6歳児の口腔衛生の促進。社会環境と摂食行動の影響

Promoting oral health among 6-year old children: The impact of social environment and feeding behavior.

• M Garcia-Pola
• A Gonzalez-Diaz
• J Garcia-Martin

抄録

目的:

移民と先住民の子どもたちのう蝕の有病率を調べ、食習慣、肥満度、歯垢の有無などの主要な関連因子を明らかにすること。

OBJECTIVE: To determine the prevalence of dental caries and identify key associated factors, including eating habits, body mass index, and the presence of dental plaque in immigrant and indigenous children.

基本研究デザイン:

移民および先住民の子どもたち（6歳）を対象とした観察研究で、ロジスティック回帰分析を行った。

BASIC RESEARCH DESIGN: Observational study with immigrant and native child populations (aged 6 years) with logistic regression analysis.

設定:

スペイン・アストゥリアス地方の口腔公衆衛生局

SETTING: Oral Public Health Service in the Asturias region of Spain.

参加者:

166名の児童を対象に、う蝕の有無（世界保健機関）と口腔衛生状態（O'Leary index）を調査した。食習慣に関する情報は，食品消費に関する調査（European Food Safety Authority）により収集した．

PARTICIPANTS: The presence of dental caries (World Health Organization) and oral hygiene (O'Leary index) were determined in 166 children. Information on eating habits was collected through a survey on food consumption (European Food Safety Authority).

結果:

移民家庭の子どもは、虫歯・埋伏歯指数が高かった（2.59対0.21；Crude OR：7.99［95％CI 3.620-17.636］）。単変量解析では，牛乳と果物の毎日の摂取が保護因子となった（p ⟨0.001）．多変量解析では、カリエスの存在は、移民の有無、甘い食べ物の摂取、太りすぎと関連していた（OR：13.179 [4.668-37.208]）。

RESULT: Children from immigrant families had more decayed and filled teeth index (2.59 vs. 0.21; Crude OR: 7.99 [95% CI 3.620-17.636]). In univariate analysis, protective factors were daily intake of milk and fruits (p ⟨0.001). In multivariate analysis, the presence of caries was associated with immigrant status, consumption of sugary foods, and being overweight, (OR: 13.179 [4.668-37.208]).

結論:

公的機関は、移民の子どものカリエスを減らすために、今回の結果を考慮しなければならない。

CONCLUSION: Public Institutions must take into account our results to help reduce caries in immigrant children.

Copyright© 2020 Dennis Barber Ltd.