{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:34:12Z","timestamp":1791876852839,"version":"4.3.4"},"reference-count":31,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T00:00:00Z","timestamp":1725062400000},"content-version":"unspecified","delay-in-days":30,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"the Key Laboratory of Oral Biomedical Research of Zhejiang Province Foundation","award":["2021M010, 2021M004"],"award-info":[{"award-number":["2021M010, 2021M004"]}]},{"name":"Medical Science and Technology Planning Project of Ningbo City, Zhejiang Province","award":["2020Y05"],"award-info":[{"award-number":["2020Y05"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82001045"],"award-info":[{"award-number":["82001045"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,8,6]]},"published-print":{"date-parts":[[2024,8]]},"abstract":"\n Objective<\/jats:title>\n About 2\u2009billion people have caries in permanent teeth, and 514\u2009million children have caries in primary teeth worldwide. Regional disparities in caries prevalence are evident in various areas of China. A comprehensive understanding of the status of dental caries and its associated risk factors is essential for developing effective dental health policies in economically disadvantaged regions. Thus, this study aims to examine the prevalence of dental caries and its risk factors among students aged 12\u201315 in Xide County, a remote mountainous area in China.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n In this cross-sectional study, dental health surveys were conducted using self-administered questionnaires and the Decayed-Missing-Filled Tooth (DMFT) Index. An oral clinical examination was carried out by the criteria and guidelines set forth by WHO.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Xide County, Liangshan prefecture, China in 2022.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n 558 students aged 12\u201315 years completed the survey.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The study conducted in Xide County found a dental caries prevalence of 42.5% among 12\u201315 year-old students, with a mean DMFT of 1.50 (SD=2.25). Multivariable logistic regression analysis identified several significant risk factors for dental caries (p<0.05), including starting brushing after the age of six (OR 0.34, 95% CI 0.17\u2009to 0.65), brushing teeth less than once a day (OR 9.24, 95% CI 5.53\u2009to 15.33) and consuming carbonated drinks more than once a day (OR 0.28, 95% CI 0.14\u2009to 0.53). Additionally, the use of fluoride (OR 0.61, 95% CI 0.43\u2009to 0.85) and awareness of its protective effect on teeth (OR 0.75, 95% CI 0.59\u2009to 0.98) were found to be associated with a lower risk of dental caries (p<0.05).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The prevalence of dental caries among students aged 12\u201315 in Xide County was identified as a significant public oral health concern. The oral health behaviours of students were found to be influenced by factors at the family and community levels.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-082922","type":"journal-article","created":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T00:30:13Z","timestamp":1733531413000},"page":"e082922","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Dental caries prevalence and caries-associated risk factors of students aged 12\u201315 in Xide County of Liangshan Prefecture, China: a cross-sectional study"],"prefix":"10.1136","volume":"14","author":[{"given":"Suzhen","family":"Sun","sequence":"first","affiliation":[{"name":"The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiting","family":"Lou","sequence":"additional","affiliation":[{"name":"Zhejiang University School of Medicine Stomatology Hospital, 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