ArticleFrontiers in oral health2026
The prevalence and associated factors of early childhood caries in 3- to 5-year-old children in Shaanxi Province, China: a cross-sectional study.
Article in Frontiers in oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To determine the prevalence of early childhood caries (ECC), identify high-risk tooth sites, and analyze region-specific and early-life risk factors among 3- to 5-year-old children in Shaanxi Province, China. Methods: A cross-sectional study was conducted using stratified cluster random sampling to select 571 children from northern, central, and southern Shaanxi. Clinical oral examinations were performed following World Health Organization (WHO) criteria. Primary caregivers completed questionnaires regarding sociodemographic characteristics, birth outcomes, feeding practices, and dietary behaviors. Logistic regression analysis was employed to identify factors associated with ECC prevalence. Results: The overall ECC prevalence was 66.9%, with significant regional disparities (Northern: 85.6% vs. Central: 52.7%, Conclusion: ECC prevalence in Shaanxi Province is high, characterized by distinct regional variations and specific patterns of tooth susceptibility. Preventive strategies should address perinatal factors and dietary behaviors, with targeted interventions for high-risk mandibular molars and maxillary incisors initiated in early childhood.
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