2008 至 2019 年巴西学龄前儿童龋齿流行趋势和年龄段队列效应。

IF 1.5 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Brazilian oral research Pub Date : 2024-01-05 eCollection Date: 2024-01-01 DOI:10.1590/1807-3107bor-2024.vol38.0004
Yassmín Hêllwaht Ramadan, Jessica Klöckner Knorst, Bruna Brondani, Bernardo Antonio Agostini, Thiago Machado Ardenghi
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引用次数: 0

摘要

本研究旨在评估学龄前儿童龋齿患病率的趋势以及考虑到不同时间变化的相关因素。这是一项时间序列研究,使用的数据来自 2008 年、2013 年和 2019 年对巴西南部学龄前儿童进行的三项横截面研究。这些儿童出生在 2003 年至 2018 年之间。龋齿通过乳牙龋坏、缺失和填充(dmft 指数)进行评估。此外,还收集了人口、社会经济、行为和社会心理变量。采用卡方检验趋势,并使用多层次泊松回归模型进行分层年龄-时期-队列(HAPC)分析,以检验预测变量与龋齿经历之间的关联。共有 1 644 名学龄前儿童参与了所有调查。考虑到所有 APC 效应,龋齿发生率存在明显差异。2008年的龋齿患病率为25.0%,2013年为16.3%,2019年为19.4%(p < 0.01),未观察到统计学差异。年龄效应表明,年龄较大的儿童更容易患龋齿。考虑到队列效应,代际之间存在显著差异,主要是在 2003 年和 2018 年之间。无论时间如何变化,家庭收入、牙科服务使用情况以及父母对儿童口腔健康的看法都与龋齿经历有关。尽管最近学龄前儿童的龋齿患病率有所下降,但龋齿水平随着年龄的增长而增加,社会不平等现象多年来持续存在,这表明有必要重新审视减轻这种口腔疾病负担的政策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trends and age-period-cohort effect on dental caries prevalence from 2008 to 2019 among Brazilian preschoolers.

This study aimed to evaluate trends in the prevalence of dental caries in preschool children and associated factors considering different time variations. This is a time series study performed using data from three cross-sectional studies with pre-school children from southern Brazil in 2008, 2013 and 2019. This children group was born between the years of 2003 to 2018. Dental caries was evaluated by decayed, missing and filled deciduous teeth (dmft index). Demographic, socioeconomic, behavioural and psychosocial variables were also collected. Chi-square test for trends and a hierarchical age-period-cohort (HAPC) analysis using multilevel Poisson regression model for testing the associations between predictor variables and dental caries experience were used. A total of 1,644 pre-school children participated in all surveys. There was a significant difference in caries experience considering all APC effects. The prevalence of dental caries was 25.0% in 2008, 16.3% in 2013, and 19.4% in 2019 (p < 0.01) and no statistical difference was observed. An age effect showed that older children were more likely to experience dental caries. Considering the cohort effect, there is a significant difference between the generations, mainly between 2003 and 2018. Household income, use of dental services, and parent's perception of child oral health were associated with dental caries experience no matter the time variation. Despite recent declines in dental caries prevalence among preschool children, caries levels increased with age and social inequalities persisted through the years, indicating a need of reviewing the policies to reduce the burden of this oral disease.

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来源期刊
CiteScore
3.70
自引率
4.00%
发文量
107
审稿时长
12 weeks
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