Oral Epidemiology, School of Dentistry, The University of Western Australia, Crawley, Western Australia.
Aust Dent J. 2011 Dec;56(4):358-64. doi: 10.1111/j.1834-7819.2011.01366.x.
The aim of this study was to compare dental hospital admissions in a total state birth population of Indigenous and non-Indigenous children aged under five years in Western Australia.
Midwives' notification data were linked to databases of deaths, admissions, birth defects and intellectual disability. Births during 1980-1995 were followed until five years of age (n = 383,665). Dental admissions were classified by ICD-9 principal diagnosis categories.
There were 738 dental admissions for 665 children aged up to five years of Indigenous mothers (n = 20,921). Indigenous children comprised 6.3% of all children having a dental admission in this age group; 3.2% of children with Indigenous mothers had a dental admission compared with 2.7% of non-Indigenous children. Overall, 8.7% (n = 58) of Indigenous children with a dental admission had a birth defect and 5.5% (n = 23) had an intellectual disability (compared to 8.8% and 3.2%). Indigenous children were four times more likely to be diagnosed with oral soft tissue diseases than non-Indigenous children, and less likely to be categorized as having diseases of the dental hard tissues. Indigenous children were more likely to have a longer dental admission.
These analyses provide important findings regarding hospital admissions for Indigenous children. Admissions for disorders of the soft tissues are more common in Indigenous children.
本研究旨在比较西澳大利亚州五岁以下的土著和非土著儿童的全人口出生的牙科住院情况。
将助产士的通知数据与死亡、住院、出生缺陷和智力残疾数据库进行了关联。1980 年至 1995 年出生的儿童一直随访到五岁（n=383665）。根据 ICD-9 主要诊断类别对牙科住院进行分类。
在 665 名五岁以下的土著母亲所生的儿童中，有 738 名儿童接受了牙科治疗（n=20921）。在该年龄组中，土著儿童占所有接受牙科治疗的儿童的 6.3%；与非土著儿童相比，有 3.2%的有土著母亲的儿童接受了牙科治疗。总的来说，有 8.7%（n=58）接受牙科治疗的土著儿童患有出生缺陷，5.5%（n=23）患有智力残疾（而 8.8%和 3.2%）。与非土著儿童相比，土著儿童被诊断为口腔软组织疾病的可能性高出四倍，而被归类为患有牙硬组织疾病的可能性则较低。土著儿童的牙科住院时间往往更长。
这些分析为土著儿童的住院治疗提供了重要的发现。软组织疾病的住院治疗在土著儿童中更为常见。
