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首页> 外文期刊>International dental journal >An epidemiological study of dental caries and associated factors among children residing in orphanages in Kerala, India: Health in Orphanages Project ( HOP HOP e)
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An epidemiological study of dental caries and associated factors among children residing in orphanages in Kerala, India: Health in Orphanages Project ( HOP HOP e)

机译：印度喀拉拉邦儿童牙科龋齿及相关因素的流行病学研究：孤儿院项目的健康（HOP HOP E）

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Background It is estimated that, as of 2010, there were 32 million orphaned children in India. There is little published information on the oral health of children in orphanages in India. Aim To determine caries status and associated risk factors among children in orphanages in Kerala, India. Methods This cross‐sectional study assessed caries using World Health Organization ( WHO) criteria, and caries experience was reported as decayed, missing and filled primary or secondary teeth (dmft or DMFT, respectively). A brief questionnaire captured information on child oral health behaviours. Mean [standard deviation ( SD )] and median [interquartile range (IQR)] scores were used to describe caries rates. Multivariable logistic regression analysis was conducted to identify independent disease predictors. Study design complexities, such as clustering by orphanage and stratification by district, were accounted for in the multivariable regression analysis. This was carried out using the survey commands in STATA 13. A value of P 0.05 was considered as statistically significant. Results Overall, 1,137 children residing in 31 orphanages across the State of Kerala were recruited to the study. Female children made up 82% of the sample. In 6‐year‐old children the prevalence of caries was 77% and the mean dmft score was 3.60 ( SD = 3.50); in 12‐year‐old children the prevalence of caries was 44% and the mean DMFT score was 1.35 (SD = 1.96). Among 12‐year‐old children, those who reported being shown how to clean their teeth were less likely to have caries (odds ratio?=?0.62; 95% confidence interval: 0.38–0.95). Conclusion Caries rates among children in orphanages were much higher than among children in the general population in Kerala. There is an urgent need for evidence‐based and sustainable primary prevention strategies to reduce the burden of caries in this highly vulnerable population.
机译：背景技术据估计，截至2010年，印度有3200万个孤儿儿童。关于印度孤儿院的儿童口腔健康状况很少。旨在确定印度喀拉拉邦孤儿院儿童的龋病状态和相关危险因素。方法使用世界卫生组织（世卫组织）标准评估这种横断面研究龋齿和龋齿经验分别被报告为腐烂，丢失和填充的初级或次牙（DMFT或DMFT）。简要问卷捕获了有关儿童口腔健康行为的信息。平均值[标准偏差（SD）]和中位数[四分位数范围（IQR）]分数用于描述龋齿速率。进行多变量逻辑回归分析以识别独立疾病预测因子。研究设计复杂性，例如孤儿院和地区分层的聚类，占多变量回归分析。这是使用Stata 13中的调查命令进行的.P＆ 0.05的值被认为是统计学上显着的。结果总体而言，1,137名儿童居住在喀拉拉邦境内的31个孤儿院，招募了这项研究。女性儿童占样品的82％。在6岁的孩子中，龋齿的患病率为77％，平均dmft得分为3.60（SD = 3.50）;在12岁的孩子中，龋齿的患病率为44％，平均dmft得分为1.35（SD = 1.96）。在12岁的孩子中，据报道的人展示了如何清洁牙齿的可能性不太可能有龋齿（赔率比？=？0.62; 95％置信区间：0.38-0.95）。结论孤儿院儿童的龋齿比喀拉拉邦一般人群中的儿童高得多。迫切需要证据为基础和可持续的初级预防策略，以减少这种高度脆弱的人口中龋齿的负担。

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