Australian Research Centre for Population Oral Health, School of Dentistry, University of Adelaide, SA 5005, Australia.
Int Dent J. 2010 Jun;60(3 Suppl 2):245-9.
To evaluate the effect of a community-oriented primary health care (CPHC) intervention on oral health behaviours of Indigenous preschool children living in remote communities of Australia's Northern Territory.
The study was a community-clustered randomised controlled trial over two years, set in 30 remote Indigenous communities in the Northern Territory of Australia. Children aged 18-47 months at baseline were enrolled in the study. The intervention included fluoride varnish applications, training of primary care workers, and health promotion for oral health at an individual, family and community level. Intervention communities received six-monthly visits over two years and control communities were visited at baseline and two years later with no contact in the intervening period. The outcome measures reported in this paper are the impact of the intervention on two secondary endpoints: oral health promotion activities in the community and personal oral health practice of children.
The intervention did not produce any significant change in oral health behaviours, clinical measures of oral hygiene, or community programmes promoting oral health. Dental caries can be reduced but will continue to be a problem among young remote Indigenous children while they experience major social disadvantage.
评估以社区为导向的初级卫生保健（CPHC）干预对澳大利亚北部地区偏远社区中居住的土著学龄前儿童口腔健康行为的影响。
该研究是一项为期两年的社区聚类随机对照试验，在澳大利亚北部地区的 30 个偏远土著社区中进行。基线时年龄在 18-47 个月的儿童被纳入研究。干预措施包括氟化物涂料应用、初级保健工作者培训以及个人、家庭和社区层面的口腔健康促进。干预社区在两年内每六个月接受一次访问，而对照社区仅在基线和两年后进行访问，在此期间没有任何联系。本文报告的结果衡量指标是干预对两个次要终点的影响：社区内的口腔健康促进活动和儿童的个人口腔健康实践。
干预措施并未对口腔健康行为、口腔卫生临床指标或促进口腔健康的社区方案产生任何显著影响。虽然年轻的偏远土著儿童仍面临重大社会劣势，但龋齿是可以减少的，但仍将是他们面临的一个问题。
