scholarly journals Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

2020 ◽  
Author(s):  
Meng Zhang ◽  
Xinyue Zhang ◽  
Yuan Zhang ◽  
Yanan Li ◽  
Chunchun Shao ◽  
...  

Abstract Background: The high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us in enriching the content of OHE. The objective of this study was to further assess independent risk factors for ECC at different ages to provide evidence and insights for OHE. Methods : Children aged 3-5 years old (N=1301) in Shandong Province were enrolled in this cross-sectional study. Data about oral health status and caregivers’ oral health knowledge, attitude, and practice (KAP) were extracted from the 4th National Oral Health Survey of China. The associations between ECC prevalence and various KAP variables were tested with chi-square tests, bivariate analysis and multivariable logistic regression analyses. Results: The ECC prevalence in Shandong Province was 64.6%, and the dmft mean was 3.15. The independent variables with an increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, experience of toothache over the past year and dental visits (P <0.05, chi-square tests). Complete artificial feeding within 6 months of birth primarily contributed to the high risk of the 3-year-old group (OR: 0.28, 95% CI: 0.12-0.69), while high frequency bedtime sweet consumption mainly contributed to that of the 5-year-old group (OR: 3.22, 95% CI: 1.03-10.06; logistic regression analysis). Interestedly, tooth brushing was not associated with ECC in this study, and some positive knowledge and attitude variables were positively correlated with a high risk of ECC. Conclusion : These data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which provides some insights for OHE. We should highlight the effects of feeding methods in the early stages of deciduous dentition and sugar habits in the late stages of deciduous dentition on ECC, as well as encourage preventive dental visit and supplemental training for oral health practices.

2020 ◽  
Author(s):  
Meng Zhang ◽  
Xinyue Zhang ◽  
Yuan Zhang ◽  
Yanan Li ◽  
Chunchun Shao ◽  
...  

Abstract Background: The high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us in enriching the content of OHE. The objective of this study was to further assess independent risk factors for ECC at different ages to provide evidence and insights for OHE.Methods: Children aged 3-5 years old (N=1301) in Shandong Province were enrolled in this cross-sectional study. Data about oral health status and caregivers’ oral health knowledge, attitude, and practice (KAP) were extracted from the 4th National Oral Health Survey of China. The associations between ECC prevalence and various KAP variables were tested with chi-square tests, bivariate analysis and multivariable logistic regression analyses.Results: The ECC prevalence in Shandong Province was 64.6%, and the dmft mean was 3.15. The independent variables with an increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, experience of toothache over the past year and dental visits (P<0.05, chi-square tests). Complete breastfeeding within 6 months of birth primarily contributed to the high ECC risk of the 3-year-old group (OR: 3.39, 95% CI: 1.41-8.17), while high frequency bedtime sweet consumption mainly contributed to that of the 5-year-old group (OR: 3.22, 95% CI: 1.03-10.06; logistic regression analysis). Tooth brushing was not associated with ECC in this study, and some positive knowledge and attitude variables were positively correlated with a high risk of ECC.Conclusion: These data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which provides some insights for OHE. We should highlight the effects of feeding methods in the early stages of deciduous dentition and sugar habits in the late stages of deciduous dentition on ECC, as well as encourage preventive dental visit and supplemental training for oral health practices.


2020 ◽  
Author(s):  
Zhifeng Wang ◽  
Meng Zhang ◽  
Xinyue Zhang ◽  
Yuan Zhang ◽  
Yanan Li ◽  
...  

Abstract Background: The high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us in enriching the content of OHE. The objective of this study was to further assess independent risk factors for ECC at different ages to provide evidence and insights for OHE.Methods: Children aged 3-5 years old (N=1301) in Shandong Province were enrolled in this cross-sectional study. Data about oral health status and guardians’ oral health knowledge, attitude, and practice (KAP) were extracted from the 4th National Oral Health Survey of China. The associations between ECC prevalence and various KAP variables were tested with chi-square tests, bivariate analysis and multivariable logistic regression analyses.Results: The ECC prevalence in Shandong Province was 64.6%, and the dmft mean was 3.15. The independent variables with an increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, experience of toothache over the past year and dental visits. Feeding methods primarily contributed to the high risk of the 3-year-old group, while sugar habits mainly contributed to that of the 5-year-old group. The association between brushing and ECC was not confirmed in this study, and some positive knowledge and attitude variables were unexpectedly positively correlated with a high risk of ECC. Conclusion: These data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which provides some insights for OHE. Specifically, in addition to promoting preventive dental visit, we should highlight the effects of feeding methods in the early stages of deciduous dentition and sugar habits in the late stages of deciduous dentition on ECC, as well as encourage supplemental training for food oral health practices.


