Prevalence and socio-behavioral influence of early childhood caries, ECC, and feeding habits among 6 – 36 months old children in Uganda and Tanzania

BMC Oral Health

Research Article

Asgeir Bardsen¹  Anne Nordrehaug Astrom¹  Ray Masumo²  Kijakazi Mashoto³ 

[1] Department of Clinical Dentistry, Community Dentistry, University of Bergen, Bergen, Norway;Department of Clinical Dentistry, Community Dentistry, University of Bergen, Bergen, Norway;Centre for International Health, University of Bergen, Bergen, Norway;Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania;Muhimbili University of Health and Allied Sciences, Dar Es Salaam, Tanzania;

关键词: Oral Health;    Dental Caries;    Sugar Consumption;    Early Childhood Caries;    Dental Fluorosis;   

DOI  :  10.1186/1472-6831-12-24

 received in 2012-03-01, accepted in 2012-06-27,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundEarly childhood caries (ECC) is a serious problem that has remained unexplored in sub-Saharan Africa. This study aimed to identify possible socio-behavioral correlates of ECC focusing 6–36 months old children and their caretakers.MethodsCross sectional studies were conducted in a high fluoride rural area, Manyara, Tanzania and a low fluoride urban area, Kampala, Uganda. Totals of 1221 and 816 child - caretaker pairs attending health care facilities for growth monitoring were recruited in Manyara and Kampala, respectively. All caretakers completed face to face interviews at the health care facility. Children underwent oral clinical examination whereby ECC and Enamel hypoplasia were recorded using the dmft (WHO 1997) and the DDE index (FDI 1992).ResultsThe prevalence of ECC was 3.7% in Manyara and 17.6% in Kampala. According to multiple logistic regression analyses, received oral health information from health worker was the strongest determinant of ECC in Manyara, adjusted OR 0.3, 95% CI 0.09 – 0.93. In Kampala, visible plaque, high sugar intake and presence of enamel hypoplasia associated with ECC, adjusted ORs 2.8 (95% CI 1.61- 4.95), 3.0 (95% CI 1.39 – 6.34) and 2.3 (95% CI 1.36 - 3.95).ConclusionOral health education aimed at caretakers of 6–36 months, including health care workers’ information regarding the detrimental consequences for oral health of frequent sugar consumption and poor oral hygiene is important for prevention of ECC in Tanzania and Uganda.

【 授权许可】

Unknown   
© Masumo et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.