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Tooth brushing with fluoridated toothpaste and associated factors among Chinese adolescents: a nationwide cross-sectional study

BACKGROUND: Tooth brushing with fluoridated toothpaste has become the most important way to provide the anti-caries effect of fluoride around the world. China has promoted the use of fluoridated toothpaste since 1989. However, there are few studies on the national profile of use of fluoridated tooth...

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Autores principales: Cui, Zhiying, Wang, Wenhui, Si, Yan, Wang, Xing, Feng, Xiping, Tai, Baojun, Hu, Deyu, Lin, Huancai, Wang, Bo, Wang, Chunxiao, Zheng, Shuguo, Liu, Xuenan, Rong, Wensheng, Wang, Weijian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585760/
https://www.ncbi.nlm.nih.gov/pubmed/37853352
http://dx.doi.org/10.1186/s12903-023-03506-w
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author Cui, Zhiying
Wang, Wenhui
Si, Yan
Wang, Xing
Feng, Xiping
Tai, Baojun
Hu, Deyu
Lin, Huancai
Wang, Bo
Wang, Chunxiao
Zheng, Shuguo
Liu, Xuenan
Rong, Wensheng
Wang, Weijian
author_facet Cui, Zhiying
Wang, Wenhui
Si, Yan
Wang, Xing
Feng, Xiping
Tai, Baojun
Hu, Deyu
Lin, Huancai
Wang, Bo
Wang, Chunxiao
Zheng, Shuguo
Liu, Xuenan
Rong, Wensheng
Wang, Weijian
author_sort Cui, Zhiying
collection PubMed
description BACKGROUND: Tooth brushing with fluoridated toothpaste has become the most important way to provide the anti-caries effect of fluoride around the world. China has promoted the use of fluoridated toothpaste since 1989. However, there are few studies on the national profile of use of fluoridated toothpaste and related factors in Chinese adolescents. We carried out this study to investigate oral hygiene behaviours, especially the status of tooth brushing with fluoridated toothpaste and its correlates among adolescents, based on data from the latest Nation Oral Health Survey in mainland China. METHODS: This cross-sectional study recruited 118,601 participants aged 12–15 years using multistage stratified sampling. Questionnaires were completed by students at school. Data employed in analyses were extracted from the questionnaire, including information on tooth brushing, fluoridated toothpaste, dental floss, sociodemographic factors, fluoride knowledge and attitude towards regular dental check-ups. A binary logistic regression was performed to compute the odds ratios (OR). Tooth brushing twice daily with fluoridated toothpaste was the dependent variable. Sociodemographic factors, fluoride knowledge, attitude towards regular dental check-ups, dental visit experience and perceived oral health were the independent variables. P < 0.05 was considered statistically significant. RESULTS: A total of 32.6% of participants brushed their teeth twice daily, 7.4% used fluoridated toothpaste, and 3.9% cleaned their teeth twice daily with fluoridated toothpaste. The logistic regression showed the probability of twice-a-day tooth brushing with fluoridated toothpaste was higher among these groups: females (OR: 1.141; 95%CI: 1.072–1.214), 15-year-olds (OR: 1.786; 95%CI: 1.634–1.952), from urban areas (OR: 1.389; 95%CI: 1.288–1.497), without siblings (OR: 1.351; 95%CI: 1.259–1.450), with an educated father (OR: 1. 605; 95%CI: 1.442–1.788) and mother (OR: 1.706; 95%CI: 1.530–1.903), having dental visit experiences (OR: 1.702; 95%CI: 1.589–1.823), rating one’s oral health as good (OR: 2.341; 95%CI: 2.083–2.631), having fluoride knowledge (OR: 4.345; 95%CI: 4.034–4.678) and having a positive attitude towards regular dental check-ups (OR: 1.589; 95%CI: 1.460–1.729). CONCLUSIONS: The oral hygiene behaviours of Chinese adolescents were undesirable. Twice daily tooth brushing with fluoridated toothpaste was significantly associated with sociodemographic factors, fluoride knowledge, and attitudes towards regular dental check-ups. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12903-023-03506-w.
