儿童牙损伤与被动吸烟的关联
C Andrew Aligne1, Mark E Moss, Peggy Auinger
1Pediathink, Rochester, NY, USA. andy@pediathink.com
JAMA
|March 14, 2003
概括
暴露在被动吸烟的儿童患牙的风险明显更高,特别是在他们的母牙. 减少二手烟的暴露对于改善儿童的口腔健康和预防牙至关重要.
科学领域:
- 儿科健康 儿科健康
- 环境健康 环境健康
- 牙科公共卫生 牙科公共卫生
背景情况:
- 牙损伤是最常见的慢性儿童疾病,不成比例地影响低收入人口.
- 这种差异的根本原因尚未完全理解.
- 被动吸烟是儿童牙损伤的潜在可修改的危险因素.
研究的目的:
- 为了研究牙损伤与儿童血清中丁氨酸水平之间的关联.
- 为了确定被动吸烟是否与牙的流行有关.
主要方法:
- 利用了来自第三次国家健康和营养检查调查 (1988-1994) 的3531名4至11岁儿童的横截面数据.
- 被动吸烟的定义是血清中胆胺水平 (0.2-10 ng/mL) 和牙腐烂 (未填充) 或填充的牙表面.
- 分析了科提宁水平和虫之间的关系,并调整了人口统计和社会经济因素.
主要成果:
- 百分之五十三的儿童显示了可提宁水平,这表明他们被动吸烟.
- 较高的哥提宁水平与牙表面 (OR 2.1) 和填充 (OR 1.4) 都有显著的关联.
- 据估计,被动吸烟占腐烂牙表面的27%和填充的落叶牙表面的14%.
结论:
- 环境烟草烟雾暴露与儿童牙变风险增加有关.
- 减少被动烟雾暴露对于预防儿童医疗问题和促进牙健康至关重要.
- 公共卫生倡议应应对二手烟,以改善儿童的口腔健康.
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