{"created":"2023-06-20T15:01:23.741268+00:00","id":943,"links":{},"metadata":{"_buckets":{"deposit":"4582db90-83eb-48d0-8f66-13e072bf5af3"},"_deposit":{"created_by":10,"id":"943","owners":[10],"pid":{"revision_id":0,"type":"depid","value":"943"},"status":"published"},"_oai":{"id":"oai:kdu.repo.nii.ac.jp:00000943","sets":["6:7"]},"author_link":["2502","2508"],"item_10006_date_granted_11":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2016-03-17"}]},"item_10006_degree_grantor_9":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_name":"神奈川歯科大学"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"32703","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_10006_degree_name_8":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（歯学）"}]},"item_10006_description_10":{"attribute_name":"学位授与年度","attribute_value_mlt":[{"subitem_description":"2015","subitem_description_type":"Other"}]},"item_10006_description_17":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_10006_description_7":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"2011年県民歯科保健実態調査のうち,14市に居住する4,047人(男児2,055人,女児1,992人)の3歳児を対象に,う蝕の有無とう蝕に影響を与えると考えられる生活習慣等の要因の地域差の有無と,地域ごとでどの要因がリスク要因になるかを検討した.その結果,14市間にう蝕の地域差が認められた(χ^2検定,p<0.001).また,噛みごたえのある食べ物の摂取,テレビやビデオを見ながら食事をする習慣,甘いお菓子の摂取,甘い飲み物の摂取,フッ化物配合歯磨剤の使用にも地域差が認められた.ロジスティック回帰分析の結果,14市全体で有意なオッズ比が得られたう蝕の有無に影響を与えるリスク要因は,性別,出生順位,テレビやビデオを見ながら食事をする習慣,甘いお菓子の摂取,甘い飲み物の摂取,保護者の仕上げみがきであった.市ごとのロジスティック回帰分析からは,9市においてリスク要因として出生順位など有意なオッズ比が得られたが,5市においてリスク要因は検出されなかった.有意差が認められた要因は全体のものとは異なり,市ごとに特徴があった.今回の研究により神奈川県の14市間にう蝕の地域格差が存在し,そのリスク要因は市別に特徴のあることが示された.しかし,地域差のある生活習慣などの要因の良否の順位がう蝕順位に反映するものではないと考えられた.今後はこれらの要因の背景を分析するとともに,地域の生活者の指導に活用し,3歳児のう蝕地域格差の縮小を目指すべきである.","subitem_description_type":"Abstract"},{"subitem_description":"We analyzed the regional inequality in dental caries prevalence, factors that may influence the existence of caries such as lifestyle, and risk factors involving 4,047 three-year-old children (2,055 boys and 1,992 girls) who lived in 14 cities in Kanagawa Prefecture, where the prefectural government conducted the Prefecture Resident Survey on the Actual Oral Health Situation in 2011. As a result, regional inequality in caries prevalence was observed among the 14 cities (chi-square test, p<0.001). We also recognized regional inequality in the intake of chewy foods, the habit of eating meals while watching TV or a video, the intake of sweet snacks, intake of sweet drinks, and the use of fluoride dentifrice as risk factors of caries. The risk factors showing a significant odds ratio affecting caries in all 14 cities obtained from a logistic-regression analysis were: the sex, birth order, habit of eating a meal while watching TV or a video, intake of sweet snacks, intake of sweet drinks, and toothbrushing by their guardians. Significant odds ratios such as \"birth order\" were provided as a risk factor, but no risk factor was detected in five other cities based on a logistic-regression analysis in each city. The items for which a significant difference was recognized were characteristic in each city, unlike in the results of the total of 14 cities. It was shown that regional inequality in caries prevalence existed among 14 the cities in Kanagawa Prefecture, and the risk factors were characteristic according to each city based on this study. However, it was thought that the order of favorable or unfavorable factors such as lifestyle with the regional inequality was not reflected in the order of the caries prevalence rate. It is necessary to analyze the background of these factors and utilize the results to educate each community, with the aim to reduce regional inequality in caries prevalence in three-year-old children in the future.","subitem_description_type":"Abstract"}]},"item_10006_dissertation_number_12":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲第477号"}]},"item_10006_heading_21":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_headline":"PDF/A","subitem_heading_language":"ja"}]},"item_10006_publisher_5":{"attribute_name":"公開者","attribute_value_mlt":[{"subitem_publisher":"有限責任中間法人日本口腔衛生学会"}]},"item_10006_relation_14":{"attribute_name":"情報源","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"口腔衛生学会雑誌, 65(1):26-34, 2015"}]}]},"item_10006_relation_15":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"J-STAGE"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://www.jstage.jst.go.jp/article/jdh/65/1/65_KJ00009814748/_article/-char/ja/","subitem_relation_type_select":"URI"}}]},"item_10006_rights_13":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"日本口腔衛生学会"},{"subitem_rights":"神奈川歯科大学リポジトリ以外への転載には、再度、日本口腔衛生学会へ登録申請を要する。"}]},"item_10006_version_type_18":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"石田, 直子","creatorNameLang":"ja"},{"creatorName":"イシダ, ナオコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"2502","nameIdentifierScheme":"WEKO"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"Ishida, Naoko","creatorNameLang":"en"}],"familyNames":[{"familyName":"Ishida","familyNameLang":"en"}],"givenNames":[{"givenName":"Naoko","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"2508","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-02-02"}],"displaytype":"detail","filename":"kou477_fulltext.pdf","filesize":[{"value":"1.1 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kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"論文審査要旨、最終審査の結果の要旨","url":"https://kdu.repo.nii.ac.jp/record/943/files/kou477_thesisreview.pdf"},"version_id":"17afe2de-0ddb-4aaa-bbe4-5086f76cd1cc"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"3歳児","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"う蝕","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"地域格差","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"影響要因","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"質問紙調査","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Three-year-old Children","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Dental Caries","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Regional Inequality","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Influencing Factors","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Questionnaire survey","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"3歳児のう蝕の有無とその影響要因の地域格差","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"3歳児のう蝕の有無とその影響要因の地域格差","subitem_title_language":"ja"},{"subitem_title":"Regional Inequality in the Caries Prevalence and Influencing Factors among Three-year-old Children","subitem_title_language":"en"}]},"item_type_id":"10006","owner":"10","path":["7"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2016-07-05"},"publish_date":"2016-07-05","publish_status":"0","recid":"943","relation_version_is_last":true,"title":["3歳児のう蝕の有無とその影響要因の地域格差"],"weko_creator_id":"10","weko_shared_id":-1},"updated":"2024-02-16T06:55:31.132637+00:00"}