Oral Health Knowledge, Attitudes, and Practices Among School-Aged Left-Behind Children of the Yao Ethnic Group in Rural Northern Guangxi: A Longitudinal Study
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Background and Objectives: In rural northern Guangxi, the oral health of school-aged left-behind children in Yao ethnic communities has been severely impacted by economic underdevelopment and geographic isolation. This study aims to assess the current status, dynamic changes, and influencing factors of oral health among this population to provide targeted intervention strategies.
Methods: A cluster random sampling method was used to select 241 Yao ethnic left-behind children in 2023 and 2024. Oral health examinations and questionnaires were conducted to evaluate dental caries, oral hygiene behaviors, and impacts on quality of life. Data were analyzed using SPSS 26.0 with t-tests, χ² tests, and multivariate logistic regression.
Results: The prevalence of dental caries significantly increased to 82.3% in 2024, with a mean DMFT index of 3.67, compared to 54.8% and 2.41 in 2023 (P < 0.05). Fluoride toothpaste use rose by 44.7%, but filling rates remained low at 0.4% and 2%. High-sugar dietary intake increased, and the negative impact of oral health on quality of life was evident.
Conclusion: The oral health of Yao left-behind children continues to deteriorate due to poor dietary habits and limited oral health services. Strengthening health education, community support, and preventive treatment is essential to improve their oral health outcomes.
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Chen, K. J., Gao, S. S., Duangthip, D., Ecm, L., & Chu, C. H. (2018). Managing early childhood caries for young children in China. Healthcare, 6(1), 11.
Cheng, M. L., Xu, M. R., Xie, Y. Y., Gao, X. L., & Si, Y. (2018). Utilisation of oral health services and economic burden of oral diseases in China. The Chinese Journal of Dental Research: The Official Journal of the Scientific Section of the Chinese Stomatological Association (CSA), 21(4), 275–284.
Kang, J., Quan, Z., Wang, Y., Sun, X., & Liu, J. (2018). Permanent teeth caries status of 12- to 15-year-olds in China: Findings from the 4th National Oral Health Survey. The Chinese Journal of Dental Research: The Official Journal of the Scientific Section of the Chinese Stomatological Association (CSA).
Lei, L., Liu, F., Hill, E., & Li, Y. (2018). Labour migration and health of left-behind children in China. The Journal of Development Studies, 54(1), 93–110.
Lyu, L., Mei, Z. Y., Li, R., Li, S., Yan, F., Wang, X., & Duan, C. R. (2024). The latest situation and trends of rural left-behind children in China: 2010–2020. Population Research, 48(1), 103–117.
Liu, S., Chongsuvivatwong, V., Zhang, S., & Thearmontree, A. (2023). Pathway of effects of socioeconomic status on rural left-behind children to receive oral health services: A structural equation modeling. International Journal of Environmental Research and Public Health, 20(2). https://doi.org/10.3390/ijerph20021068
Li, Q. Z., Zeng, X. J., He, H. L., & Li, J. J. (2019). Oral health status and risk factors of caries in rural Yao children aged 12 years. Guangxi Medical Journal, 41(8), 5.
Lyshol, H., Grotvedt, L., Fagerhaug, T. N., Feuerherm, A. J., Jakhelln, G., & Sen, A. (2022). A study of socio-economic inequalities in self-reported oral and general health in South-East Norway. Scientific Reports, 12(1), 13721. https://doi.org/10.1038/s41598-022-18055-5
Mahboobi, Z., Pakdaman, A., Yazdani, R., Azadbakht, L., & Montazeri, A. (2021). Dietary free sugar and dental caries in children: A systematic review on longitudinal studies. Tabriz University of Medical Sciences, 3.
Mohsen, K., Alireza, A., Shamarina, S., Rostam, J., Aliakbar, V. R., Nader, S., & Masoud, M. (2020). Dental caries in primary and permanent teeth in children worldwide, 1995 to 2019: A systematic review and meta-analysis. Head & Face Medicine, 16(1), 22.
Moussa, D. G., Ahmad, P., Mansour, T. A., & Siqueira, W. L. (2022). Current state and challenges of the global outcomes of dental caries research in the meta-omics era. Frontiers in Cellular and Infection Microbiology, 12, 887907.
Qing, H., Zhi, Y., Zhou, T., & Ping, X. (2018). Factors impacting the oral health-related quality of life in Chinese adults: Results from the 4th National Oral Health Survey. The Chinese Journal of Dental Research: The Official Journal of the Scientific Section of the Chinese Stomatological Association (CSA), 21(4), 259–265.
Qiu, W., Zhou, Y., Li, Z., Huang, T., & Ren, B. (2020). Application of antibiotics/antimicrobial agents on dental caries. BioMed Research International, 2020(28), 1–11.
Torres-Mantilla, J. D., & Newball-Noriega, E. E. (2023). Factors associated with the use of oral health services in Peruvian children under the age of 12 years. Clinical and Experimental Dental Research, 9(1), 230–239. https://doi.org/10.1002/cre2.674
Wang, Q. (2020). The traditional food culture of the Yao ethnic group and its changes in the context of the new era. Journal of Nanning Polytechnic, 25(1), 3.
Zhang, T., Hong, J., Yu, X., Liu, Q., Li, A., Wu, Z., & Zeng, X. (2021). Association between socioeconomic status and dental caries among Chinese preschool children: A cross-sectional national study. BMJ Open, 5.
Zhi Ling, L., Wan Ying, G., Poh Ying, L., Ruhaya, H., & Sing Ying, L. (2020). Associations of nutritional status, sugar, and second-hand smoke exposure with dental caries among 3- to 6-year-old Malaysian preschoolers: A cross-sectional study. BMC Oral Health, 20(1), 164.
