Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987–2013

Early childhood caries (ECC) is the most common chronic disease in young children. Its reported prevalence varies greatly across China. This systematic review aimed to explore the epidemiological characteristics of ECC in mainland China from 1987 to 2013. In total, 102 articles were included. The po...

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Main Authors:	Zhang, Xiaonan, Yang, Sheng, Liao, Zhaoying, Xu, Ling, Li, Conghua, Zeng, Huan, Song, Jinlin, Zhang, Lei
Format:	Online
Language:	English
Published:	Nature Publishing Group 2016
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4725361/

id	pubmed-4725361
recordtype	oai_dc
spelling	pubmed-47253612016-01-28 Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987–2013 Zhang, Xiaonan Yang, Sheng Liao, Zhaoying Xu, Ling Li, Conghua Zeng, Huan Song, Jinlin Zhang, Lei Article Early childhood caries (ECC) is the most common chronic disease in young children. Its reported prevalence varies greatly across China. This systematic review aimed to explore the epidemiological characteristics of ECC in mainland China from 1987 to 2013. In total, 102 articles were included. The pooled national prevalence and care index (ft/dmft%) for ECC were 65.5% and 3.6%, respectively. The overall ECC prevalence declined from 77.9% during 1987–1994 to 56.4% during 2010–2013. The pooled ECC prevalence for children aged 1–6 years was 0.3%, 17.3%, 40.2%, 54.4%, 66.1%, and 70.7%, respectively. There was no significant difference in prevalence between boys (59.1%) and girls (58.9%); and the care index was also similar (8.1% versus 7.7%). Slightly higher ECC prevalence was observed in rural areas (63.5%) compared with urban areas (59.5%) (RR = 1.08, 95% CI: 1.02–1.14); but a much higher care index was reported in urban children (6.0%) than their rural counterparts (1.6%) (RR = 3.68, 95% CI: 2.54–5.35). The 2006–2013 map of ECC prevalence among 5-year-olds showed wide geographic variations across China. Four adjacent provinces, including Sichuan, Chongqing, Hubei, and Shaanxi, constituted the areas with the lowest ECC prevalence in mainland China. Nature Publishing Group 2016-01-13 /pmc/articles/PMC4725361/ /pubmed/26758962 http://dx.doi.org/10.1038/srep18897 Text en Copyright © 2016, Macmillan Publishers Limited http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Zhang, Xiaonan Yang, Sheng Liao, Zhaoying Xu, Ling Li, Conghua Zeng, Huan Song, Jinlin Zhang, Lei
spellingShingle	Zhang, Xiaonan Yang, Sheng Liao, Zhaoying Xu, Ling Li, Conghua Zeng, Huan Song, Jinlin Zhang, Lei Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987–2013
author_facet	Zhang, Xiaonan Yang, Sheng Liao, Zhaoying Xu, Ling Li, Conghua Zeng, Huan Song, Jinlin Zhang, Lei
author_sort	Zhang, Xiaonan
title	Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987–2013
title_short	Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987–2013
title_full	Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987–2013
title_fullStr	Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987–2013
title_full_unstemmed	Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987–2013
title_sort	prevalence and care index of early childhood caries in mainland china: evidence from epidemiological surveys during 1987–2013
description	Early childhood caries (ECC) is the most common chronic disease in young children. Its reported prevalence varies greatly across China. This systematic review aimed to explore the epidemiological characteristics of ECC in mainland China from 1987 to 2013. In total, 102 articles were included. The pooled national prevalence and care index (ft/dmft%) for ECC were 65.5% and 3.6%, respectively. The overall ECC prevalence declined from 77.9% during 1987–1994 to 56.4% during 2010–2013. The pooled ECC prevalence for children aged 1–6 years was 0.3%, 17.3%, 40.2%, 54.4%, 66.1%, and 70.7%, respectively. There was no significant difference in prevalence between boys (59.1%) and girls (58.9%); and the care index was also similar (8.1% versus 7.7%). Slightly higher ECC prevalence was observed in rural areas (63.5%) compared with urban areas (59.5%) (RR = 1.08, 95% CI: 1.02–1.14); but a much higher care index was reported in urban children (6.0%) than their rural counterparts (1.6%) (RR = 3.68, 95% CI: 2.54–5.35). The 2006–2013 map of ECC prevalence among 5-year-olds showed wide geographic variations across China. Four adjacent provinces, including Sichuan, Chongqing, Hubei, and Shaanxi, constituted the areas with the lowest ECC prevalence in mainland China.
publisher	Nature Publishing Group
publishDate	2016
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4725361/
_version_	1613527786601840640

Prevalence and care index of early childhood caries in mainland China: evidence from epidemiological surveys during 1987–2013

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