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Órgano Oficial de la Asociación Dental Mexicana

2009, Number 1

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Rev ADM 2009; 66 (1)

Epidemiologic characterization of cleft lip and/or palate no sindromic: study in Mexican children aged 0-12 years

Acuña-González G, Escoffie-Ramírez M, Medina-Solís CE, Casanova-Rosado JF, Pontigo-Loyola AP, Villalobos-Rodelo JJ, Márquez-Corona ML, Islas GH

Language: Spanish
References: 55
Page: 50-58
PDF size: 315.30 Kb.


ABSTRACT

Objective: To describe sociodemographic and socioeconomic characteristics of patients with nonsyndromic cleft lip and/or palate (CL/P). Material and Methods: A cross sectional study with patients from 0-12 years old with nonsyndromic CL/P was carried out. The study examined patients (n-216) from two public hospitals (122 from Campeche and 94 from Hidalgo); 59.2% were from interior of Campeche State and 77.5%% from interior of Hidalgo State. To recollect the data structured questionnaires were used which they contained several variables of different nature. Bivariates analyses were used to get the distribution differences between the two study places. Results: The highest frequency in the orofacial defects was left unilateral cleft lip and palate (37%). In Hidalgo, It was observed higher frequency in the “cleft lip + cleft palate” (p‹0.05). The 9.3% was observed other congenital defect, being more frequent in children with cleft lip (p=0.082), and in Campeche (p = 0.08 4) . The cleft lip and the cleft lip + palate were more common in the males (p=0.056). In Campeche were mainly the first-born (36.1%) and Hidalgo the second born (37.2%) who represented the highest orofacial defects proportion (p›0.05). In Campeche we observed worse socioeconomic conditions than Hidalgo; bigger family size (p‹0.0001), higher children percentage with CL/P in the lowest socioeconomic level quartile(P‹0.05), lower schooling in the household head (p‹0.001), father’s manual job (p‹0.001), birth at home (p‹0.05). The Campeche´s patients had a higher percentage in the hereditary antecedents (p‹ 0.001). To have a child with cleft lip and palate and previous abortion record were equally distributed in both places (p›0.05). We observed high reported percentage of folic acid consumption in both states (63.9% in Campeche and 61.7% in Hidalgo; (p›0.05). The paternal alcohol consumption were distributed equally among Campeche and Hidalgo (p›0.05), It wasn’t the same in the maternal alcohol consumption (p‹0.05), the paternal (p‹0.001) and maternal (p‹0.001) cigarette smoking were higher in Hidalgo. Conclusions: Although, we observed the epidemiological characteristics are closed similar to other countries reports, there is certain variation between those variables among the two study places.


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