Davidson N, Skull S, Calache H, Murray S S, Chalmers J
Victorian Immigrant Health Program, Melbourne.
Aust Dent J. 2006 Dec;51(4):306-11. doi: 10.1111/j.1834-7819.2006.tb00448.x.
Dental health needs of newly arrived refugees are much greater than for the wider Australian community. This paper identifies the disparities and highlights major dental health issues for Australia's growing and constantly changing refugee population.
Using available data and the decayed, missing and filled teeth (DMFT) index as a measure of oral health, the reported oral health status of refugee groups in Australia was compared with that of the general population, Indigenous Australians, recipients of public dental services, special needs groups in Australia and other refugee groups outside Australia.
The reported oral health status of Australian refugees compared poorly with the comparison groups. Of particular concern was the number of reported untreated decayed teeth (D). This ranged from a mean of 2.0 to 5.2 compared with 0.6 to 1.4 for the general Australian population. Refugee groups also reported fewer filled teeth (1.0 to 5.8) compared with the general population (4.1 to 9.3). Similar results were found when reported D, M and F teeth for refugees were compared to Indigenous Australians, public dental service recipients, immigrants and special needs groups in Australia.
Dental health of refugees, particularly untreated decay, compared poorly to that of Indigenous Australians, and special needs populations in Australia who all have known worse dental health than the general population. There is an urgent need for the inclusion of this at risk population among targeted dental services. In addition, sources of health related data must clearly identify refugees to enable appropriate comparisons with other population groups. Recommendations for refugees are made regarding on-arrival dental assessment and treatment, and community based oral health programmes.
新抵达的难民的口腔健康需求远高于澳大利亚广大社区。本文确定了差异，并突出了澳大利亚不断增长且持续变化的难民群体的主要口腔健康问题。
利用现有数据，并将龋失补牙指数（DMFT）作为口腔健康的衡量指标，将澳大利亚难民群体报告的口腔健康状况与普通人群、澳大利亚原住民、公共牙科服务接受者、澳大利亚特殊需求群体以及澳大利亚境外的其他难民群体进行比较。
与对照组相比，澳大利亚难民报告的口腔健康状况较差。特别令人担忧的是报告的未经治疗的龋齿数量（D）。这一数字的平均值在2.0至5.2之间，而澳大利亚普通人群的这一数字为0.6至1.4。与普通人群（4.1至9.3）相比，难民群体报告的补牙数量也较少（1.0至5.8）。当将难民报告的D、M和F牙齿数量与澳大利亚原住民、公共牙科服务接受者、移民和特殊需求群体进行比较时，也发现了类似的结果。
难民的口腔健康，尤其是未经治疗的龋齿情况，与澳大利亚原住民以及澳大利亚特殊需求人群相比很差，而这些人群的口腔健康状况都已知比普通人群更差。迫切需要将这一高危人群纳入有针对性的牙科服务中。此外，与健康相关的数据来源必须明确识别难民，以便能够与其他人群进行适当比较。针对难民提出了关于抵达时牙科评估和治疗以及社区口腔健康计划的建议。
