关键调解者 减少早期儿童的社会经济不平等
A T M Dao1,2,3, L G Do1, N Stormon1,4
1School of Dentistry, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Queensland, Australia.
JDR clinical and translational research
|September 11, 2025
概括
在幼儿时期减少自由糖摄入量 (FSI) 可以将社会经济地位 (SES) 对幼儿牙 (ECC) 的影响减半. 有针对性的FSI减少干预措施显示出降低ECC风险和差异的希望.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 社会经济地位 (SES) 显著影响儿童早期 (ECC) 负担.
- 解决ECC中与SES相关的差异仍然是一个复杂的公共卫生挑战.
- 识别关键调解者对于制定有针对性的干预措施至关重要.
研究的目的:
- 确定和量化最具影响力的调解者,将SES与ECC发生联系起来.
- 为有针对性的干预提供信息,旨在减少ECC中与SES相关的差异.
- 使用先进的因果调解分析进行精确的量化.
主要方法:
- 从前性队列研究中分析了2,182个母婴二.
- 评估SES,自由糖摄入量 (FSI),口腔卫生,牙医访问模式和ECC指标.
- 使用反事实框架量化自然间接影响 (NIE) 的因果调解分析.
主要成果:
- 自由糖摄入量 (FSI) 是唯一关联SES和ECC的重要媒介.
- 在SES的1-SD变化对应于通过FSI.ECC风险的6%变化.
- FSI占SES对ECC总影响的52%,而口腔卫生和牙科检查并没有介导这种影响.
结论:
- 减少幼儿期的FSI可以减轻ECC中大约一半的SES相关差异.
- 专注于减少FSI的有针对性的干预措施有望降低ECC风险.
- 建议优先考虑营养教育和降低糖分,以预防早期的ECC,特别是在低SES人口中.
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