Tapias-Ledesma Miguel Angel, Garrido Pilar Carrasco, Y Peña Mercedes Esteban, Hernánez-Barrera Valentín, de Miguel Angel Gil, Jiménez-Garcia Rodrigo
Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Rey Juan Carlos University, Madrid, Spain.
J Dent Child (Chic). 2011 Jan-Apr;78(1):36-42.
The purpose of this paper was to describe the use of dental services and the prevalence of dental caries in children living in Madrid, Spain.
A descriptive, cross-sectional study was conducted using data from the Madrid City Health Survey. The questions asked were: (1) When was the last time your child visited the dentist? (2) What was the reason for your child's last visit? and (3) Is your child currently suffering from caries, fillings, or bleeding from the gums when brushing? The independent variables included: sex; age; education level; and nationality.
Data from 960 children (approximately 27% of whom were immigrants) were analyzed. Over the last year, approximately 59% of the children had received dental care and 28% suffered from caries. After multivariate analysis, we observed that 3- to 6-year-old children, immigrants, and children of parents with low education levels are more likely not to have received dental care during the last year. We also found that children are more likely to suffer from caries as they get older and if they are immigrants.
Being an immigrant and from a lower education level typically results in a less frequent use of dental health services, and children of immigrants have a greater risk of suffering from dental caries. It is essential to investigate the reasons why and introduce strategies to reduce barriers to dental health access among immigrants.
本文旨在描述西班牙马德里儿童的牙科服务使用情况及龋齿患病率。
利用马德里市健康调查的数据进行了一项描述性横断面研究。所提问题包括：（1）您的孩子上次看牙医是什么时候？（2）您孩子上次就诊的原因是什么？以及（3）您的孩子目前是否患有龋齿、补牙或刷牙时牙龈出血？自变量包括：性别；年龄；教育水平；以及国籍。
对960名儿童的数据（其中约27%为移民）进行了分析。在过去一年中，约59%的儿童接受了牙科护理，28%患有龋齿。多变量分析后，我们观察到3至6岁的儿童、移民以及父母教育水平低的儿童在过去一年中更有可能未接受牙科护理。我们还发现，随着年龄增长以及如果是移民，儿童患龋齿的可能性更大。
作为移民且教育水平较低通常导致牙科保健服务使用频率较低，移民儿童患龋齿的风险更大。调查原因并引入策略以减少移民获得牙科保健的障碍至关重要。
