhood caries Cohort study Demography |
| Zdroj: | BMJ Open, Vol 11, Iss 9 (2021) |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesEarly childhood caries (ECC) is a serious health public problem that affects a large proportion of children in China. This study aimed to assess risk factors for the incidence of ECC among Wenzhou (China) preschoolers.DesignProspective, observational cohort study.SettingKindergartens (n=6) in Wenzhou, China.Participants606 children who were 3–4 years of age and newly arrived in the kindergartens in September 2011.MethodsThis was a longitudinal observational study with a 2-year follow-up of preschoolers of 3–4 years of age in Wenzhou (Southeast China). Oral health data were collected annually after the baseline survey. The risk factors associated with visible caries and increment of decayed, missing and filled teeth (dmft) were analysed through univariable and multivariable regression using generalised estimating equations.ResultsThe prevalence of ECC was increasing during the follow-up period (59.8% at enrolment, 71.8% at first year, and 76.4% at second year). Older age (b=0.07; 95% CI: 0.05 to 0.09; pConclusionsThe occurrence and severity of ECC were associated with older age, caregivers (relatives or nannies), lower annual family income and more frequent consumption of sweet snacks. It is imperative to strengthen oral health education for parents and limit sugary foods/snacks. |
| Databáze: | OpenAIRE |
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