Tapias-Ledesma Miguel Angel, Jiménez Rodrigo, Carrasco Garrido Pilar, Gil de Miguel Angel
Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Alcorcon, Spain.
J Public Health Dent. 2005 Fall;65(4):215-20. doi: 10.1111/j.1752-7325.2005.tb03021.x.
To ascertain the possible influence of sociodemographic variables on dental service utilization and oral health among Spanish children.
This is a descriptive cross-sectional study using secondary individualized data drawn from 4,023 interviews conducted with parents or guardians of children aged 3-15 years as part of the 2001 Spanish National Health Survey. The dependent variables analyzed were use of dental services in the preceding 12 months, and caries ever. Classification of children was affirmative if their parents answered that the last time their child visited the dentist it was for a filling and/or had fillings in his/ her teeth/molars. Independent variables were sex, age, size of town or city, parents' educational level and monthly income of the family unit.
A total of 47.1% of the study children had visited a dentist, stomatologist or dental hygienist in the preceding 12 months. Children having parents or guardians with the lowest educational level were 1.36 times (95% Cl: 1.10-1.68) more likely to have received no dental care than those having parents or guardians with the highest educational level. The likelihood of not having made use of such dental services rose 2.03-fold (95% CI: 1.58-2.61) in cases where monthly income was less than 900 euros versus greater than 1800 euros. Reported prevalence of caries for the sample as a whole was 31.45%. Children whose parents were in the lowest educational range were 1.37 times (95% CI: 1.08-1.71) more likely to have caries than those in the highest range.
There is social inequality in the use of dental services and oral health among Spanish children.
确定社会人口统计学变量对西班牙儿童牙科服务利用和口腔健康的可能影响。
这是一项描述性横断面研究，使用从2001年西班牙国家健康调查中对3至15岁儿童的父母或监护人进行的4023次访谈中提取的二次个体化数据。分析的因变量是过去12个月内牙科服务的使用情况以及曾患龋齿情况。如果儿童的父母回答其孩子上次看牙医是为了补牙和/或其牙齿/臼齿有补牙，则该儿童分类为肯定。自变量为性别、年龄、城镇规模、父母教育水平和家庭单位月收入。
在研究儿童中，共有47.1%在过去12个月内看过牙医、口腔外科医生或牙科保健员。父母或监护人教育水平最低的儿童未接受牙科护理的可能性是父母或监护人教育水平最高的儿童的1.36倍（95%可信区间：1.10 - 1.68）。月收入低于900欧元的家庭与高于1800欧元的家庭相比，未使用此类牙科服务的可能性增加2.03倍（95%可信区间：1.58 - 2.61）。整个样本报告的龋齿患病率为31.45%。父母教育水平最低的儿童患龋齿的可能性是教育水平最高的儿童的1.37倍（95%可信区间：1.08 - 1.71）。
西班牙儿童在牙科服务利用和口腔健康方面存在社会不平等。
