Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy and Science, Tainan 717, Taiwan, ROC.
Res Dev Disabil. 2011 Mar-Apr;32(2):583-92. doi: 10.1016/j.ridd.2010.12.016. Epub 2011 Jan 13.
The oral health of children with disability is often not as good as that of other children. In view of improving their oral health, this study aims to explore the utilization of fluoride varnish services among children with disability in Taiwan and its relevant influencing factors. With children under the age of 5 as subjects, this study is conducted based on the database of Ministry of the Interior, Executive Yuan, ROC in 2008, coupled with information gathered between 2006 and 2008 on preventive health care and health insurance from the Bureau of Health Promotion and the National Health Research Institute, respectively. In addition to descriptive statistics and bivariate analysis, this study examined the factors determining the use of fluoride varnish with logistic regression analysis. Research revealed that fluoride varnish is used by up to 9.84% of children with disability; the use increases with age and decreases with increased level of disability, but is remarkably higher in those with catastrophic illness/injury. The probability of fluoride varnish use is lower among those living in areas of lower urbanization (levels 5-7) and higher among those whose parents have higher premium-based monthly salaries. Recommendations include (1) providing a differential pricing scheme for fluoride varnish based on the level of disability of the child, (2) promoting proactively among dentists to carry out regular fluoride varnish in rural areas and collaboration with pediatricians to provide convenient services and (3) targeting families in low socioeconomic brackets, improving knowledge of fluoride varnish.
残疾儿童的口腔健康状况往往不如其他儿童。鉴于改善他们的口腔健康，本研究旨在探讨台湾残疾儿童氟化物涂料服务的利用情况及其相关影响因素。本研究以 2008 年内政部行政院数据库为基础，以 5 岁以下儿童为研究对象，结合 2006 年至 2008 年期间卫生促进局和国家卫生研究院分别收集的预防性保健和健康保险信息。除了描述性统计和双变量分析外，本研究还使用逻辑回归分析检验了决定使用氟化物涂料的因素。研究表明，高达 9.84%的残疾儿童使用氟化物涂料；使用氟化物涂料的比例随年龄增长而增加，随残疾程度增加而降低，但在患有灾难性疾病/伤害的儿童中显著更高。在城市化程度较低的地区（5-7 级）生活的儿童使用氟化物涂料的可能性较低，而父母月工资较高的儿童使用氟化物涂料的可能性较高。建议包括：（1）根据儿童残疾程度制定氟化物涂料的差别定价方案；（2）在农村地区积极向牙医推广定期氟化物涂料，并与儿科医生合作提供便利服务；（3）针对社会经济地位较低的家庭，提高对氟化物涂料的认识。
