小児の虫歯と受動喫煙の関連性
C Andrew Aligne1, Mark E Moss, Peggy Auinger
1Pediathink, Rochester, NY, USA. andy@pediathink.com
JAMA
|March 14, 2003
まとめ
被動喫煙に曝された子どもは,特に母歯の虫歯を発症するリスクが著しく高くなります. 二手喫煙の曝露を減らすことは,子どもの口腔健康を改善し,虫歯を予防するために非常に重要です.
科学分野:
- 小児の健康に関する小児保健
- 環境衛生 環境衛生 環境衛生
- 歯科公衆衛生 歯科公衆衛生について
背景:
- 虫歯は,最も一般的な慢性的な小児疾患であり,低所得層に不釣り合いな影響を及ぼしています.
- この格差の根本的な理由は完全に理解されていません.
- パッシブ・喫煙は,幼児期における虫歯の潜在的修正可能な危険因子である.
研究 の 目的:
- 子どもの歯の虫歯と血清コチニン濃度の関連性を調査する.
- 受動喫煙が虫歯の有病率と関連しているかどうかを判断する.
主な方法:
- 第3回全国保健栄養調査 (1988-1994) の4歳から11歳までの3531人の子供の横断データを使用した.
- 血清コチニン濃度 (0.2−10 ng/mL) による被動喫煙と,腐った (未充填) または充填された歯の表面による虫歯を定義します.
- コチニン濃度と虫歯の関係性を分析し,人口統計的,社会経済的要因を考慮した.
主要な成果:
- 子供の53%は,被動喫煙を示すコチニン濃度を示した.
- コチニンの濃度の上昇は,虫歯 (OR 2.1) と,落葉歯の表面 (OR 1.4) とともに有意に関連していました.
- パッシブ喫煙は27%の虫歯と14%の落葉歯の表面に起因すると推定されています.
結論:
- 環境におけるたばこ煙への曝露は,小児における虫歯のリスク増加と関連しています.
- パッシブ・スモークの曝露を減らすことは,子供の医療問題を予防し,歯の健康を促進するために不可欠です.
- 公共衛生の取り組みは,子どもの口腔健康を改善するために,二手喫煙に対処すべきです.
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