2019 ◽  
Author(s):  
meng zhang ◽  
Xinyue Zhang ◽  
Yuan Zhang ◽  
Yanan Li ◽  
Chunchun Shao ◽  
...  

Abstract Background Dental health education (DHE) plays a vital role in the prevention of early childhood caries (ECC). There are a large number of studies on ECC risk factor assessment to enrich the content of DHE, but such research rarely provides some guidance and assistance for the design and optimization of DHE strategies. Therefore, this study aims to improve this information by analyzing risk factors at different ages and caries levels.Methods The children aged 3-5-year-old was enrolled in this cross-sectional study. Their oral condition was evaluated according to WHO criteria. Simultaneously, a questionnaire containing the oral health knowledge, attitude, practice (KAP) was completed by guardians. Chi-square test and regression analysis were performed to analyze the ECC difference of KAP variables in different grouping methods, and to construct models to assess the risk factors.Results A total of 1301 children’s data were included for statistical analysis. Caries prevalence was 64.6%, the dmft mean was 3.15. Independent associations with increased risk for ECC were age, some KAP variables related to feeding, sugar consumption, and brushing ( P =0.000 based on multivariable regression analysis). 3-year-old group were primarily associated with some KA variables ( P =0.000). As children grow up, practice variables became the main risk factor (4- and 5-year old age group model: P=0.014 and 0.000). And more practice variables were independently associated with the severe-caries-group than mild-caries-group (P=0.000).Conclusion This survey demonstrates that the ECC-related risk factors in different ages and different caries levels are different, which will facilitate us to design more personalized and strategic DHE content.


2019 ◽  
Author(s):  
Zhifeng Wang ◽  
Meng Zhang ◽  
Xinyue Zhang ◽  
Yuan Zhang ◽  
Yanan Li ◽  
...  

Abstract Background: The high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us enrich the content of OHE. The objective of this study, while, was to further assess independent risk factors for ECC at different ages and provide evidence and insight for OHE. Methods : Data about oral health status, and oral health knowledge, attitude, practice (KAP) from the questionnaire completed by caregivers among children 3 to 5 years of age (N=1301) in Shandong province were extracted from the 4 th National Oral Health Survey in China. The association between ECC prevalence and various KAP variables was tested in Chi-square test, bivariate analysis and by multivariable logistic regression analyses. Results: The ECC prevalence in Shandong province was 64.6%, the dmft mean was 3.15. Independent associations with increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, the experience of toothache over past one year and dental visit. And feeding methods primarily contribute to the high risk of 3-year-old group, while sugar habits mainly contribute to 5-year-old group. The association between brushing and ECC was not confirmed in this study, and correct cognition was unexpectedly positively correlated with the high risk of ECC. Conclusion: These data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which give some insights for OHE, that is in addition to promoting preventive dental visit, we should also highlight the effect of feeding methods in the early of deciduous dentition and sugar habits in the late stage of deciduous dentition on ECC and the supplement of practice training.


2017 ◽  
Vol 37 (2) ◽  
pp. 99-106 ◽  
Author(s):  
Olubunmi Olusola Bankole ◽  
Folake Barakat Lawal

Misconceptions about the teething process has led to high infant morbidity and mortality, which was recently experienced in Nigeria due to consumption of an adulterated drug used in the prevention and treatment of teething-related illnesses in infants. It is however, unknown if these misconceptions still persist in a rural town in Nigeria despite oral health awareness campaigns targeted at this. The aim of this study is to assess the beliefs and practices of residents in Igbo Ora, a rural township in Nigeria, regarding the teething process. A descriptive cross-sectional study was conducted among 393 adults in Igbo Ora using a 33-item, semistructured questionnaire. Symptoms such as diarrhea (80.7%), fever (69.2%), and boils (64.4%) were still considered as a must to accompany teething. Teething powder, teething syrup, and traditional concoctions were commonly recommended by (42.0%), (31.6%), and (48.1%) of the respondents, respectively, to treat and prevent teething symptoms. This study revealed that misconceptions about teething are still highly prevalent among the populace in Igbo Ora, and a structured oral health education intervention at the community level is urgently needed.


