Hoffmann Rosana Helena Schlittler, Cypriano Silvia, Sousa Maria da Luz Rosário de, Wada Ronaldo S
Departamento de Odontologia Social, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, Brasil.
Cad Saude Publica. 2004 Mar-Apr;20(2):522-8. doi: 10.1590/s0102-311x2004000200020. Epub 2004 Apr 6.
The aim of this study was to verify the relationship between type of school as a measure of socioeconomic conditions and caries prevalence among preschoolers and schoolchildren in Rio Claro, São Paulo State, Brazil, a city with fluoridated water supply. The data were secondary, from a sample of 888 children 5 to 12 years old enrolled in private and public schools. Caries was measured by the dmft and DMFT indices as well as the Care index. Qui-square and Mann-Whitney tests were utilized with 5% significance. In 5-year-old children, mean dmft was 2.50, and 42.20% were caries-free. At age 12, mean DMFT was 2.70 and 28.90% were caries-free. Caries prevalence rates in public schoolchildren as compared to private were 74.50% and 61.20%, respectively (p < 0.0001), and the dmft and DMFT scores were the highest in public schoolchildren (p < 0.05). The Care Index was higher in private schoolchildren (71.20%) as compared to public (52.80%). Highest caries rates were found among public schoolchildren, so the variable type of school proved sensitive for discriminating different oral health conditions; however limitations need to be recognized, suggesting that other variables should be assessed.
本研究旨在验证学校类型作为社会经济状况衡量指标与巴西圣保罗州里奥克拉罗市学龄前儿童和学龄儿童龋齿患病率之间的关系,该市有氟化水供应。数据来自对888名5至12岁就读于私立和公立学校儿童的抽样调查,属于二手数据。通过dmft和DMFT指数以及Care指数来衡量龋齿情况。采用卡方检验和曼-惠特尼检验,显著性水平为5%。5岁儿童的平均dmft为2.50,42.20%无龋齿。12岁时,平均DMFT为2.70,28.90%无龋齿。公立学校儿童的龋齿患病率分别为74.50%,私立学校儿童为61.20%(p<0.0001),公立学校儿童的dmft和DMFT得分最高(p<0.05)。私立学校儿童的Care指数(71.20%)高于公立学校儿童(52.80%)。公立学校儿童的龋齿率最高,因此学校类型这一变量被证明对区分不同的口腔健康状况较为敏感;然而,需要认识到其局限性,这表明还应评估其他变量。