Dental caries incidence and associated factors in young adults

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Chukwuebuka Ogwo BDS, MIH, MSPH, PhD, Grant Brown, John Warren DDS, MS, Daniel Caplan PHD, Steven Levy DDS, MPH
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引用次数: 0

Abstract

Objectives

To assess the caries incidence from late adolescence to early adulthood and to identify the factors associated with caries incidence.

Methods

This is a secondary analysis of longitudinal caries data of young adults aged 17–23 from the Iowa Fluoride Study cohort. The inclusion criteria required completion of dental exams at both ages 17 and 23 and having cumulative exposure (AUC) variables data for at least 8 out of the 11 time periods between ages 17 and 23. Mean imputation was used to handle the missing explanatory variable data. Multiple linear regressions were conducted using a generalized linear model to assess the effects of sociodemographic and behavioral/dietary variables on the age 17–23 adjusted cavitated caries (D2+MFS) increment (AdjCI17-23). Multicollinearity was assessed using the variance inflation factor (VIF) and the final model was selected based on the Akaike Information Criterion (AIC) using backward selection and the net effects calculated.

Results

The mean AdjCI17-23 was 2.08 (SD = 4.02). The net effects (main effect plus interactions) of higher composite socioeconomic status, higher combined daily fluoride intake, higher frequency of milk intake, lower amount of sugar-sweetened beverages intake, and lower age 17 dental caries counts were associated with lower mean AdjCI17-23.

Conclusion

The incidence of caries from age 17 to 23 in this study was low. This study suggests and reinforces the need to continue to advocate for caries preventive strategies such as fluoride use, encouraging milk intake, and reducing sugar-sweetened beverage intakes.

年轻人的龋齿发病率及相关因素。
目的:评估青少年晚期至成年早期的龋齿发病率,并确定与龋齿发病率相关的因素。方法:这是对爱荷华氟化物研究队列中17-23岁年轻人纵向龋齿数据的二次分析。纳入标准要求在17岁和23岁时完成牙科检查,并在17岁至23岁的11个时间段中至少有8个时间段的累积暴露量(AUC)变量数据。平均插补用于处理缺失的解释变量数据。使用广义线性模型进行多元线性回归,以评估社会人口统计学和行为/饮食变量对17-23岁调整后的龋齿(D2+MFS)增量的影响(AdjCI17-23)。使用方差膨胀因子(VIF)评估多共线性,并基于Akaike信息准则(AIC)使用反向选择和计算净效应来选择最终模型。结果:AdjCI17-23的平均值为2.08(SD = 4.02)。较高的综合社会经济地位、较高的每日氟化物综合摄入量、较高的牛奶摄入频率、较低的含糖饮料摄入量和较低的17岁龋齿计数的净效应(主要效应加相互作用)与较低的平均AdjCI17-23相关。结论:本研究中17至23岁的龋齿发生率较低。这项研究表明并加强了继续倡导龋齿预防策略的必要性,如使用氟化物、鼓励牛奶摄入和减少含糖饮料摄入。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
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