2021 ◽  
Vol 15 (9) ◽  
pp. 2961-2965
Author(s):  
Faisal Izhar ◽  
M. Saleem Rana ◽  
Maha Tanvir ◽  
Shafia Hasan ◽  
Muhammad Azizullah ◽  
...  

Oral health in the nation’s evolution, especially in this globalization, an absence of illness in the population plays a key role for a fecund and well established society. Purpose: To see the impact of oral health education intervention to improve oral health practices along-with formation of new carious lesions after oral health education after 3 months of intervention. Study Design: Cross sectional study. Methodology: Children (n=383) were included in present study through non-probability, convenient sampling technique. Children who fulfilled the inclusion criteria were examined with the examination tools on the dental unit office in the RHC for caries risk using a pre-validated caries risk assessment checklist and dental caries detection form. Statistical analysis: Data analyzed by SPSS 21.0v. Results: Majority of respondents (383) 100% didn’t have access to fluoridated water supply. Only 23.5% of the respondents have literate parent’s majority of them (76.5%) have illiterate parents. All the respondents 100% were at moderate risk. In comparison of risk associated with teeth missing due to caries in past 36 months, the respondents at low risk were 63.2%, High risk were 25.3% and moderate risk were 11.5%. Conclusion: This study concluded that intervention of oral hygiene instruction has produced significant results in motivating people for cleaning teeth regularly and avoiding the use of sugary foods and beverages to maintain their oral and general health. The study has interventions of tooth brush with paste and oral hygiene instruction for motivating and treating people. Key Words: Early Childhood Caries, Risk Assessment, Health Education and Oral Hygiene.


2021 ◽  
Author(s):  
Najmunnisa K P ◽  
Susan Thomas Thomas ◽  
Mary Shimi S Gomez ◽  
Jesline Merly James ◽  
Vivek Narayan

Abstract BackgroundBeliefs and attitudes of community health workers affect their oral health behaviour and knowledge which in turn affects their potential to motivate the public to undertake preventive oral health measures. This study was performed to assess knowledge, attitude, and practices as well as determinants of oral health behaviour among community health workers in rural regions of Kerala.MethodsA cross-sectional study was conducted among 123 community healthcare workers at primary health centres in the Ettumanoor block zone, Kottayam. A two-stage cluster sampling method was used. Data regarding knowledge, attitude, and practice of oral health were acquired through self-administered questionnaires and analyzed using SPSS software version 25. Statistical association between responses in different group of health workers were determined by using Chi-square test. Independent t-test and ANOVA were used to test the difference in attitude and knowledge scores. Bivariate and multivariate regression analyses were applied to identify factors associated with the oral health behaviour of community health workers.ResultsAbout 65% of the participants exhibited poor oral health behaviour. A positive attitude has a significant relation with oral health behaviour status of the participants (p=0.003). Community health workers who attended an oral health education program had a better oral health behaviour status when compared to those who had not attended (p=0.006). ConclusionsThe results emphasize that oral health education should be given to all the community health workers to enhance their awareness about preventive oral health care.


2021 ◽  
Vol 8 (3) ◽  
Author(s):  
Perez-Sosa Abigail M ◽  

Background: Diabetes mellitus 2 (T2D) is the leading cause of morbidity and mortality in northern Mexico. Various treatments are used to control the disease; however, the cost of these and the difficulty of dietary management have as a consequence that the patient abandons them and looks for cheaper and easier-to-use alternatives. Aim: The purpose of this study is to determine the relationship between the use of alternative medicine and adherence to medical treatment in patients with T2D. Design and Setting: Analytic cross-sectional study. Methods: An analytical cross-sectional study was designed between March and July 2019 including 464 patients with T2D from the family medicine unit #48 Ciudad Juarez, Mexico. We used the Morisky-Green scale for adherence to treatment and the use of Alternative Medicine (CAM) was evaluated with a holistic complementary and alternative medicine questionnaire. The Chi-Square test was used for comparison of proportions and risk factors were calculated using odds ratio with 95% confidence intervals. Results: 53% of patients use CAM; biological therapy (herbs and supplements) is the most frequent (94%). The association between CAM use and adherence to medical treatment was 2.1 (95% CI 1.4-3.1, p= 0.001). The risk factors for the use of CAM were female sex, basic level education, uncontrolled disease and a time of evolution greater than 10 years. Conclusion: CAM users are 2.1 times more at risk of having a regular or bad adherence to medical treatment.


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