Goodman Harold S, Macek Mark D, Wagner Mark L, Manz Michael C, Marrazzo Ilise D
Department of Health Promotion and Policy, Program in Pediatric Dentistry, University of Maryland, Baltimore, MD, USA.
Pediatr Dent. 2004 Jul-Aug;26(4):369-75.
The purpose of this study was to assess and compare parental awareness of unrestored dental caries needs in a schoolchildren population according to socioeconomic status.
Subjective and normative unrestored dental caries data of kindergarten and third-grade children were collected from parental awareness questionnaires and clinical examinations, respectively, used in a 2000--2001 statewide survey of Maryland schoolchildren. Descriptive, bivariate, and multivariate analyses were performed to assess awareness of unrestored dental caries. Parental perceived need also was compared to clinical findings of unrestored dental caries.
Actual (clinically assessed) unrestored dental caries (21%) was found to be 2 times the level of self-reported awareness of dental caries (11%). Those most likely to have significantly incorrect awareness of unrestored dental caries were: (1) low-income populations; (2) residents of the Maryland Eastern Shore. Sensitivity was 34% and specificity 96% in comparing self-assessed, unrestored dental caries need with the clinical findings.
An incorrect perceived oral health need is high in poorer populations and may serve as a barrier to their achieving optimal oral health, given that disease prevalence is higher and access to oral health care services is lower in this population group.
本研究旨在根据社会经济地位评估并比较学龄儿童家长对未治疗龋齿需求的认知情况。
分别从家长认知调查问卷和临床检查中收集幼儿园及三年级儿童未治疗龋齿的主观和规范数据，这些数据来自2000 - 2001年马里兰州全州范围内对学龄儿童的调查。进行描述性、双变量和多变量分析以评估对未治疗龋齿的认知情况。还将家长感知到的需求与未治疗龋齿的临床检查结果进行比较。
实际（临床评估）未治疗龋齿（21%）被发现是自我报告龋齿认知水平（11%）的两倍。那些最有可能对未治疗龋齿认知显著错误的人群为：（1）低收入人群；（2）马里兰州东海岸居民。将自我评估的未治疗龋齿需求与临床检查结果进行比较时，敏感度为34%，特异度为96%。
在较贫困人群中，对口腔健康需求的认知错误率较高，鉴于该人群疾病患病率较高且获得口腔保健服务的机会较低，这可能成为他们实现最佳口腔健康的障碍。
