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社会流动性对4岁未经治疗的牙损的影响:世代间和世代内分析
Sarah Arangurem Karam1,2, Francine Dos Santos Costa1, Marcos Britto Correa3
1Graduate Program in Epidemiology, Universidade Federal de Pelotas, Pelotas, Brazil.
Caries research
|May 26, 2025
概括
社会经济流动性会影响儿童的牙健康. 来自收入或教育水平不断变化的家庭的儿童表现出更高的未经治疗的牙损伤率,突出显示了儿童早期干预的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康的社会决定因素
背景情况:
- 未经治疗的牙损是儿童早期的一个重大公共卫生问题.
- 社会经济因素在牙腐烂的流行中起着至关重要的作用.
- 了解代际和代际社会经济流动性是解决口腔健康差异的关键.
研究的目的:
- 为了确定幼儿时期未经治疗的牙损伤的患病率.
- 分析一代际社会经济数据与儿童牙之间的关联.
- 评估一代内社会经济流动性与4岁儿童未经治疗的牙之间的联系.
主要方法:
- 使用来自三个Pelotas出生队伍 (1982,1993,2015) 的数据进行了纵向研究.
- 评估了三代,儿童时期未经治疗的牙损伤 (2015) 作为依赖变量.
- 采用波桑回归来分析家庭收入,学校教育和社会流动性 (世代间和世代内) 作为独立变量.
主要成果:
- 代际分析显示,与持续低收入家庭相比,在收入上升/下降流动的家庭中,未经治疗的病减少了约10个百分点.
- 世代内分析显示,在上升/下降经济流动群中的儿童,未经治疗的牙损伤的患病率是高收入群中的儿童的两倍.
- 上升/下降流动性的特定患病率 (PR) 分别为2.04 (95% CI 1.52-2.71) 和2.07 (95% CI 1.56-2.74).
结论:
- 儿童未经治疗的牙与家庭的社会经济地位和母亲的收入/教育流动性有关.
- 针对幼儿社会经济条件的干预措施对于改善儿童口腔健康结果至关重要.
- 解决社会经济决定因素对于降低儿科人口中牙损伤患病率至关重要.
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