居住在美国-墨西哥边境附近的西班牙裔儿童预防口腔保健的效果。

Effectiveness of preventive oral health care in Hispanic children living near US-Mexico border.

机构信息

Clinical Research and Evaluation, Integrated Care Collaboration, Austin, TX 78741, USA.

出版信息

Int J Public Health. 2010 Aug;55(4):291-8. doi: 10.1007/s00038-010-0124-9. Epub 2010 Feb 13.

DOI:10.1007/s00038-010-0124-9

PMID:20155299

Abstract

OBJECTIVE

The effect of preventive oral healthcare on dental caries in Hispanic children in a school district near the US-Mexico border in Texas was studied.

METHODS

We collected socioeconomic and demographic data for enrolled students through a written survey of parents. The information was linked to screening data for students in the same school that had been collected during a previously completed teledentistry demonstration project. The presence of dental sealants served as a proxy for preventive oral healthcare. We compared the effect of sealant presence on caries. The student population was 97.5% Hispanic and 82% were economically disadvantaged.

RESULTS

Forty-four percent of the children in our study sample had caries. The prevalence of sealants was 19%; 32% is the national average. The results of regression models confirm the hypothesis that preventive services significantly reduce the occurrence of dental caries (OR = 0.241, P < 0.01). Higher household income (OR = 0.437, P < 0.05) and parent health insurance (OR = 0.497, P < 0.05) were also associated with reduced caries incidence.

CONCLUSIONS

Our study suggests that preventive services reduce the incidence of caries in Hispanic children in the study population.

摘要

目的

研究美国德克萨斯州美墨边境附近学区中，预防性口腔保健对西班牙裔儿童龋齿的影响。

方法

我们通过对家长进行书面调查，收集了入学者的社会经济和人口统计学数据。这些信息与之前完成的远程牙科示范项目中同一所学校学生的筛查数据相关联，学生的牙齿是否有密封剂可作为预防性口腔保健的替代指标。我们比较了密封剂存在对龋齿的影响。学生群体中 97.5%为西班牙裔，82%为经济弱势群体。

结果

在我们的研究样本中，44%的儿童患有龋齿。密封剂的患病率为 19%；全国平均水平为 32%。回归模型的结果证实了这样的假设，即预防服务显著降低了龋齿的发生（OR = 0.241，P < 0.01）。更高的家庭收入（OR = 0.437，P < 0.05）和父母的健康保险（OR = 0.497，P < 0.05）也与龋齿发病率降低有关。