Department of Community Dentistry, Hebrew University - Hadassah School of Dental Medicine, Jerusalem, Israel. aviz @ hadassah.org.il
Caries Res. 2012;46(1):47-54. doi: 10.1159/000335564. Epub 2012 Jan 26.
To report dental caries status, related health behaviours and social determinants among a representative sample of adults residing in Jerusalem.
This cross-sectional study was conducted using a stratified sample of 254 Jewish and married adults aged 35-44 years in Jerusalem. Dental caries status was examined according to DMFT, percentage of caries-free persons and of people maintaining all their natural teeth (no teeth missing due to caries). The results were analysed by the independent variables and interpreted by weighted caries scores for the total Jerusalem population.
The mean age was 38.63 years. Weighted DMFT was found to be 10.59; 6.8% of the population were caries-free; 67.1% demonstrated maintenance of all natural teeth. Level of education was the distal factor, associated with number of natural teeth, DMFT and untreated decay. Mediating behavioural determinants included dental attendance, plaque level and sugar consumption.
The findings of this study demonstrated that caries experience among Jewish married adults in Jerusalem was moderate with low unmet dental caries needs. Additionally, data confirmed that a low level of education was a strong distal social determinant of caries experience, which affected dental health status via a pathway mediated by behavioural factors.
报告居住在耶路撒冷的代表性成年人样本的龋齿状况、相关健康行为和社会决定因素。
本横断面研究使用耶路撒冷的分层样本，对 254 名年龄在 35-44 岁的犹太已婚成年人进行了研究。根据 DMFT、无龋齿人数百分比和保持所有天然牙齿（无龋齿导致的缺牙）的人数来检查龋齿状况。结果根据自变量进行分析，并通过加权龋齿评分解释耶路撒冷总人口的结果。
平均年龄为 38.63 岁。加权 DMFT 为 10.59；6.8%的人群无龋齿；67.1%的人保持所有天然牙齿。教育水平是与天然牙齿数量、DMFT 和未经治疗的龋齿相关的远端因素。中介行为决定因素包括口腔就诊、菌斑水平和糖的消耗。
这项研究的结果表明，耶路撒冷犹太已婚成年人的龋齿经历处于中等水平，未满足的龋齿需求较低。此外，数据证实，较低的教育水平是龋齿经历的一个强烈的远端社会决定因素，通过行为因素的中介途径影响口腔健康状况。
