健康的社会决定因素与磨牙-切牙低矿化（MIH）有关：来自德国巴伐利亚州横断面研究的结果。

IF 5.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of dentistry Pub Date : 2025-09-21 DOI:10.1016/j.jdent.2025.106122

Nour Ammar , Karl-Ferdinand Fresen , Ramy Gaballah , Helen Irina Schill , Stefanie Amend , Vinay Pitchika , Joachim Heinrich , Norbert Krämer , Jan Kühnisch

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引用次数: 0

摘要

这项以人群为基础的研究调查了德国巴伐利亚州8- 10岁儿童的磨牙切牙低矿化（MIH）、龋齿和健康的社会决定因素之间的关系，这些社会决定因素包括家庭社会经济地位（SES）、地区国内生产总值（GDP）和地区人口密度。随机选取87所学校的5418名儿童进行临床检查。发放家长问卷，收集家庭经济社会地位信息，共收到1315份问卷（代表子样本）。地区GDP和人口密度数据从官方数据库检索。采用边缘化零膨胀负二项回归分析数据，确定发病率比（IRR）和调整优势比（aOR）。亚样本中（年龄9.7±0.6岁，女性占47%），乳牙（idmft>0）和恒牙（idmft>0） MIH和龋患病率分别为20.0%、33.0%和14.6%。回归分析显示，经济社会地位（IRR: 1.14(1.02 ~ 1.27)）、国内生产总值(IRR: 2.58 (1.34 ~ 5.00)；aOR: 5.23(3.74 - 7.32))，人口密度(IRR: 1.27 (1.11 - 1.45)；aOR: 1.30(1.14 - 1.48))与MIH显著相关。SES (IRR: 0.90 (0.85 - 0.96)；优势:0.90 (0.82 - 0.98)),GDP (IRR: 1.52 (1.77 - 1.96);aOR: 2.82(1.80 - 4.42))、人口密度（aOR: 1.13(1.03 - 1.25)）和龋齿。在总样本的数据中也观察到类似的趋势。结果显示，MIH与健康的社会决定因素之间存在一致的正相关关系。这些发现挑战了关于口腔健康差异的传统假设，因为MIH在更富裕的人群中更为普遍，而不是在弱势人群中。

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Social determinants of health are associated with molar-incisor hypomineralization (MIH): Results from a cross-sectional study in Bavaria, Germany

This population-based study investigated the associations between Molar Incisor Hypomineralization (MIH), caries, and the social determinants of health represented by a family’s socioeconomic status (SES), regional Gross Domestic Product (GDP), and regional population density in 8- to 10-year-olds from Bavaria, Germany.

A total of 5418 children from 87 randomly selected schools were clinically examined. Parental questionnaires were distributed to collect information on the families’ SES, and 1315 questionnaires (representing the subsample) were available. Regional GDP and population density data were retrieved from official databases. The data were analysed using marginalized zero-inflated negative binomial regression, and Incidence Rate Ratios (IRR) and adjusted Odds Ratios (aOR) were determined.

In the subsample (aged 9.7 ± 0.6 years, 47 % female), the prevalence rates of MIH and caries in the primary (idmft > 0) and permanent dentitions (IDMFT > 0) were 20.0 %, 33.0 %, and 14.6 %, respectively. Regression analyses revealed that the SES (IRR: 1.14 (1.02 – 1.27)), GDP (IRR: 2.58 (1.34 – 5.00); aOR: 5.23 (3.74 – 7.32)), and population density (IRR: 1.27 (1.11 – 1.45); aOR: 1.30 (1.14 – 1.48)) were significantly associated with MIH. Significant trends were observed between the SES (IRR: 0.90 (0.85 – 0.96); aOR: 0.90 (0.82 – 0.98)), GDP (IRR: 1.52 (1.77 – 1.96); aOR: 2.82 (1.80 – 4.42)), and population density (aOR: 1.13 (1.03 – 1.25)) and caries. Similar trends were observed in the data from the total sample.

The results revealed consistent positive associations between MIH and the social determinants of health. These findings challenge conventional assumptions about oral health disparities, as MIH was more prevalent in more prosperous, rather than disadvantaged populations.

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来源期刊

Journal of dentistry 医学-牙科与口腔外科

CiteScore

7.30

自引率

11.40%

发文量

349

审稿时长

35 days

期刊介绍： The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.