鼓励低收入孕妇利用牙科保健的公共卫生计划中儿童龋齿的情况。
Children's tooth decay in a public health program to encourage low-income pregnant women to utilize dental care.
机构信息
Northwest Center to Reduce Oral Health Disparities, University of Washington, Seattle, WA, USA.
出版信息
BMC Public Health. 2010 Feb 18;10:76. doi: 10.1186/1471-2458-10-76.
BACKGROUND
A community-based public health program to provide a dental home for women covered by the Oregon Health Plan (Medicaid) in Klamath County, Oregon USA was instituted with the long-term goal to promote preventive oral care for both mothers and their new infants provided by dental managed care companies.
METHODS
As part of the evaluation of the program, children in Klamath and comparable non-program counties were examined in their 2nd year of life to begin to determine if benefits accrued to the offspring of the mothers in Klamath County.
RESULTS
Eighty-five and 58.9% of the children were caries free in the Klamath and comparison county samples, respectively (RR = 1.48, 95% CI 1.13, 1.93). The mean (SD) number of teeth with any decay was .75 (2.5) in the test population and 1.6 (2.5) in the comparison population (t = 2.08, p = .04).
CONCLUSIONS
The assessment showed that children of mothers in the Klamath County program were about one and a half times more likely to be caries free than children in the comparison counties. Additional controlled studies are being undertaken.
背景
美国俄勒冈州克拉马斯县实施了一项基于社区的公共卫生计划，为参加俄勒冈健康计划（医疗补助）的妇女提供牙医服务，长期目标是通过牙科管理式医疗保健公司为母亲及其新生儿提供预防性口腔护理。
方法
作为该计划评估的一部分，在 2 岁时对克拉马斯县和可比非计划县的儿童进行检查，以初步确定克拉马斯县母亲的子女是否从中受益。
结果
在克拉马斯县样本和对照县样本中，无龋齿的儿童分别为 85%和 58.9%（RR=1.48，95%CI1.13，1.93）。测试人群中任何部位有龋齿的牙齿平均数（SD）为 0.75（2.5），而对照人群为 1.6（2.5）（t=2.08，p=0.04）。
结论
评估表明，参加克拉马斯县计划的母亲的子女无龋齿的可能性比对照县的儿童高约 1.5 倍。正在进行更多的对照研究。
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