Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Denver, 80045, USA.
Int Dent J. 2010 Jun;60(3 Suppl 2):216-22.
Profound and consequential disparities in oral health persist for American Indians and Alaska Natives. Decades of epidemiological studies have documented rates of early childhood caries (ECC) among American Indian children that are more than six times higher than those for white children, and three times higher than the rates for the general US population. While there is alarming need among this population, and there is clear evidence that dental caries can be prevented, successful programmes for prevention are rare. This report will review caries trends among American Indian children and describe promising approaches that take into account culturally defined responses of AI/AN tribes and communities. The work of the Center for Oral Health Disparities will be described, with its emphasis on community and behavioral strategies that have proven successful for working with AI/AN populations in areas of other health needs.
美国印第安人和阿拉斯加原住民的口腔健康存在严重且深远的差异。数十年来的流行病学研究记录了美国印第安儿童的早期儿童龋病（ECC）发病率，是白人儿童的六倍以上，是美国总人口的三倍以上。尽管该人群存在令人震惊的需求，并且有明确的证据表明龋齿是可以预防的，但成功的预防计划却很少。本报告将回顾美国印第安儿童的龋齿趋势，并描述一些有前途的方法，这些方法考虑到了 AI/AN 部落和社区的文化定义的反应。将描述口腔健康差异中心的工作，其重点是在其他健康需求领域与 AI/AN 人群合作的已被证明成功的社区和行为策略。