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spelling pubmed-105857602023-10-20 Tooth brushing with fluoridated toothpaste and associated factors among Chinese adolescents: a nationwide cross-sectional study Cui, Zhiying Wang, Wenhui Si, Yan Wang, Xing Feng, Xiping Tai, Baojun Hu, Deyu Lin, Huancai Wang, Bo Wang, Chunxiao Zheng, Shuguo Liu, Xuenan Rong, Wensheng Wang, Weijian BMC Oral Health Research BACKGROUND: Tooth brushing with fluoridated toothpaste has become the most important way to provide the anti-caries effect of fluoride around the world. China has promoted the use of fluoridated toothpaste since 1989. However, there are few studies on the national profile of use of fluoridated toothpaste and related factors in Chinese adolescents. We carried out this study to investigate oral hygiene behaviours, especially the status of tooth brushing with fluoridated toothpaste and its correlates among adolescents, based on data from the latest Nation Oral Health Survey in mainland China. METHODS: This cross-sectional study recruited 118,601 participants aged 12–15 years using multistage stratified sampling. Questionnaires were completed by students at school. Data employed in analyses were extracted from the questionnaire, including information on tooth brushing, fluoridated toothpaste, dental floss, sociodemographic factors, fluoride knowledge and attitude towards regular dental check-ups. A binary logistic regression was performed to compute the odds ratios (OR). Tooth brushing twice daily with fluoridated toothpaste was the dependent variable. Sociodemographic factors, fluoride knowledge, attitude towards regular dental check-ups, dental visit experience and perceived oral health were the independent variables. P < 0.05 was considered statistically significant. RESULTS: A total of 32.6% of participants brushed their teeth twice daily, 7.4% used fluoridated toothpaste, and 3.9% cleaned their teeth twice daily with fluoridated toothpaste. The logistic regression showed the probability of twice-a-day tooth brushing with fluoridated toothpaste was higher among these groups: females (OR: 1.141; 95%CI: 1.072–1.214), 15-year-olds (OR: 1.786; 95%CI: 1.634–1.952), from urban areas (OR: 1.389; 95%CI: 1.288–1.497), without siblings (OR: 1.351; 95%CI: 1.259–1.450), with an educated father (OR: 1. 605; 95%CI: 1.442–1.788) and mother (OR: 1.706; 95%CI: 1.530–1.903), having dental visit experiences (OR: 1.702; 95%CI: 1.589–1.823), rating one’s oral health as good (OR: 2.341; 95%CI: 2.083–2.631), having fluoride knowledge (OR: 4.345; 95%CI: 4.034–4.678) and having a positive attitude towards regular dental check-ups (OR: 1.589; 95%CI: 1.460–1.729). CONCLUSIONS: The oral hygiene behaviours of Chinese adolescents were undesirable. Twice daily tooth brushing with fluoridated toothpaste was significantly associated with sociodemographic factors, fluoride knowledge, and attitudes towards regular dental check-ups. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12903-023-03506-w. BioMed Central 2023-10-18 /pmc/articles/PMC10585760/ /pubmed/37853352 http://dx.doi.org/10.1186/s12903-023-03506-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Cui, Zhiying
Wang, Wenhui
Si, Yan
Wang, Xing
Feng, Xiping
Tai, Baojun
Hu, Deyu
Lin, Huancai
Wang, Bo
Wang, Chunxiao
Zheng, Shuguo
Liu, Xuenan
Rong, Wensheng
Wang, Weijian
Tooth brushing with fluoridated toothpaste and associated factors among Chinese adolescents: a nationwide cross-sectional study
title Tooth brushing with fluoridated toothpaste and associated factors among Chinese adolescents: a nationwide cross-sectional study
title_full Tooth brushing with fluoridated toothpaste and associated factors among Chinese adolescents: a nationwide cross-sectional study
title_fullStr Tooth brushing with fluoridated toothpaste and associated factors among Chinese adolescents: a nationwide cross-sectional study
title_full_unstemmed Tooth brushing with fluoridated toothpaste and associated factors among Chinese adolescents: a nationwide cross-sectional study
title_short Tooth brushing with fluoridated toothpaste and associated factors among Chinese adolescents: a nationwide cross-sectional study
title_sort tooth brushing with fluoridated toothpaste and associated factors among chinese adolescents: a nationwide cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585760/
https://www.ncbi.nlm.nih.gov/pubmed/37853352
http://dx.doi.org/10.1186/s12903-023-03506-w
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