The Prevalence and Associated Risk Indicators of Dental Fluorosis in China: Findings from the 4th National Oral Health Survey

被引：19

作者：

Zhou, Yan ^{[1
,2
]}

Chen, Dong Ru ^{[1
,2
]}

Zhi, Qing Hui ^{[1
,2
]}

Tao, Ye ^{[1
,2
]}

Wang, Xing ^{[3
]}

Feng, Xi Ping ^{[4
]}

Tai, Bao Jun ^{[5
]}

Hu, De Yu ^{[6
]}

Wang, Bo ^{[3
]}

Wang, Chun Xiao ^{[7
]}

Zheng, Shu Guo ^{[8
]}

Liu, Xue Nan ^{[8
]}

Rong, Wen Sheng ^{[8
]}

Wang, Wei Jian ^{[8
]}

Si, Yan ^{[8
]}

Lin, Huan Cai ^{[1
,2
]}

机构：

[1] Sun Yat Sen Univ, Hosp Stomatol, Guanghua Sch Stomatol, Dept Prevent Dent, 56 West Lingyuan Rd, Guangzhou 510000, Guangdong, Peoples R China

[2] Guangdong Prov Key Lab Stomatol, Guangzhou, Guangdong, Peoples R China

[3] Chinese Stomatol Assoc, Beijing, Peoples R China

[4] Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 9, Sch Med, Shanghai, Peoples R China

[5] Wuhan Univ, Sch & Hosp Stomatol, Wuhan, Hubei, Peoples R China

[6] Sichuan Univ, West China Hosp Stomatol, Chengdu, Sichuan, Peoples R China

[7] Chinese Ctr Dis Control & Prevent, Beijing, Peoples R China

[8] Peking Univ, Sch & Hosp Stomatol, Beijing, Peoples R China

来源：

CHINESE JOURNAL OF DENTAL RESEARCH | 2018年 / 21卷 / 03期

关键词：

dental fluorosis; prevalence; risk indicator; the 4th National Oral Health Survey;

D O I：

10.3290/j.cjdr.a41081

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Objective: To explore the prevalence and associated risk indicators of dental fluorosis in the mainland of China. Methods: Data for this study was obtained from the 4th National Oral Health Survey in China, conducted from 2015 to 2016. The sample population was 12-year-old school students. Study participants were selected using a multi-stage, stratified random sample selection procedure using a sampling frame compiled from geographical distribution of China. Me level of dental fluorosis was determined using the Dean index recommended by the World Health Organization (WHO). A structured questionnaire was distributed to all the subjects in schools. Participants completed a questionnaire with assistance from staff A bivariate analysis was performed using the chi-square test. Logistic regression was performed to evaluate the association between dental fluorosis and the independent variables. Results: A total of 27,495 students were evaluated, of which 13,650 (49.6%) were male. Overall, dental fluorosis was found in 13.4% of participants; 6.3% had very mild fluorosis, 4.3% had mild fluorosis, 2.3% had moderate fluorosis, and 0.5% had severe fluorosis. The community fluorosis index was 0.28. In the final logistic regression model students from rural areas (RR: 1.582, 95%CI 1.473-1.700), students whose fathers had low education (RR: 1.429, 95%CI 1.230-1.661 & 1.184, 95%CI 1.026-1.365), and those students with sibling (RR: 1.537, 95%CI 1.414-1.671) were more significantly associated with dental fluorosis. Conclusion: As a whole, China has a low dental fluorosis prevalence. Rural areas were the key places for the prevention of dental fluorosis. More prevention measures should be conducted on the children whose fathers were of lower education and who were not an only child.

引用

页码：205 / 211

页数：7