Oral health status of rural-urban migrant children in South China

Int J Paediatr Dent. 2011 Jan;21(1):58-67. doi: 10.1111/j.1365-263X.2010.01091.x. Epub 2010 Aug 20.

Abstract

Background: In China, there is a massive rural-urban migration and the children of migrants are often unregistered residents (a 'floating population').

Aim: This pilot study aimed to profile the oral health of migrant children in South China's principal city of migration and identify its socio-demographic/behavioural determinants.

Design: An epidemiological survey was conducted in an area of Guangzhou among 5-year-old migrant children (n = 138) who received oral examinations according to the World Health Organization criteria. Parents' oral health knowledge/attitude, child practices, and impact of children's oral health on their quality-of-life (QoL) were assessed.

Results: The caries rate and mean (SD) dmft were 86% and 5.17 (4.16), respectively, higher than those national statistics for both rural and urban areas (P < 0.05). Oral hygiene was satisfactory (DI-S < 1.0) in 3% of children. Oral health impacts on QoL were considerable; 60% reported one or more impacts. 58% variance in 'dmft' was explained by 'non-local-born', 'low-educated parents', 'bedtime feeding', 'parental unawareness of fluoride's effect and importance of teeth', and 'poor oral hygiene' (all P < 0.05). 'Non-local-born' and 'dmft' indicated poor oral health-related QoL (both P < 0.05), accounting for 32% of variance.

Conclusion: Oral health is poor among rural-urban migrant children and requires effective interventions in targeted sub-groups.

MeSH terms

  • Attitude to Health
  • Cariostatic Agents / therapeutic use
  • Child, Preschool
  • China / epidemiology
  • DMF Index
  • Dental Care / statistics & numerical data
  • Dental Caries / epidemiology
  • Educational Status
  • Epidemiologic Studies
  • Feeding Behavior
  • Female
  • Fluorides / therapeutic use
  • Health Behavior
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Income
  • Male
  • Oral Hygiene Index
  • Parent-Child Relations
  • Parents / education
  • Pilot Projects
  • Quality of Life
  • Residence Characteristics
  • Rural Health / statistics & numerical data*
  • Social Class
  • Tooth Diseases / epidemiology*
  • Toothbrushing / statistics & numerical data
  • Transients and Migrants / statistics & numerical data*
  • Urban Health / statistics & numerical data

Substances

  • Cariostatic Agents
  • Fluorides