Enjary Celine, Tubert-Jeannin Stephanie, Manevy Rachelle, Roger-Leroi Valerie, Riordan Paul J
Department of Dental Public Health, Faculty of Dental Surgery, Universite d'Auvergne, Clermont-Ferrand, France.
Community Dent Oral Epidemiol. 2006 Oct;34(5):363-71. doi: 10.1111/j.1600-0528.2006.00284.x.
Many background variables, such as socioeconomic status (SES), may be measured at the level of the individual or using some ecological indicators.
This study aimed to examine, in 5- and 10-year-olds in Clermont-Ferrand, the relationship between household SES indicators, SES measured as an area-based ecological variable and dental status.
All 5- and 10-year-olds attending public schools in deprived and semi-deprived zones (n = 15) and six other randomly selected schools in Clermont-Ferrand were invited to participate. All children were examined clinically. On a questionnaire, parents provided sociodemographic information.
Of the children invited, 84% (880 children) were examined. Mean dft of 5-year-olds was 0.93 (SD 2.27); 26.5% had at least one tooth affected. The caries experience (DMFT) of 10-year-olds was 0.85 (SD 1.14) and 37.2% had permanent tooth caries experience. Caries experience varied significantly with school deprivation status: the greater the deprivation score, the more likely was poor dental health. Country of birth, parents' employment status, family size and health insurance type were significantly related to dental status. Logistic analyses estimated the importance of SES and ecological variables; deprivation influenced dental status in 5-year-olds even when household SES indicators were considered. In 10-year-olds, caries experience was influenced by household SES, immigrant background, father's employment and family size.
The use of school deprivation as an ecological measure status was useful for identifying population subgroups with different levels of oral health, particularly in young children. This indicator of social deprivation could be used for targeting preventive programmes to high caries risk communities defined geographically.
许多背景变量，如社会经济地位（SES），可以在个体层面进行测量，也可以使用一些生态指标来衡量。
本研究旨在调查克莱蒙费朗市5岁和10岁儿童家庭SES指标、作为基于区域的生态变量测量的SES与牙齿状况之间的关系。
邀请了贫困和半贫困地区（n = 15）所有就读于公立学校的5岁和10岁儿童以及克莱蒙费朗市其他随机选择的6所学校的儿童参与。对所有儿童进行了临床检查。在一份问卷上，家长提供了社会人口学信息。
在受邀儿童中，84%（880名儿童）接受了检查。5岁儿童的平均龋失补牙数（dft）为0.93（标准差2.27）；26.5%的儿童至少有一颗牙齿受影响。10岁儿童的龋病经历（DMFT）为0.85（标准差1.14），37.2%的儿童有恒牙龋病经历。龋病经历随学校贫困状况有显著差异：贫困得分越高，牙齿健康状况差的可能性越大。出生国家、父母就业状况、家庭规模和健康保险类型与牙齿状况显著相关。逻辑分析评估了SES和生态变量的重要性；即使考虑了家庭SES指标，贫困状况仍会影响5岁儿童的牙齿状况。在10岁儿童中，龋病经历受家庭SES、移民背景、父亲就业情况和家庭规模的影响。
将学校贫困状况作为一种生态测量指标，有助于识别不同口腔健康水平的人群亚组，尤其是在幼儿中。这种社会剥夺指标可用于针对地理上界定龋齿高风险社区的预防项目。
