Christensen Lisa Bøge, Petersen Poul Erik, Bhambal Ajay
University of Copenhagen, Faculty of Health Sciences, Department for Community Dentistry, Copenhagen, Denmark.
Community Dent Health. 2003 Sep;20(3):153-8.
To assess the prevalence of dental caries, to describe the periodontal conditions, and to assess the level of attitude, knowledge and practice in relation to oral health and oral health behaviour among 11-13 year-old children in Bhopal, India. The data would aim to provide a baseline for planning and evaluation of oral health education programmes for children in the region. BASIC RESEARCH DESIGN AND OUTCOME MEASURES: A cross sectional study of 599 children 11-13 years was conducted. Random sampling procedures were used to obtain representative samples of children in rural (n = 181) and urban areas (n = 277). In urban slum areas convenience sampling was applied (n = 141). The data were collected through clinical examinations by means of WHO standard method, and a sub-sample completed a self-administered questionnaire on oral health behaviour, knowledge, and attitude.
The caries prevalence proportion in both dentitions was 57% with a mean DMFT+dmft of 1.6. The caries experience was 2.5 times higher among children in slum areas compared to children living in rural areas. Fifteen per cent of the children had healthy gingiva and 91% of rural children had maximum CPI score 2. Mean number of sextants with CPI score 0 was 3.5 among children in urban areas and 0.6 for children in slum areas. Seventy-five per cent of the children reported toothbrushing once a day, 31% used a plastic toothbrush and the general level of knowledge on oral health was low. Intake of sugary food and soft drinks were more frequent in the slum areas compared to rural areas.
Implementation of community-oriented oral health promotion programmes is needed in order to increase the level of knowledge and to change attitudes and practices in relation to oral health among children. Essential care should be provided to control oral disease symptoms.
评估印度博帕尔11至13岁儿童的龋齿患病率，描述其牙周状况，并评估他们在口腔健康及口腔健康行为方面的态度、知识和实践水平。这些数据旨在为该地区儿童口腔健康教育项目的规划和评估提供基线。
对599名11至13岁儿童进行了横断面研究。采用随机抽样程序获取农村地区（n = 181）和城市地区（n = 277）儿童的代表性样本。在城市贫民窟地区采用便利抽样（n = 141）。通过世界卫生组织标准方法进行临床检查收集数据，一个子样本完成了一份关于口腔健康行为、知识和态度的自填问卷。
两个牙列的龋齿患病率均为57%，平均龋失补牙面数（DMFT+dmft）为1.6。与农村地区儿童相比，贫民窟地区儿童的龋齿经历高出2.5倍。15%的儿童牙龈健康，91%的农村儿童社区牙周指数（CPI）最高评分为2。城市地区儿童中CPI评分为0的牙面平均数为3.5，贫民窟地区儿童为0.6。75%的儿童报告每天刷牙一次，31%使用塑料牙刷，口腔健康知识总体水平较低。与农村地区相比，贫民窟地区儿童摄入含糖食物和软饮料更为频繁。
需要实施以社区为导向的口腔健康促进项目，以提高儿童对口腔健康的知识水平，并改变他们在口腔健康方面的态度和行为。应提供基本护理以控制口腔疾病症状。
