口衛三陳婉慈研究成果成果" School-level Contextual Factors in Relation to Severe Early Childhood Caries among Preschool Children: A Multilevel Analysis"投稿被2017美國口腔健康研討會(National Oral Health Conference)接受，預計4月21號前往美國分享研究成果
陳婉慈分析台北市政府衛生局2014年9,794筆3-5歲學齡前兒童的齲齒與環境因素間的相關性。結果顯示，學校環境因素與幼兒早發性嚴重齲齒(Severe Early Childhood Caries,SECC) 有顯著性相關，其中就讀的學校為私立，或者學校位於健康促進社區裡的孩童有較低的機率會得到幼兒早發性嚴重齲齒。建議採取的策略應著重於健康環境的促進，以降低兒童齲齒發生率。
School-level Contextual Factors in Relation to Severe Early Childhood Caries among Preschool Children: A Multilevel Analysis
Chen, WT(陳婉慈)1; Lin, YC(林盈諄)1; Chen, SC(陳首珍)2; Lian, CC(連芷君)2; Huang, HL(黃曉靈)1
1. Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University
2. Department of Health, Taipei City Government, Taiwan
Dental caries is the severe public health issue among children in Taiwan. Limited studies have focused on broad social environment in relation to child’s oral health. This study examines the school-level contextual factors associated with severe early childhood caries (SECC) in children aged 3-5 years. Individual-level factors are controlled in the study.
A large-scale survey of children aged 3-5 was conducted in 2014 in Taipei City, Taiwan. A total of 9,794 children finished oral examination by dentists, and their caregivers completed a structured self-administered questionnaire. Child’s SECC was defined by dmft (decayed, missing or filled tooth) ≥4 (age 3), ≥5 (age 4), or ≥6 (age 5). Data analyses were performed using multilevel models.
The dental caries prevalence was 38.5%, and 7.4% of children with SECC. The school-level contextual factors appear to be related to SECC among children. Compared to their counterparts, children attending schools located in a health promotion community [adjusted odds ratio (aOR) = 0.83, 95% confidence interval (CI) 0.70–0.99] or private preschools (aOR = 0.75, 95% CI 0.62–0.91) were significantly less likely to have SECC after adjusting for individual-level factors.
The specific school attended has a positive significant effect on the lower risk of having SECC. The findings suggest that effective strategies should be focused on health promoting environments in order to reduce caries development.
The source of funding: Department of Health, Taipei City Government, Taiwan