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[来自格拉纳达首府阿尔曼贾亚尔和卡尔图亚健康中心2至5岁儿童的龋齿患病率及相关因素]

[The prevalence of caries and associated factors in children 2-5 years old from the Almanjáyar and Cartuja Health Centers of the capital Granada].

作者信息

Mora León L, Martínez Olmos J

机构信息

Escuela Andaluza de Salud Pública, Campus Universitario de Cartuja, Granada.

出版信息

Aten Primaria. 2000 Oct 15;26(6):398-404. doi: 10.1016/s0212-6567(00)78690-2.

Abstract

OBJECTIVE

To estimate caries prevalence and associated factors in children 2-5 years old in a deprived community.

DESIGN

Transversal, cross-sectional study.

SETTING

Paediatric services. Health centres of Almanjáyar and Cartuja in Granada (Spain).

PATIENTS

173 children attending to a pediatric revision.

MEASUREMENTS

Children's odontological examination and revision of clinical records followed by structured interview with the mother or tutor. Target variables were caries, sociodemographic factors, nutritional habits, oral hygiene, medical antecedents, familiar experience of caries and use of dentistry services.

RESULTS

Total prevalence of caries was 37%, but 29% among the majority population and 58% in the gipsy group. Statistically significant associated factors with caries were: increasing age (OR = 2.0, 95% CI = 1.2-3.2), father unemployment (OR = 3.1, 95% CI = 1.3-9.9), high consumption of sweets (OR = 3.3, 95% CI = 1.1-8.5), deficient oral hygiene (OR = 9.3, 95% CI = 3.4-24.7), mother's consultation for toothache or tooth extraction (OR = 2.9, 95% CI = 1.1-7.9) and not attendance to dentistry services due to high costs or fear (OR = 4.3, 95% CI = 1.5-12.4).

CONCLUSIONS

The prevalence of caries in the gipsy population is very high, and it is probably associated with factors previously reported but not yet controlled. There is a need to initiate therapeutic and preventive measures in this community, and to detect barriers and facilitate the use of public dentistry services.

摘要

目的

评估贫困社区2至5岁儿童的龋齿患病率及相关因素。

设计

横向横断面研究。

地点

儿科服务机构。西班牙格拉纳达阿尔曼贾亚尔和卡尔图亚的健康中心。

研究对象

173名接受儿科检查的儿童。

测量方法

对儿童进行口腔检查并查阅临床记录,随后与母亲或监护人进行结构化访谈。目标变量包括龋齿、社会人口学因素、营养习惯、口腔卫生、既往病史、龋齿家族史以及牙科服务的使用情况。

结果

龋齿总患病率为37%,其中多数人群为29%,吉普赛人群为58%。与龋齿有统计学显著关联的因素包括:年龄增长(比值比[OR]=2.0,95%置信区间[CI]=1.2 - 3.2)、父亲失业(OR = 3.1,95% CI = 1.3 - 9.9)、甜食高摄入量(OR = 3.3,95% CI = 1.1 - 8.5)、口腔卫生不良(OR = 9.3,95% CI = 3.4 - 24.7)、母亲因牙痛或拔牙就诊(OR = 2.9,95% CI = 1.1 - 7.9)以及因费用高或恐惧而未使用牙科服务(OR = 4.3,95% CI = 1.5 - 12.4)。

结论

吉普赛人群的龋齿患病率非常高,可能与先前报道但尚未得到控制的因素有关。有必要在该社区启动治疗和预防措施,发现障碍并促进公共牙科服务的使用。

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