Inserm UMR 953 Epidemiological Research Unit on Perinatal Health and Women's and Children's Health, Villejuif, France.
Community Dent Oral Epidemiol. 2010 Apr;38(2):171-9. doi: 10.1111/j.1600-0528.2009.00515.x. Epub 2009 Dec 7.
This study aimed to estimate the prevalence of orthodontic treatment in France among children and teenagers aged 8-18 years, by sex and by age, and to investigate the specific role of social and economic characteristics on use of orthodontic treatment.
We analyzed data from the cross-sectional national health survey conducted in France in 2002-2003, which included a sample of 5988 children aged 8-18 years. All data were collected by interview including the question on orthodontic treatment. Other data used in our study were family social status and income, maternal educational attainment and place of birth, whether the child was covered by a supplementary health insurance and whether the residence was urban or rural. We also calculated the density of orthodontists in the district. Multivariate logistic regression analyses were used to study the relationships between these social and economic factors and orthodontic treatment.
The prevalence of orthodontic treatment was 14% of all children aged 8-18, 15% for girls, and 13% for boys, and 23% in the 12 to 15-year age group. Children were less likely to have orthodontic treatment when parents were service or sales workers compared with children whose parents were managers or professionals (aOR = 0.50; 95%CI: [0.34;0.76]), when family income was in the lowest, compared with highest quartile (aOR = 0,62; 95% CI: [0.45;0.85]), when children had no supplementary insurance compared with children covered by private insurance (aOR = 0.53; 95% CI: [0.34; 0.81]), or when they lived in rural compared with urban areas (aOR = 0.70; 95% CI: [0.54; 0.91]).
There are social inequalities in orthodontic treatment in France, associated mainly with social status, annual income, supplementary insurance, and the residence area.
本研究旨在估计法国 8-18 岁儿童和青少年接受正畸治疗的流行率，按性别和年龄进行分层，并探讨社会经济特征对正畸治疗利用的具体影响。
我们分析了 2002-2003 年在法国进行的全国横断面健康调查的数据，该调查包括了 5988 名 8-18 岁的儿童样本。所有数据均通过访谈收集，包括正畸治疗的问题。我们研究中使用的其他数据包括家庭社会地位和收入、母亲的教育程度和出生地、儿童是否参加补充医疗保险以及居住地是城市还是农村。我们还计算了该地区的正畸医生密度。采用多变量逻辑回归分析来研究这些社会经济因素与正畸治疗之间的关系。
8-18 岁所有儿童中接受正畸治疗的比例为 14%，女孩为 15%，男孩为 13%，12-15 岁年龄组为 23%。与父母为经理或专业人员的儿童相比，父母为服务或销售人员的儿童接受正畸治疗的可能性较低（调整后的比值比[aOR] = 0.50；95%可信区间[CI]：[0.34；0.76]）；与家庭收入处于最高四分位的儿童相比，收入处于最低四分位的儿童接受正畸治疗的可能性较低（aOR = 0.62；95%CI：[0.45；0.85]）；与参加私人保险的儿童相比，未参加补充保险的儿童接受正畸治疗的可能性较低（aOR = 0.53；95%CI：[0.34；0.81]）；与居住在城市的儿童相比，居住在农村地区的儿童接受正畸治疗的可能性较低（aOR = 0.70；95%CI：[0.54；0.91]）。
法国的正畸治疗存在社会不平等，主要与社会地位、年收入、补充保险和居住地区有关。
