The University of Adelaide, Australian Research Centre for Population Oral Health, School of Dentistry, Adelaide, Australia.
J Dent Res. 2012 Jun;91(6):536-43. doi: 10.1177/0022034511434355. Epub 2012 Jan 5.
The rapid changes in social and economic conditions in many populations may have significant impacts on health, including child oral health. Understanding trends and variations between and within countries will assist in the development of effective preventive programs. This review aims (1) to document time-trends in child caries experience of countries with different levels of social and economic development, and (2) to compare factors affecting the caries experience of children in two contrasting countries. A time-trend analytical approach of ecological data from countries with different levels of social and economic development and individual data of the two contrasting Vietnamese and Australian child populations were used. The analysis found a significant decline in caries experience of children, mostly driven by the improvement in populations with high social and economic development. Significant variations in caries experience and in associations with risk factors between and within countries were observed. Socio-economic inequality in child oral health existed within developed countries and between countries with different levels of development. Population programs aimed at improving upstream factors are of priority in further improving child oral health in different populations.
社会经济条件的快速变化可能对健康产生重大影响，包括儿童口腔健康。了解国家之间和内部的趋势和差异将有助于制定有效的预防计划。本综述旨在：(1)记录不同社会经济发展水平国家儿童龋齿状况的时间趋势，(2)比较两个对比国家儿童龋齿状况的影响因素。采用具有不同社会经济发展水平的国家的生态数据和两个对比的越南和澳大利亚儿童人群的个体数据的时间趋势分析方法。分析发现，儿童龋齿状况显著下降，主要是由于社会经济发展水平较高的人群的改善。观察到国家之间和内部的龋齿状况和与风险因素的关联存在显著差异。发达国家内部和不同发展水平国家之间存在儿童口腔健康的社会经济不平等。旨在改善上游因素的人口计划是进一步改善不同人群儿童口腔健康的优先事项。
