First Thousand Days of Child Life and the Development of Risk Factors for Malocclusions

Eliane Traebert, Ione Jayce Ceola Schneider, Sandra Espíndola Lunardelli, Abelardo Nunes Lunardelli, Luiz Gustavo Teixeira Martins, Jefferson Traebert
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Abstract

Objective: To identify the association between individual and socioeconomic factors during the first thousand days of the child's life and the occurrence of risk behaviors for the development of malocclusions. Material and Methods: Cross-sectional study. A sample of 655 6-year-old schoolchildren and families was included. Interviews with mothers were performed at home. The dependent variables were risk behaviors to the development of malocclusions. Independent variables were socioeconomic conditions, aspects of gestation, birth and health of the child up to two years of age. Bivariate and multivariate analyzes were performed through Poisson regression. Results: Maternal education of less than eight years was independently associated with the interruption of exclusive breastfeeding until the fourth month (PR=1.58 CI 95%; 1.07; 2.37). Occupation of the mother with income [PR=1.26; 1.02; 1.56)], occupation of the father without income [PR=1.46 (1.01; 2.14)] were associated fwith interruption of breastfeeding until the sixth month. Pregnancy in adolescence [PR=0.83 (0.70; 0.98)] and nursery attendance [PR=1.15 (1.02; 1.28)] were associated with bottle use. Nursery attendance [PR=1.27 (1.01; 1.59)], hospitalization in the first 29 days of life [PR=1.34 (1.01; 1.80)], occurrence of reflux [PR=1.30 (1.01; 1.70)] were associated with pacifier using. Conclusion: Variables related to the period of the first thousand days of life are associated with higher risk behaviors for the occurrence of malocclusions.
儿童生命的头一千天与错颌危险因素的发展
目的:探讨儿童出生后1000天个体因素和社会经济因素与错颌发育危险行为发生的关系。材料与方法:横断面研究。样本包括655名6岁的学童和家庭。对母亲的采访是在家里进行的。因变量为误合发生的危险行为。独立变量包括社会经济条件、怀孕、出生和儿童两岁前的健康等方面。通过泊松回归进行双变量和多变量分析。结果:母亲受教育时间少于8年与中断纯母乳喂养至第4个月独立相关(PR=1.58 CI 95%;1.07;2.37)。有收入母亲的职业[PR=1.26;1.02;(1.56)],无收入父亲的职业[PR=1.46 (1.01;[2.14]与6个月前中断母乳喂养有关。青春期怀孕[PR=0.83 (0.70;0.98)]和托儿所看护[PR=1.15 (1.02;1.28)]与瓶子使用有关。托儿所出勤率[PR=1.27 (1.01;1.59)],出生后29天住院[PR=1.34 (1.01;1.80)],发生反流[PR=1.30 (1.01;1.70)]与使用奶嘴有关。结论:与出生后1000天相关的变量与发生错牙合的高危行为相关。
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